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Dublin: 11 °C Thursday 20 June, 2013

Plans to weigh children as they start school

Obesity is a problem that is only getting bigger, according to a specialist who addressed the Irish Medical Organisation yesterday.

Image: Matt Slocum/AP/Press Association Images

CHILDREN SHOULD BE weighed in school and plans are underway to make it happen, according to medical experts.

Speaking to the Irish Medical Organisation yesterday, Dr Edna Roche outlined the extent of obesity in Ireland and the measures to be implemented to curb what she called a global epidemic.

Currently, one in five Irish children between the ages of five and 12 are obese, while one in four nine-year-olds are overweight or obese, the consultant paediatric endocrinologist told the gathering in Killarney. One fifth of adolescents aged 13 to 17 are also overweight, according to the latest statistics.

A recent study has found that parents are “not really very good” at detecting that their children are overweight or obese, Dr Roche explained to the doctors’ union during her scientific presentation.

The Tallaght Hospital-based consultant said children should be appropriately placed them on growth charts to show parents how they are doing and plans to include weigh-ins at age four or five when school starts are already being discussed with the HSE.

However, no start date for any such screening has been set.

Early intervention before established obesity develops is particularly important, explained Roche.

Working with the HSE, GPs and the faculty of paediatrics, we are developing an algorithm for managing child and adolescent obesity which will see screening – ideally at school entry age – either by a school or public health nurse who will inform the parents – empower them to take action if necessary.

A referral will then be made between the family and public health doctors. Another path has been worked out for referrals of those who are extremely obese or are at risk of secondary obesity.

Different ways of eating

There are many reasons for obesity in children but we now eat differently and consume different foods than in previous years, said Roche. Further to that, children exercise less. Parental obesity will also increase the severity of obesity in children.

It is not a cosmetic issue but a health one, added the paediatrics specialist.

Childhood obesity is increasing – both in prevalence and degree. The causes are complex and multi-factorial but we also have an obesogenic environment which promotes passive weight gain.

Looking at what babies eat when they are just six-months-old, Roche said children are being programmed to want high-fat and high-sugar foods which will make them much more likely to be overweight in later years.

Snacks, fast foods, confectionery, sweetened cereals and soft drinks are the main problem foods which lead to over-caloried and under-nourished children and adolescents.

“The odd treat” does matter, warned Dr Roche. A fizzy drink and a packet of crisps can add up to 350 calories a day – “a quite significant intake of the recommended 1,400 intake”.

Watch the presentation at the IMO conference>

Healthcare reform: It’s a case of ‘as you were’>

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Comments (54 Comments)

  • Over eating is also an eating disorder. Being overweight when you’re young makes you much more likely to be overweight when you’re older. Being overweight and obese often leads to extreme dangerous yo-yo dieting, binging, health problems and general unhappiness. I think if the children and parents are being taught about eating healthily and exercising and how important these things are to life then what’s the harm? People seem to be over feeding their children and not realising the harm they’re causing. Overweight kids are probably going to get bullied at some stage anyway. Wouldn’t it be better if some help was in place? I believe it’s something that has to be dealt with very sensitively, of course but if done properly I think it’s a good idea.

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  • “Obesity is a problem that’s only getting bigger” – ha, brilliant

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  • Healthy eating lunch-wise is taught in primary school already and a large number of schools have a lunch policy in place already I.e no fizzy drinks, chocolate, cereal bars etc. It’s the parents who need to be educated now, the foundation with children is already in place – look at how successfully the green schools recycling policies have trickled into the home for example.
    While it would be wrong to publicly shame children by weighing them, an individual assessment by the public health nurse during the booster shot age (4-5) and a nutritional plan assigned where problems exist – similar to an eye exam or hearing exam – could go a long way to helping parents act responsibly when it comes to their children’s diet.

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  • surely its the parents that need to be educated about healthy eating habits… my daughters school has banned all rubbish during the week and issued advice on healthy foods.. on fridays they are allowed a treat in school. if your child is obese a parent would be a fool not to know this so what help is it to weight the kids in school… surely exercise should be compulsory and a ban on rubbish. the parents should be held accountable, not bringing a childs weight to their attention. are they going to tackle kids that are underweight which I’m sure is in schools too.. its the parents responsibly to ensure their children are getting enough nutrients and having a healthy diet..

