You may not wait 9 years to change your own food environment


It is difficult for me to imagine what exactly the researchers would expect as a result of the intervention of this study that hopes to help children with obesity.

The efficacy of the Healthy Lifestyle Program (HeLP) to prevent obesity in British primary school children: a randomized controlled clinical trial in groups, enrolled at age 9 and 10 from 32 different UK schools and randomly assigned some schools to deliver a one-year program of children who included,

"dynamic and interactive activities such as physical activity labs, educational sessions provided by teachers with short homework, theatrical meetings and setting goals for behavior modification"

And while parents were involved, their involvement was mainly dictated by their children, who in turn received instructions to "reflect their behaviors and goals"with their parents.

Various weight-related results, activity-related results and nutrition outcomes over 2 years were collected and the results were not at all exciting, with minimal differences between study groups and controls on any physical or physical outcome.

But should one expect something different?

Are there really those out there who believe that if you teach in 9 and 10 year old schools that they have to eat less and better and exercise more, will they do it? Fully developed adults with newly-diagnosed weight or diet-related illnesses rarely do, so why should children? Or that children aged 9 and 10 who have zero responsibility for their food environments, even if they actually "is reflected"for their attitudes and goals with their parents, could they change their food environments appreciably and sustainably?

And what of these children, especially children who already have obesity? It does not seem that this study even attempted to investigate whether the 2-year intervention had negative psychological consequences. But of course, if the main part of the program is to teach children 9 years old that they are personally responsible for their lifestyle choices, I think it would be fair to consider the program to lead some to challenge self-esteem, effectiveness , body image and possibly affect their relationship to food and even risk eating discomfort. It may also be important to study whether or not there has been an increase in physical intimacy in intervention schools.

All this, to say, based on children aged 9 and 10 years to change what for them, since they are responsible for almost anything related to when, where and what they eat, are almost certainly non-modifiable food environments, quite unexpectedly. an effective plan. Although I support strong programs that work with parents to change their family's lifestyle (by revealing that I am the medical director of such a program), focusing specifically on children, it is similar to focusing all your efforts on the teaching of its passengers life and ignoring the drivers, and where the drivers are not just the parents of the children, but their food environments as a whole.

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