What, More Costs?

A decade ago, we noted that not a single country on earth had been known to experience a declining rate of obesity during its most recent year. In the United States, that signified an enormous win for the food industry, which was selling an additional $20 billion worth of food per annum, thanks to the extra $400 worth of their products being consumed annually by the average American kid, as compared to the previous year.

Of course, the math varies from one country to the next, which in a sinister sense doesn’t even matter, since the overlords who rake in the profits have dominion over the whole planet anyway. While snacking or dining in jets or yachts, they regard themselves as the only genuine world citizens. In each port of call, they know how to obtain the most health-inducing vegetables, fruits, meats, seafood, and beverages to buy with the dimes and dollars of chubby little children far away.

Fun fact: Despite their busy lives, CEOs in the food industry (and every other business) tend to consult medical experts in the fitness field, and are quite likely to spend part of their colossal earnings on a staff member dedicated to helping them stay in admirable physical condition.

Inexorable math

Back in the day, it was Dr. Tim Lobstein, spokesperson for the World Obesity Foundation, who said it best: “Fat children are an investment in future sales.” Here at home, just like everywhere, obviously, every seller’s profit comes at some buyer’s expense. In our case, it was American parents and institutions — everybody who ever bought a doughnut or a burger for a child — who have paid the price.

Of course, by now, many of those overweight young people have taken over the responsibility for paying their own food bills, while in the meantime, all the dire predictions have come true.

Another dimension

In world news, massive attention has been paid lately to both the known and suspected illegal and shameful interference with children, carried out by wealthy and well-known international Important People. Meanwhile, all this time, right in front of our noses, it is totally true and inescapably obvious that children have been perfectly trained and impeccably groomed in another dimension of human behavior. Exactly as intended and predicted, the chunky cherubs of yesteryear have grown into a nation of obedient consumers of empty calories, flashy colors, and harmful, revolting additives.

The cost of obesity to society as a whole is a topic not easy to let go of. For most Americans, every dollar counts, whoever it is spent by and whatever it is spent on. We may disagree on the specifics, but ultimately, a very great majority of people agree on one basic principle: A lot of money is being spent on certain things, which they believe should be spent on something else instead.

Footnote

Incidentally, is there something perversely unmagical about the number 5? As a recent post pointed out,

The total number of babies born in the USA in a year is around 3.6 million. Since about one in five will be obese, that means around 720,000 unhappy fat kids.

In other words, each year, more than half a million young Americans mature into the ranks of the obese youth. In a strange, historically unprecedented twist of fate, a large percentage of young people are physically unfit and, in case the country might need to be defended, ineligible to join the armed forces.

Another unfortunate appearance of the numeral was spotted recently and will be explored further: “Obese Children Face Nearly 5-Fold Higher Risk of Fractures, Study Finds.

Your responses and feedback are welcome!

Image by Open Clipart-Vectors/Pixabay

What Is Childhood Obesity’s Price Tag?

No regular visitor to this blog is surprised to learn that there is still more to be said about the cost of obesity to our society as a whole. We all end up paying for it in some way, shape, or form. It is important to keep making this point — but not to ignite in people the sort of anger that hangs in the atmosphere, all too ready to descend upon those who are considered unacceptable in some way, by those who are too ready to judge.

Childhood Obesity News was created because of a deeply felt need to help prevent any child from experiencing extreme unhappiness in her or his early years. Of course — and this fact is indisputable — obesity is not the most glaringly obvious potential cause of childhood misery — certainly not as noticeable as a cleft palate, for instance. And in the United States, that problem is usually repaired so early that the child does not even retain a memory of it.

But for the sake of a thought experiment, we pretend for a moment that the birth defect is left unrepaired, and pick some arbitrary numbers just to make a point. Let’s propose that the emotional cost of going through childhood with such a visible deformity is a whopping 72 Misery Units. During a year in America, around 2,500 children are born with a cleft lip and/or palate. So that would be 180,000 Misery Units collectively apportioned to all of them.

Another factor enters the picture

In that same year, about one in five of all babies born will spend their childhoods being obese. But compared to facial disfigurement, that is a relatively mild level of unhappiness — call it 8 Misery Units.

For an individual child, a cleft palate left unrepaired would undoubtedly cause a ton of misery, compared to the unhappiness experienced by one of the obese kids. That would add up to an extreme amount of grief, which society as a whole should definitely put its best efforts toward fixing. But, to add another factor into the reckoning, for every facially disfigured child born in any given year, nearly 300 are born who will join the childhood obesity ranks.

