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Joanna Dolgoff, M.D.

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University Requires Obese Students To Take Fitness Course To Graduate

Posted: 12/07/09 01:19 PM ET

Lincoln University is taking a firm stance against obesity. But are they going too far?

Starting this year, Lincoln University will require obese students to take a special fitness course. All students will have their body mass indices (BMI) measured. Those who fall into the obese category (BMI>30) will be forced to take "HPR 103: Fitness for Life." Students who fail to do so will not be allowed to graduate.

I am conflicted about this decision. On one hand, I certainly believe that as a society, we need to do something about the obesity epidemic. Major changes have to be made and our schools should be leading the way. But basing college graduation on body weight is going too far.

According to James DeBoy, professor and chair of the department of health, physical education and recreation at Lincoln University, "Basically every college has fitness courses -- we're {just} forcing this intervention." In response to criticism of this policy, DeBoy sent a letter to faculty stating: "The reasons cited for colleges not opting for intervention are multitudinous: time, cost, effort, misinformation and fear. Colleges will be damned if they try and can avoid public outcry when they ignore, minimize, or deny that a problem exists or that it is simply not their business nor in their best interest."

Yes, colleges cannot ignore the obesity crisis. And yes, increasing fitness and nutrition education is critical. But this is simply not the way to go about it.

A better solution would be to require all college students to take a fitness/nutrition class. Our country is clearly not doing a good enough job teaching our children how to live a healthy lifestyle. Even our thin teens tend to eat unhealthy foods and avoid exercise. All students, regardless of body size, would benefit from such a course. This type of education should begin in elementary school and should be part of the core curriculum.

We also can't forget that BMI is an imperfect tool. BMI will properly categorize the body fat levels of most college students. But those students who are particularly muscular will be misdiagnosed as obese. When I evaluate children for obesity, I do not solely rely on BMI. I use the child's BMI as a guideline and then make an individual assessment of each patient. If a child's BMI puts him in the obese category but it is clear that he is just muscular, I would not consider him obese. Simply using BMI as a measurement will lead to misdiagnosis.

We should not single out our overweight students by requiring such a class. This is really a slippery slope. Will we next require smokers to take a pulmonary medicine class? Will sexually promiscuous students be required to take a Sex Ed course? Once we start measuring our students' risk factors for disease, where do we stop?

I can't bear to imagine the stigma of having to take what is sure to be called the "Fat Class". College life is hard enough for an obese student. Forcing overweight students to take a special class will only increase their social isolation. I applaud Lincoln University for recognizing this increasing problem but I suggest their rethink their strategy

 
 
 

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04:04 PM on 12/08/2009
You're not objecting to the requirement--you're objecting because it only applies to the obese and because it doesn't apply to a wider range of education levels.

I'm inclined to agree, but you gotta start somewhere.
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joannadolgoffmd
08:55 PM on 12/09/2009
We do have to start somewhere but I believe that starting in this manner will only lead to more isolation and discrimination against the obese. The better way would be to require all students to take the class.
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healthy blogging
09:42 PM on 12/07/2009
Lincoln University is preparing to enact a graduation requirement that has not been thought out and is certain to backfire. As you correctly pointed out BMI is a very inaccurate tool for the measurement of obesity, not only will muscular students be erroneously labeled obese, but thin students who have a lower muscle tissue to fat ration will be considered thin. Also, it doesn't seem to take genetics or medical illness into account. Some people maybe genetically predisposed to obesity -even morbid obesity- where conventional weight loss will be far less effective. Also, hormonal fluctuations e.g. hypothyroidism or hyperthyroidism will affect a person's weight. Finally this could encourage bulimia or anorexia as students may opt not to eat or binge and purge just to meet the university's requirements. The course won't really help students to become healthier, it may indeed make matters worse.

-healthy_blogging

Published daily, "Living Fit, Healthy and Happy" is a family-friendly health and wellness resource website with articles on fitness, anti-aging, obesity, diabetes, eating disorders, cardiovascular and respiratory health, mental illness and many other health related issues. There's always something for you at "Living Fit, Healthy and Happy".

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02:17 PM on 12/07/2009
Damn nutrition and fat/obesity.

I have a problem with HBCUs using their position power to FORCE students to conform/comply with their attempts at social re/engineering amongst their student bodies.

First, it was Hampton University with their 'no braids' policy in their MBA program, Morehouse with their "gender specific" dress code, and now Lincoln's "Too Fat & Stupid to Graduate" program.

I am an HBCU Alum, and I was made to understand that my goal for education should include the ability to use education, and the education process to enable me to make better choices, and become better prepared to succeed in the "real world" given the historical and contemporary barriers that exist for me as an African male.

It is too bad that the leadership of these institutions is taking a reactionary approach to addressing social and environmental issues that confront their student bodies.

Their curriculum should be expanded to include information and education that empowers their students. This is a dis-empowering approach to students, who are reduced to sheep being shepherded through a narrow gate (pun intended).

This social engineering has to stop!
01:36 PM on 12/07/2009
Why not require everyone to take the class? There are plenty of people who aren't obese who don't know enough about fitness and nutrition.
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joannadolgoffmd
08:58 PM on 12/09/2009
My thoughts exactly!