Bullying Wrap-Up, and Halloween Reminder

Dr. Stuart Twemlow, whose work was previously discussed by Childhood Obesity News, is proprietor of the “Back Off Bully” website, a tremendous resource comprising several divisions including published papers, parenting tips, videos, school materials, services, and music. Another section concerns the Peaceful Schools Project (active 1999-2002), a joint creation of the Menninger Clinic and the Baylor College of Medicine. It contains the manuals used in the project, titled “Creating a Peaceful School Learning Environment” and “School Psychiatric Consultation Manual.”

Of course the problem with school bullying, whether done by fellow students or by teachers, is that kids suffer bad consequences. The negative effect on academic performance, through the association of higher weight and lower achievement, has been documented.

Researchers from the University of Arkansas set out to examine these relationships, and concluded:

Psychosocial variables, such as weight-based teasing, should be considered in future research examining the impact of childhood obesity on school performance and in future intervention studies.

As recently as four years ago, even after years of attempted consciousness-raising, weight-related bullying and discrimination by teachers and professors were reported to be increasing. Unlike previous investigations that only covered specific points time, a longitudinal study by the Harvard School of Public Health followed children through years of education. Journalist Angela Meadows wrote,

This particular study looked at how weight change between the ages of ten and 14 affected teacher ratings of the children’s abilities, taking a range of other factors like socioeconomic status, family situation, exercise and television time, and so on, into account.

Although this study didn’t assess the actual anti-fat attitudes of the teachers — meaning it’s not possible to link the two directly — numerous other studies have now reported negative weight-related stereotypes and anti-fat attitudes being held by teachers at every stage of the school system, from kindergarten upwards.

There is widespread conviction that when overweight kids underperform academically, anti-fat attitudes held by teachers definitely play a role.

Reverse bullying

Since this didn’t fit anywhere else, let’s include it here — a comment on Reddit’s fatlogic page, from an individual with the code name “iushciuweiush”:

Ugh I used to be a ride operator at an amusement park and was called all kinds of nasty things by fat people when I told them they were too big to ride. Hey, _______, I am putting my entire body weight into the restraint and it will not click which means it’s not restraining you which means you cannot ride. I’m literally saving your life and you are bullying the ____ out of me for it as if I personally designed this stupid ride and these stupid restraints out of some evil desire to punish fat people.

Last call for Halloween

Longtime followers of this page will recognize the picture at the top, which first appeared attached to “My Halloween, by Curly: a Suggestive Fiction,” a story reminding us that we can create new customs and a new culture to fit our needs.

Also, as long as there is still time for any late bloomers to do holiday prep, please take advantage of our tremendous catalogue of posts bursting with Halloween hints!

Your responses and feedback are welcome!

Source: “Back Off Bully,” BackOffBully.com, undated
Source: “Overweight children, weight-based teasing and academic performance,” NIH.gov, 2009
Source: “Obese children do worse at school—but it may not be their fault,” QZ.com, 06/04/15
Image by Steven Depolo/Attribution 2.0 Generic (CC BY 2.0)

Yes, Some Teachers Are Bullies

In yesterday’s post, “Can Teachers Be Bullies?” we learned that obese children and youth are often bullied by teachers who use the power vested in them to unreasonably and unfairly manipulate, disparage, humiliate, and punish students. We speculated on why some teachers are bullies, wondering if it is because they themselves were bullied.

Peter Fonagy, Ph.D., says yes. Teachers who make overweight kids’ lives miserable were often treated badly themselves as children — not necessarily for weight issues, but bullies have never run short of excuses. Dr. Fonagy says,

If your early experiences lead you to expect that people will not reason, but respond to force, then you are at risk of recreating this situation in your classroom.

A number of factors could be involved. The teaching profession is no bed of roses. Like everyone else, teachers have difficulties with their spouses, kids, and parents. They have health problems, financial shortfalls, self-esteem issues, substance-abuse problems, and all the other typical human woes.

Of course there is no excuse for picking on students, but plenty of accumulated free-floating unhappiness is out there, waiting to be passed along to the next generation. Katherine Kam wrote for WebMD,

A student may remind them of someone they dislike. Or, in a surprising reversal of the “teacher’s pet” syndrome, insecure teachers may bully bright students out of envy.

