Published: 09:26 EST, 7 May 2015 | Updated: 10:54 EST, 7 May 2015
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Dr David Katz, from Yale University, argues a phenomenon he brands 'obliviobesity' is partly to blame for the childhood obesity epidemic
'Obliviobesity' is a growing, global phenomenon, which is driving the obesity epidemic.
That is the warning from one expert who fears parental obliviousness to their childrens' weight is preventing youngsters from slimming down.
A parent's ignorance of their child's weight problem makes it harder for their offspring to achieve a healthy weight, Dr David Katz, of Yale University argues.
Coining the phrase, 'obliviobesity,' he warned the phenomenon undermines ongoing efforts to combat rampant childhood obesity.
He said if obese children and teenagers do not recognise their weight as a problem, they are much less likely to attempt to lose weight.
Writing in Childhood Obesity, the journal's editor-in-chief, Dr Katz, points to a recent study, which examined the BMI of almost 3,000 children as well as their parents' perceptions of their weight.
The research, published in the British Journal of General Practice, found almost one in three parents underestimate the weight of their offspring.
Parents taking part judged just four of 2,976 children as being very overweight.
According to participants' BMI, that number was, in fact, 369.
Dr Katz said the findings suggest a changing sense of what constitutes 'normal', could be to blame.
He said: 'As the average weight of children in the UK rises, what every parent considers normal seems to rise with it.'
It is not the first time, Dr Katz notes, that parental obliviousness to their child's weight has been documented.
Studies into populations in New Zealand, the US, Australia, Belgium, Ireland and the Pacific islands have all reported the tendency.
'With a global footprint, the predilection may warrant a name all of its own: obliviobesity,' Dr Katz said.
'Parental obliviousness bedevils our responses to rampant childhood obesity in ways that are largely self-evident.
Whether or not knowledge is reliably power, denial and delusion are reliably disempowering
Dr David Katz
'Whether or not knowledge is reliably power, denial and delusion are reliably disempowering.'
In order to tackle the childhood obesity epidemic, Dr Katz, said there must be a recognition of the problem of 'obliviobesity'.
He cited the best examples of costly denial as alcoholism and addiction, 'where acknowledgement of the problem is uniformly recognised as the first part of the solution'.
But to gather objective information regarding childrens' weight, is controversial, Dr Katz acknowledged.
He referenced the example of Mike Huckabee, a former governor of Arkansas, when he introduced universal BMI report cards in schools across the state.
As a result, a modest decline in obesity rates was recorded.
But, Dr Katz said, 'ambivalence about weighing kids in schools prevails'.
'The worry persists that making kids step on a scale will embarrass or stigmatise them, and sending information about obesity home to parents will, in essence, "blame the victims",' he added.
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Dr Katz said parental obliviousness to their childrens' weight is preventing youngsters from slimming down
'If we are to eradicate obliviobesity, it will not be with objective measures alone, but also with compassion, guidance, and empowerment in the mix.'
He argues ignorance as to how much our children weigh, and whether or not it is a threat to their health, 'invites potentially grave consequences'.
A report issued by the Centers for Disease Control and Prevention in July last year, assessed actual weight with a child's perception of their weight.
A QUARTER OF BRITISH CHILDREN ARE OVERWEIGHT BY THREE
A new analysis by the World Health Organisation has found almost a quarter of British children are overweight by the age of three.
The WHO figures reveal 23 per cent of three-year-olds are overweight or obese – the second highest figure in Europe.
Experts said more needs to be done to halt to stem the rising tide of obesity and called for the Government to clamp down on the sale of junk food and sugary drinks to children.
Currently, food and drinks manufacturers set their own targets for cutting sugar and fat, under a ‘responsibility deal’ likened to Dracula being put in charge of the blood bank.
The National Obesity Forum said the scale of the childhood obesity problem is particularly concerning because most fat children become fat adults.
With young children reliant on others for food, researcher Rebecca Jones, of Emory University in the US, said education about healthy eating is key.
And that pregnant women, in particular, should be taught about nutrition.
Miss Jones, who worked with the WHO on the study, said: ‘There is strong evidence that child weight status is associated with mother’s weight status, particularly at young ages when a child’s health is solely dependent on the caregiver.
‘Recent research has tied early-life nutrition status to long-term health, increasing the necessity for young populations to be at the forefront of policy-makers’ minds when discussing interventions and places to target.’
