|
Why
Active Living Initiatives Are Not
The Answer To Combat Child Obesity
We were recently contacted by a reputable Active Living
Organization in Alberta who insisted that our philosophies
were inflammatory statements with sweeping generalizations.
Despite the fact, that we have never mentioned any single
organization responsible for the failures of active living,
the statements from this organization were clearly inappropriate,
tactless, defensive and primarily subjective in nature with
no credible resources or evidence to substantiate their
position.
We immediately and diplomatically addressed the issue with
very credible evidence to support the facts on why active
living is not the answer to combat child obesity. Moreover,
an elaboration on why it is imperative for physical education
curriculums to change across Canada to better address the
health needs of children.
The statements posted on our website are based on a rational
and reasonable investigation of the status of PE support
and curriculums offered to pre-adolescents and adolescents
in Canada. We revisit and review the data every second year,
and we consistently see PE programs that fail to instill
and develop the individual abilities in children that are
necessary to maintain good physical health throughout their
lifetime. We review the majority of PE curriculums implemented
by the Boards of Education of each respective province and
the qualifications necessary to become a PE instructor.
This includes some (but not all) special and membership-based
programs.
As of 2008, we will no longer be reviewing any membership
programs that focus on social and active living initiatives.
The reasoning is based on studying literally decades of
implementations of these decisions which have only lead
to poor results and limitations for children as they age.
The limitations of such approaches to combat childhood obesity
may also, in part, have contributed to the problem over
the years. Motor skills such as speed, strength and power
which are integrated with cardiovascular abilities have
consistently shown to improve long-term health in both children
and adults. Yet an extremely large percentage of curriculums,
including those encompassed around active living, fail to
properly address or incorporate effective training methodologies
into their structure.
Simply put, schools which only implement generalized active
living programs do not instill and develop the individual
abilities in children that are necessary to maintain good
physical health throughout their lifetime. Governments have
invested hundreds of millions of dollars into these programs
to increase physical activity among youth and the general
public. Despite these government initiatives, and since
the inception of such programs, children are more obese
today than ever before. Culture is a huge factor, and physical
activity is only one component of the "get healthy
equation", something active living advocates still
need to wrap their heads around. But despite lifestyle,
physical activity curriculums are just not giving children
the transferable skills they need in the first place.
Regardless of any inclusion criteria assessed, children
that graduate from social and active living programs have
extremely little or no comprehension of these essential
mental and motor skills that should be ingrained in their
daily lives. Although we agree that such programs may increase
a child's overall knowledge of diverse activities to increase
physical activity, the statistical data indicates that children
do not transfer this knowledge (actively or otherwise) into
their late teens and early adulthood to positively affect
their health.
Active living programs also do not correlate with gross
demographic variables like income and occupation across
Canada, which are influential indicators on physical activity
into early adulthood and beyond. In addition, there is no
scientific dynamical evidence on the long-term health benefits
of these programs. The dynamical relationship between leisure
and health has never really been studied due to the enormous
quantities of variables involved. However, we don't really
need the studies or an analysis to validate the long-term
results. We have the first hand evidence from the plethora
of programs implemented in the 70's 80's and 90's. We know
what happened to the majority of these children and their
behaviors as they grew into adults. An abundance of references
below elaborate more on the limitations of social and active
living programs as well as the complexities of child obesity
which are far reaching beyond the narrow scope of such programs.
Whether education is a provincial mandate or not is irrelevant.
Provincial and Federal governments across Canada (who ultimately
decide what children learn) have a terrible track record
in the implementation, training and execution of effective
physical education curriculums, programs and instructors.
A simple test we have designed for grade 6-8 students across
the nation reaffirms that Canadian children (at any age)
know very little about their bodies and lifelong practical
exercise strategies. The worst part is that the teachers
often have less practical knowledge than the children.
The majority of research touting the benefits of active
living to prevent child obesity has been either too small
or inconclusive. This story (from the inception to termination)
for such a multitude of programs, has been told for decades.
Unfortunately, each successor has continued to either ignore
or poorly address the changing needs of children and teens
for almost 40 years. The truth is that the big health picture
is bleak for Canadian children if more than 90% of schools
do not improve their current programming.
This is the reality
governments perpetually make the
same mistakes in physical education at the cost of children's
health, and you don't have to look far to see the evidence.
The obesity rates continue to soar every decade, in every
province, in part due to the short comings of Physical Activity
programs that are not progressive and have trouble co-existing
with the technological era and fast-paced work environments
in our society. This is part of the reason why more than
a very large percentage of the Canadian public does not
exercise, contributing to the growing obesity epidemic which
is presently costing Canada billions of dollars per year.