And before anyone has a chance to mount the high horse of righteousness, absorb this: Between male and female teachers, by their own admission, the potential to engage in bullying behavior is equally shared.

Back in 2006, Dr. Fonagy and Dr. Stuart Twemlow published, in the International Journal of Social Psychiatry, their report of a study based on an anonymous survey of 116 elementary teachers from seven different schools. Forty-five percent of the respondents admitted to having bullied at least one student. That’s almost half!

The researchers did point out that in many schools, some students are so aggressive and belligerent that educators are concerned for their own physical safety — so they put up a tough front as a preventive measure. In many cases, this involves preemptive bullying.

According to Dr. Twemlow, the majority of bullying teachers fall into the former victim category, and tend more toward absenteeism and avoidance, dealing with disciplinary matters by making referrals to their principals. Only a small minority are truly sadistic types who derive twisted pleasure from hurting the feelings of students. In an ideal world, he says, there would be a way to screen out the “nightmare teachers” who thrive on their power to cause psychological damage.

The good news is that the former victim types are more amenable to interventions, like additional training in classroom management. The article we are referencing here also includes hints usable by parents and students, for dealing with bullying teachers.

Your responses and feedback are welcome!

Source: “Nearly half of elementary school teachers admit to bullying,” EurekAlert.org, 06/28/06
Source: “Teachers Who Bully,” WebMD.com, 2006
Photo credit: fsse8info on Visualhunt/CC BY-SA

Can Teachers Be Bullies?

We have seen that overweight and obese kids are vulnerable to being bullied by normal-weight peers, and by their own parents — and along the way, as a sad footnote, we learned that even obese children are quite capable of turning into little bullies, and later, big scary bullies. A personal history of victimization is not an immunization against turning into a bully.

Maybe that is what happened to some of the alleged educators who populate horror stories like the one sent by a 17-year old to Dr. Pretlow’s Weigh2Rock website and mentioned in Overweight: What Kids Say.

Jim weighed over 200 pounds in high school. To say his self-confidence was destroyed is to put it mildly. Assaultive students “pinched the fat till it bruised” and even some teachers gave him a hard time. “By this point I had started trying to mutilate myself cutting myself with knives, stubbing fags on my arms etc…”

As Dr. Rebecca Puhl wrote,

Increasingly, research has documented youth reports of weight-based victimization from parents and family members, and even teachers.

The researchers involved in a 2013 study inquired about the “location, frequency, duration, and types” of bullying. They turned up plenty of adult culpability, with 27 percent of the kids identifying classroom teachers and 42 percent putting the finger on sports coaches.

In response to interviewer Nancy Matsumoto, Dr. Puhl offered seven suggestions to quell the occurrence of weight stigma in schools. Three of them directly concern the teaching staff:

Educators need to treat the importance of weight bias as seriously as other forms of bias in the school setting (e.g., race, religion, sexual orientation).

It’s important for educators to question their own assumptions and use of language about weight — be aware of disparaging comments about body weight, and challenge personal attitudes and assumptions about body weight.

Educate students and teachers about the complex and multiple causes of body weight. Show that genetic, biological, environmental, and behavioral factors all contribute to a person’s weight.

A more recent study, from earlier this year, reconfirms that bullying can result in “low self-esteem, social isolation, truancy, and suicidal thoughts and behaviors.” As we also already knew, weight-based teasing can mess with a young person’s head and lead to all kinds of deleterious results like compensatory overeating, binge eating and purging, self-hatred and self-harm.

As the old saying has it, the more things change, the more they stay the same:

In fact, weight-based teasing (WBT) is consistently one of the most common reasons cited for bullying among youth; over 90% of high school students have witnessed peers with overweight/obesity being teased due to their weight. Among youths with overweight/obesity, up to 60% report WBT by peers and family members. Others who engage in WBT include teachers, coaches, and healthcare providers.

Your responses and feedback are welcome!

Source: “The Pervasive Problem of Weight-Based Bullying in Youth,” Medscape.com, 10/29/14
Source: “Bullying of Overweight and Obese Children,” HealthCentral.com, 06/29/13
Source: “Weight Stigma in Schools: Q&A with Dr. Rebecca M. Puhl,” PsychologyToday.com, 09/26/13
Source: “Weight‐based teasing is associated with gain in BMI and fat mass among children and adolescents at‐risk for obesity: A longitudinal study,” ResearchGate.net, May 2019
Photo credit: Eddie~S on Visualhunt/CC BY

Dark Secrets of the Bullying Game

Childhood Obesity News has talked about peer bullying, both in person and via the Internet. The subject becomes even more painful with a problem expressed in a headline from Yale’s Rudd Center: “Youth Seeking Weight Loss Treatment Report Bullying by Those They Trust.”

