james scholar paper
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Childhood Obesity 1
James Scholar Paper: Childhood Obesity and its Impact on Children‟s Physical Health,
Emotions, and School Performance
Amanda Weller
EPSY 236, Section AD1
McConney
December 9, 2009
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Childhood Obesity 2
Chips, candy, and soda. These foods are commonalities among school-aged children‟s
diets today. However, as innocent as these delicious foods may seem, they can have detrimental
effects on many aspects of a child‟s life. Foods with little nutritional value in combination with a
lack of physical activity in children today are contributing to the growing epidemic of childhood
obesity. Childhood obesity is not only having an outstanding negative effect on a child‟s physical
health, but also on their emotional health and school performance. Something needs to be done
about this epidemic, and schools can have an important role in reversing the effects of, and
preventing, childhood obesity in today‟s children and adolescents.
Overweight and obese children have not always been prevalent in society. According to
the Center for Disease Control (CDC), obesity in children has increased 400% in the last 20
years (Taras & Potts-Datema, 2005). This increase is outrageous and clearly unacceptable. How
did we get to this obesity epidemic as a nation? As early as 1875, there had been attempts to
control weight in children because children were urged “to „eat for strength‟ and not merely to
please appetite (“A brief history,” 2003).” However, eating for strength is easier said than done
today, in 2009, with advertisements for sugary and fatty snacks targeting children, with what
seems like more intensity than ever before. Skinny children frequently promote fatty foods.
Those two images do not completely mix in reality. Soft drinks are one of the biggest
contributors to this increased consumption of sugar and calories, with a 41% increase in
consumption by children in the 1990s (Taras & Potts-Datema, 2005). A 41% increase may not
seem like a lot, but according to research, “the odds of becoming obese increase 1.6 times for
each can of sugar-sweetened beverage consumed [daily]” (Taras & Potts-Datema, 2005). The
lack of good nutritional choices made by, and offered to, children and adolescents is obviously
contributing to the epidemic of childhood obesity.
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Childhood Obesity 3
Poor eating habits are not the only cause of the increase in childhood and adolescent
obesity. Insufficient physical activity in children may be a more important factor contributing to
childhood obesity than poor nutrition, and schools are making this problem even worse. Schools
are cutting physical education and recess. Children, even in the past, generally have not loved
eating healthy foods, but they have always had the chance for physical activity. The increase in
television viewing, video game playing, and the internet surfing has contributed significantly to
this lack of physical activity among children. Currently, roughly “half of children…watch three
to five hours of television daily (Blasi, 2003).” Those three to five hours could be used much
more effectively by participating in physical activity or working on academics.
Sometimes lack of physical activity and nutrition are not the only factors contributing to
obesity. A lower socioeconomic status can, occasionally, be a cause for obesity for several
reasons. It is not that poorer children are eating way too many calories, but that these children are
eating foods that are high in fat, sugar, and provide few, if any, nutrients (Winter, 2009). Poorer
children are also eating food “deficient in iron, B vitamins, and other critical nutrients…”
(Winter, 2009). Without these nutrients, and too much fat and sugar, a child cannot develop to his
or her full potential. It is very important for children to get adequate nutrition while developing
to maintain good physical health.
Childhood obesity has an obvious effect on a child‟s physical health and the health of his
or her future. A common physical attribution of obesity is growth and size. Obviously, obese
children weigh more than the average child of the same age, but obese children are also taller
because bone age and maturation are associated with excessive weight gain in children (Dietz,
1998). Being larger than normal may impact a child‟s physical and emotional self.