So what's the solution? There is no simple answer, but the
focus must remain on progressive programs that advance children's
health. Curriculums designed to create exercise environments
that only mesh with sport or competition have isolated several
groups of children who are uncomfortable, uncoordinated
or lack the athletic ability to enjoy these events. Active
living programs are also typically designed around involving
multiple individuals to achieve a specific physical activity,
which creates a mindset that a buddy system or group is
always necessary to engage in these events. Moreover, a
plethora of school-based programs still emphasize non-locomotor
and manipulative skills for physical education which are
very poor indicators in maintaining long-term health. Effective
locomotor skills that allow children to maintain and increase
their physical activity levels on an individual basis are
the complement so desperately needed in our physical education
system.
The day we better equip children with the critical tools,
knowledge and skills that are transferable into their teenage
and adult years, is the day we will begin to reverse the
epidemic of child obesity.
Article Author: Susan McHilley
American Academy of Pediatrics (AAP). (2003). Prevention
of pediatric overweight and obesity. Pediatrics, 112:2-4.
Anrig, C.D.C. (2003). The obese child. Dynamic Chiropractic.
21: 27-31.
Arenz, S., Ruckerl, R., Koletzko, B., Von Kiries, R. (2004).
Breast-feeding and
childhood obesity-a systematic review. Int. J. Obes. Relat.
Metab. Disord.10: 1247-1256.
Ball, G.D.C., & McCargar, L.J.(2003). Childhood obesity
in Canada: A Review of prevalence estimates and risk factors
for cardiovascular disease and type 2 diabetes. Canadian
Journal of Applied of Physiology, 28: 117-140.
Babloyantz, A. & Destexhe, A. (1986). Low-dimensional
chaos in an instance of epilepsy. Proceedings of the National
Academy of Sciences of the United Stales of America, 83,
3513-3517
Barton, S. (1994). Chaos, self-organization, and psychology.
American Psychologist, 49, 5-14.
Bentivegna, M. (2003). Child Obesity : public health crisis,
prevention as a cure. Retrieved on October 20th, 2004 from
World Wide Web: http://www.preventdisease.com.
Blair, S. N. & Connelly, J. C. (1996). How much physical
activity should we do? The case for moderate amounts and
intensities of physical activity. Research Quarterly for
Exercise and Sport, 67, 193-205.
Bunce, N. & Hunt, J. (1987). Obese Children. Retrieved
on September 25th, 2004 from the World Wide Web:
http://www.physics.uoguelph.ca/summer/scor/articles/scor136.htm.
Caldwell, L. L., Smith, E. A., & Weissinger, E. (1992).
The relationship of leisure activities and perceived health
of college students. Loisir et Société, 15,
545-556.
Canadian Press. (2003). Expert says Canada losing child
obesity battle. Retrieved on October 15th, 2004 from World
Wide Web: http://www.ctv.ca.
Canning, P.M., Courage, M.L., & Frizzell, L.M. (2004).
Prevalence of overweight and obesity in a provincial population
of Canadian preschool children. Canadian Medical Association,
171: 240-242.
Coleman, D. & Iso-Ahola, S. E. (1993). Leisure and
health: the role of social support and self-determination.
Journal of Leisure Research, 25, 111-128.
Dahlstrom, W. G., Welsh, G. S., & Dahlstrom, L. E.
(1972). An MMPI handbook: Clinical interpretation. Minneapolis,
MN: University of Minnesota.
Dekkers, J.C., Podolsky, R.H., Treiber, F.A., Barbeau,
P. Gutin, B., & Snieder, H.(2004).Development of general
and central obesity from childhood into early adulthood
in African American and European American males and females
with a family history of cardiovascular disease. Am. J.
Clin. Nutr., 4:661-668.
Di Bona, L. (2000). What are the benefits of leisure? An
exploration using the Leisure Satisfaction Scale. British
Journal of Occupational Therapy, 63, 50-58.
Ehlers, C. L., Havstad, J. W., Garfinkel, A., & Kupfer,
D. J. (1991). Nonlinear analysis of EEG sleep states. Neuropsychopharmacology,
5, 167-176.
Feldman, W. & Beagen, B.L. (1994). Screening for childhood
obesity. In: Canadian Task Force on Periodic Health Examination.
Canadian Guide to Clinical Preventative Health Care, 120:
334-344.
Field, A. E., Austin, S. B., Frazier, A. L., Gillman, M.
