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Maya Uppaluru

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A Real Choice for Parents on Their Kids' Health

Posted: 12/ 5/2011 1:25 pm

At a time when 21 million students across the U.S. are receiving free or low-cost school lunches, Congress has voted to block new guidelines that would have limited the use of potatoes and sodium in the National School Lunch Program. These guidelines haven't seen an update in the last 15 years. Among other arguments against the update, conservatives argued that the government should not get involved with telling children what to eat. This is a common but flawed criticism of public health efforts to combat childhood obesity, whether through increased taxes on sugary drinks (the dreaded "soda tax"), providing healthier options in the school lunch line, or encouraging physical activity.

While discussing the First Lady's "Let's Move" campaign, Sarah Palin made the typical conservative argument: "[Mrs. Obama] is telling us that she cannot trust parents to make decisions for their own families and what they should eat, instead of a government taking over and making decisions for us." Yet nothing in the First Lady's program interrupts a parent's right to do what they think is best for their child. Instead, Let's Move would increase support in communities for parents who want their children to eat right and exercise, adding healthier options in schools where parents aren't constantly around to monitor their children.

The Let's Move campaign is a totally voluntary effort to get kids eating healthy and exercising more. In a political climate where this campaign has instantly triggered so much conservative wrath, how can those in the public health community hope to achieve any real change toward improving a serious national health problem?

Over one third of American children are overweight or obese. Children who are obese are up to 80% more likely to stay overweight or obese as adults. Their chances of developing serious health problems, including heart disease, type 2 diabetes, stroke, and cancer are also increased. These health consequences of childhood obesity translate to severe financial consequences as well--the long-term cost of obesity is about $147 billion, or 10% of our national healthcare budget.

We literally can't afford to ignore our obesity problem. What makes the situation more complicated is that many families can't afford the healthy fruits, vegetables and whole grains that science demonstrates are vital to fighting obesity. Even if they can, their children are surrounded by unhealthy options all day at school or child care centers.

The real enemy of a parent's right to choose what their children eat is the scarcity of healthy food options in many American schools and neighborhoods--not government public health interventions. Policies that introduce affordable, healthy food options are better for families and create real freedom of choice.

Students consume between 19-50% of their total calorie intake at school, making these meals one of the most important opportunities in the battle against obesity. This is particularly true for minorities and low-income students, who are disproportionately affected by poor diet and obesity. The 2006 School Health Policies and Practices Study (SHIPPS) conducted by the CDC found that 33% of elementary schools, 71% of middle schools, and 89% of high schools had a vending machine or snack bar where students were mostly purchasing sports drinks, sodas, fruit juices, and higher-fat, salty snacks, but less than half the schools offered plain water in their vending machines. Many more studies have shown that where more snacks and drinks are sold in schools, students consume more total calories, soft drinks, total fat and saturated fat, and lower intakes of fruits, vegetables, and key nutrients.

Given this context, many of our schools are not really providing parents and students with an opportunity to choose healthy food. To combat the poor selection of nutritious food options in schools, Mrs. Obama's Let's Move campaign has encouraged meeting the USDA's more rigorous nutrition guidelines, working with local chefs to teach basic cooking skills to students, and making commitments to reach the science-based nutrition standards outlined by the Institute of Medicine.

The program is innovative and emphasizes the fun and creativity in nutrition. Promoting cooking classes provides students with the skills needed to create their own meals that are healthy and built around their own tastes. This type of personal choice is much more meaningful than choosing between brands of potato chips. Encouraging school gardens teaches students to grow their own selection of vegetables and fruit, and imparts the value of natural food. School gardens provide options built around students' personal preferences for certain fruits and vegetables, rather than the selection of questionable produce at the local corner store.

Yet conservatives have already responded to this entirely voluntary program with hysterical resistance. Their supposed passion for individual choice reveals the hypocrisy of their criticism, and the problem of obesity is too important and costly to be sidetracked by political pretension. The Let's Move campaign and similar public nutrition initiatives don't take away anyone's individual choice--they expand options for everyone. Empowering students and parents to take their nutrition into their own hands is a solution that should be applauded, not shunned.