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Childhood Obesity 4
While physical appearance may be the most apparent effect of obesity, there are multiple
serious internal physical consequences that result from obesity. One of the most common internal
outcomes is glucose intolerance and type II diabetes. In fact, 80% of children that are diagnosed
with type II diabetes are overweight (Wardlaw & Smith, 2009, p. 617). According to the
American Diabetic Association, type II diabetes is identified when the body does not produce
enough insulin to break down glucose into energy (“Diabetes Basics”). This can have devastating
effects on a child, especially because growing children have high-energy demands. Another
common physical effect of childhood obesity is hyperlipidemia, a condition in which the blood
contains high levels of fat. This is dangerous in children (and adults) because it increases the risk
for heart-related diseases (Dietz, 1998). If a child or adolescent develops any cardiovascular
risks, these risks “will persist into young adulthood” (Dietz, 1998). Because of this persistence,
obese children and adolescence should attempt to reduce their weight in order to prevent further
complications of the cardiovascular system into adulthood.
Obesity in children and adolescents can also increase the risk for other less common
health effects. These complications include sleep apnea, intracranial pressure, hypertension, and
orthopedic pain and pressure. Sleep apnea involves difficulty breathing while sleeping and needs
immediate attention and therapy (Dietz, 1998). Children and adolescents can suffer from
orthopedic pain and pressure because of the extra weight on their joints and bones (Dietz, 1998).
Just because a child suffers from cardiovascular risks, joint pain, or diabetes, does not mean that
the suffering will end when the child reaches adulthood. About 85% of obese children become
obese adults, so obviously it is important for children and adolescents to lose weight (Wardlaw &
Smith, 2009, 617). This weight loss should be encouraged in order to prevent further damage to
his or her body, and/or to reduce the damage that has already been done.
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Childhood Obesity 5
Obesity has clear and obvious effects on a child‟s and adolescent‟s physical health, but
obesity can also have less obvious responses on a child‟s emotional health. Bullying and teasing
are common concerns for obese children, which can lead to “low self -esteem and depression”
(Blasi, 2003). If obesity persists through adulthood, it is likely that the depression may as well. A
lifetime of depression can definitely upset an individual‟s happiness and enjoyment. Anxiety
disorders can also accompany childhood obesity (Taras & Potts-Datema, 2005). This may be
attributed to a child‟s lack of self -confidence and constant worrying that someone may be talking
about their weight or size. However, this worrying may be justified because, according to one
study, overweight children were ranked by other children as “those whom these [children] would
[least] like to be friends [with]” (Dietz, 1998). These results show how our society and culture is
preoccupied with physical appearance rather than internal thoughts, emotions, and personality.
Finally, adults can unintentionally induce stress in overweight children and adolescents. Since
obese and overweight children are usually taller than average weight children, adults can
wrongly assume that an overweight child is older than he or she actually is. If adults think a child
is older, they may expect the overweight child to take on more responsibility or to perform at a
level beyond their abilities (Dietz, 1998). These unattainable expectations may frustrate the child,
inducing an unnecessarily stressful psychological state.
These adverse psychological effects of obesity have quite a negative impact on a child‟s
school performance. In a broader sense, these “increasing obesity rates threaten to widen the
achievement gap” (Winter, 2009). Minority groups are most at risk for school failure and obesity.
If obesity continues to effect students‟ school performance, these groups most at risk will
broaden the achievement gap in children. A child‟s limited knowledge of the achievement gap
can have implications on his or her psychological state. Psychological effects, such as depression
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Childhood Obesity 6
or anxiety, can also be factors that inhibit school performance (Taras & Potts-Datema, 2005).
These effects possibly encourage a lack of motivation for school. Without motivation, a child or
adolescent may not even have the drive to attend school. In one study, it was found that obese
children and adolescents miss more school days than the average student (Taras & Potts-Datema,
2005). Missed school days may be a result of little motivation, or perhaps be attributed to a fear
or anxiety of being at school. If a child fears that teasing or bullying may occur at school, he or
she may not be eager to attend school. Obese children are also twice as “likely to be placed in
special education or remedial programs” (Taras & Potts-Datema, 2005). If a child is
unnecessarily placed in special education or remedial programs, he or she may lose interest in
school. A loss of interest will likely occur because he or she may not be engaged in enough
challenging or interesting material to encourage school attendance and achievement.