A report in the journal Pediatrics revealed that kids who are trying to do the right thing, the life-saving thing, are sometimes victimized by the very people who should be most sympathetic to their struggles and the most supportive of their goals. Difficult as it is to imagine, even young people who are making the attempt to improve are often subject to criticism and derision.

According to a survey of 361 teens attending weight-loss camps, the picture is grim. Megan Orciari wrote for Yale News,

Although peers and friends were the most commonly reported perpetrators of teasing and bullying, high percentages of adolescents also reported being teased and bullied about their weight by trusted adults…

Thirty-seven percent reported being teased and bullied about their size, by their own parents. The idea that more than one-third of parents give their overweight kids a hard time, even when they try to do better, is very discouraging.

What can parents do?

It has been shown many times that good familial relationships help kids avoid obesity. Not surprisingly, the strength and nature of these bonds also influence the child’s likelihood of becoming a bully. A study at Southwestern Medical Center utilized data from the National Survey of Children’s Health, where information on relationships between 45,000 parents and their teenage children reposed.

As it turns out, parents have quite a lot to do with whether their children engage in bullying behavior, or not. When parents interact with kids often, having conversations about the world and ideas rather than just standard “do this and don’t do that” talk, their kids turn out 40 percent less likely to be bullies.

Which teens were as much as three times as likely to be bullies? The ones whose parents acted bothered, annoyed, irritated with them, and especially the ones whose parents manifested a lot of anger. Once again, this demonstrates to parents the usefulness of the saying, “Be the change that you want to see.”

Modeling is the operative concept here. Children will tend to treat others the way they have been treated. Moreover, being a victim does not necessarily supply the empathy needed to prevent a person from becoming a victimizer.

Journalist Anne Harding’s reportage included a disheartening paragraph:

Interestingly, previous studies have suggested that obese children are more likely to bully others, in addition to being the victims of bullying. One possible explanation for this […] is that children who have difficulty staying calm and controlling their impulses to lash out at others may also have a hard time regulating their eating, and may eat for emotional reasons rather than out of hunger.

Your responses and feedback are welcome!

Source: “Youth Seeking Weight Loss Treatment Report Bullying by Those They Trust,” Yale.edu, 12/24/12
Source: “Obese kids more vulnerable to bullies,” CNN.com, 05/03/10
Photo on Visualhunt

Cyberbullying and What to Do About It

A while back, the journal Translational Behavioral Medicine published the results of a research team’s scrutiny of over 1.3 million messages from various kinds of social media. These fell into two main categories: short-form entries on Twitter, Facebook, Flickr, and YouTube; and longer posts found in blogs and forum discussions:

The results showed a large number of negative stereotypes, “fat” jokes, self-deprecating humor and alienation of overweight and obese people… The researchers were also alarmed by the significant amount of verbal aggression against overweight and obese people, particularly women.

Well over half of people with eating disorders assign at least partial blame to bullying, of which cyberbullying makes up a considerable portion. Electronic rudeness to grownups is bad enough, but immense numbers of young people are influenced and hurt by deliberate cruelty online.

Much of this activity remains unreported to authorities. Jamie Lee Peterson wrote,

It is estimated nine out of 10 children do not tell their parents or an adult when something mean or hurtful happens to them online. Some youth are afraid that they will lose their Internet or phone privileges, or that the bullying will get worse.

The study referenced in the first paragraph found that blogs and forums are less likely to be toxic, and can be excellent sources of information and advice about healthful weight maintenance. Much of their content is what many professionals denigrate as “anecdotal evidence,” although ignoring these information sources is probably short-sighted and counterproductive.

Wen-ying Sylvia Chou of the U.S. National Institutes of Health, who authored the study, said that on the whole, “blogs and forums are safe online havens that provide support against weight bias.”