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  • Wow people are so sensitive about kids being bullied for their weight but yet don’t want anything done to help. Sure, the fault lies with the parents but just saying that doesn’t help fix the problem. Children need to be educated about healthy eating and understand what it means to have a caloric allowance. They need to understand what is a good weight for their height and how to maintain that weight. I can think of no better place to do this than in school. Just like schools teach kids how to read, write and do maths they should teach useful life skills like eating healthily.

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  • cudnt this weighing be used as a way of highlighting kids with anorexia as well as obesity if it was carried out as a routine health check a few times a year? at least then the problem isnt ignored and hoped to go away… we can help the kids rather than being fearful of the facts…

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  • If the schools stopped feeding the kids chocolate muffins and strawberry flavoured milk drinks yes in our Dublin schools that would reduce alot if the problem for starters …

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    • Linda. Parents need to speak to the schools about the muffins and flavoured milk. That’s pretty disgraceful. My son’s school has banned all rubbish food, sweets, crisps, fizzy drinks etc from lunch boxes. Proper order. Ultimately though, the schools can try as they like but the buck stops with parents.

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    • What schools feed kids chocolate muffins and flavoured milk?my kids schools give them fruit and plain milk.they are not allowed any sugar or fatty foods except on a Friday and its only a fun size bar.my friends kids go to different schools and they have the same policies.if they want to start weighing the kids it should be done by the gps like the vaccines or by the public health nurse and ultimately its the parents responsibility to look after the health of their kids

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  • Parents should be held accountable. It’s a disgrace. This is a v good idea, the PC brigade need to accept that reality hurts. A fat little kid eating an ice cream actually laughed at me running in the park recently, he cudnt understand what I was doing! Surely the PC brigade would prefer him being aware of his illness rather than perhaps being offended by the state trying to help him??? I think we should introduce even harsher penalties on unnecessary obesity, it’s morally wrong in the greater context.

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  • What a load of rubbish, it’s the parents that need to stop contributing to this epedimic, unless children are being fed a healthy diet, weighing them will make no difference.

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    • mattoid 14/04/12 #

      The problem is that many parents aren’t taking responsibility. One must assume that they’re just unaware of the health issues involved, as surely no parent would willingly inflict all the health risks of obesity on their children.

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    • Honestly Michael what are you talking about? What “extreme” views? Just because you don’t agree with my realistic view means it’s extreme? Methinks that it is you that was trolling looking for reactions! (which I suppose you got!) silly boy…

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  • educating kids on healthy eating in school is one thing but it being practised at home is another thing…if the parents don’t care why should the kids. school can’t enforce adults/parents to carry on with their teachings. as was said already it is being done in doctors surgeries for years and the problem is still there. parents should be fined for breaking school rules on healthy eating but only after a parent is educated themselves! the source of the problem should be tackled first.

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  • Why is it always though the schools? Is it just about ‘weighing every child’ or is it about changing lifestyles & building awareness. I think that every child should have one free mandated medical appointment a year, where such standards/tests etc are available to every family via a community nurse or similar. Doing it through schools implies teachers not parents raise children. Rather than making this about who is right or wrong, why not make it about skilling parents & families.

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  • As an uneducated guess it’s probably a good thing but it sounds terrible. You would be ostracising some poor kids instead of educating the parents. Maybe if the parents weighted and filled out the forms in the privacy of their own homes. Still doesn’t sound right though.

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  • I think this is an awful idea, it’s parents who are responsible as most children of this age have very little pocket money, don’t do the grocery shopping and don’t cook the meals, i.e. have extremely limited spending power, so who buys…the patents. The amount of crap I see in trolleys in supermarkets is frightening, litres and litres of soft drinks, crisps etc. the kids ain’t picking up the tab.

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    • mattoid 14/04/12 #

      You’ve just given a perfect reason why its a great idea – if it alerts parents early that there is a potential problem which needs to be addressed surely that can only be a good thing!

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  • I’m sure that it makes a lot of sense for schools and the state in general to take over responsibility for children’s weight problems.
    If we can engender a culture of nanny stateism into these kids from a really young age, and drill into them a total lack of parental accountability, perhaps we can really secure future generations’ incapacity to do anything for themselves.

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    • Well said Jim…..Orwelian state here at last?

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    • Jim, that would be well and true if we were living twenty or thirty years ago, but we’re not. I’m one of the few from my generation with a parent that stayed at home. My dear mother had nothing better to do then obsess about me eating too many sweets or crisps, and how my teeth were suffering from it. These days, with the 9-5 culture, both parents are expected to work. They simply don’t have enough time to look after their children in the same way as they did before.

