A is for average-weight, F is for fat

The practice of reporting students’ body mass scores to parents originated a few years ago as just one tactic in a war on obese children. Some school districts like Miami’s and New York City’s are even issuing personalized fitness reports for students that list their abdominal crunches and the pace of their one-mile runs along with body mass index scores. In many states, the reports — in casual parlance, obesity report cards — have become a new rite in childhood despite no solid research on either its physical or psychological impact and no controlled studies with with to judge its effectiveness.
Many schools argue that despite the flawed nature of BMI, a measure doctors generally do not recommend using for children, the reports are needed because most parents do not have accurate perceptions of their child’s weight and therefore like most fat people, need to be told exactly how fat their child is. Obesity report card proponents also say that the consequences of obesity far outweigh the blows these reports deliver to a child’s self-esteem or their affirmations of those children who suppress weight through unhealthy means as healthy.
Information is power, as the saying goes, but what happens after little Johnny or Susie’s parents receive a report grading their child as fat?
Dianne Neumark-Sztainer, a professor of epidemiology at the University of Minnesota, is the lead author of a study published Monday in the journal Pediatrics that examines how parents of overweight adolescents who know their child is overweight use such information - full study available here. The doctor said in a news story here that she decided to research the issue because of the growing practice of obesity report cards being sent home in the schools. Readers here might recall that Neumark-Sztainer is the respected author of several studies on the harmful effects of dieting for teens, especially teen girls, referenced on this site here and here.
So, how did most parents react with the information that their child is fat? Most simply encouraged their kid to diet. In fact, parental encouragement to diet marked the only difference between parents who accurately perceived their child to be overweight and those who did not recognize their children to be overweight. The study noted no differences in family eating patterns or habits, including the frequency of fast food and the availability of fruits and vegetables.
Five years later, those who had been encouraged to diet were much more likely to still be overweight — about 74 percent of boys compared with 52 percent of boys not encouraged to diet. For girls, the difference was 66 percent and 44 percent.
Neumark-Sztainer said public health experts have known for years that adolescents and teenagers who say they diet are the ones who are most likely to have weight and eating disorder problems that can last for years. Now this study also shows that just informing parents that their kids are overweight is counterproductive, she said. The study concluded that parents should talk less and do more:
Click to BookmarkWhen counseling parents of overweight children, health care providers should inform parents that dieting is not an effective long-term weight-management strategy for youth. In addition, given the high prevalence of poor dietary intakes and low physical activity levels among youth, from a public health perspective, one might question the approach of encouraging only those parents who have overweight children to provide a healthier home environment for their children. It may be more effective to provide all parents with tools to help them create a healthy home food environment, to role model and support healthy eating and physical activity, to engage in effective parenting, and to talk less about weight and dieting at home.








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