The total number of babies born in the USA in a year is around 3.6 million. Since about one in five will be obese, that means around 720,000 unhappy fat kids. In other words, approximately 300 obese children for each facially disfigured child.

And even at the relatively low number of only 8 Misery Units apiece, the childhood obesity grand total would still multiply out to a truly impressive 5,760,000 Misery Units… against a measly 180,000 Misery Units among the kids who need plastic surgery. By that standard, childhood obesity is by far the more devastating problem.

The point

Most obese children will at some point — hopefully not too often — experience unpleasant (though relatively civilized) reactions from grownups. Probably, the average overweight young teenager will be on the receiving end of heedlessly uninhibited reactions from, and interactions with, their fellow juvenile acquaintances. And strangers.

Then, most of these youngsters will probably go on to become obese older teenagers, who might seek to assuage their unhappiness by adopting or substituting new bad alcohol or drug habits for the old bad eating habits. If their obesity is beyond what the average American is willing to overlook, finding a job might be difficult. When an obese young adult decides to marry and settle down, there is a strong likelihood that the partner will also be obese, and then, an even stronger probability that the offspring of that union will also be obese.

Point being, even if the average case of obesity is nowhere near as harrowing as an amputated limb or visible burn scar or tragically ineradicable birthmark; even though an individual case of obesity might imaginatively be called a mere 8 Misery Unit problem, there are so many of them that society as a whole is weighed down by the cost of all those amassed, accumulated Misery Units. And incidentally, a lot of the cases involve monetary costs which, we pointedly mention again, are paid by society as a whole.

Your responses and feedback are welcome!

Image by Elf-Moondance/Pixabay

Distribution of Debt

A recent post raised the subject of how the expenses of obesity tend to be distributed throughout the entire society. A glaring example is the very noticeable cost of medical facilities, which need enormous buildings to house them, and quite a lot of space for parking lots, and huge amounts of power to keep the lights on 24/7, as well as to run all the complicated machinery.

Whether on its own premises or outsourced, a hospital must have an infallible laundry service. Even when administered by a charitable organization, this institution has to operate as a business, taking into consideration such needs as insurance and adequate staffing in every department.

It has to maintain a fleet of ambulances and other vehicles. It must stock significant amounts of supplies, from pencils and rolls of tape to bottles of vital infusions, to food for the patients, staff, and visitors. For obvious safety reasons, many items used in hospitals, like the business end of a hypodermic needle, are single-use, requiring efficient and infallible means of disposal. This is especially true of hazardous waste like used dressings (aka bandages), which, if not properly segregated from regular garbage and conscientiously destroyed, could spread the very diseases which hospitals are supposed to defeat.

A bigger size means a higher price

With large numbers of large patients, more money is necessary to keep the place functioning. The needed equipment, whether bought or rented, has to be on the premises. If not, it will need to be obtained quickly, which usually means extra expense. Or maybe because of that lack, the patient must be transferred and transported to a different facility, for a hefty price.

Because the hospital needs a piece of industrial-strength equipment designed to lift a morbidly obese patient from one surface and set that patient down undamaged on another surface, the bills of everyone in the institution must rise incrementally. The same inflexible economic rule applies to every other item added to the inventory to accommodate overweight patients, and for each obesity specialist who needs to be hired, and so on.

An awe-inspiring example

Depending on attachments and degree of customization, a hospital “bariatric bed” designed to hold someone weighing up to 600 pounds can be had for around $1,300 to $3,300 (and north of that figure). A decade ago, such a specialized item might, like some other commodities, have been proudly, truthfully, and crudely described as “a fat investment opportunity.”

From here and there

A typical paper in the field summarizes the cost of treating childhood obesity in Brazil over the decade ending in August of 2022, noting that such expenses encompass several categories including direct medical costs, procedures, inpatient hospital stays of whatever length, outpatient doctor visits, medications, preparations (like normal saline) that are not prescription drugs but nevertheless must be paid for, and miscellaneous.

Analysts then attempt to grasp the implications their statistics present, and apply the new knowledge to not only gain a more accurate understanding of the overall situation, but to update official policy according to the results of their calculations. Some of the pertinent answers they seek include an understanding of what causes regional differences in prices, how hospitalization costs are calculated, and what this says about the overall policies.

