School Obesity Programs May Promote Eating Disorders

A new report from the C.S. Mott Children’s Hospital National Poll on Children’s Health examines the possible association between school-based childhood obesity prevention programs and an increase in eating disorders among young children and adolescents.
The poll asked parents about obesity prevention programs in their children’s schools and about food-related behaviors and activity that may be worrisome.
Overall, 82 percent of parents of children age 6-14 report at least one school-based childhood obesity intervention program taking place in their child’s school. Among these programs are nutrition education, limits on sweets or “junk food” in the classroom, height and weight measurements, and incentives for physical activity.
Additionally, 7 percent of parents report that their children have been made to feel bad at school about what or how much they were eating.
This same group of parents was also asked about their children’s eating behaviors.
Thirty percent of parents of 6-14 year-olds report least one behavior in their children that could be associated with the development of an eating disorder. These behaviors include inappropriate dieting, excessive worry about fat in foods, being preoccupied with food content or labels, refusing family meals, and having too much physical activity.
“The issue of childhood obesity is a serious problem. In order to intervene in what seems like an epidemic of childhood obesity, everyone needs to be involved,” says David Rosen, M.D., M.P.H., Clinical Professor of Pediatrics, Internal Medicine, and Psychiatry at the University of Michigan Medical School and Chief of Teenage and Young Adult Medicine in the Department of Pediatrics.
However, Rosen says, “When obesity interventions are put in place without understanding how they work and what the risks are, there can be unintended consequences. Well-intentioned efforts can go awry when children misinterpret the information they’re given.
Parents who report incentive programs at their children’s school to increase physical activity are more likely to say their children are “too physically active” (11%) compared with parents who do not report incentives for physical activity at their child’s school (4%). Otherwise, the poll did not find an association between school-based obesity prevention programs and other worrisome eating behaviors among children.
The fact that 30% of parents report at least one worrisome eating behavior in their children is concerning.

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