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Corinne Finnie

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Whose responsibility is it to educate our young people on healthy eating, physical activity, and positive self esteem?

Many statistics indicate that the overall North American adult population is not only overweight, but the number of people with Type 2 Diabetes, heart disease, and depression is consistently rising. Now, we see children as young as 12 suffering with the same conditions. The World Health Organization has called this situation an "overnourishment" epidemic. Parents do not have the practical information to teach their children about nutrition, teachers have a full curriculum and limited resources to contribute, food manufacturers are focused on making margins and are willing to go only so far, Community Dieticians have limited time and resources - whose responsibility is it to make educating children about comprehensive wellness a priority?

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  • Nov 19 2011: hi Corinne
    I,m a paedatrician, pediatric endocrinologist. I work in Zaragoza, Spain, I lead groups of obese children and parents whith "niñ@s en movimiento" program. Do you know it? . I,m very impressed by interest of your question. I would like to know, if possible your method.
    My best regards :
    Manuel
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    Nov 18 2011: For the last year and a half I have been part of a holistic effort to create healthy communities in nine towns and 11 schools. The short answer to Corinne's question in my opinion is that its everyone's responsibility. Most certainly families, but also schools, corner stores, farmers, and more. Our policy and decision makers have a responsibility to ensure that their directives whether school wellness policy or zoning encourage opportunities for health rather than discourage or hinder.

    Corinne notes some great research and there is other relevant findings as of late to the impact of environmental factors being at least as important if not more so than personal choices. Environmental factors include access to healthy food options such as fresh and appealing fruits and vegetables. It's also about safe places to be active outdoors and clean air.
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    Tao P 50+

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    Nov 15 2011: Parents, family and community. Lets all stop relying on the state to educate. They do a terrible job at it. It's time to stop wasting money, resources and potential in these poor excuses for schools. Include children in day to day life and they will grow in a similar fashion as to how they begin to talk, by exposure to stimulus. If one can step out of the 'more money more teachers' dogma and look at how ineffective schools are we can begin a serious discussion
  • Nov 15 2011: Everyone! It takes a village after all.

    Also, you cannot force the willing. That meaning if the young person wants to be healthy and the parents are bad at it, they will learn from others, and actively seek out demonstrations and information.

    So instead of teaching people facts, or info. I think we should teach them curiosity and drive. If that is even possible.
  • Nov 14 2011: This is a very difficualt issue to tackle in north America as people are required to pay-for their healthcare, mainly through insurence. This means there is a reduction in the ammount of interventory action that can be taken by the government as a sink or swin mantra is reinforced through leaving all responsibilities for ones immediate health to the individual(s). On the other-hand in countires where healthcare is provided majoritivly through the state the qaulity of the servie provided (per-person) increases (i.e. change4life in Britain) but is loosely enforced and ill-promoted, largely because of miscommunication and an unwillingness of multi-angency co-operation.

    With this in mind the main theme involved in healthcare in the 21st century is 'responsibility', who is responsible for the deterioration of mass health issues such as these.

    1) Legislation needs to be reconfigured concerning the fat, salt and sugar content within food - especially food aimed at children - the traffic light system used in Britain is a good start but there is much more to be done. As with the imagry on cigerette packets some form of verbal or imagry shock tactics could be employed to educated people are the dangers of overeating and the consuptions of high fat food stuffs.

    2) All schools should be responcible for offering a healthy meal menu whcih should be advertised to parents in an appropriate way. For instance, inviting parents and children into school to cooking lessons/demonstations similar to that provided my Jamie Oliver. It is of grave importance that children understand where food comes from, how it is produced and what is added to it during its manufacture.

    3) Simply, governments need to act to reduce the cost of fresh ingredients in supermarkets including making sure that farmers are given a fair deal in the production process. Far too few politicians have the gall to go up agaist the corporations that are profiting on the back on one of the worlds largest health dangers.
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    Nov 13 2011: Some really interesting thoughts here:

    I can see how there are many different cause and effect elements in how people make their choices, both young and old... and each new generation initially find themselves reliant, on those who precede to provide example...

    Diet is habitual, and as mentioned, wellness can be achieved through lifestyle choices. The issue in a modern world that demands so much of our attention, with the carrot of convenience and the stick of long work days, people have grown to see food as a fix rather than where it should be; at the apex of way of life, much like quality of sleep and clean drinking water. I for one can relate to being lazy with my diet at times.

