Photo by Kristin Roemer
Fairview Elementary School children are getting more time for physical education activities as the school addresses childhoood obesity.

Enough Junk

Poor diet, lack of exercise prompt rise in childhood obesity

By Kristin Roemer

J201 Reporter

The signs are everywhere, and they're growing. Overweight children scarf down greasy fries and loaded hamburgers at fast-food restaurants.

They sit in movie theaters munching on popcorn doused in butter and smothered in salt.

And they visit amusement parks, hounding concession stands for everything from cotton candy to ice cream cones and candy bars.


Photo by Kristin Roemer
Rogers Elementary School students participate in a physical education class. Rogers, and other schools in Indiana, have increased their p.e requirements to help students stay healthy.

These are all signs of a growing epidemic among children in the United States.  Childhood obesity is expanding, and quickly.

It's causing emotional problems for children. It's setting them up for an unhealthy lifestyle down the road, and right now it's even raising attention in the legislature.

"This is a trend that started off slowly and has all of a sudden become a big problem," said Shannon D'Antonio, a nurse practitioner at Promptcare Heath Center in Bloomington, Ind.

The rate of overweight children and adolescents has almost tripled in the past 20 years, according to the Centers for Disease Control and Prevention and the American Obesity Association.  While it is difficult to pinpoint exactly when this sharp increase began, today one in five American children are overweight or obese.

However, there is a difference between being overweight and being obese.  This difference is measured by Body Mass Index.  BMI is determined by a person's height and weight.  A person who is overweight has a BMI between 25 and 29.9.  A person who is obese has a BMI of 30 or more.


Health Risks

Body Mass Index Information:
 
Body Mass Index is a measure of body fat based on height and weight that applies to both adult men and women.
 
Underweight = BMI less than 18.5
Normal weight = BMI between 18.5 and 24.9
Overweight = BMI between 25 and 29.9
Obese = BMI of 30 or more

This trend leads to health problems in children that are commonly referred to as adult diseases including hypertension, asthma, cardiovascular disease, and Type II diabetes, according to the CDC.

Type II diabetes is the most common form of diabetes and is being diagnosed more frequently in children.  According to the American Diabetes Association, a person who has Type II diabetes does not produce enough insulin or their cells ignore the insulin.  Without insulin, the body is unable to use sugar, which is the basic fuel for cells in the body. 

At least 80-percent of kids with type II diabetes are overweight, according to the National Institute of Diabetes. A combination of genetics and poor lifestyle choices put people at risk for getting the disease. But health risks are not the only concern with overweight and obese kids.

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Emotional Consequences

These children also face the burdens of being teased at school.  Jenna Meagher, a sophomore at Indiana University, recalls being made fun of in elementary school. 

"Kids that age don't get it," said Meagher. "They don't realize that they're hurting someone's feelings.  They just do it because that's what everyone else is doing."

P.E teacher helps kids shape up

By Kristin Roemer

J201 Reporter

It's 2:37 on a Thursday afternoon and the colorful gym at Rogers Elementary School is quiet and empty.  Just minutes later, 24 energetic second- graders bolt through the double doors filling the room with energy and plenty of noise. It's time for Mrs. Patterson's gym class.

The class starts with three laps around the gym to get the children's heart rates up and their bodies moving.

"I always tell the kids when they come into class, do good things for your body.  Or I tell them to make the gym as big as possible," said Maryann Patterson, a physical education teacher at Rogers Elementary School in Bloomington.  "They need to be doing this stuff for themselves, not just because I say so."


Photo by Kristin Roemer
Maryann Patterson consoles a discouraged student. She teaches children to enjoy exercising by exposing her students to a variety of physical activities.

Patterson, who has been teaching P.E. at different grade levels for the past 34 years, says students need to exercise now more than ever. At a time when more Americans are battling obesity, children too are becoming increasingly overweight. Today, 15-percent of youngsters in the United States are obese, according to a January issue of Pediatrics.

That's why Patterson is making a concerted effort to help her grade-school
students.

"I try to teach children how important exercise is and what they have to do to maintain a healthy weight," said Patterson.

Patterson's interest in physical education started with a passion for swimming in high school.  From there, she began giving lessons at a local YMCA in Peru, Ind.

Patterson went on to major in physical education and minor in psychology at Ball State University.  Soon after, she received her masters in physical education and health science.  Since then she has taught at nine schools in Monroe County and has seen a change in children's eating and exercising habits over the years.

Patterson believes it's important to keep kids active from childhood on. 

"We've become so scholastically focused," said Patterson.

This academic focus, along with budget cuts has forced many schools to ditch recess time and P.E. altogether.  At Rogers Elementary, kindergarteners participate in gym class twice a week for 20 minute increments while first through third graders have class twice a week for 25 minute periods.

"Five days a week is ideal, but that just isn't going to happen right now," said Patterson.

With the time she does have, Patterson offers her students a variety of activities that not only keep them active, but also teach them skills they'll be able to use later in life.

Patterson's P.E. units throughout the school year include: Kicking, where the focus is on soccer; football and dance; throwing and catching; ball handling skills; basketball; volleyball; bowling; paddle and racket ball; jump rope; kickball; gymnastics and running.

"Mrs. Patterson is fun because every time we come [to class] she always sets up fun games that the whole class likes to play," said second-grader Ben McCulloch.

But Patterson says this is not enough.  She thinks there needs to be more parent support at home too.

