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• W2040588778 abstract "In Fed Up, physician-journalist Susan Okie diagnoses the multitude of factors that are driving the childhood obesity epidemic. Too much food and too little exercise, of course, but it's a bit more complicated than that. In the USA, about 15% of children aged older than 6 years are obese, while another 15% are overweight. Given the societal and economic pressures at work to keep children wolfing junk food while planted in front of the television or computer, these children are shaping up to be the first generation in the nation's history with a life expectancy shorter than that of their parents. And while the USA leads the world in this particular race, the rest of the world is quickly catching up. Okie lays out what seems like every current piece of research on this topic, from the role of genes and maternal weight during pregnancy in obesity to the effectiveness of school-based exercise programmes and the feasibility of gastric bypass surgery for morbidly obese young people. She interviews leading researchers, clinicians, teachers, and community leaders. Most importantly, she spends time with kids at school, at home, and in the doctor's office, and relates how young people and their families are trying to developing healthier habits, often with encouraging success. Given the difficulty grown-ups have keeping slim, it's daunting to imagine how kids can manage in a world where junk food is marketed so pervasively and, one could argue, insidiously. Vending machines sell chips, sweets, and sodas on the grounds of most US schools, and one in ten schools have “pouring rights”, or an exclusivity contract, with beverage makers like Pepsi or Coke. The dual mission of the US Department of Agriculture's school lunch programme—to subsidise farmers and to nourish children—means offerings are so heavy on meat, potatoes, and dairy that one student tells Okie she longs for salad every day. Okie prescribes solutions to this “public health epidemic”, but they're not simple. Families, schools, and communities must work together to encourage children to eat healthily and stay active, she says. Among her suggestions are working with farmers to bring fresh foods into schools; building environments where it's easy and safe for children to get around by bike or on foot; and limiting the time children spend watching television or playing on computers. Doctors have a role to play too, Okie says, which too often they ignore. One paediatrician tells Okie her colleagues may fear triggering eating disorders by addressing the issue of overweight with their young patients. As Fed Up shows, it will take a village—and much more—to help children grow up healthy in our media-saturated, over-fed world." @default.
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• W2040588778 date "2005-09-01" @default.
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• W2040588778 title "Fighting back against fat" @default.
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• W2040588778 doi "https://doi.org/10.1016/s0140-6736(05)67406-5" @default.
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