      Throw divorce into that mix, and single mothers, and you have the recipe for the nuclear family playing a far smaller role in our society. Don’t get me wrong, the family is here to stay, but its role is diminished. With that, the authority of parents is diminishing, and the authority of other important figures such as teachers is increasingly important. Important figures, that right now don’t have the authority to do much.

      Schools are nanny services, which aren’t allowed to behave like responsible nannies. It’s a balancing act between short-term parental indignation, and long term health problems.

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  • If it causes bullying – the Irish must be the most bullied nation in the world. Look at. The parents – weight them every week in front of the class. Laziness and bad parenting is all that is – imagine stuffing your sumo kids. Jail or foster care is needed for the parents.

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  • Is this the best we can come up with?
    I am not disputing that obesity is not a problem, but the way our experts go about it is definitely not solving this issues. Focusing on weigh, is like mending the machine by smashing the flashing red warning light, instead of fixing the machine.
    This new policy could bring increase in Eating Distress.
    So called ‘Ideal Body Weight’ charts came from insurance companies, and not from medical data.
    Today we treat them like they were one of the 10 commandments. We need to learn to think more critically about these charts,to challenge more, and to realize that they were created for economical purposes,more so than medical reasons http://www.eatingdisorderselfhelp.com/blog/marie/2012/april/14/weighing-our-children-could-cause-bigger-problems

    Weight and Heath are two different things

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  • It might come as a surprise to some but Height & Weight measurements (of children) have been part and parcel off every GPs practice since forever This is not a new thing. Non-story in my opinion.

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  • What about the GP? Doesn’t this fit better with them?

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  • I agree sascha there is alot more junk I could mention .. They are cutting back on teachers but still funding all this crap being fed to the children …

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  • This is a terrible idea you don’t want children becoming obessed about their weight and thus causing eating disorders. It could also cause personality regression if teasing or bullying occured due to the issue being highlighted in front of school friends!

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    • Well Its not like they’ll be weighed in front of eachother but kids do need a solid grounding in healthy eating and exercise so confronting it head on like this at an early age probably isnt the worst idea

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    • Think of the bigger picture here, obesity is one of the biggest problems affecting the health of future generations! It has also been shown that once kids put on weight it is usually carried through to adulthood. If it is carried out in a controlled and sensitive fashion it could help save a lot if children from a lifetime of obesity. Plus it could save the state millions in unneeded health care.

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    • Paul 14/04/12 #

      OMG the stress of having to be weighed in front of other 4 or 5 year olds! Apart from the fact that they don’t understand numbers yet and if they do they want to have a bigger number, there’s also the memory like a goldfish and do you really think they need to be told which one is the fatty? Don’t get your knickers in a twist about 5 year olds and giving them a complex, they’re 5, not 14

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    • I think the numbers are for the parents. It’s the schools being asked to remind the parents of their responsibility in relation to their children’s weight. As a new initiative, I think that schools can be guided by parents on the issue of sensitivity and privacy. It’s a shame that parents actually *need* to be reminded that they should be looking after their kids’ health, though.

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    • Where does it say they’d be weighed in front of each other?!

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  • I can see this leading to an epidemic in bullying for little kids.

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    • mattoid 14/04/12 #

      Do you think bullying of obese kids isn’t happening already??

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    • I think the onus should be on the parents, it’s their responsibility and most probably their doing in the first place. Those who think that weighing kids is a step too far should think again. In 20 years time our hospitals will fill up with people in their late thirties with ischaemic heart disease, proceeded of course by diabetes. The ballooning number of people requiring coronary stents, coronary artery bypass is costly folks. This will cost society financially and personally a sum more than we can imagine. So this is not a step too far. We are facing an epidemic of epic size, so let’s not get too hung up on threading of people’s feet and being all PC..

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    • By big kids?? Disgraceful attitude towards overweight kids!

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  • It could also lead to further disorders, such as Bulimia or Anorexic, probably create further issues, such as depression in children and a sense of insecurity as well a low self-esteem and lack of confidence in oneself.

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    • Do you know what definitely causes depression and low self esteem in kids? Being teased for being fat. Being picked last or not at all for breaktime football games. The worry of being unattractive, particularly during secondary school years. Speaking as someone who was overweight as a kid, that’s just the way it is.

      This “nanny state” phrase is bandied about a bit too much. Anything that encourages parents to give their kids healthy diet and exercise habits is a good thing.

