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By Hugh C. McBride

Childhood obesity is one of the most pressing public health problems facing the United States and many other nations today. From rising diabetes rates to lowered life expectancies, experts predict that overweight and obese young people will face an avalanche of impediments to their health, happiness, and overall quality of life.

In response to a steady stream of news reports and anti-obesity awareness campaigns, many parents and other caregivers are devoting increased attention to what their children are eating and how often they are exercising. Unfortunately, though, evidence indicates that some of these well-meaning parents may actually be making things worse for their children, leading them toward the unhealthy extremes of disordered eating and obesity.
Food Fears & Eating Disorders
Writing in the Feb. 28 edition of The New York Times, author and journalist Abby Ellin reported on a disturbing trend of teen eating disorders that appear to be the result of over-enthusiastic parenting and an unhealthy attention to, ironically enough, health.
Ellin, who wrote about teen obesity in her 2005 book Teenage Waistland: A Former Fat Kid Weighs in on Living Large, Losing Weight, and How Parents Can (and Can’t Help), noted in the Times that excesses in the pursuit of health can have dramatic consequences:
While scarcely any expert would criticize parents for paying attention to children’s diets, many doctors, dietitians and eating disorder specialists worry that some parents are becoming overzealous, even obsessive, in efforts to engender good eating habits in children. With the best of intentions, these parents may be creating an unhealthy aura around food.
“We’re seeing a lot of anxiety in these kids,” said Cynthia Bulik, the director of the eating disorders program at the University of North Carolina at Chapel Hill. “They go to birthday parties, and if it’s not a granola cake they feel like they can’t eat it. The culture has led both them and their parents to take the public health messages to an extreme.”
“I have lots of children or adolescent clients or young adults who complain about how their parents micromanage their eating based on their own health standards and beliefs,” eating disorder counselor Tiffany Rush-Wilson said in Ellin’s article. “The kids’ eating became very restrictive, and that’s how they came to me.”
Though Ellin acknowledges that no formal studies have evaluated an association between parental over-exuberance and the development of eating disorders in children, teens, and adolescents, she cites anecdotal evidence from a number of experts who believe that well-intentioned albeit misdirected parents may be doing more harm than good.
“We’re driving our kids absolutely crazy,” Katie Wilson, president of the School Nutrition Association, said in Ellin’s article. “All the stuff about preservatives and pesticides. All an 8-year-old kid should know is that he or she should eat a variety of colors, and don’t supersize anything but your water jug.”
Safety Fears & Overweight Children
Three days after Ellin’s article was published, a number of articles about a different type of weight-related parenting problem appeared in the United Kingdom press.
According to a March 3 article by South Wales Echo writer Tim Lewis, 78 percent of parents who were surveyed by the nutrition products manufacturer Vitabiotics said that safety fears have led them to forbid their children from playing outdoors out of sight.
“Whereas energetic free-play outdoors used to be the typical activity in childhood, such opportunities are rare now, largely because of parental fears about their child's safety,” child psychologist Dr. Richard Woolfson said in a March 3 article in the Telegraph newspaper.
“This reduction in physical movement during play almost certainly contributes to the increase in childhood obesity,” Dr. Woolfson told Telegraph medical editor Rebecca Smith.
On Feb. 26, the Telegraph published an article about a three-year study at Aberdeen University in which researchers noted that an increase in the amount of time children spend watching television corresponded with higher weights among the 89 young people who were evaluated:
  • The study of children between the ages of 2 and 6 revealed that those who spent one additional hour in front of the television every day had an average of 2 pounds more body fat than did those who watched less TV.
  • The researchers measured the children's physical activity levels, body fat, and amount of calories burned.
  • The results showed “a clear positive link between how much time per day the children spent watching TV and how fat they were,” Dr. Diane Jackson said, noting that the weight gains could be attributed both to the lack of exercise and the increased snacking that often accompanies television viewing.
Strategies for Success
Obviously, the health and safety of one’s children are of primary importance to every good parent. But when the pursuit of these worthy concerns ends up hurting rather than helping, some changes need to be made.
The following are three tips that can help you ensure that your efforts are achieving the health objectives that are most important to you and your child:
  • Provide a range of healthy options – Telling a child that she has one and only one choice when it comes to eating or exercise (or just about anything else for that matter) is a recipe for refusal and resistance. Instead, keep the house stocked with healthy foods, and solicit your child’s support in meal planning and preparation. When it comes to exercise, encourage your child to explore a variety of creative activities, including organized sports, classes (such as swimming lessons or dance instruction), and more casual pursuits such as family walks, hikes, and bike rides.
  • Lead by example – Contrary to popular belief, your children do hear what you say to them. They also see what you do – and these observations are apt to have the more lasting impact. If your healthy living words of wisdom are delivered in a cloud of cigarette smoke, over a third helping of dessert, or after weeks of starving yourself for your high school reunion, your message is less likely to get through. Following your own advice will show your child that you mean what you say – and it offers the added benefit of improving your health, too.
  • Love your children, and let them know it – Regardless of their protestations to the contrary, children do desire the approval of their parents. But if they think that your love and acceptance are contingent upon their reaching a certain weight or attaining a certain level of athletic prowess, their affection for you could morph into a deep-seated resentment. There’s nothing wrong with guiding your children into activities that will benefit them – indeed, that’s part of what being a parent is all about – but don’t let imply that you’re doing it because they need to be “fixed.”
If your efforts to educate yourself or connect with your children are resulting in little more than continued frustration, you may want to consider professional intervention before events spiral any further out of control. Many families benefit from consulting with their primary healthcare provider or participating in outpatient therapy, while others are best served by enrolling their children in a therapeutic boarding school or a residential program that is designed for young people who are struggling with eating disorders or weight problems.
Regardless of the approach that works best for you, remember that asking for help isn’t a sign of failure – instead, it is evidence of your commitment to your family’s continued health.

 


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