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Education alone will not end the obesity epidemic

By | July 6, 2010, 10:07 AM PDT

Cures for the childhood obesity epidemic often come down to a chicken-or-egg question.

That is, do lazy kids get fat or do fat kids get lazy. (Here is what looks like a healthy alternative, from Amazon.com. But read to the end before you buy.)

The question is important, because the easy answer to obesity is that kids should just get out and play. Put down that video remote, get away from the game machine, go outside and run around.

In fact, parents and the food system are the real culprits.

Brad Metcalf, a researcher at the Peninsula Medical School in Plymouth, England, used to think exercise would cure. He warned two years ago that the recommendation of an hour of exercise each day was not sufficient to do the job.

Now he’s back with a follow-up study, which concludes inactivity is not the culprit. Fat is.

As he described it in the Archives of Diseases in Childhood last month, he recruited 202 boys, a quarter of them obese, and put them on Actigraph accelerometers for a week, once a year, to measure their physical activity. He also measured their body fat percentage, annually, using an x-ray technique.

What he found was that inactive kids did not get fat, but fat kids got inactive. Body fat was predictive of physical activity, but physical activity was not predictive of body fat changes.

So while campaigns like Let’s Move may put some emphasis on physical activity, the cure will be found on accessing healthy and affordable food.

How are we doing on that? The campaign offers plenty of help including this Food Environment Atlas from the Department of Agriculture, showing on a county level how accessible fruits and vegetables are.

But all the education in the world won’t work if food manufacturers can play games to get around offering better stuff.

Take the recommendations on salt, 2,300 milligrams per day. Sounds easy to meet, doesn’t it?

Oh, what’s for lunch? How about this delicious Nong Shim Noodle Bowl from South Korea? It costs just $3, and you can eat it at your desk. I just bought some for my lovely wife this weekend.

Look at the nutrition label. It’s got 54% of your daily salt in it, but you’ll just have one, right?

Well, no. Regulations allow the Nutrition Facts label to dodge reality. Supposedly, only half this single-serving bowl is a serving. There’s actually over 2.5 grams of salt in this one bowl, meaning if you eat just one you’ve overdosed for the day.

So long as food producers are able to dodge the intent of regulations by fudging the numbers like this, education doesn’t stand a chance. Just as running around doesn’t stand a chance.

The only thing that does stand a chance is demanding, through the force of law, that healthy choices replace unhealthy ones in the marketplace.

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Dana Blankenhorn

About Dana Blankenhorn

Dana Blankenhorn was a contributing editor for SmartPlanet from 2009 to 2010.

Dana Blankenhorn

Dana Blankenhorn

Contributing Editor, Healthcare

Dana Blankenhorn has written for the Chicago Tribune, Advertising Age's "NetMarketing" supplement and founded the Interactive Age Daily for CMP Media. He holds degrees from Rice and Northwestern universities. He is based in Atlanta.

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Dana Blankenhorn

Dana Blankenhorn

Dana Blankenhorn has been a technology reporter since 1982, a business reporter since 1978, and a writer for as long as he can remember. His Schwab IRA has a few tech stocks in it, most notably some Intel and Applied Materials bought over 10 years ago. But the vast majority of his tiny fortune (emphasis on the word tiny) is invested in mutual funds. He presently writes for no one else but ZDNet, SmartPlanet and himself. But if you've got an opportunity let him know. If he takes the gig he"ll first add it to this disclosure page.

He writes for SmartPlanet and is not an employee of CBS.

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Affordable food?
I tend to agree that exercise will not make fat go away. But you apparently agree with Dr. Metcalf that we need access to healthy and affordable food.

However, several of your articles the past few weeks have been saying that food is too cheap. You've been arguing that we should take away farm subsidies and cause farmers to use relatively expensive methods such as organic farming techniques to produce healthy food. All of these things would tend to increase the price of food, not make it more affordable. In fact, you've as much said you wanted to make food more expensive so we wouldn't eat as much of it. Isn't there a contradiction here?
Posted by zackers
7th Jul 2010
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zackers
Government created the current problem, with policies that encouraged quantity over quality. The market can't magically change it without changing government policies.

An entirely "free market" in food hasn't existed in nearly a century, and for a good reason. Such a market breaks suppliers in times of plenty, and can't stimulate rapid changes in supply during times of need.

So we need policies that will encourage innovation. Those will, of necessity, be government policies, because the present agriculture system is not "free," but centered entirely on government subsidies.

We can reduce subsidies for what we don't want, increase subsidies for what we do want, and still not risk under-supply if the weather goes bad, nor have any impact on either the total budget or the deficit.
Posted by DanaBlankenhorn
7th Jul 2010
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US agricultural markets are among the most free in the world
Actually, US agricultural markets are among the most free in an imperfect world. While some major crops such as wheat, corn, peanuts, sugar, etc. are under some kind of subsidy program, most agricultural products are not. These include meat, vegetables, and fruit, which are particularly important in the "high quality" food you want to see.

Nobody from the government is telling farmers that they must produce a certain amount of a crop, or even the crop. The existence of subsidies is just another factor that a farmer uses every year in determining what to grow, and how much. Farmers have made a lot of money growing unsubsidized crops, and also have lost their shirt growing highly subsidized crops (such as corn for ethanol in 2008). From personal experience growing up on a farm and seeing the agricultural world first-hand, I can tell you subsidies did nothing to stabilize prices. And as I pointed out before, from 1996 to 2002 subsidies were largely reduced, and there were no famines or crop shortages as a result. Farmers tend to like the guaranteed floor a subsidy provides if they manage to bring a subsidized crop to market, but it doesn't control their behavior. Otherwise everybody would be growing wheat and corn, and nobody would be growing apples and wine grapes, or raising cattle and pigs.

The biggest factor in crop shortages and surpluses, one that subsidies can never control, is the weather. A subsidy doesn't help a farmer if a drought happens or heavy rain destroys a crop in the short window it can be harvested. The farmer has already spent the money to produce the crop, and gets nothing. He's still out of business after risking everything.

As I've shown elsewhere, US agriculture is the among the most innovative industries in the history of the world. When you say we need innovation, of course what you really mean is the innovation you want. You've said obesity isn't really the fault of consumers, but producers. That's just not true.

I guess at bottom is what you're saying is that consumers are no smarter than the farm animals that eat whatever the farmers give them. I tend to see consumers as humans who are just as smart as farmers, and who can make their own choices. And just how is it that the people who "ascend" to roles in the government and never produce anything are smarter than the rest of us? You certainly don't believe that's true all the time; you've had plenty of criticism of previous administrations. For government to always be "right", I guess you'll have to do away with democracy, or at least tell everybody how to vote.
Posted by zackers
7th Jul 2010
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zackers
I wish you were right. But you're not. We get our sugar from corn rather than cane because the government subsidizes corn and has a high tariff against cane imports, in order to hurt Castro's Cuba.

The present structure of American agriculture is entirely the creation of the American government. You can see this at any Congressional hearing, where there is annual discussion over how much money to spend on subsidies. Incumbents push for the status quo.

It's clear we need change. There are now huge government subsidies in place for low-cost, low quality protein and starch. Cut those subsidies -- eliminate them over time -- and invest that money instead in creating incentives for healthier food.

Then let the market work. But don't claim the government-created "market" is "free" when it's entirely the creation of the government. That's just Five Year Plan silly.
Posted by DanaBlankenhorn
8th Jul 2010
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