Healthy Living

Tuesday, February 9, 2010

Where do parents fit in the childhood obesity puzzle?

By Madeline Holler
Strollerderby/Babble

Former New York Times food critic and professional fat guy Frank Bruni asks in a recent Times piece what role parents play in raising unfat kids. Should they closely monitor every meal and snack, or let kids make their own choices? Should parents speak up about bulging waistlines and after-workout ice cream or keep their mouths shut? Is modeling desired behaviors (translation: regular exercise, healthful meals) the key?

Yes and no and, maybe, actually, none of the above.

The thing is, researchers, experts, parents — even former fat kids — can’t agree on what’s making kids fat. Nobody knows how to prevent childhood obesity (though commenters on Bruni’s article, Kate Harding’s Broadsheet post on the topic, and commenters on my recent piece, certainly believe they do, usually amounting to, “Fat is a personal, moral failure. Do better.” Um, okay.)

Bruni’s memoir Born Round: The Secret History of a Full-Time Eater describes his childhood eating habits as “compulsive and expansive” from a very young age.  But why? Was he born that way? Did his parents make him that way? Could it have been prevented? Was it inevitable?

In the Times, he offers up a bit of research but mostly talks to parents, who, among other things, have the complicated job of getting their kids to be aware of what they eat without making them obsessed with it.

Bruni doesn’t come up with any hard answers, since there isn’t consensus. He does, however, find some common ground among the experts: parents can model sensible eating habits and regular exercise, provide healthy choices, serve dinner, get kids to help shop and cook. Great! Except then he goes and undermines all of that consensus with anecdotes of two kids he knows whose eating habits and parents’ lifestyles predict that they’ll act the opposite of how they actually do around food.

Granted, Bruni’s article wasn’t meant as a thesis, but he looks at obesity the way most people talk about it: as an individual problem. Finger-pointing at the individual (or the individual’s mom) is where this discussion inevitably goes. (Well, that and soda in schools).

What about the broader environment? It’s not exactly a lean world out there. Food and food service and cues to eat and opportunities to eat are, truly, everywhere. Especially for kids. I don’t just mean eeeeevil food corporations with their ubiquitous ads and manipulative product placements in all areas of life, not just on TV. I mean our society. It is all about food.

So who cares if the girl Bruni describes struggles with whether to eat French fries and the boy shovels it in to his parents’ horror. My point is, there are fries and shovel-loads of food just sitting there, waiting to be eaten. Ahhh, but it’s up to the girl and boy to resist or look away or choose an apple. Somewhere an individual has failed if a fry gets eaten.

We don’t ask for that kind of accountability with other health issues (except, maybe, lung cancer). Unlike air pollution or asthma or breast cancer, the obesity discussion starts and stops with the individual. We don’t tend to blame Katie Couric’s deceased husband for getting colon cancer, but Al Roker’s weight problem is Al Roker’s and no one else’s. Your weight problem is your fault. And until your child turns, what, 16? 18? Her weight problem is your fault, too.

Is there a chance parents are rather helpless when it comes to regulating food for their kids? Aside from slapping a granola bar out of their hands, or chastising them in front of friends, what can you do? We laugh at parents who are exasperated by the ice-cream truck at the park. We think this mother’s crusade against school cupcakes is self-serving and an imposition. I’ve insulted any number of friends by, on behalf of my kids, declining their food offerings or trying to set ground rules in advance. I’ve even left group activities that begin displaying the signs of a pre-dinner binge, which sounds just about as weird as it feels doing it.

What’s the other option? We’re told that, as parents, we’ve failed if our kids don’t make the “right” choice — that is, it’s on us if our three-year-olds want a Bomb Pop and our six-year-old’s don’t say “no thank you” to a third cupcake that week.

Bruni’s piece falls for this idea that the individual is completely in charge and, therefore, at fault for any undesirable outcomes. What should parents do? How about: what can parents do? Very little. Food. Is. Everywhere.

Of course the individual bears some responsibility for his and his child’s own health. But we humans are servants of our brains, and our brains are telling us: eat. Not only that, but really smart people are in charge of figuring out how to tell our brains to tell us to eat, and no, I’m not a conspiracy theorist writing this from my chicken coop. Advertising, people! Marketing! There are real smarty pants out there figuring ways to get us (and our kids) to buy their food, which another set of smart people have carefully designed to have the right balance of fat, salt and sugar to make you want more, more, more. Hell, one of these smart people writes essays for Babble! (Self-empowering food? Did the Gay Uncle come up Lunchables?)