Elsewhere

A more recent report, this one from Greece, encompassed the total burden imposed by obesity on that country’s economy in the year 2024. Both direct and indirect costs were calculated, in what the author characterizes as “a societal perspective.” The amount attributable to obesity was found to be 4.92 billion euros (almost 5 billion dollars), which was equivalent to 2.07% of the country’s Gross Domestic Product for that year. The author summarized,

Obesity imposes a considerable economic burden on Greece, threatening the sustainability of the healthcare system and broader social well-being. Immediate and drastic coordinated, multisectoral, and multidisciplinary strategies are needed to curb the prevalence and fiscal impact of obesity.

At approximately the same time, this was going on in the USA, as told by Newsweek. About one out of every five children (almost 15 million altogether) fell into the obese category, most of them being from racial minorities and low-income families. This came as no surprise to anyone who had been paying attention to their unequal access to healthful foods, safe recreational spaces, or adequate medical care. Of course, COVID-19 played a role, as children experienced a rate of annual weight gain nearly double that of the pre-pandemic years.

Naturally, all of this costs the American healthcare system a lot more than would have been the case if childhood obesity were not so widespread.

Your responses and feedback are welcome!

Source: “A fat investment opportunity,” Moneyweb.co.za, 04/16/15
Source: “Amount Spent Per Hospitalization For Childhood Obesity In The Years 2012 To August 2022 In Brazil — Epidemiological Review,” Typeset.io, 03/02/23
Source: “The Economic Cost of Obesity: A Cost-of-Illness Study in Greece,” Springer.com/ 08/27/25
Source: “’Extremely Severe’ Obesity on the Rise in US Children—Study,” Newsweek.com, 07/20/25
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Is It All About Money?

Each day, the American public is greeted by the news that yet another product or service is becoming either painfully expensive or increasingly impossible to obtain at any price. Periodically, we are met with unwelcome surprises. For example, it has recently come to the world’s attention that to build and maintain the hardware needed for immense Artificial Intelligence citadels will raise the price of both water and electricity to levels terrifying to contemplate.

At the same time, the astute reader will have noticed that certain words occur frequently in the titles and posts here at Childhood Obesity News. Those words are “cost” and “price,” along with several other appropriate synonyms, adjectival variants, and even polite euphemisms.

This site has discussed individual costs, institutional costs, societal costs, financial costs, psychological costs, emotional costs, and more; all paid directly or indirectly by the parents of obese children and, of course, by the kids themselves.

The crux of the matter

Here is the problem. “On the ground,” as the expression goes, those different types and degrees of prices are actually paid by pretty much everybody (except for a tiny percentage of villains who design and maintain the system, and profit from it). Among the vast majority of the population, many varieties of prices are paid.

The point being pursued here is that the vast majority can also jolly well decide to do something about it. One way or another, we really all need to take some responsibility. This does not mean trying to make laws to control the behavior of individuals. (They tend not to react well, so trying is usually a waste of energy.)

However, corporations are not people and are not entitled to human rights. We humans, especially the ones who hope to prevent childhood obesity, can take it upon ourselves to discipline manufacturers. Among other points of contention, they need to stop adding certain ingredients to their purportedly edible products.

We are well within our rights to insist that corporations behave themselves. We could easily take some of the energy we use to tsk-tsk at the parents of overweight children, and apply it to curbing the worst instincts of our corporate oppressors.

Oh, those prices

The vast majority of the population consists of many more types than just obese children and their responsible adults. Directly or indirectly, recognizably or covertly, one way or another, all sorts of prices are paid — and not just by these children and their parents but, eventually, by everybody who belongs to the whole society — yes, even the skinny kids and the childless adults. Still, maybe we could recognize the futility of picking on obese people and cut them a break. A lot of that energy could be constructively redirected.

Let’s back up for a minute and glance at a very recent item of medical news, which says,

Researchers from the UK and Finland said that people with obesity were seen to have a higher risk of being hospitalised or dying due to SARS-CoV-2 infection during the COVID-19 pandemic.

According to the venerated journal The Lancet, obese people may be as much as 70% more apt to be hospitalized for — and even die of — an infectious disease like pneumonia, flu, or COVID-19. The professionals behind the study ask readers to exercise caution before generalizing, because, of course, many factors are involved.

No scientists want the public to read more into their published work than what they intentionally placed there. Still, the study did encompass well over half a million subjects and…

“As obesity rates are expected to rise globally, so will the number of deaths and hospitalisations from infectious diseases linked to obesity,” author Solja Nyberg, from the University of Helsinki in Finland, said.

Like so many other studies, this one also demonstrated the futility of being mean to obese people, who may not even be around long enough to feel the effects of that wasted negative energy.

Your responses and feedback are welcome!