Schools themselves have contributed to obesity and therefore poor school performance of
its students. Many lunch programs in public schools lack nutritional value, which is unfortunate
because schools often provide one or two meals to children most days of the week (Taras &
Potts-Datema, 2005). Schools definitely play an important role in providing nutrition to children;
therefore, they should be cautious and aware of the foods they are serving children. Often times,
some of the food served includes items from vending machines. In 2000, “one half of all [school]
districts had a soft drink contract…and nearly 80% received a specified percentage of the sales
receipts” (Taras & Potts-Datema, 2005). Schools are concerned with profits rather than the health
of its students. These vending machines are a major contributor to obesity because they are filled
with soda and junk food and are not exactly the definition of a healthy snack for growing and
developing children.
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Childhood Obesity 7
The lack of nutritious food is not the only effect schools have on childhood obesity.
Stress is put on schools because of high-stakes testing and government initiatives such as No
Child Left Behind. Schools are working vigorously to meet adequate yearly progress, and,
because of this, physical education programs and recess breaks have been taken away from
schools to increase time for the more essential academic subjects (Winter, 2009). The National
Association recommends it for Sport and Physical Education that schools provide children with
150 minutes of physical activity (Krisberg, 2005). Many school children are not getting this
physical activity. However, it has been shown that this dropped physical activity is actually
beneficial for children during the school day, and that having physical education can increase
concentration and improve academic achievements (Winter, 2009). Since poor concentration
often correlates with poor school performance, the lack of physical activity may be
unintentionally costing school districts millions of dollars of state funding. This is because
inadequate academic performance and attendance reduce the amount of funding brought into the
school (Krisberg, 2005). Perhaps schools may benefit more from reinstating regular physical
education instead of cramming multiplication facts into third graders. However, since an increase
in physical education does not seem to be in the foreseeable future of schools today, teachers and
educators should try to integrate music and movement into educational lesson plans to squeeze in
a few minutes of physical activity into the children‟s day (Winter, 2009). Schools are clearly
creating a potentially deadly combination of innutritious food and limited, if any, physical
activity for students.
Solutions to fix, reduce, and prevent childhood obesity are endless and actually simpler
than one may think. Families, educators, and schools all can implement a plan to battle against
obesity in children and adolescents. Parents are the first step in preventing obesity in children.
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Childhood Obesity 8
Since children develop their food preferences very young (Winter, 2009), parents should be
mindful of the foods they are feeding and introducing to their toddlers and children, while
encouraging them to try new and healthy foods. It is especially important that parents of
preschool children are aware that they are choosing nutrient-dense foods for their children
because many preschool children do not eat very much food (Wardlaw & Smith, 2009, p. 617).
Parents can also monitor the amount of time their children spend on the computer or watching
television. Finally, parents can encourage their children to join organized sports, like soccer or
dance, or even physical activity outside in the child‟s own backyard (BLASI). If the parents and
family are not concerned with the child‟s health, there is no way that a child can learn good
nutritional habits to prevent or reverse obesity (“A brief history,” 2003). Family, teamwork, and
cooperation work in unison to battle against obesity in children and adolescents. In a less direct
sense, parents can also ask schools to bring back recess and physical education to their children‟s
school (Blasi, 2003).
Since children spend much of their day in school, schools can really have an impact on
changing and reducing childhood obesity. Teachers, themselves, can promote good health habits
in the classroom by eating healthy foods themselves and encouraging physical activity in their
lesson plans (Winter, 2009). Students who see teachers behaving in a healthful manner may be
influenced in a positive way, wanting to copy the teacher‟s behaviors. School districts and
teachers should be highly trained “on health, nutrition, and physical activity,” so that their
classrooms can be healthy and informed (Winter, 2009).
