Which comes first, inactivity or childhood obesity?

© PNC/Corbis

New research highlighted by the BBC and published in the Archives of Disease in Childhood suggests that the common understanding of the relationship between physical activity and childhood obesity may possibly present things in the wrong order. That is, while it’s a widely held belief — and premise of the First Lady’s Let’s Move campaign — that growing inactivity among children is one of the contributing factors to the obesity epidemic, investigators conducting the EarlyBird Diabetes Study suggest that decreased physical activity may actually be a symptom of obesity.

Researchers from the Peninsula Medical School in Plymouth, U.K., followed more than 200 urban school children for 11 years, routinely monitoring body fat and physical activity. And, according to the BBC, they found that:

“They found no indication that doing more physical activity had any effect on weight, but they did find that children who put on weight did relatively less exercise.”

The study authors posit that a combination of embarrassment and discomfort may deter children from getting exercise, and suggest the findings point to a need to shift more attention to nutrition — and put less emphasis on exercise — when it comes to battling childhood obesity.

Yet other obesity researchers said that the role of exercise cannot be oversimplified, and that it’s more likely the relationship between inactivity and overweight goes both ways — in other words, children who are less physically active are more likely to put on weight, but once they start getting heavier, that additional weight may deter them from exercise.

Speaking with the BBC, Dr. David Haslam from the U.K.’s National Obesity Forum says this latest study needs to be incorporated into the broader research on the many factors that influence and drive childhood obesity. And Haslam warned against overlooking the broader benefits of exercise, or oversimplifying the results to suggest that physical activity is a frivolous pursuit for children:

“The EarlyBird team really force us to question our comfortable assumptions regarding childhood obesity. What we, as clinicians must do, is nod reverently at their work, learn lessons from it, and re-appraise our own practices accordingly. What we shouldn’t do is take the paper at face value and allow lean children to be as lazy as they please, as that would be a catastrophic mistake!”

Related Topics: childhood obesity, inactivity, physical activity, Body & Mind, Child Development, Exercise, Obesity, Public Health
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  • mkassowitz

    It’s the nutrition, or lack there of that keeps getting missed here. We are feeding our children “diets” of industrialized crap from huge food conglomerates. The advertising targeting children with foods that will cause obesity and gradual organ failures runs in the hundreds of millions of dollars. Let’s look a little deeper folks. Stories that raise “questions” like this are a distraction. http://organicconnectmag.com/wp/2010/05/david-s-ludwig-md-phd-ending-the-childhood-obesity-epidemic/

  • fatfighter4kids

    I wish all you readers of this piece could meet an extraordinary young woman named Devida.

    At 424 pounds Devida came to us in an after-school program for very overweight kids created by Louieskids.org in her Title I school in Charleston, SC -where obesity is crushing an entire state slowly and sadly.

    Louieskids.org has been assisting children like Devida for 10 years, identifying programs that range from YMCA memberships to summer camp scholarships to weight loss camp, therapy, food counselors, etc. etc.. This unique after-school program brings the “mountains of summer camp programs to the schools of the kids hit hardest by this epidemic, poor children.

    Devida has had a pretty extraordinary life up until now. A year in foster care caused her weight to soar over 150 pounds and she was already a very overweight child. Her grandmother will tell you, she’s always been one. Devida doesn’t really understand how this happened to her, but she’s determined to change it.

    There’s a lot of talk about who is at fault. School lunches seem, for some, to be the culprit. It’s true: if schools served healthier fare, it would make a difference. School vending machines are a big problem too. Many children forego the school lunch provided and spend their money in these machines. In fact an administrator at one of our schools told us the average child spends $33.00 per month on the vending machine. That’s a lot of snacking.

    When asked, who is to blame for childhood obesity, the obvious answer to many is society. Parents of course cannot watch their kids twenty-four hours per day. But parents are responsible for teaching their kids what a healthy diet consists of and, sadly, in so many of these kids cases, that’s just not happening.

    One child recently and tearfully recalled repeatedly asking at home for her family to make better choices. They don’t. She’s forced to eat what’s been bought and they ridicule her for eating the wrong food. There’s something sincerely wrong here.