Source: “Data centers for AI use huge amounts of electricity, water, driving up costs and climate concerns,” CBSNews.com, 02/13/26
Source: “ Obesity Raises Risk Of Hospitalisation, Death From Infections By 70%: Study,” NDTV.com, 02/11/26
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Childhood Obesity on the Brain

An impartial observer from some other solar system, sent to garner facts about Earthlings, would eventually run up against the dislike of body fat that prevails among so many people in so many cultures. To the interplanetary visitors, the answer, including whether there even needs to be an answer, might seem obvious: “Don’t become obese.”

The scholar from afar would do the equivalent of scratching their head, musing… How much sheer brain power, how many thousand cumulative years of academic study have been devoted to dwelling on this mystery? How many lab animals have been sacrificed in pursuit of weight-loss knowledge?

The impulse to highlight a certain article published by Dr. Pretlow is irresistible. With every passing year, it becomes more demonstrable that the issues surrounding obesity and body image can impact a person in ways that are not only difficult for a non-professional observer to imagine but which, in some cases, lead to appalling results.

The human condition

It is not so very hard to change or disguise skin color, at least for the short term. Making the hair look different is almost laughably simple. To appear as a member of the opposite sex has largely been possible since people started wearing clothes. It may not be easy, or officially approved, but in most societies throughout history, it has been doable. As time goes on, that potentiality has grown for at least a percentage of folk, depending mostly on financial capability.

But… and it’s a big butt…

Okay, that is a lousy pun. Moving on… A person can be made to look taller, but to appear shorter requires some skillful trickery. A person can so easily be made to look corpulent, but to achieve the illusion of slimness is incontestably a challenge, involving a whole different sort of visual phenomenon. To achieve the illusion of a smaller body requires considerable effort — training in visual aesthetics, access to specialized supplies and equipment, and good lighting.

The sad fact is, it’s pretty much a one-way trick. To appear bigger and fatter is almost infinitely possible, depending only on how many pillows a person could tie on with ropes, or how clever a balloon-suit they could hide themselves in before inflating it and hoping not to sit on any sharp object.

All of which only emphasizes how relatively impossible it is to go the other way. Sure, optical illusion and an excellent tailor can do a lot to disguise a hefty physique. And let’s not start in on the possibilities offered by photoshopping and AI, which can work their seeming magic to portray a human as gigantic or svelte. Messing with images is so easy and obvious, it doesn’t even really belong in a serious discussion like this.

The logical answer

The obvious solution is to simply not be so big! Eat less than is needed. Use up a lot of energy. It will take time, and the task will be difficult for various reasons, but of all potential metamorphoses, it seems, in theory, at least, to be the most possible. Theoretically, to become a person with a smaller body ought to be the easiest transition of all.

So then, what is the problem? What is wrong with you and me and millions of overweight Earthlings who just can’t get it together and shed the pounds? How many thousands of hours of thought and experimentation have been utilized over the years to figure this out? How many words and bytes have we utilized in trying to first grasp the problem at all, and then to explain it to others?

More or less than required to figure out transportation without fossil fuels? More or less than has been spent trying to avoid (or facilitate) nuclear annihilation? Why is slimming down a human body such an imposing, vast, difficult, problematic, wearisome chore?

Groping for clarity

We could quote some dismal and/or shocking statistics about Obesity, Growth Of, but that would be needlessly boring. One more question comes to mind, a major one, and basically the most important reason for all this soul-searching. Just exactly how badly does this whole subject of weight damage young people who, truth be told, have quite a lot of other troublesome issues to deal with? (It is tempting to go with a colloquial expression there, like “These poor kids have too much on their plates already.” But, no.)

Now, veering back to the original puzzling topics that inspired the discussion, the entire point here was to pose yet another question. Despite the struggle to avoid and suppress obesity having been spectacularly unproductive so far, maybe some kind of a step back could be taken. Possibly, we could temporarily, just as an experiment, set aside many of the thoughts we have been accustomed to holding onto, about these matters.

Of course, many visitors here have already read the work authored by Robert Pretlow and Suzette Glasner, titled “Reconceptualization of eating addiction and obesity as displacement behavior and a possible treatment.” For those who are familiar and for newer readers too, some interesting notions dwell, awaiting discovery, in its pages. In particular, interested professionals and laypersons alike might meet up with ideas that could blossom into useful revelations and actual change.

Your responses and feedback are welcome!