Peterson, who has often worked with the illustrious Dr. Rebecca Puhl, offers advice for parents about cyberbullying in six different areas, including working with schools to ensure that kids get good information about web privacy and safety. Also in the public realm, we need to support policy that reins in the potential for damage, and make sure the legal system recognizes the threat posed by cyberbullying.

To parents, Peterson recommends these measures:

Monitoring — Regulate the time and access your child has to the Internet. Set boundaries on usage and the types of Web sites or services your child is allowed to visit.

Familiarizing — Parents should try to understand cyber media and Internet safety. Share this information with your child to help them understand potential dangers.

Accountability — Ask your child about Web sites, activities and communications he/she accesses. Set-up your own pages to understand these sites and keep your child accountable.

Chelsea Kronengold of the National Eating Disorders Association offers channels through which motivated people can take useful action to resist bullying. She wrote an inspiring article that highlights “three instances where people turned body-shaming and cyberbullying into calls of action and body-activism.”

Your responses and feedback are welcome!

Source: “The Obese Are Frequent Targets for Cyberbullies,” HealthDay.com, 10/03/14
Source: “From the Schoolyard to Your Yard: Cyber-bullying Brings Victimization Home,” ObesityAction.org, undated
Source: “Body-Shaming + Cyberbullying,” NationalEatingDisorders.org, 2015
Photo on Visualhunt

The Rise of Cyberbullying

A multi-author paper on the prevention of childhood obesity included a succinct paragraph of explanation:

Cross — sectional associations between obesity risk and bullying, social marginalization and poor academic performance have been documented in studies conducted in Canada, the USA and Sweden. Awareness of the stigma associated with obesity can lead to concerns about weight and fear of obesity even in children as young as 5 or 6.

A Canadian study of children of 11 to 16 years verified that overweight and obese teens were likely to be bullied verbally, physically, and relationally. Relational bullying includes psychological cruelty like withdrawing friendship and spreading lies and rumors that are meant to be harmful. Both boys and girls are victimized by these attacks.

The problem spans continents. Irish News journalist Fiona Dillon reported that even in relatively progressive Ireland, “A number of patients would report having horrible photos of them posted online.”

In the United States, a survey found that 41 percent of high school students saw obesity as the most frequent justification for teasing and bullying — higher even than sexual orientation at 38 percent.

Of course there are many effects, depending on the individual’s personality and history. The obvious ones are negative self-image, increased anxiety and depression, and suicidal thoughts. Bullied kids tend to do whatever is necessary to ditch physical education classes, or even skip school. They may fall behind in their academic studies, and frequently engage in unmonitored and dangerous weight-control strategies.

As if all that were not distressing enough, the ubiquitous Internet takes it to the next level — harassment that cannot be escaped by staying home. Jamie Lee Peterson wrote for ObesityAction.org,

Cyber-bullying assumes a number of different forms including threats, insults, gossip, rumors, impersonation, hacking into other people’s accounts or spreading someone else’s private or personal information without consent… Its anonymity sets cyber-bullying apart from more “traditional” victimization, but cyber-bullying is especially harmful because it reaches beyond the schoolyard and can potentially happen at any time.

The danger ratchets up a notch, or several. Some desperate kids carry weapons to school and others have even ended their own lives, including two girls who hanged themselves. All students, whether they are bullying victims or not, are advised to never publicize their names, addresses or phone numbers online, and to never, ever, share passwords.

Young people are also enjoined to keep the world livable by following a no-forward policy, by refusing to pass along cruel and embarrassing messages about others, and especially by declining to forward pictures.

Your responses and feedback are welcome!

Source: “Preventing Childhood Obesity — Evidence, Policy and Practice,” ResearchGate.net, January 2011
Source: “Obesity and Mental Health,” NationalArchives.gov.uk, March 2011
Source: “Irish teens weighing 22 stone on waiting list for obesity programme,” Independent.ie, 08/21/14
Source: “From the Schoolyard to Your Yard: Cyber-bullying Brings Victimization Home,” ObesityAction.org, undated
Photo credit: J_O_I_D on Visualhunt/CC BY

W8Loss2Go — the Personal Touch

Now 18, Carly Hurt participated several years ago in the Seattle W8Loss2Go study, and lost a significant amount of weight. More importantly, she learned that it pays to put in the effort toward life transformation. In short videos, she talks about her experiences as part of the study and about the importance of openness and honesty.