    Parents naturally have a responsibility to their children; and schools equally have an opportunity to educate children irrespective of what may be absent at home. Broadcasters can, and do, play a vital role in inspiring the young and old to make lifestyle changes. From experience I personally believe we can be thankful here in the UK whereupon for years the majority of family TV programmes have been broadcast over a mere handful of channels, which has enabled the funding and focus of quality public documentary programming to a broad domestic audience.

    Most importantly, people themselves have a responsibility to effect habitual change in their own lives. The individual should lead themselves, follow examples of where they want to go, not where they have been. It is too easy to fall back into old habits right? We live in a free world so start by rejecting the unhealthy in favour of the healthy. We can also petition and mobilise into groups to effect local change at the heart of our communities.

    Finally, it is clear that our retailers and their wholesale suppliers have a responsibility to position healthier foods before all others in terms of both visibility and pricing. It is possible for the public to vote for it as shareholders and as customers.
  • Nov 13 2011: I believe that would fall under number 3. An example would be a parent educating why they cooked chicken on a specific evening for their child and that is has essential proteins that help the body gain muscle etc. etc.
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    Nov 11 2011: What you would like to hear if you were in the chlld's shoes. A smile, A hug, A word of caution or instruction A word of encouragement. Whatever is appropriate in the moment.......
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    Nov 10 2011: More ideas...

    Unfortunately in this capitalist neo-liberal world where money is almost the only grand motivation, may be the solution must come in that line. I mean the motivation that would change people behavior.

    A solution where there are consequences besides the "far away" coming Diabetes, Cardiovascular, Self-esteem, etc.
    Consequences where people being or having overweight/obese siblings, or not engaging in a non harmful life style (I don't even write a "healthy", but at least not harmful) have a chance and then if not compliant their pockets will be targeted (not popular I know that's why I started with "unfortunately").

    Ideas:
    A) If a child/worker is found to be overweight/obese the family living with the child/worker has to go through a two month teaching program where is taught how to engage in physical activity (doesn't mean gym or a sport), adequate eating (each family has its own culture and routines), psychological work;
    B) Once these 2 months were successfully completed they would have to visit a local center monthly for 1 year;
    C) After this year, there would be an analyses of the progresses made by each individual and the family;
    D) If they would meet a set of previous established objectives they would be discharged from the program.

    Where is the "pocket attack"?
    1. Time is money, people attending these programs would "loose" time;
    2. To pay for part of the costs with structures, all professionals and activities these people would either loose part of a financial assistance/benefits they might have or pay their taxes + X in the year of their program;
    3. If people in the program quit, fail to comply or do not achieve the objectives, there will be different fines, extra charging on hospital taxes or health insurance, no co-payment from governments in medication.

    I see this as a government health plan not sponsored by food supplements/pharmaceutical industry or gym companies.
    • Nov 19 2011: Hi Joao. Nice point of view. It,s original, but I don,t understand, but I can´t understand points 2 and three your hypothesis. Could you explain it to me e bit more, please. I,m a pediatrician involved in childhood obesity and I meant you have an original idea, but I can´t see you echonomical way support
      Thanks a lot
      Manolo.
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        Nov 19 2011: Hi Manolo.
        A project like this has to be sustained in part by those who need it. To charge everyone would be unfair. We have to keep in mind that this plan is not to attack people is to help them, that's why their's a 1 year and 2 months program before "heavy" measures.
        Point 2):In the country I live people with financial difficulties have a financial support, let's say at school the government pays for all or part of the books, or the meals at school, couples with certain number of children and small income or people who don't have a job also and a lot other. For those the motivation to learn and adopt a better life style would be in loosing this supports.
        On other hand people with money enought not to have these supports would have to pay taxes + X in the year of their program. As such they would be also motivated to comply with changes.

        Point 3) by not achieving the goals set in the beginning or leaving the program people would have to pay a fine and/or would loose their financial support when buying medicines or visiting an hospital. In the country I live, people go to the hospital and according to their social status pay differently (direct translation "moderator taxes"). And everyone when goes to a pharmacy with a prescription from the doctor have some cheaper medicines because the government pays part.