Source: “Reconceptualization of eating addiction and obesity as displacement behavior and a possible treatment,” NIH.gov, June 2022
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Weight-Loss Drugs Earn Piles, Boatloads, and Oodles

As a simple search reveals, what are loosely called GLP-1 drugs have been a hot topic for a long time. Many people make plenty of profit from them, but published reports indicate some dissatisfaction among companies and individuals who would prefer, rather than a mere plenitude, to reap piles, boatloads, and oodles of money instead. As one authority explains,

GLP-1 is the natural hormone that your body makes… Semaglutide is the medicine that copies what your natural hormone does… You are not taking the hormone itself. You are taking a medicine that knows how to do the exact same job as the hormone.

The Garrison Center, a renowned think tank, has been calling public attention to matters related to semaglutide, to the point where some characterize this focused attention as whistleblowing. The colorful metaphor is borrowed from sports, where when an official lets out a blast on his whistle, that constitutes a ruling that the action taken by a player on either team was outside the realm of actions permitted in the game.

The trouble started because, although Novo Nordisk holds a patent on semaglutide, when there was an officially-declared shortage, another outfit was allowed to make and sell it too. Thomas L. Knapp thoroughly explains what happened when the telehealth company Hims & Hers had the temerity to sell semaglutide at a lower price than the rightful patent holder. Given that Hims & Hers would not even be allowed to market the stuff in the first place, had an exception not been made, this was regarded as a very hostile move.

The Novo Nordisk legal team pointed out that not only was the shortage officially declared over, erasing the justification for letting the other company sell the product, but something else was glaringly wrong, namely:

The fact is that their medicines are untested, and they’re putting patients at risk.

At this point, the whole narrative takes an unexpected turn, and journalist Knapp points out an absurdity:

[T]he difference between semaglutide from Hims & Hers and semaglutide from Novo Nordisk is the name on the label.

Novo Nordisk was charging around $150 a month, and Hims & Hers aspired to sell the same amount of the identical product for about $50 a month. But that detail is minor, compared to another matter, described as follows:

The whole POINT of Novo Nordisk’s attempt to enforce its patent is to CREATE a shortage of semaglutide in pill form… The patent, if enforceable, allows Novo Nordisk to charge customers AT LEAST three times as much for its pill as the market says it can be sold profitably for. Hims & Hers wouldn’t offer it for $50 if it expected to lose money doing so.

The purpose of patents, Knapp explains, is…

[…] to create artificial shortages so that inventors don’t have to compete with others who may copy their inventions — or even independently invent similar things… While I’m skeptical for the wildest claims about the benefits of GLP-1s, they’re clearly beneficial to enough people, in enough ways, that we should ask why governments are handing out price-gouging opportunities, in the form of monopolies, on them.

This is a gnarly situation whose resolution could resonate far and wide, affecting much more than this tempest in an industrial teapot. Meanwhile, despite widespread and fanatical acceptance, it is totally possible that the entire semaglutide market, which may have promised too much too soon, could totally collapse.

Your responses and feedback are welcome!

Source: “Is GLP-1 the Same as Semaglutide?,” SemaglutideMedics.org, 11/13/25
Source: “Semaglutide: Artificial shortage is Novo Nordisk’s business model,” TheGarrisonCenter.org, 02/10/26
Image by Peggy_Marco/Pixabay

As the Twig Is Bent

In childhood obesity, mental and emotional health issues play a very large role because of the inherently reciprocal nature of the relationship. Often, those very same mental and emotional health issues can be partly of physical origin. We occupy flesh and blood bodies that produce vital signs, so it could hardly be otherwise.

There are all sorts of possibilities. If a problem originates and is situated in a physical location on the body, it might grow another side and manifest more seriously in the mind. Or, something going on in the mind could show up as a physical result, like obesity.

There are people who consciously choose physical habits that aren’t “good for them,” knowing full well that whatever the consequences may be, they are not as frightening as the potentially alternative conditions like nightmares, a tendency to weep spontaneously, or a socially embarrassing tic. Compared to a lot of potentially miserable situations, getting fat is not a steep price to pay for sanity.

Depending on current circumstances, a person might be very grateful to have two possibilities. Sometimes, choosing the lesser of two evils is the only way out. Remember the impossibly trite but infinitely wise saying “It is what it is”?

It is what it is

One way or another, thinking about these matters too much can be inconvenient, or even dangerous. A mental/emotional roadblock can exist, then morph into a different class of problem… like one with a physical result… like obesity.

It is unfortunate, but even someone whose head is in pretty good shape can self-sabotage by just habitually, unthinkingly eating too much unconsidered food. Then, the resulting obesity can adversely affect that person’s mental and/or emotional health. Then, the resulting stress can lead this individual to eat more… and so on, back and forth… for 50, 60, or 70 years.