A typical quotation is,

I knew that the more honest I was, the easier it was going to be for me to receive help.

Especially in a therapeutic, counseling situation, there is no point in being anything less than honest. Until a someone realizes that she is drowning her issues in food, not much else can happen. One of the insidious aspects of this kind of obsession is that it takes over the mind. A person who is always thinking about what she will eat next does not usually have the psychic energy to function effectively in other areas of life.

Feeling better about oneself is always a worthy goal. Admitting that long-term maintenance can be a grind, is freeing. Carly speaks candidly about the challenges of hanging in there, and about her personal knowledge of slip-ups.

It is still Bullying Prevention Month

In a piece of reportage about the psychosocial effects of bullying, Carly estimates in her middle school that 50-75 percent of her fellow students were bullied. And she was one of them — shoved around, mocked, threatened. Emotional and psychological damage occurs when the victim uses eating as a coping mechanism, which Carly believes is the case with at least half the kids who are bullied. So in addition to everything else, it creates a vicious circle. Obesity causes bullying, which causes more obesity, another situation that Carly describes.

But the good news is, it is possible to change direction, and banish the destructive habit of displacement activity in all its forms. Carly is now a teen coach for the multi-center trial with the W8Loss2Go app in Southern California. Several more of her short, to-the-point videos are also accessible through the W8Loss2Go smartphone app, and the sneak preview links are right here. One covers the topic of shame, another discusses motivation, and others cover the practical side of weighing meals, and food scale tips.

Vicious circles

One of the many professionals who has discussed the self-perpetuating nature of some eating disorders is Sylvia Rimm, Ph.D. Self-esteem is a volatile commodity, that withers under the stress caused by bullying, and in turn affects the victim by cultivating personality traits, like timidity, that attract yet more bullying. People who deal with these distressing feelings by eating become larger, which leads to the infliction of still more distress.

As always, opinions differ. Journalist Anne Harding reported,

Still, the findings don’t rule out the possibility that being overweight and being bullied share a common, underlying cause, says Matthew N. Davis, M.D., a primary care physician and the director of the C.S. Mott Children’s Hospital National Poll on Children’s Health.

“There’s always been the question in the back of people’s minds about whether there was another factor involved which was related to both bullying and obesity,” says Davis.

Your responses and feedback are welcome!

Source: “Obese kids more vulnerable to bullies,” CNN.com, 05/03/10
Image via Dropbox

No Forgiveness for Fat

As we have seen, a very large percentage of overweight and obese children have experienced bullying, especially at school, which makes a certain amount of sense because after all, that is where children spend quite a lot of time in the company of others.

Dr. Rebecca Puhl has a very long title — Deputy Director for the Rudd Center for Food Policy & Obesity and Professor in the Department of Human Development and Family Sciences at UConn — which comes as no surprise, because she knows more than anybody about weight bias, of which bullying is a large and ugly subcategory.

Dr. Puhl says,

At school, weight-based bullying is reported by adolescents to be among the most frequent forms of peer harassment. Parents similarly view weight-based bullying to be the most common form of bullying that youth face, irrespective of parents’ or their child’s weight. Further corroborating these findings are teachers who report a link between high body mass index (BMI) and victimization.

That sounds straightforward enough, but there is plenty of nuance to be found in the topic. For instance, a study of more than 821 children revealed that the reporting rate is uneven. If you ask mothers, about 44 percent of children are bullied. According to teachers, it’s about 34percent. But when it came to the kids themselves, only about 25 percent self-reported being bullied.

This is an interesting discrepancy. Are they afraid or ashamed to admit that other kids pick on them? Are mothers being just extra-sensitive and over-protective?

From that same study, we learned that amongst children with different ethnic and economic backgrounds, varying degrees of academic success, and a range of social relationship aptitude, victimization “is not moderated by any of the covariates.” To put it another way, which the report also did, “No protective factors were identified.”

For most kids in this situation, there is no forgiveness for fat. Even the lucky few who are naturally funny don’t catch a break. They are still teased and poked — they just get a few laughs to sweeten the bitter pill.

Damned if you do, damned if you don’t

The illustration at the top of this page quotes some lyrics from a Bob Dylan song, “Rainy Day Women #12 & 35.” Don’t worry about what the title might mean — after all, it was the Sixties. But the words describe the situation many overweight people, both children and adults, find themselves in. No matter what they do, somebody is not happy.