"I see a lot of parents who undermine the health of their children," said Patterson.  We need to educate the parents.  They don't see that their child is obese."

This can start with subtle meal changes.  Patterson said desserts are the best way to start.  Instead of chocolate mousse pie, make it a fruit pie, she suggested.

Rogers Elementary offers brown-bagged lunch sessions to parents.  These give parents the chance to bring their lunch to school and connect with other parents and faculty members.

"The problems that the kids have go right back to the parents," said Patterson .

When it comes to school lunches, it's a whole other ball game. 

"Some parents are very conscientious of what their kids are eating and some think they are conscientious," said Patterson .

Like at most schools, there are a combination of "hot-lunchers and bag-lunchers" at Rogers Elementary.  Patterson says the school has made an effort to improve the lunch selection.

"It is healthier and well-balanced," said Patterson.  "We offer the kids veggies and yogurts, healthy alternatives."

With these kinds of efforts, Patterson hopes to see changes in her students eating and exercising habits.

Patterson says she will continue to do everything she can to educate her students on the importance of staying active and eating smart.  She says the key is keeping kids involved and interested.

"When I don't know how to play games, Mrs. Patterson helps me get better," said second-grader Jacqueline Forney.

But through all her years of teaching, Patterson knows physical education is more than just playing games and having fun.

"P.E. plays an important part in teaching kids right and wrong," said Patterson.  "This is something books can't do.  It comes from being hands-on."

Teasing can lead to low self esteem, depression, anxiety disorders, and loneliness.  Maryann Patterson, a physical education teacher at Rogers Elementary School in Bloomington, sees kids as young as kindergarten putting themselves down for being fat. 

She says they hide who they are by covering their bodies behind jackets or hiding their faces behind their hair.  Some kids bully others to make themselves feel better.

"Creating a good self-image in a person begins when they are very young," said Patterson .  "It is very hard to change your own image."

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Parental involvement

This begins with parent involvement.  Studies by the CDC illustrate that parents and pediatricians aren't prepared to spot the early signs that kids are gaining too much weight.

"I see a lot of parents who undermine the health of their children," said Patterson.  "They don't see that their child is obese." 

The CDC study shows that 32-percent of mothers identified their overweight kids as being "about the right weight."

"It boils down to convenience," said Patterson.  She describes some of the lunches that kids bring to school as unhealthy and unbalanced.  Lunchables are a favorite.

"Some parents will try to pack a well-balanced lunch.  They pack the sandwich, vegetables, maybe a bag of chips and two or three cookies," saidPatterson.  "The kids will eat the chips and cookies and throw the rest away."

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Obesity in Indiana

Even the Indiana state legislature notices the epidemic among children.  An Indiana House panel approved a bill in February designed to address Indiana's child obesity problem, according to the Indiana Chamber of Commerce. 

The bill did not pass, but its proposal has sparked public interest.  The bill would have required changes in school lunch programs, providing students with a healthier selection.  It would also have required 30 minutes of physical exercise five days a week for elementary students. 

Wayne Nichols, a physical education teacher at Fairview Elementary School in Bloomington, says class periods are just too short.

"I want those kids moving.  By the time you get them going, the class is over," said Nichols.


Photo by Kristin Roemer
Wayne Nichols shows a Fairview Elementary School Student how to do a somersault. Students at Fairview are required to exercise at least twice a week for 25 minutes.

"Too short," according to Nichols, means 25 minutes twice a week for first-through third-grade and 25 minutes three times a week for fourth through sixth- graders.

"Ideally, you want kids to be moving and exercising as frequently as possible," said Nichols.  "Three days are better than two, five are better than four."

For now, Nichols will have to make due with the time he has and Indiana schools will have to adjust to the changes among kids without the help of the state.

Even if the bill had passed, D'Antonio is skeptical it would have made any difference.  "I would like to say I think it would work, but in reality I think it has to start at home."  Children spend so much time sitting in front of a computer or playing video games.  There is less and less physical activity outdoors at home, she said.

Patterson agrees.  Parents are afraid to let their kids play outside without supervision.  But parents aren't there to watch them either. 

"It goes right back to the parent," said Patterson. "Some of our kids get dropped off here at six in the morning and don't get picked up until six at night.  When they go home, fast-food is easiest option for dinner." 

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Fast Food

A study conducted by NewsRX shows that every day, about one-third of U.S. children age 4-19 consumes fast-food.  The study indicates that fast-food consumption has increased fivefold among children since 1970.

But The U.S. Chamber of Commerce disagrees that fast-food is a major cause for the increase in child obesity.  It claims that nutrition facts are readily available and that people choose to overeat.

A U.S. Chamber of Commerce study summarizes alternative reasons for obesity in the United States.  People snack twice as often between meals as they did 20 years ago and consume 200 calories more per day than in the 1970s.

Whatever the reasons for this growing epidemic, it is creating all kinds of problems.  Patterson predicts that healthcare bills will sky-rocket if children's eating habits don't change.  "We're going to be supporting obese adults who are developing health diseases and who need surgery in the near future."

D'Antonio thinks there's hope.  She says with a few changes in society, we can shift this trend in the opposite direction.

"The first step to fixing the problem is to target the parents," said D'Antonio. "Because that's where the real issue is."

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Has someone in your family been affected by obesity? Write to kroemer@indiana.edu

Designed and edited by Lindsay Lyon