Something different

The National University of Singapore recently presented the public art exhibition titled VOICE, short for “Visualising Obesity’s Impact from Childhood Experiences.” Created by researchers, artists, and college students, the event’s basic idea originated with research from highly respected institutions. The show attracted a great deal of favorable attention, and not just in academic circles. The impetus behind it was research that examined…

[…] how childhood obesity is experienced as a complex social and psychological phenomenon, and shaped by family dynamics, school environments and broader societal norms.

Not surprisingly, this ambitious goal turned out to be a tall order. It has never been easy to overcome the twisted societal expectations that impose a burden on any class of people. Such deep-seated prejudices have dimensions and aspects that are easily and often overlooked when they become a seamlessly integrated feature of the culture.

The creators told the press that the informal format “allows audiences to engage with these stories at their own pace, creating space for reflection, empathy and deeper understanding.” Interactive exhibits included one that offered the visitor an opportunity to write down a slur that might be used against an overweight person, and display it on a wire sculpture:

[T]he exhibition presents an immersive collection of photographs, 3D-printed artifacts and personal narratives. Together, these works invite reflection on how everyday language, social attitudes and intervention approaches around weight can leave lasting impressions on children as they grow up.

In other words, to bend the twig will influence the shape of the tree, just as it always has done and will continue to do.

Other layers

One aim of the free-admission art show was “to open up conversations beyond physical health.” Another was to guide viewers toward looking “beyond physical health outcomes to consider how early experiences can shape wellbeing into adulthood.”

Many participants recounted how seemingly casual remarks about weight, repeated pressure to lose weight without guidance, or public scrutiny of their bodies contributed to feelings of shame, isolation, and low self-worth. They disliked the sensation of being labeled, observed as if they were lab animals, or otherwise stigmatized.

For some reason, Singapore is perceived as a particularly dicey part of the world for obese people to live in. Dr. Jumana Hashim told the press,

While ample research has been done to uncover the risk to physical health, there is a gap in the understanding of how living with obesity can impact mental health…

This is why we dive in to understand the people, places and processes that shape these experiences so that we can inform future weight management interventions, ensuring we don’t perpetuate the risk of any unintended mental health consequences.

Attendees were invited to consider and create art about such aspects as the labels that society is all too eager to bestow upon its overweight members. Among outcomes and results that are to be hoped for and worked toward are “positive, empathetic communication by parents, teachers and others, and to avoid language and practices that reinforce stigma or shame.”

Prof. Leonard Lee noted “the importance of empathy-focused, multi-level interventions that involve families, educators and healthcare practitioners, rather than placing responsibility solely on children.” Prof. Lee also emphasized that weight management efforts need to be presented “in ways that are sensitive to children’s mental and emotional wellbeing.”

Meanwhile, afflicted humans will continue to cultivate mental and emotional resilience, formulate coping strategies, and find sources of support.

Your responses and feedback are welcome!

Source: “Shining the spotlight on the hidden mental health impact of childhood obesity,” ews.nus.edu.sg, 01/30/26
Image by Roman Biernacki/Pexels

Numerous Plus Frequent Equals Fitness

In far too many cases, weight management within the family is a tricky proposition. An existing problem might be so troublesome that just one more aggravation could be disastrous. For instance, if either the mother or father is a step-parent, psychological issues might be messing things up already — to the point where sensitivity about a child’s weight problem could only make matters worse. Even if both are the natural parents, one of them might take an unsympathetic attitude like, “Nobody in my family is fat. That comes from your side, so you deal with it.”

About a decade ago, the Journal of Nutrition Education and Behavior published a study of the program (based on Social Cognitive Theory) known as Fit Families, focused on self-perception among the child participants. The entire family-based program was delivered over seven weeks, with each session lasting nearly three hours, and it wasn’t just talk.

Sessions began with a meal as an incentive for attendance, to make attendance more manageable for busy families, and served as examples of nutritious, quick meal plans that families could replicate at home.

Following this, a registered dietician delivered nutritional information; another pro suggested and demonstrated physical activities; and a counselor talked about positive attitudes. The study’s lead author, Martha Archuleta (Ph.D., RD), wrote, “Goal-setting was stressed during the sessions and each topic included a hands-on activity and discussion.”

The key word is fitness

A different program with the same Fit Families name (which is, after all, a rather obvious choice) was begun in conjunction with the federal Supplemental Nutrition Assistance Program (SNAP) and WIC. Participating families are encouraged to follow three basic precepts: move more, make every bite count, and make every sip count.