This is indicated by the titles of just two of Dr. Puhl’s many publications: “Weight-based victimization: bullying experiences of weight loss treatment-seeking youth” and “Stigma as a (Dis)incentive for Weight Loss and Healthy Lifestyle Behaviors.”

Your responses and feedback are welcome!

Source: “The Pervasive Problem of Weight-Based Bullying in Youth,” Medscape.com, 10/29/14
Source: “Children who are obese, more likely to be bullied, regardless of other
factors,” NIH.gov, 05/03/10
Image by BobDylan.com

Bullying Prevention Month

There has been a National Bullying Prevention Center since 2006, and its website features a bold presentation of the organization’s objectives, of which there are nine. In slightly condensed form, they are: local action, education, facilitation for events, media savvy, influencing leaders, communication, resource management, inspiration, and the elimination of bullying. For the individual, a list is offered that includes 11 action possibilities; for the school or community, there are five more.

We are currently in the midst of National Bullying Prevention Month. Here, from mega-expert Rebecca Puhl, is the type of statistic that represents the problem:

For example, one study of 1555 adolescents found that 85% witnessed their overweight peers being teased and bullied during gym class.

What happens when kids are bullied, teased, and stigmatized for being overweight? They feel bad, depressed, and sometimes even suicidal. They make up for it by developing eating disorders. They flail around, doing crazy stunts like vomiting to try to control their weight; or go the other way, binge-eating themselves into great big messes. Dr. Pretlow says,

Binge snacking or binge eating is eating very large amounts quickly to cope with a substantial emotional pain or stress, such as bullying. Generally, the food eaten is any food that is available, and this typically occurs in secret. Binge eating is difficult to detect and treat.

Bullying comes in two major types, says psychologist Kristi Wilsman:

Children who are overweight or obese are also more likely to experience both relational (e.g., name calling, spreading rumors) and overt (e.g., physical aggression) bullying, causing an increase of stress in their everyday lives.

There doesn’t seem to be a way out, at least not in grade school. Adults get better at deflection sometimes, but for kids, there is very little they can do to make fatness forgivable to their schoolmates. The relationship between obesity and victimization, as another report puts it, “is not moderated by any of the covariates”:

Children who are obese are more likely to be bullied, regardless of a number of potential sociodemographic, social, and academic confounders. No protective factors were identified.

According to a University of Michigan study, obese kids are 65 percent more likely than their normal-weight peers to be bullied:

This pattern persisted even when the researchers took into account other factors that are associated with both obesity and being bullied, such as coming from a low-income family or doing poorly in school.

The researchers looked for “potential confounding and moderation,” in other words, traits or conditions that would be accepted by peers as mitigating circumstances that would let obese kids off the hook. Apparently, there are none. An exception to the universal misery has been noted:

[One study] identified important racial/ethnic differences in the relationship between changes in self-esteem and overweight in girls. In Hispanic and white girls, but not among black girls, those who were overweight experienced significant decreases in self-esteem compared with their non-obese counterparts…

[I]n this subgroup, obese children may not be motivated to lose weight by the promise of improved self-esteem.

In other words, African American girls seem less vulnerable than white or Hispanic girls to the psychological damage cause by fat-shaming. Whether this is because they start out with lower self-esteem, or for another reason, is an open question.

Your responses and feedback are welcome!

Source: “October is National Bullying Prevention Month,” Pacer.org, undated
Source: “The Pervasive Problem of Weight-Based Bullying in Youth,” Medscape.com, 10/29/14
Source: “Development of the Posttraumatic Stress Symptoms — Childhood Obesity Model,” WKU.edu, August 2012
Source: “Children who are obese, more likely to be bullied, regardless of other factors,” NIH.gov, 05/03/10
Source: “Obese kids more vulnerable to bullies,” CNN.com, 05/03/10
Source: “Preventing Childhood Obesity – Evidence, Policy and Practice,” ResearchGate.net, January 2011
Photo credit: Jesper Sehested/PlusLexia.com on Visualhunt/CC BY

Parenting Styles Examined

In the previous post, we spoke of the four parenting styles defined by the authors of a Canadian study based on government statistics about youth from 1994 to 2008.