        This would work in two ways: people would feel a financial motivation to change behaviors and on other hand is socially fair. Why? Health represents a huge part of government year budgets, on health as you know cardiovascular diseases are the 1st cause of death, desability(stroke) and chronic diseases. Obesity is central to HTN, DMT2, hypercholestorolemia, and a lot other.. so it is only fair that those consciously contributing to increase this problem to loose their financial supports from the government. It is a question towards self and other.
        • Nov 19 2011: Thanks Joao.
          I´ll reread your answer, searching the way to adapt it to my country. I live in a society where people thinks to cure theirself is not their responsabilty; they think they should be cured by public health, whithout cash and effort, of course!
          Sincerelly yours
          Manuel
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    Nov 10 2011: This might sound like a weird answer but my response is that it is 'somebodies'" responsibility. By that I mean, it is the parent's or other family members but if they do not do it whose is it? The doctors who care for the children, the educators who see them day by day, the politicians who are supposed to have the citizenry and their well being as their highest goal. My point is that we all have to take responsibility so that we do not continue to let our children down.
  • Nov 10 2011: We need to all choose a versatile and general system of facts on healthy body-fueling principles and all of us need to stand behind that canonical information in a unified and official way so it becomes more ingrained in our civilization. It needs to become the "Bible" of healthy eating. Like the Apple Computers of health where it makes it easy for the masses to pick it up and use it successfully.

    It has to be simple, effective, and popularized through unity so that it can overcome and eradicate the other smaller lifestyle based myths and old-wives tales about food that are spamming our public consciousness.

    It would be in the same official spirit as the food pyramid, but much deeper (yet still easy for the masses to understand and practice)
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    Nov 9 2011: I think I wrote about 4 or 5 comments on this conversation.

    Why? Well because it is important... and because I think there is much to understand and change.
    I will let other comment not directly following other I did but with its own line.

    Whose responsibility is to educate overweight and obese parents? professors? day care workers? nutritionists? health care providers?
    Whose responsibility is to stop food brain washing literally from birth?
    Whose responsibility was to teach you to eat as if there won't be a next meal in about 3 hours?

    SCIENCE: Over eating and bad eating habits modify your neural chemically system in ways that leads to obsessive compulsive disorders, depression, addiction not in strength wise but in pattern like comparable to drug addictions.

    Obesity is a disease, actually an epidemic disease.
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    Nov 9 2011: Parents, parents, parents.
    Better societies come from better parenting.
    • Nov 10 2011: Cool you just solved the problem! :)

      Now all the obese parents in the world will teach their children to be healthy!!! yayyy!!!
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    Nov 9 2011: Humans have very little control over their weight. What people eat have has very litte effect on their weight. Study after study conducted the past fifty years bears this out. Would any tell an anorexic all they need to do is eat more food and exercise less? There is no difference.
    • Nov 10 2011: This is not true. With calorie counting and a protein based diet with progressive weight lifting, people can transform their bodies.