    It ultimately falls upon the parents to provide healthy nutritional meals for their families when they sit down to evening dinner. What your children do outside of your home cannot be controlled. You can only teach them the consequences of what can happen if they do not eat a healthy diet. And most of these parents are very good examples of what happens when you don’t watch what you eat and drink; so many of these parents themselves are severely overweight.

    We’ve had tremendous support for Fit Club in the Charleston community and it’s worked. 70% of the kids who’ve worked with us these last two years have not only kept their initial weight loss off, they’ve lost more weight. The schools have been extremely supportive. The kids have been tremendous. There’s one constituency, though, where we need stronger support: parents.

    Mom and Dad, your kids can’t do it without you. They need you to lead by example. They need you to show them the way, and make the journey with them.

    Every single thing begins with one step, one try, and one ounce of strength. I was raised by a man who at over 400 lbs., still managed to get to work everyday, still tried to make it to the soccer field for games, still went to the school for PTA, and still demanded that we sit each night at 6:00 pm for a dinner that I assure you was not laced with sugar, fat and salt.

    The complaining about whose problem it is has to stop. Parents, get up off the couch, turn off the TV and acknowledge that your child is in grave danger. If they are 300, 400 and yes, sometimes even 500 lbs., you have a very serious problem and it’s up to you to fix it. It’s up to you.

    Louis H. Yuhasz
    Louis Yuhasz CEO/Founder
    Louieskids.org
    for more information on Louie’s Kids please visit:
    http://www.louieskids.org
    PO Box 21291
    Charleston, SC 29413

  • drjasonworrall

    This subject is coming to attention far more these days. I agree that the relationship goes both ways. I also believe that the lifestyle of the parents, in other words, the “environment” of the child plays an immense role in their growth or development into obesity.

    As a wellness physician, I am a full advocate of exercise. In fact, I tell many of my patients that I don’t particularly love going to the gym, but the alternative is unacceptable.

    When the alternative is unacceptable for you, the same follows for your children.

    Jason Worrall , D.C.

    http://www.jasonsjournal.typepad.com

  • http://waschubby.wordpress.com waschubby

    I am happy to inform you that now there is an alternative to going to the gym.

    We’d like to introduce you to GetSweaty.com, the first video-based website that focuses on daily physical activity for kids. GetSweaty is free. It’s fun. And it’s based on the simple premise that you can stay fit by simply getting sweaty each day.

    The concept is simple:

    GetSweaty provides a new and different workout via each day delivered via the platform kids know and trust: the computer. Kids are incentivized for using the site by earning points they can redeem for prizes.
    Teachers can use GetSweaty in a group situation (class, recess, afterschool)
    by utilizing our innovative back-end technology that allows them to track student usage and points.
    Teachers also earn rewards with our Cash for Class program that pays for school supplies.

    This is a powerful new program that serves children, parents and teachers.

    We invite you to visit http://www.getsweaty.com and please let us know what you think!

    Benita Appel

  • jackluu

    yeah i totally agree with this idea, nowadays, the youth are so inactive

  • http://www.saludyprosperidadglobal.com Dr. Jorge Delgado Pauta

    How is it that our children are bombarded by junk food propaganda through the media of the different forms these days if FIFA gave us a rout for four years with the two sponsors of obesity such as McDonald ‘ s Coca-Cola (phosphoric acid + artificial sugars) and the ministries of public health of any civilized state does nothing to prevent disease caused by incitement to consumption through its promotions and our children are the first to buy for collection supported disinformation with adults.

    As a doctor I have seen in the task of investigating and fighting tooth and nail to be the adults who become informed and stop buying anything these nutritious foods with harmful effects for our future generations.

    Dr Jorge Delgado P
    http://bit.ly/byUSDq
    r

  • http://evolutiontotalwellness.wordpress.com evolutiontotalwellness

    While I do believe activity to be part of the cause I beleive it is a larger issue. Education, parental influence, socio-economic resources and support sytems all play an intergral part.

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