Obesity Police Want to Track Your Kid’s BMI

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Parent, Teacher Say State Should Get Involved

But other parents agree that the state should take on a larger role.

“If I had failed at being a good parent by letting my child get fat in the first place, yes, I would welcome help from a doctor,” said Ann Joyce of Liberty, N.C. “Health trumps privacy when you have failed as a parent. Parents need to wake up to what they are doing to their kids.”

Ignoring a child’s growing waistline can also be tantamount to child abuse, according to Emily Abbott, who teaches high school in Tacoma, Wash.

“Though I am not a mother, I would expect someone to step in and help if I was doing an ill job raising my child,” she said. “Accepting and allowing obesity in children is slowing killing them and setting them up for an early grave.”

New York nutritionist Keith Ayoob agrees that collecting BMI data is a “starting point” for addressing the obesity epidemic.

“You want to find out what the contributing factors are—9 times out of 10, it’s not in school but the other 18 hours of the day,” said Ayoob, director of the Nutrition Clinic at the Rose F. Kennedy Center at Albert Einstein College of Medicine. “We worry about what’s going on at home.”

Often parents seeking help walk into his Bronx office for a half-hour visit with a shopping bag full of chips and soda. Others say they have never offered their child fruits or vegetables.

“We owe kids better than that,” said Ayoob, “Parents need to learn to be parents and set healthy limits and let you know they are in charge and this is not a democracy.”

“When parents give kids food, they are training them, not just feeding them,” he said. “Parents sometimes have to deal with their own eating issues.”

Such was the case with his patient, Karen Butler-Brock, whose son Andrew is overweight and has a family history of diabetes and heart disease.

“He had insatiable appetite and the pounds were packing on,” she said. “This kid is genetically coded for disaster and has to remain a healthy weight.”

By the age of 7, she started to notice Andrew’s weight gain. “He’s a kitchen raider and a food hoarder,” said Butler-Brock, who works for New York City’s United Federation of Teachers.

But with the help of Ayoob, she made dietary changes: introducing green vegetables, measuring starches, eliminating snack foods and changing from whole to skim milk.

Today, at 13, Andrew is “still fighting the battle,” but has made improvement, according to his mother.

Now, she is an advocate for BMI surveillance, hoping it will also help low-income communities like the Bronx, where childhood obesity is rampant, to generate more health programs.

Ayoob agrees that BMI testing ultimately belongs in the hands of professionals and not gym teachers.

“Doctors are the gatekeepers,” he said. “And parents trust doctors.”

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By SUSAN DONALDSON JAMES

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I have to agree that the BMI format is not a good measure. If for no other reason than it is an average.  People from an ethnically larger group of people, like scandanavians will squew obese and if you a from a group that tend to be smaller, like many asain people you will come in under weight. I know it’s easier for “them” to just do the math of height and weight, but I think some kind of fitness test would be a better barometer of health. I feel like this is just another Gov’t program that will have little to no result and waste more money.

posted by Elise on 03/06/2010 at 11:55 pm -08:00

BMI is not a perfect measure of body fat and can be misleading in some situations. For example, a muscular person may have a high BMI without being overweight (because extra muscle adds to a body weight ??? but not fatness). In addition, BMI may be difficult to interpret during puberty when kids are experiencing periods of rapid growth. It’s important to remember that BMI is usually a good indicator ??? but is not a direct measurement ??? of body fat

posted by Graphic on 03/09/2010 at 1:07 pm -08:00