“Move more” also encompasses the goal of watching less — in other words, of cutting down screen time, especially the passive kind. Ideally, the aim is to accomplish at least an hour of physical activity each day, while limiting TV, gaming, and other screen-oriented activities to two hours per day or less. Other goals include the consumption of more fruits and vegetables. Sugar-based beverages are definitely discouraged, while straight water, and lots of it, is strongly recommended.

This particular program is aimed at children from two to four years of age, which makes excellent sense because when they are so young, they absorb behavioral suggestions like little sponges. Of course, this tendency can be problematic, because they also regard every single thing they see their parents do as not only suggested, but mandatory.

The magic words — numerous and frequent

Some truths we just intuitively grasp, because real-life evidence makes them so obvious. Hold your hand over a fire, and barring an extremely rare and improbable circumstance, you will soon be inspired to pull it away. Duh! But science does not operate on that principle, and neither does government funding. In most cases, “It’s just common sense” is not a viable case.

For an idea to earn credibility and funding, generally the first requirement is a demonstrable fact: proven by experienced scientific experts, documented by qualified scholars, and verified by additional competent authorities.

This will hardly come as a surprise, but if the goal is obesity prevention in children (or weight loss among the already obese), efforts toward change work better if they are numerous and frequent. Consequently, a few years back, a study was performed to prove that “Interventions implemented at a greater frequency and number were associated with improved weight loss compared to less frequent sessions.”

A high-intensity program works better than the other kind, and works best if administered in a strict academic setting. That stubborn fact provides plenty of opportunity for graduate students to prove their worth, because they are expected to figure out how to turn aspiration and intention into accomplishment.

In the world, what works for everybody, all the time? Almost nothing. Even the dreaded dengue fever fails to consistently overcome its targets. It kills at least 20,000 victims every year, but at the same time, a lot of people who catch it don’t really catch it, in the sense that they fail to develop any symptoms. When even such a horrible disease “can’t win ’em all,” surely no anti-obesity program can be expected to produce guaranteed results.

Your responses and feedback are welcome!

Source: “Family-based weight management program improved self-perception among obese children,” ScienceDaily.com, 06/06/16
Source: “High intensity specialized intervention content following family-based intervention yields improved,” 2MinuteMedicine.com, 11/07/17
Image by geralt/Pixabay

Overweight Awareness Monitors at Home

Gender roles are still very much in place, and if Mother does most of the shopping and cooking, she controls what appears on the dinner table. Or maybe Dad cooks, and Mom does the monthly weigh-in or waist measurement. A recent post pointed out how beneficial it would be if all parents in the dicey situation of being expected to keep an eye on a child’s weight were able to do that effectively.

Related posts have been picking away at the challenge of how to encourage parents to engage without arousing new instances of counterproductive behavior patterns that have already done incalculable damage.

Revolutions do happen

Several decades back, Parent Effectiveness Training (P.E.T.) began a long reign of ascendency among the child-rearing demographic in general. Grown-ups found Dr. Thomas Gordon’s advice easy to take on board, and children responded to the techniques. (As a bonus, parents found that the same precepts could often be adapted to the sometimes brutal and stifling adult world.)

P.E.T. revealed itself as being pretty close to a one-size-fits-all program. In the obesity prevention realm, what seems to be needed is a similarly effective method of dealing with the potentiality of a child developing a weight problem — without increasing the likelihood that the child will develop a weight problem.

Home, sweet what?

Where do weight problems come from? One clue is revealed by an article titled, “Children whose parents lack warmth more likely to grow up obese, study finds.” The Avon Longitudinal Study of Parents and Children has proven very useful over the years to the numerous researchers who have mined it for all sorts of raw data and suggestive conclusions. Some of the matters it looked into included…

[…] the association between parenting style during early childhood and a child’s weight later in childhood and in early adolescence, late adolescence and early adulthood.

Conscientious self-reporting by the adults originally involved helped sort them into four categories, according to parenting style:

1. authoritative (maintain clear boundaries but are also warm)
2. authoritarian (maintain strict discipline and show little warmth)
3. permissive (empathic but have few rules)
4. neglectful or uninvolved (emotionally uninvolved and have few rules)

The offspring of 2 and 4, authoritarian and neglectful, were…

[…] more likely to have a higher weight than those who experienced authoritative parenting. The results for permissive parenting were not statistically significant.

Researcher Alexa Segal told a journalist, “Authoritarian mothers are characterized by being demanding and controlling, while having low warmth and responsiveness,” said Segal. This style sounds familiar to the fans of comedian Marc Maron, as we have seen.