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  • as if children arent bullied enough. now the government is basicially picking children to be bullied for their eight issues

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  • I would advise anyone, whether overweight, has digestive issues, finds it impossible to get up in the morning, has joint problems, diabetes, problems concentrating . . . . . . .I could go on with the list, PLEASE look into a Paleo/Primal way of eating.

    For me and my partner, it has changed our lives. He has always had major digestive issues, since a child, which have all but gone away. I found it impossible to get up in the mornings, but now I’m hopping out of bed every day at 8am to go into college and study! (Yes, I’m a student and for now, 8am is damn early!!) I find I have a constant energy all day long, don’t get slumps, have better concentration and never get intense hunger pains.

    The diet involves Low Carb and High Fat(good fats), absolutely no grains, no milk, no sugary foods – i.e. soft drinks, sweets, chocolate (dark chocolate is ok though!).

    And before anyone automatically rubbishes this, PLEASE check out the following two sites first. There are dozens of success stories on Mark’s Daily Apple to add to the success story of my partner and I.

    http://www.marksdailyapple.com/#axzz1s0eK1jbK

    http://www.dietdoctor.com/page/2 – the video that has the evolution of man screen pic is particularly interesting.

    I guarantee you will see more and more about this over the next couple of years.

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    • The problem is that the ‘advice’ given in schools is the popular advice, but not always the right advice. For instance, my kids school banned sweets and offered popcorn instead! A terrible choice, but part of the ‘popular’ advice at the time. I believe in an eating philosophy similiar to what Brian is talking about above – it’s not the ‘popular’ advice, yet its the way I want my kids to learn to eat! I certainly don’t want the school or the state telling me what is right for my children, and have no interest in living in a nanny state. Incorporating the love of exercise and wholefoods in schools would be much more appropriate in my opinion.

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  • i know my son is slightly overweight…i dont need to be told that! I have taken steps to ensure that he wont gain too much weight, he is of course at 2, the average given height of a 4 year old..both my kids are well nourished eat 3 healthy meals a day, albeit getting the odd mcdonalds if we’re out and about…my son has of course a bit of a sweet tooth, and will look for a lot of chocolate and biscuits. On saying all of this, a child being over or underweight at any given time does not mean that they are malnourished or whatever. If they have a worry about a childs weight, or their wellbeing then would be the time to ask a health visitor to attend to check up the child but i would feel that to weight every child to ensure they are the correct weight is the wrong way about going about things, will cause a lot of extra work, and anxiety in parents who have no need to be worried

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    • Seriously, your son is 2, overweight and has a sweet tooth? Where’s he getting the damn sweets? Driving downtown and paying for them with his credit card?

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    • seriously yes, and seriously i have gone and gotten advise from my health visitor for him…and read SLIGHTLY overweight….ie less than a kilo for his height/weight range…im being a responsible parent but i would much prefer to have a well nourished slightly overweight child, than a malnourished correctly weighted child!!!!!

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    • Hi Laura.. It’s obvious you are a good mom and love your child dearly… This is a difficult one… I think all schools should have only healthy foods, no junk or sweets in any shape or form.. The rest is up to the parent, when I was growing up in the 70′s , kids were more active.. no computers, iPhones, pakmans… etc.. I think that has something to do with the rate of obesity in the present day..maybe not either, I’m just guessing..there’s no easy answer but I really think weighing the child isn’t the answer …our kids don’t need any other excuse to dread or fear going to school…

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  • I doubt that weighing children in school would cause an increase in eating disorders. Has any other country tried weighing its five year olds? If so, what kind of results have they seen?

    It’s a common misconception that doing something about your overweight child’s weight, or even watching what your normal-weight child eats, will cause them to swing in the other direction towards anorexia. Parents understandably would rather have a chubby child than one who’s in danger of starvation and so ignore the problem. They often do so with the best of intentions. But anorexia and obesity, while both eating disorders in thier own way, have quite different causes and patient profiles. I would guess that the majority of anorexic and bulimic patients start at a normal weight. In fact, weighing in school might help because it’d make it boring.

    I still don’t think it’s a great idea though. It’s a screening measure, rather than a preventative measure. It seems cheap because teachers would apparently do the weighing but who would do the follow-up? PHN’s who are already overstretched. Kids might be put on diets and if there’s one thing we all know (or should) it’s that diets don’t work.

    How could the money that this scheme would cost be better spent? I still think PHNs should be involved but at a much younger stage. Nutrition in the pre-school years is crucial. In particular we need to maximise the number of babies being fed human milk- not through fatuous “breast is best” campaigns – but through proper support for those mothers who choose to breastfeed.

    Reply

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