 
 
 
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12:22 AM on 12/16/2011
I didn't know that Kim kardashian sorry I mean Sarah palin was relevant I think she better go to jail for stealing all those pathetic ppl's money as a fake superpac. she used it for her daughters plastic surgery and a new house in Arizona 1 million dollars.
10:27 PM on 12/14/2011
Funny how the conservatives like the government mandates to vaccinate for a new' life threatening' disease each week. They like to control parent's choices when it means big pharma bucks for them but healthy food, that's not a money maker...
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05:50 PM on 12/12/2011
Just another cop-out by parents. They certainly have the power to see that their children lead healthy lives right now.
01:54 PM on 12/09/2011
I am against the government running any program. Look what they have done to SS , medicare, medicaid. I like very much the idea of children eating better, but I think there should be more effort put into exercise as part of the program. I know exercise is mentioned but I think it should be more prominent. It doesnt matter what these kids eat if they sit around all day playing video games or on the computer.
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05:52 PM on 12/12/2011
I assume you mean the government is doing a great job with Social Security and Medicare as these are the most efficient and beneficial programs ever implemented.

I agree that parents should be doing much more to encourage and enable their children in healthy habits encouraging regular exercise.
12:23 AM on 12/16/2011
r u gonna opt out these programs ?
12:44 PM on 12/09/2011
The "government" (Feds, state, county, school district, etc) are already involved when they allow crap "food-like substances" to be served to growing/developing bodies and minds. The republicans, who are always willing to enforce "government interference" when it serves and facilitates their corporate masters, are hypocrits of the highest order. I'm not too old to forget the disgusting lunches served in schools in order to push the nutritionally worthless products of the meat and dairy industries. It often resulted in my choosing the only alternative, a coke and candy bar !
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Llib Noswad
aka: Bill, Conservative
12:02 PM on 12/09/2011
"the First Lady's "Let's Move" campaign"

Yeah, really a great example, she has to turn sideways to make it through any of the door ways in the white house.
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Norma Corlis
change my name here to something else. Thank u
11:58 AM on 12/09/2011
Mrs Obama should practice what she preaches for one thing. And people feed their kids what they can afford to buy. Especialy now days with times being what they are. Parents need to be more responable for what their own kids too.
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mspat44417
Rock it if ya got it...Music
11:34 AM on 12/09/2011
Why is it so hard to know what's good for you kids to eat and for ourselves in general....I mean really...To much of anything is bad...It's not rocket science people..Schools shouldn't be giving kids all that crap...soda,chips stuff like that I mean really is it that hard to know what is right...To much government involved here..Have we really become that stupid..
11:16 AM on 12/09/2011
For years Doctors have been telling parents what children should and should not eat. Why because they know which foods have changed and what’s being put in them. If the food companies want to still short change everyone but now know that the government is not going for. Things can change. When President Obama took office, Baby food and bottles were in trouble, now the juice. Some people still eat fish yet they just said that there was a cover up with the oil spill. But if people still want to eat the foods that hurt them and their family. Later on down the road, don't look for a law suit. Don't ask for the government help with medical when they already warned you. Stop complaining and think smart. Stop trying to find fault in everything our first lady suggest. Even though she worked at a hospital. Our parents always warn us of things without telling us straight out. They might tell you not to go to a friend’s house , but not tell you the reason. When something happens, then you wake up. Think for yourself and keep a sharp eye open for danger. Thank God it’s not being kept as a secret anymore.
11:13 AM on 12/09/2011
Get the Federal Government out of the schools let the states and local school districts run them and leave the $120 billion a year that they suck out of the private sector kept in the private sector, but then who dances to the tune of the unions?
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05:53 PM on 12/12/2011
???
11:08 AM on 12/09/2011
It's not government that's making the choice for you, it's big business. That's whose running the show in D.C.
10:56 AM on 12/09/2011
We never had vending machines available in school and we survived somehow, why not get rid of the vending machines? Of course we also walked practically everywhere (yes, uphill both ways, wiseguys) nowadays the kids in my neighborhood ride the bus to the school which is exactly 1.3 miles from our neighborhood and I never see bicycle racks at schoools, do they still have them? I would assume that portion control is used in cafeteria lines
10:55 AM on 12/09/2011
I think you should take your blinders off! Schools may be unable to provide healthier meals because many schools get their foods from the government. Still, Mrs. Obama started this movement which has swung completely out of control. A suggestion has turned into a "must do" scenario. Think what you want but this will play out in years ahead. Obama-care will allow medical services to track all who seek medical attention. Doctor suggestions may be disregarded but the suggestions will be annotated on computer personal data files. Should the same person seek further medial assistance because he/she failed to follow suggestions then there is the possibility that medical care will not be given. All of us can see what is taking place now. We need to look further into our future to see how all of this will affect us.
02:03 PM on 12/09/2011
You said it! It's like the king who said aloud that a certain person shouldn't live and a fanatic took him at his word! That way there is protection for the 'well-meaning' leader.
10:48 AM on 12/09/2011
Get the Federal Government out of the schools and let the states and local districts run the schools and keep the $120 billion a year that they suck out of the private economy left in the private economy