Prof. Louise Baur of the World Obesity Federation has pointed out the difficulty of raising healthy kids in the modern world. On the other hand,

This study highlights the fundamental importance of parents in raising healthy children.
Parents who are able to set appropriate limits for their child, while bringing warmth and sensitivity to the relationship, may be better able to help their child be as healthy as possible.

But then… There is always the risk that parental participation, or even just a reasonable level of concern, could backfire and be perceived as fat-shaming. When emotions are raw, almost anything that another person says or does is susceptible to interpretation as hostile. Despite a helpful website that offers an entire series of articles about obesity prevention, sometimes the chemistry simply isn’t right.

Perhaps the best answer is, hook the kid up with Brainweighve, then stand back and hope they figure it out.

Your responses and feedback are welcome!

Source: “Parent Effectiveness Training,” GordonTraining.com, undated
Source: “Children whose parents lack warmth more likely to grow up obese, study finds,”
TheGuardian.com, 10/18/22
Image by trthiet182/Pixabay

Parents As Overweight Awareness Monitors

Yes, of course parents are legitimate observers and recorders of their offsprings’ weight. However, this does not give them license to make a child’s life miserable by harping on the subject, or to blab about it to friends or strangers.

In a best-case scenario, a mom or dad is reasonable, tactful, sensitive, and several other adjectives that imply sanity, about how and when to weigh the child with a problem. If dangerous amounts of lard are obviously accumulating, what kind of reminder might be effective, and not make matters worse? It would be smart to seek advice from a qualified pro.

For instance, controversy might be avoided by designating a certain day once a month to check in with the scale and make a note on a chart. Although a parent has the authority to be an Overweight Awareness Monitor, and maybe even the ability to intervene reasonably, this is by no means an opportunity for sarcasm, shaming, threats, or any other brand of intimidation.

Parents need to have their stuff together

Just a few years back in Britain, a long-term study of 19,000 families concentrated on the emotional stability of new parents. The mothers and fathers of babies both have concerns, though not necessarily the same ones. The dads might worry more about making enough money to feed everybody and keep a roof over their heads. The moms might be more anxious about the new baby’s birth weight and their ability to figure out how to breastfeed successfully.

In any case, if parents feel shaky about their social, mental health, and economic situations, that can spell difficulty for the new family member. Researchers noticed a subtle difference between dads and moms:

The analysis found that fathers’ distress reported in infancy, but not during toddlerhood, was associated with steeper increases in BMI and excess body fat for both girls and boys. However, mothers’ distress reported in both infancy and toddlerhood was associated with steeper increases in BMI and excess body fat in only girls.

Every time a new subtlety or wrinkle is found in an aspect of parenting that is under the microscope, legions of graduate students rediscover the passion that brought them to the field in the first place, and renewed impetus to figure out exactly what is going on. Here is another quotation regarding this same University College London study, and others like it:

Distress experienced by mothers and fathers in the first few years of a child’s life, particularly during infancy, is linked with accelerated weight and excess fat gain from age 5 to 14 years, according to new research being presented at the European Congress on Obesity (ECO) held online this year.

Next steps

When a child is on the verge of sliding over into the overweight segment of the population, it seems obvious that their parents ought to take an active part in keeping track of the stats, and to qualify themselves as capable of determining when some sort of professional intervention appears to be called for. But as we have seen, their best intentions and efforts may be impeded by problems they could use knowledgeable health with. And sometimes…

There are two words that experts especially regret having to apply to parents: “neglectful” and “authoritarian” — otherwise known as “not caring” and “caring too much” — because in either case, their children just might turn out overweight. And while these parenting styles may seem at first glance to be opposites, they have been determined by highly placed academics to spring from the same source: a lack of emotional warmth.

This was learned by observing the families of 10,000 children. Usually, such reluctance to accept interference is founded in a very basic belief that goes something like,

This is how my parents raised me, and I turned out fine.

Parents can be so defensive that many professionals, even those from such prestigious institutions as Imperial College’s Centre for Health Economics & Policy Innovation, tend to regard the subject as taboo. Naturally, Childhood Obesity News is eager to take a closer look at this thorny problem.

Your responses and feedback are welcome!

Source: “Emotional distress in fathers and mothers linked to heightened risk of overweight in their children,” 05/19/21, EurekAlert.org
Source: “Children whose parents lack warmth more likely to grow up obese, study finds,” TheGuardian.com, 10/18/22
Image by flaviopantera7/Pixabay

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Profiles: Kids Struggling with Weight

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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