W., Camargo, C. A., Jr., & Colditz, G. A. (2002). Smoking,
getting drunk, and engaging in bulimic behaviors: in which
order are the behaviors adopted? Journal of the American
Academy of Child & Adolescent Psychiatry, 41, 846-853
Folsom, A., Arnett, D., Hutchinson, R., Liao, F., Clegg,
L., & Cooper, L. (1997). Physical activity and incidence
of coronary heart disease in middle-aged men and women.
Medicine and Science in Sports and Exercise, 29, 901-909.
Goldberger, A. L. & West, B. J. (1987). Chaos in physiology:
health or disease? In H. Degn, A. V. Holden, & L. F.
Olsen (Eds.), Chaos in biological systems (pp. 1-4). New
York: Plenum.
Hanner, L.D., Kraemer, H.C., Wilson, D.M., Ritter, P.L.
& Dornbush, S.M.(1991) Standardized percentile curves
of body-mass index for children and adolescents. American
Journal of Disease of Child,145, 259-263.
Hancox, R.J., Milne, B.J., Poulton, R. (2004). Associations
between child and adolescent television viewing and adult
health: a longitudinal birth cohort study. Lancet,9430,
257-262.
Heiby, E. M., Pagano, I. S., Blaine, D. D., Nelson, K.,
& Heath, R. A. (2003). Modeling unipolar depression
as a chaotic process. Psychological Assessment, 15, 426-434.
Hill, C. M. & Hill, D. W. (1991). Influence of time
of day on responses to the profile of mood states. Perceptual
and Motor Skills, 72, 434^439.
James, J. Thomas, P., Cavan, D., & Kerr, D.,(2004).
Preventing childhood obesity by reducing consumption of
carbonated drinks: Cluster of randomized controlled trial.
Journal of Pediatrics, 328:1237-1242.
Kaufmann, J. E. (1988). Leisure and anxiety: a study of
retirees. Activities, Adaptation and Aging, 11, 1-10.
Kempster, L. (2004).Declaring war on obesity: a fight that
can be won. Imerge Consulting, Sarasota, FL.
King, A.J.C., Boyce, W.F., King, M.A.(1999). Trends in
Health Care of Canadian Youth. Ottawa.
Kleiber, D. A., Hutchinson, S. L., & Williams, R. (2002).
Leisure as a resource in transcending negative life events:
self-protection, self-restorations and personal transformation.
Leisure Sciences, 24, 219-235.
Kleiber, D. A. & Rickards, M. (1985). Leisure and recreation
in adolescence: Limitation and potential. In K. M. G. Wade
(Ed.), Constraints on leisure (pp. 289-317). Springfield,
IL: Thomas.
Kuntzman, G.(2004). American Beat: Physically Unfit. News
Week. Retrieved on October 17th, 2004 from World Wide Web:
http://www.KeepMeida.com/Register.do?oliD=225.
Leonard, M.B., Schults, L. Wilson, B.A., Tershakovee, A.M,
Zemek, B.S.2004.Obesity during childhood and adolescence
augments bone mass and bone dimensions. Am. J. Clin. Nutr,
2004, 514-523.
Mahoney, J. L. & Stattin, H. (2000). Leisure activities
and adolescent antisocial behavior: The role of structure
and social context. Journal of Adolescence, 23, 113-127.
Moran, O., & Phillip, M. (2003). Leptin: obesity, diabetes
and other peripheral effect-a review. Pediatr. Diabetes,
2:101-109.
Media Awareness Network. (2004). Television Impact on Kids.
Retrieved on October 17th, 2004 from World Wide Web
http://www.meida-awarness.ca/english/parents/television/tv_impact_kids.cfm
Medbroadcast. (2004). The Growing Obesity Epidemic. Retrieved
on October 27th, 2004 from the World Wide Web:
http://medboradcast.com/health_features_details_pf.
Mensink, G., Deketh, M., MuI, M., Schuit, A., & Hofmeister,
H. (1996). Physical activity and its association with cardiovascular
risk factors and mortality. Epidemiology, 7, 391-397.
Middleton, D. (2003). YMCA Edmonton: Media and News. Retrieved
on October 29th, 2004 from the World Wide Web: http://edmonton.ymca.ca/media_news/9.3_story_ideas.htm
Mota, J. & Esculas, C. (2002). Leisure-time physical
activity behavior: Structured and unstructured choices according
to sex, age and level of physical activity. International
Journal of Behavioral Medicine, 9, 111-121.
Neiman, P.(2004). Childhood Obesity. Retrieved on September
25th, 2004 from the World Wide Web: http://ditk-kids.com/articles/childhood_obesity.htm.
Oxford County Board of Health. (2002) Obesity in Canada.