Researchers discovered more than 80 per cent of overweight boys, and 70 per cent of overweight girls mispercieved their weight as 'normal'.
'The frequency of such misperception declined as socioecononmic status rose, indicating that families with more resources were more likely to have heightened awareness of healthy weight.'
A second article, published around a week later in Preventing Chronic Disease, also compared actual and percieved weight in a group of children and adolescents.
Researchers analysed the correlation between perception of weight and attempts to lose weight.
As in the other studies, a large proportion of the children and their parents underestimated their weight.
And this group was three times less likely to take steps to lose weight, than those children who accurately assessed their weight.
An obsession with weight and weight loss is not healthy, noted Dr. Katz, and weight is certainly not a measure of human worth.
Rather, the focus instead should be on promoting health and avoiding the long-term consequences of obesity, as a family, by eating well, being active, and helping children lose weight in a loving and supportive environment.
Dr Katz, added: 'Should we know whether or not our kids, or ourselves, are overweight?
'Of course, just as we should know—before a mechanical calamity—that the oil in our car needs changing, or our tire pressure is low.
'Obesity in our children, as in ourselves, is associated with a genuinely dire array of potential consequences.
'Avoiding these is best done with early intervention, rather than late.
Obliviousness far more reliably translates into powerlessness.
'Parents cannot ignore the threat of obesity to our children and still hope to fix it. We can, however, fix it, without fixating on it.
'The BMI is just a measure of potential health risk, like a dashboard indicator light.
'When it flashes, it is not an indication of failure or neglect, but an invitation for corrective action before things go from bad to worse.'
Obliviobesity: Looking Over the Overweight that Parents Keep Overlooking was published in the journal Childhood Obesity.
My SS has slowing and steadily been putting on the weight. He's getting really big. His little sister is huge. Neither his mom nor his dad see it as a problem. I shop for his clothes and, at 10, he can no longer fit into anything in the boys section. We can sometimes get an 18 husky from there but most of the time we have to shop in the men's section. He's very non active. I think his weight is going to be an issue one day. He doesn't eat tons of sweets but he eats all the time. Like every two hours he wants a full meal. And he can eat twice as much as DH. I have seen him eat five Big Macs in one sitting.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Yes. He can eat a lot. I'm sometimes appalled at the amount of food DH heaps on his plate. He's only ten. He's not active at all. He likes decent food but he also over eats. The last time I made spaghetti I had to take some of the meatballs off his plate. He counted out 25 meatballs and put them on his plate. They were not tiny ones either.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Well, kids go thru hungry periods. My sons did and so has DD. But, that is the time to teach them to fill up on other things. Like make him eat a salad before he eats his pasta and meatballs. I have taught my kids that pop is a dessert, not to be filled up on. And, try to show them healthier things to eat. Like you can get grilled chicken sandwiches at McD's. Or a quarter pounder is fine (one) but leave off the mayo. And, teach them to skip French fries and pop period.
He has been going through a "hungry period" for three years now. I have done all you have suggested but his parents both believe in letting him eat as much as he wants. So, I can only do so much. And we don't go out to eat that often. He just eats a ton.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Then they hit a growth spurt and now they are both over 6'3" and around 180.
C was always a rail growing up. She wore a 4 when she graduated HS. Then she went on the pill and put on about 40 pounds.
Now she is 134 and about 5'6". She looks healthy.
Kids go through a chunky phase at some point.
As long as the child 8s active most of the time, I don't think it's as big of a deal as the alarmists like to make it out to be.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
He has been going through a "hungry period" for three years now. I have done all you have suggested but his parents both believe in letting him eat as much as he wants. So, I can only do so much. And we don't go out to eat that often. He just eats a ton.
Then they hit a growth spurt and now they are both over 6'3" and around 180.
C was always a rail growing up. She wore a 4 when she graduated HS. Then she went on the pill and put on about 40 pounds.
Now she is 134 and about 5'6". She looks healthy. Kids go through a chunky phase at some point.
As long as the child 8s active most of the time, I don't think it's as big of a deal as the alarmists like to make it out to be.
Kids do go through chunky phases. For sure. And, I do think some parents are overly worried when they get a bit husky. Boys seem to hit that about 10. Then girls hit that in the teen phase when their bodies are changing. I think we have to be careful about what is normal and what isn't. Some parents go overboard with the healthy eating thing too.
If I didn't know how my kids eat and that they always ate the same things I might have worried.
