I’ve been following David Ludwig’s commentaries in JAMA with interest lately; some of recent that I especially enjoyed:
- Extra Calories Cause Weight Gain—But How Much? (with Maritjn Katan)
- Front-of-Package Food Labels: Public Health or Propaganda? (with Marion Nestle)
- Dietary Guidelines in the 21st Century-a Time for Food (with Dariush Mozaffarian) – my favorite, which I blogged about here.
- Technology, Diet, and the Burden of Chronic Disease
“Ultimately, government can reduce the need for such interventions through investments in the social infrastructure and policies to improve diet and promote physical activity among children.”
- Harvard Researchers Want Fat Kids Taken from Their Homes – The Atlantic. Terribly dramatic and doesn’t emphasize the severely obese.
- Should Morbid Childhood Obesity Be Considered Child Abuse? – Scientific American. Better title, good summary. He writes: “Defining childhood obesity as abuse would place a tremendous burden on parents—and an unfair one. Considering the marketing and low cost of sweetened cereals, high-fat fast-food meals and other treats aimed squarely at kids, others also bear responsibility for our childhood obesity epidemic.” Clearly these factors do have an influence, though parenting also must have some as well. As I said before, improvements in food infrastructure would be slow and incremental- this is an issue that needs some attention now.
- Should parents lose custody of super obese kids? -Yahoo News (AP). Actually a decent article with some additional context. The opposing view by a ‘bioethicist’ Art Caplan is quoted as saying: “if you’re going to change a child’s weight, you’re going to have to change all of them [advertising, marketing, peer pressure, and bullying]” That assumes though that they all equally contribute and similarly in each individual (which of course is not true- the root causes will be relatively different between cases) – placing a child in a monitored/controlled environment could certainly help them lose weight. Regardless of who is to blame, the child is severely obese and something more drastic needs to be done as their lives are at risk. This article has thousands of (mostly irrational) comments to it- to be expected on an emotional issue.
- Fat children ‘should be taken into foster care': Obesity expert points the finger at parents – Daily mail never disappoints for a poor headline.
- Can childhood obesity warrant child protective services? – WeightyMatters. Yoni provides a rational discussion. His is probably the only perspective so far (besides Ludwig) from someone who actually treats obesity, and his wife’s previous job as a child protection worker helps. If you read only 1 take, read his.
- Should Obese Children Be Taken From Parents? – HuffPo (David Katz’ blog). David draws an analogy of smoking and drugs to second hand obesity- is it the same to think of second hand obesity as criminal like parents sharing cigarettes and drugs with their children? I’m not sure I like the analogy as you need food but not cigarettes or drugs to survive. David also only casually mentions this issue is about severely obese children (doesn’t emphasize the 99th percentile). This is much more extreme than “giving a child a donut or fries or soda” as he writes.
- Childhood Obesity: A Call for Parents to Lose Custody – ABC News. Katz is quoted in this one as saying there is no evidence that the state would do a better job of feeding children than their parents. David Orentlicher says protective service agencies might be too quick to put overweight children into foster care. Ludwig responds that doing nothing is worse than what is currently done, and reemphasizes that removal is only the last resort, counseling and education would be the priority.
- (Edit 7.19): Doc feels heat over foster care idea for obese kids – MSNBC. Ludwig responds to some of the media backlash emphasizing that foster care would be the last resort; first financial support, social services, safe recreation areas, and parenting courses could be offered.
- (Edit 7.19): Should the State Remove Fat Kids from Their Homes? – Slate. Other than the misleading title, a great article.
- (Edit 7.19): An audio interview with Yoni on the issue- very clear and accurately reflects what the authors are saying.
- (Edit 7.19): The War on Bad Parenting. – Forbes. Interesting in that it attempts to strawman Katz’ post in HuffPo- read the comments in which Katz responds.
- (Edit 7.19): CEPEDA: Addressing childhood obesity. – Gwinnett Daily Post. A great article that quotes Ludwig some more.
- And lots more. (I will update with more articles if they add something new)
I wanted to hear some other thoughts on this- please leave a comment below.
Lindsey Murtagh, & David S. Ludwig (2011). State Intervention in Life-Threatening Childhood Obesity. Journal of the American Medical Association : 10.1001/jama.2011.903