I’m sure we all agree that there is no magic bullet when it comes to childhood obesity, and a lot of folks (including me) are skeptical of the one-size-fits-all growth chart percentiles and BMI scales. Smaller numbers don’t mean better health. They only mean smaller numbers. So we are talking about a lot of different things when we talk about the “nation’s weight problem.” We (collective, macro “we”) have a problem with food and overeating and overweight and lack of regular exercise in the U.S. And it’s not just a problem for those sporting a muffin top or more. It’s a problem for many of those who struck gold in the genetic lottery, too.

I haven’t read Bruni’s book, but I wonder if he concludes that only he is to blame for being a fat. I hope not. Because I think the reason is probably, excuse me, bigger than that.

Go here and tell me what you think.

Read related posts:

Vintage Ad Reminds Us Girls Used to Just Be Kids

Supermodel Gives Birth at Home

How Bread Could Cause Miscarriages

Where Half of All Pregnant Women Get C-Sections

Duggars Might Go For More. But Why?

Doc Who Raised Vaccine Alarm Found Unethical

Reservist Pumps Milk for Haiti’s Babies

Haiti Disaster Ignites Breast vs. Formula Debate

Yet Another Man to Give Birth

Woman Drives 3 Hours in Labor So Husband Can Attend Birth

U.K. Couple Endures Decades of IVF

Photo: New York Times

Syndication:

From the Community…

Comments 1-10 of 44
  • M's Avatar
    Posted by M Wed Feb 3, 2010 7:08pm PST

    from eating to ability to handle the ups and downs of life....it is all about teaching balance. This like EVERYTHING as a parent is taught through action and conversation, not just words.

    Report Abuse
  • ElkeO's Avatar
    Posted by ElkeO Wed Feb 3, 2010 7:23pm PST

    When your children are young, you have 100% control over what they eat. This is when the training takes place... training them to eat a variety of healthy foods. This doesn't mean they can't enjoy a home-baked cookie or even an occasional McDonald's meal on the road or in a hurry, but you as the parent are the one making the choices. Does your 4 or 5 year old eat brown rice and poached fish? I bet you could teach them to like it! It takes between 10 and 12 "tries" for a child to get used to a food. Then they may love it or not, but they will eat it... especially when that is all that is offered to them.

    Report Abuse
  • mom2's Avatar
    Posted by mom2 Wed Feb 3, 2010 7:38pm PST

    Teaching our children what good food choices are and leading by example with our own food choices and exercise habits is great but... I would venture to say that most everyone, skinny or overweight, have issues with food. Food is everywhere! We celebrate holidays and successes with it. We show people we love or appreciate them with their favorite treat. We send people food when loved ones pass, the list goes on. Food is inexplicably tied to emotions and that is when the trouble with over eating comes in. It becomes our coping mechanism. If we turn to food to fight stress, fear, anxiety, loneliness, rejection, boredom all to only get 5 minutes of distraction and to head back to the fridge for something else to cope with our own uncomfortable situation, our children will learn that by example as well. Advertisers know all this. They sell us that escape in a lushious piece of chocolate, or another add evokes the idea that if your love you kids or family you'll will make them choclate chip cookies, celebrate with what ever party wonderful dip,chips, appetizer... I could get really lost in how emotions are what they sell with their product, that's what we really are buying. We need to help children have solid coping skills so that they don't turn to food to find solace.

    Report Abuse
  • 56hornet's Avatar
    Posted by 56hornet Wed Feb 3, 2010 7:59pm PST

    I hear all the time how many people are going hungry in this country but every where you look, the most people I see are either over weight or real obese. I can't believe that parents are expected to raised their children and not think they are responsible for their weight. Weight watched today mean good health tomorrow in most case. Over weight and obese (about 30% of Americans) are subject to more health problems. When any one gets into trouble they blame their parents and the way they were raised, so take responsibility and raise them correctly, which includes eating healthy.

    Report Abuse
  • teresa's Avatar
    Posted by teresa Wed Feb 3, 2010 8:43pm PST

    I work as a waitress and its very sad to see parents order an adult portion for a child. I wonder if they don't know the harm they r doing to their kids.

    Report Abuse
  • JessicaC's Avatar
    Posted by JessicaC Wed Feb 3, 2010 9:02pm PST

    I'm a step-parent and I can tell you it's no picnic trying to balance a kid's diet when you only get alternate weeks. Pediatrician says our teenager needs to "lose 10-20 pounds as soon as possible." We take her to the gym with us and keep the house free of empty calories, but Birth Mom is over there feeding her chocolate chip pancakes. Nearly a year later her weight is exactly the same - "over." She seems happy to eat brown rice and veggies, but equally happy to eat chips and candy.