Schools can also remove vending machines, or replace them with machines that are filled
with healthy snacks or water, instead of soda and candy. Schools should not be afraid of losing
revenue from vending machines. It was found that schools that replace vending machines with
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Childhood Obesity 9
healthier ones still make money because “kids still get thirsty and hungry, and still buy products”
(Krisberg, 2005). Controlling and monitoring the food served in a school lunch is another way
schools can combat childhood obesity. For example, in New Jersey, no school may serve any
food that has “more than 8 grams of fat and 2 grams of saturated fat per serving” (Krisberg,
2005). This is a statewide policy and is something that other states and school districts should be
seriously considering. If the junk food, fat, and excessive calories are not there for the children to
consume, there is no reason to worry about controlling everything that goes into their mouths.
This makes decision making easier for the students and for the cafeterias serving the food.
Some schools have taken the attempt to prevent and monitor childhood obesity to the
point of regularly measuring children‟s body mass indexes (BMI). In Arkansas, a child‟s BMI is
required to be measured and reported to the parents as underweight, normal, at risk, or
overweight (Krisberg, 2005). This information may be a good „heads up‟ to parents that are
unaware of their child‟s weight or eating habits, hopefully encouraging parents to tackle any
problems that may be presented as result of a child‟s BMI. Obviously, not every child is going to
be overweight or at risk, but this information should serve as a guide to unaware parents. Many
hope, at least in Arkansas, that BMI screenings for children will be as common as hearing and
vision tests (Krisberg, 2005).
Finally, schools can implement nutrition and health awareness programs (Winter, 2009).
These programs should include collaboration with parents, self-evaluations for the students, and
meaningful information for both the student and the parent(s) (Winter, 2009). The American
Council for Fitness and Nutrition (ACFN) found that students benefited from programs of
healthy eating and physical activity most when “they were taught…in [a] culturally sensitive
way…[and] that emphasized fun and enjoyment” (Winter, 2009). If it is fun to be healthy and fit,
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Childhood Obesity 10
a child is probably much more likely to engage in these healthful behaviors, as opposed to being
presented with dry information that is not meaningful. The US Department of Health and Human
Services has even attempted to get communities involved by publishing checklists and
information that a wide variety of people can use to prevent childhood obesity (Winter, 2009).
Obesity in children and adolescents is obviously a serious issue in today‟s society
because of both its physical and emotional effects. However, obesity is having an even bigger
impact on schools, and schools are having the same negative impact on children‟s health. Luckily
for our nation‟s children, schools are finally starting to resolve this epidemic. Children should
leave their school filled with knowledge, not saturated fat and sugar. Hopefully, one day, all
school districts will serve healthy lunches, provide adequate physical education and recess, and
offer informative and interesting programs about nutrition and physical activity.
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References
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2009, from Academic OneFile database.
Blasi, M.J. (2003). A burger and fries: The increasing dilemma of childhood obesity. Childhood
Education, 79(5), 321+. Retrieved November 12, 2009, from Academic Search Premier
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Diabetes basics. (n.d.). American Diabetic Association. Retrieved November 15, 2009, from
http://www.diabetes.org/diabetes-basics/type -2/
Dietz, W.H. (1998). Health consequences of obesity in youth: Childhood predictors of adult
disease. Pediatrics, 101(3), 518+. Retrieved November 12, 2009, from Academic OneFile
database.
Krisberg, K. (2005). Schools taking center stage in battle against childhood obesity. Nation’s
Health, 35(7). Retrieved November 12, 2009, from Academic Search Premier database.
Taras, H., & Potts-Datema, W. (2005). Obesity and student performance at school. Journal of
School Health, 75(8), 291-294. Retrieved on November 12, 2009, from Academic
OneFile database.
Wardlaw, G.M., & Smith, A.M. (2009). Contempory nutrition: A functional approach. Boston:
McGraw Hill.
Winter, S.M. (2009). Childhood obesity in the testing era: What teachers and schools can do.
Childhood Education, 85(5), 283+. Retrieved November 12, 2009 from Academic Search
Premier database.