C has always eaten more than her brothers. Not kidding.
But they all eat the same things.
And they ate regularly and I never made food anything other than food. If you wanted something, it's better to get a little then than wait and binge later.
Food wasn't a prize, a weapon or aNY thing else.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
Yes. He can eat a lot. I'm sometimes appalled at the amount of food DH heaps on his plate. He's only ten. He's not active at all. He likes decent food but he also over eats. The last time I made spaghetti I had to take some of the meatballs off his plate. He counted out 25 meatballs and put them on his plate. They were not tiny ones either.
I don't think I've ever made more than 25 meatballs for one meal. 6 of us would divide 25.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
Yes. He can eat a lot. I'm sometimes appalled at the amount of food DH heaps on his plate. He's only ten. He's not active at all. He likes decent food but he also over eats. The last time I made spaghetti I had to take some of the meatballs off his plate. He counted out 25 meatballs and put them on his plate. They were not tiny ones either.
What? That is nuts.
When DN joins us for dinner there can be 5-6 people eating. So 25 meatballs is not a lot. Especially since I usually make a huge pot of spaghetti because the kids like to have it the next day. So no, 25 meatballs for our family is not too many. It is too many for one ten year old though.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
My boys go through spurts where they can't seem to fill up, and other times when they eat very little. They are both very skinny. But they don't drink soft drinks and juice only once or twice a week as a treat.
SS is continually growing taller but not at the rate he is continually putting on weight. I think the last time we weighed him he weighed in right under 110 pounds. He wants a full meal every two hours. I think that's ridiculous. But I'm not his parent. I have put a stop to some of the snacking. He used to eat three or four bags of the buttery kettle corn microwave popcorn every day. We're down to half a bag now. You'd be amazed how many calories that buttery popcorn has in it.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
Well, part of it is the helicopter parenting mindset. Where God Forbid, you leave the house with your toddler and not constantly be shoving cheerios in their face. I finally just told my kids that we can go for a two hour car ride without packing snacks. And, even if you try as a parent, there tons of people constantly shoving food at your kids. My kids couldn't go to Sunday School or anything without people giving them all kinds of crap to eat. I mean, no wonder kids can't go an hour without eating anymore. They have never had too.
There are a LOT of kids who are obese whose parents don't recognize it. I read another article about a study asking 100 parents of morbidly obese kids if thier child was overweight. Almost none of the parents thought their child was overweight. They can't recognize it. Its almost like the Febreze commercials - you get "nose blind" to smells you live with. Well parents can be obese blind in regard to their kids. They don't see it even when the obesity is so severe it restricts breathing. That's what the OP is about. It's not about a little chub before a growth spurt.
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Out of all the lies I have told, "just kidding" is my favorite !
I would agree that kids these days are not given the chance to feel hungry. Most kids that is.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
There are a LOT of kids who are obese whose parents don't recognize it. I read another article about a study asking 100 parents of morbidly obese kids if thier child was overweight. Almost none of the parents thought their child was overweight. They can't recognize it. Its almost like the Febreze commercials - you get "nose blind" to smells you live with. Well parents can be obese blind in regard to their kids. They don't see it even when the obesity is so severe it restricts breathing. That's what the OP is about. It's not about a little chub before a growth spurt.
I agree 100%. It's not about growth spurts. And my SS is going to have issues. I've talked to DH about it but he is, like you said, "nose blind". His mom thinks it's funny. SS's four year old sister has to have clothes tailor made for her because she is so large. She wear a 12-14 in the girls department. AT FOUR! They buy her clothes there and then take them and have all the legs cut off and altered. Mom just laughs about it all. I feel sorry for her because she starts school next year and I know she's going to get made fun of.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
A never learned the difference between hunger and pain.
So I have ask him at times if he is really hungry.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
I looked back on my class photos from elementary school. The boy we all called "fatty" in 2nd grade would be considered normal sized now. Our perceptions have certainly changed over the years.
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Out of all the lies I have told, "just kidding" is my favorite !
I looked back on my class photos from elementary school. The boy we all called "fatty" in 2nd grade would be considered normal sized now. Our perceptions have certainly changed over the years.
Some parents refuse to see anything that could be "not right" with their children. Some just don't know what to do. It's hard to make your children do as you'd like. Even when they're adults, as we've seen.