    When I was a kid, we were poor and skinny. Money got better when I hit teenage, and within 2-3 years all three kids had packed on a bunch of weight. Suddenly we had cookies and soda and a freezer full of corn dogs. If it isn't there, they won't eat it, but if it is...

    Report Abuse
  • RuthG's Avatar
    Posted by RuthG Wed Feb 3, 2010 9:07pm PST

    When will people understand that the standards for "healthy weight" is based on White Americans? African American inherently have a different body structure and a different "eye" on weight and weight management. Unfortunately, the inability to provide cross-cultural standards has negative effects, even when weight is used as a criteria for Life Insurance!

    So yes Michele, your daughters are perfect. Help them to stay that way.

    Report Abuse
  • Kathy's Avatar
    Posted by Kathy Wed Feb 3, 2010 9:15pm PST

    I am the mother of two grown daughters. I'm 5'4' and weigh 120 pounds. I've never had a weight problem. My husband has been overweight since the age of eight. His mother, sister, and almost all of his relatives on his mothers side of the family are heavy. I knew that our kids would have a genetic predispostion toward obesity. I vowed that I WOULD NOT have a fat child! I thought we'd escaped the bullet with our firstborn daughter. I breastfed her until she weaned at age 35 months. I delayed solid foods until well into the second half of her first year of life. I allowed no white flour products in my house, kept sugar to a minimum, and tried my best to feed my family a diet filled with nutitious, whole foods.

    My daughter was a very healthy young child. At age four, she wore a preschooler's size slim pants. She continued to wear slim sizes through the second grade. When she entered the 3rd grade I noticed that she was starting to look a little rounder in the middle than before. I didn't worry too much at first. Then I noticed that her eating pattern was changing. She started eating a lot more and she was choosing different foods than when she was younger. She seemed drawn to anything that had a high fat content. I tried discussing healthy food choices with her and pointed out that eating things with too much fat was not healthy. I'm not talking about potato chips here. We didn't have those in the house. My daughter would snack on cheese or peanut butter or whole wheat bagels with my homemade butter/lecithin blend. Her snacking would take place when she got home from school in the afternoons and I was busy tutoring other kids in my office. My former skimpy eater was suddenly eating more than I did at dinner. My husband and I were both getting concerned about her weight gain and asked our (new) pediatrician about it. He told us in front of our daughter that he saw no problem with her weight and that she was well within the norm. What he did not seem to notice was that she had been at the 25th percentile for years and that in less than a year's time she'd moved up quite a few percentiles. (I don't remember how far.) Awareness of childhood obesity was not what it is today and because this doctor had only seen my child a couple of times, he didn't know how slender she used to be. He seemed to understand my husband's and my concern that our child was following the same growth pattern as my husband, but he thought our concern was misplaced. Unfortunately, just as my husband did after his 8th birthday, my firstborn continued to gain despite all of my efforts and went from wearing slim children's sizes to chubby sizes in less than one year. She continued to gain from age 8 on. In high school she weighed around 200 pounds and was 5'7" tall. After high school her weight problem got worse. She's now 29 and I would guess that she weighs over 250.

    My second daughter, who is 24, is like me. She's never had a weight problem. Obviously, she grew up in the same house, with the same parents, being served the same meals, and having the same access to the refrigerator and the pantry as her older sister. Maybe it is my fault that my oldest is obese, but tell me, where did I go wrong?????

    Report Abuse
  • dee m's Avatar
    Posted by dee m Wed Feb 3, 2010 10:33pm PST

    when i was a child I was overweight because of constant mental abuse by my mother. I was told I would never amount to anything, that i was stupid, unattractive, --the list goes on. Food was a comfort so i ate to cover up feelings of hate towards my mother. I still use food as a crutch and in times of strss my weight goes up. By the way-I still hate my mother.

    Report Abuse
  • dee m's Avatar
    Posted by dee m Wed Feb 3, 2010 10:36pm PST

    when i was a child I was overweight because of constant mental abuse by my mother. I was told I would never amount to anything, that i was stupid, unattractive, --the list goes on. Food was a comfort so i ate to cover up feelings of hate towards my mother. I still use food as a crutch and in times of strss my weight goes up. By the way-I still hate my mother.

    Report Abuse
Comments 1-10 of 44

leave your comment

You must sign in to post a comment

Sign In for personalized information

New User? Sign Up

Health Byte

Get healthy foods for your family that won’t take a bite out of your budget.  Healthy living costs less at Walmart.