Public Health Nutritionists/Dietitians in Ontario. Ontario,
Canada.
Partridge, K. (2003). Fat Action. Retrieved on October
17th, 2004 from the World Wide Web: http://features.todays
parent.come/fat_action/facts?wideview1.htm.
Pietrobell, A., Faith, M.S., Allison, D.B., Gallengher,
D. Chiumello, G. & Heymsfieldd, S.B. (1998). Body ass
index as a measure of adiposity among children and adolescents:
A validation study, Journal of Pediatrics, 132: 204-210.
Passehl, B., McCarroll, C., Buechner, J., Gearring, C.,
Smith, A.E., & Trowbridge, F. (2004). Preventing Childhood
Obesity: establishing Healthy Lifestyle Habits in the Preschool
Years. Journal of Pediatric Health Care, 18: 315-319.
Philipp, S. F. (1998). Race and gender differences in adolescent
peer group approval of leisure activities. Journal of Leisure
Research, 30, 214-232.
Prankish, C. J., Milligan, C. D., & Reid, C. (1998).
A review of relationships between active living and determinants
of health. Social Science & Medicine, 47, 287-301.
Renders, C.M., Seidell, J.C., Van Mechelem, W., & Hirasing,
R.A. (2004). Overweight and obesity in children and adolescents
and preventative measures. Ned Tijdschr Geneeskd, 148: 2066-2070.
Salmon, J., Owen, N., Crawford, D., Baumann, A., &
Sallis, F. (2003). Physical activity and sedentary behavior:
a population-based study of barriers, enjoyment, and preference.
Health Psychology, 22, 178-188.
Satter, E. (1996). Internal regulation and the evolution
of normal growth as the basis of prevention of obesity in
Children. Journal of the American Dietetic Association,
96: 860-862.
Schlicht, W. (2002). Physical activity and health promotion.
In N. J. Smelser & P. Baltes (Eds.), International Encyclopedia
of the Social and Behavioral Sciences (pp. 11415-11418).
Oxford: Elsevier.
Shaw, S. M., Caldwell, L. L., & Kleiber, D. A. (1996).
Boredom, stress and social control in the daily activities
of adolescents. Journal of Leisure Research, 28, 274-292.
Skarda, C. A. & Freeman, W. J. (1987). How brains make
chaos in order to make sense of the world. Behavioral and
Brain Sciences, 10, 161-195.
Spence, D. (2004). Childhood obesity and consumption of
fizzy drinks. BMJ, 329;54(3 July). Retrieved on October
21st, 2004 from the World Wide Web:
http://bmj.bmjjournals.com
Thayer, R. E. (1996). The origin of everyday moods. Managing
energy, tension, and stress. New York: Oxford University.
Tremblay, M.S., & Willms, J.D. (2003). Is the Canadian
childhood obesity epidemic related to physical inactivity?
Int. J. Obes. Relat. Metab. Disord, 9: 1100-1105.
Tremblay, M.S., & Willms, J.D. (2000). Secular Trends
in Body Mass Index of Canadian Children. CMAJ, 163; 1-11
Thurber, K., Bryson, C., Diaial, S., Harvey, J., Scott,
B.K., & Lowet, M. (2004). The obesity epidemic. Alberta
Heritage Foundation for Medical Research. Spring 2004.
Vicary, J. R., Smith, E., Caldwell, L., & Swisher,
J. D. (1998). Relationship of changes in adolescents leisure
activities to alcohol use. American Journal oj Health Behavior,
22, 276-282.
Wenger, N. (1996). Physical inactivity and coronary heart
disease in elderly patients. Clinics in Geriatric Medicine,
12, 79-88.
Winefield, A. H., Tiggemann, M., & Winefield, H. R.
(1992). Sparetime use and psychological well-being in employed
and unemployed young people. Journal of Occupational and
Organizational Psychology, 65, 307-313.
Whitney, E.N., & Rolfes, S.R.(2002).Understanding Nutrition.
Toronto. Ontario: Wadsworth Group.
Willms, J.D. (2004). Early Childhood obesity: a call for
early surveillance and preventive measures. Canadian Medical
Association,171: 243-244.
Willms, J.D., Tremblay, M.S., & Katzmarzyk, P.T. (2003).
Geographic and demographic variation in the prevalence of
overweight Canadian children. Obes. Res., 5: 668-673.
Zeijl, E., te Poel, Y, du Pois-Reymond, M., Ravesloot,
J., & Meulman, J. J. (2000). The role of parents and
peers in the leisure activities of young adolescents. Journal
of Leisure Research, 32, 281-302.
|