The authoritarian parent is described as demanding and not responsive. The authoritative parent is demanding, but balances it out with responsiveness. The permissive parent is responsive, but not demanding, a situation that may or may not lead to trouble, depending on the environment and the child’s basic disposition. The negligent parent is neither responsive nor demanding, and, again, while many young people flounder under this non-regime, others somehow manage to thrive anyway.

When they have authoritative parents, firm but fair, both preschool and school-age children are less likely to become obese than their age-mates whose parents are of the oppressive, authoritarian variety. The study’s lead author, Lisa Kakinami, told a journalist,

Authoritarian parenting may translate to parents not responding to children’s cues of hunger and/or feeling full, and demanding or controlling the child’s energy intake. That results in the children’s ability to regulate their own energy intake being underdeveloped. These children may be more likely to overindulge when given the opportunity.

For readers who know anything at all about childhood obesity, it will come as no surprise that these findings are influenced by economic realities. The effects of these different “styles” play out differently, depending on family income. The preschool children are most noticeably affected by poverty. In families with that designation, the kids are 20 percent more likely to become obese, and, here comes the interesting part — “this risk was regardless of parenting style.”

In this maze of multifactorialism, the challenge is to figure out which of many factors will tend to be activated under different circumstances. That same study found that four widespread risk factors are parental obesity, breastfeeding duration, childhood television use, and nighttime sleep duration.

Different emphasis

Another study, from the STRONG Kids program, concerned itself with 22 contributory factors that had been previously identified, which are all listed here for the sake of completeness:

[…] child ethnicity; gender; nighttime sleep duration; time spent at home watching television per day; TV in view where family eats most meals; TV in bedroom; breastfeeding duration; family status (single parent vs. two parents); maternal education; parent BMI; family history of overweight/obesity; parent nutrition-label knowledge; participation in Women, Infants, and Children (WIC) supplemental assistance program; age of attendance in childcare; childcare nutrition policies; child’s diet intake; fat content of milk; sugar, corn syrup, or honey added to baby’s formula before 1 year of age; perceived dietary quality; neighborhood social cohesion; physical activity opportunities; and parental feeding practices.

Those researchers concluded that the key risk factors, and focus areas for the prevention of obesity, are “child sleep duration, parent BMI, and parental restrictive feeding practices.”

Parent BMI does not really come under the heading of parenting style, but the other two main factors do, as well as many of the remaining 19 factors that were named.

Your responses and feedback are welcome!

Source: “Childhood obesity is linked to poverty and parenting style,” Concordia.ca, 11/10/15
Source: “Risk Factors for Overweight/Obesity in Preschool Children: An Ecological Approach,” UNL.edu, October 2013
Photo by The Honest Company on Unsplash

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Profiles: Kids Struggling with Weight

Profiles: Kids Struggling with Obesity top bottom

The Book

OVERWEIGHT: What Kids Say explores the obesity problem from the often-overlooked perspective of children struggling with being overweight.

About Dr. Robert A. Pretlow

Dr. Robert A. Pretlow is a pediatrician and childhood obesity specialist. He has been researching and spreading awareness on the childhood obesity epidemic in the US for more than a decade.
You can contact Dr. Pretlow at:

Presentations

Dr. Pretlow’s invited presentation at the American Society of Animal Science 2020 Conference
What’s Causing Obesity in Companion Animals and What Can We Do About It

Dr. Pretlow’s invited presentation at the World Obesity Federation 2019 Conference:
Food/Eating Addiction and the Displacement Mechanism

Dr. Pretlow’s Multi-Center Clinical Trial Kick-off Speech 2018:
Obesity: Tackling the Root Cause

Dr. Pretlow’s 2017 Workshop on
Treatment of Obesity Using the Addiction Model

Dr. Pretlow’s invited presentation for
TEC and UNC 2016

Dr. Pretlow’s invited presentation at the 2015 Obesity Summit in London, UK.

Dr. Pretlow’s invited keynote at the 2014 European Childhood Obesity Group Congress in Salzburg, Austria.

Dr. Pretlow’s presentation at the 2013 European Congress on Obesity in Liverpool, UK.

Dr. Pretlow’s presentation at the 2011 International Conference on Childhood Obesity in Lisbon, Portugal.

Dr. Pretlow’s presentation at the 2010 Uniting Against Childhood Obesity Conference in Houston, TX.

Food & Health Resources