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“Until I discovered cooking, I was never really interested in anything.” ― Julia Child ―
A co-worker told me she was shocked when she took her granddaughter to the doctor and the doctor told her the girl (age 10) was 60 lbs overweight. Uh...have you looked at her lately? Sheesh.
I had a quack pot doctor tell me my son was mobile obese when he was 5.
He was not overweight. He was so far outside of the norm percentile for his height that he was labeled morbidly obese.
At 5, J was over 4'7" and weighed 55 pounds.
He wasn't morbidly obese. He was outside the norm.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
How is this surprising? We had a thread way back where everybody thought fat babies were just the CUTEST thing, regardless of what pediatricians think.
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LawyerLady
I can explain it to you, but I can't understand it for you.
I had a quack pot doctor tell me my son was mobile obese when he was 5.
He was not overweight. He was so far outside of the norm percentile for his height that he was labeled morbidly obese.
At 5, J was over 4'7" and weighed 55 pounds.
He wasn't morbidly obese. He was outside the norm.
I have to agree with you, Lily.
I hate doctors who can ONLY look at the percentile charts rather than the child. Itty bitty's doctor kept telling DS2 that she needed to gain weight. I kept reassuring him that there was NOTHING wrong with her: she is an active, intelligent child who is tiny. What are you supposed to do? Tie her down & force feed her lard?
DS finally stood up to the pediatrician about a year ago.
I have always had a weight problem but my parents did try and change that. I did lose alot a few times. I think sometimes now its a fear of hurting their feelings and letting them feel bad .....so just let them eat themselves silly. Self esteem over health.
-- Edited by Mary Zombie on Thursday 7th of May 2015 09:08:44 PM
We were always doing things. Going to museums, amusement parks, historical places. Things that got us moving.
When the boys started getting chunky I took us to more places that got us physically moving.
Not kidding. Moving for 30 minutes is better than any diet in the world.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
How is this surprising? We had a thread way back where everybody thought fat babies were just the CUTEST thing, regardless of what pediatricians think.
I don't remember the thread, but I've never thought FAT babies were cute.
Little Man is fine, I think. He's a big boy though. Biggest in his class. Just turned 6, but we are buying 7-8 winter stuff to try and last the season. We have now settled on him telling us when he is hungry routine. He's a picky eater, but mealtime consists of proper food we know he will have, even if it means I cook extra. Snacks are primarily yogurt/banana followed by chips or oreos. He stops when he's full. We always have water/juice available for him whether we be going out for 5 min or 2 hours.
I don't remember taking food and drinks along after the kids were about 2. Maybe a. Bottle of water but not like we see people do now.
Of course if I was going to be out for a while or if we were going to the doctor or something after school I might bring them something to hold them till we got back home.
It wouldn't be more than an apple or a few pretzels and water.
It seems now that no one can go 2 hours without eating or drinking. Even adults. It's crazy.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
2 hours is not a long time for a toddler to go without food. Some water I can see.
But if they are eating regularly, they should be good for at least 3-4 hours.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
I think teaching kids to feel hungry and be OK with that is important. Yeah, you are hungry. So what? You can go another hour. It isn't the end of the world.
And a lot of the time it isn't hunger. It's thirst.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
I think teaching kids to feel hungry and be OK with that is important. Yeah, you are hungry. So what? You can go another hour. It isn't the end of the world.
I am constantly amazed at the 2, 3, 4, and 5 year Olds that can't sit through a 2 hour church service without eating or drinking.
It's ridiculous.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
I haven't taken snacks with me in years. But we always have water bottles in the car. And never anything in church. Thirsty? Too bad. Wait until Mass is over. Hungry? Good, we're going to dinner after.
Want a snack? Here's some carrot sticks and cucumber slices.
I put snacks in the boys' backpacks because they don't eat lunch until after 1 PM and sometimes aren't hungry for breakfast. But it's a little bag of gold fish or pretzels, etc. #1's teacher won't allow "sweet" snacks like cookies, etc., but because she doesn't want chocolate or sticky mess.
I cook from scratch, and once in awhile the boys will have fish sticks from frozen or boxed mac and cheese, but not often.
I think if kids get used to snacking, they will require it. When the boys are home, we don't snack. Unless someone is sick. Then they can have whatever they want at whatever time. Which is not much when they don't feel good, so anything I can get down them is good, IMO.
I keep things for the kids backpack too. Granola bars, cracker and cheese packs. They don't always eat breakfast. And sometimes they skip lunch.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.