      Some are more prone than others to be addicted.
  • Nov 9 2011: First the statistics are correct and one only has to wander through a mall to validate this. Secondly, for those of us, old enough to remember who ate all meals at home (which were prepared by our mothers) that was not the case. The "responsibility" I would suggest is three fold. The first is (sorry for the truth) laziness, translating to men and women not cooking (not showing their children) and setting a pattern that becomes a norm. The second is government by (historically) not insisting on good food in our schools (pizza days? and other ilk) with motivation coming from our lobbyist groups (why would 3.2 billion be spent annually if it did not accomplish some set of goals) and reinforcing a norm. The third is you. And it's a you in multiple contexts.....first a disregard for yourself and your children, secondly a disregard for family, eating healthy meals together that are more than just a meal but also an opportunity to communicate....versus, "I brought home burgers and fries, get off your game console and grab one while they are hot".
    On a more personal note....most men and women are not attracted to fat people and I suspect it has to do with basics....our desire for a mate that "looks healthy" as well as (bluntly for many) some level of disgust though we do not express it. From a scientific perspective, yes the desire for concentrated calories is innate...it's less work. But to say we can't (or even that it contributes since this was not the case to the same degree in very recent times) eat sensibly I hope is not a reflection of declining mentality. At a government level.....meaning from your local PTA to the Feds...there is obviously a lot that can be done. The simplest is the PTA and an examination of what is served in your child's cafeteria....you know the rest of the drill with respect to Washington if interested. I would also mention that change at this level is easy....getting Congress to move is not. Lastly not buying "crap". Good luck.
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    Nov 9 2011: Corinne, please could you tell me more about your self esteem building programmes. Its pertinent to a question I posed on Ted. I'm keen to find practical exercises that help to develop a healthy mind. Thanks
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      Nov 9 2011: Hi Jerry - I will e-mail you a private message re: my program. Thanks for the inquiry
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        Nov 10 2011: Thanks Corinne, I look forward to learning about it.
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    Nov 9 2011: I think it is most clear that the responsibilty is combined. The Child, his close enviroment and the oarger social enviroment is responisble for healthy education. However, it's almost impossible to regard to a child's enviroment as one. His parents are his close-native enviroment, which holds the mere responsibility for his education - but nowadays at an early stage- a child develops his own views about nutrition, and he is closer to his equals. His school as a pedagogical institute also holds the formal responsibilty for teaching him, but his friends at this stage is most likley the group which will affect him most- and thats how children get stuck in fast food chaings.
    I think the solution needs to come from the equal group. Health care and nutrition education should use digital media, TV, and mass media which reaches chldren and youth and campaign that being healthy is more cool than being fat and eating fast food. Thats why social networs can contribute alot to this matter.
  • Nov 9 2011: In all honesty, I attribute obesity to the environment the child grew up in. There was an interesting conversation I heard about a month ago suggesting that obesity may VERY well be a form of child abuse. On the converse, I think educating children and parents is the best way to go. The number 1 cause of deaths is smoking, followed by obesity and it is rampant.
    • Nov 10 2011: It is. That is why it cannot be left in the hands of the parents. I have had seen examples of parents and teens that clearly have no sense of counting calories and how to choose food that covers their macro nutrients. Its not just for athletes that play sports, it should be everyone.

      They should teach it clearly in energy management class or PE class.

      Especially parents who are poor. Their childs health and fidelity is the last thing they focus on. Food is about survival not thriving to them. Its a sad defeat.

      School lunches are a big leverage point to turn the tide.

      Egg whites, chicken breasts, tuna, whole grain pasta/rice/bread, yogurt, almonds.
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        Nov 15 2011: Look beyond what passes for health food Nicholas. You're on the right track but keep digging. Think about what fat is, why some kinds taste good, why many nutrients are fat soluble. Trust your taste buds.
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    Nov 9 2011: Parents :)
    • Nov 10 2011: You seem to care, but what about the others??
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        Nov 10 2011: There is more information available more than ever before on this subject. This is the golden age of information. It starts with good parenting but I take your point Nicholas and agree - really it's everyone! Everyone needs to help and there in lies the difficulty. Past a certain age I think it is the responsibility of the individual to make the choice.
  • Nov 9 2011: 1: be grateful for what you have and do not waste food if possible

    2: why and in what ways it can be a detriment to self to be a glutton

    3. give love and time as a parent and listen to what your kids express, project and need.

    these messages teach respect, accountability, love for self and others and make it a partnership bwtween parents and their children.

    Leading by example is the most important message
    • Nov 10 2011: what about understanding the basics of protein and how it helps the body?
  • Nov 9 2011: I think it starts with the parents, but everyone needs to be accountable. This includes everyone from daycare to school systems.
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    Nov 7 2011: Certainly not parents.
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    Nov 7 2011: Everyone's.
  • Nov 6 2011: they are themselves because they are not a small child now.
  • Nov 6 2011: Who is responsible for one's own diet or the diet of one's children? The only way to get past our problems is to stop waiting for someone else to fix them. If you'd like there to be more education in your community about physical and psychological well-being, organize a group of like-minded people and help to get educated and make it available to everyone. Get inspired, and inspire others to do the same. Why would anyone not pick up what they feel is important? We want a free society by the people, for the people? That's you. Create it and live it. That's always been the only way anyone got anywhere, ever.

    I see in your profile you're already doing that. I love it. My respect.
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    Nov 6 2011: I live in France where kids are practically "bottle-fed" red wine. I think the education starts at home, however, many parents (here in France), don't consider it important to educate their children on eating right and responsible drinking because they, themselves don't eat or drink responsibly. A doctor here in the Basque Country told me that she told one of her patients who had high cholesterol to eat only one egg per week and to stop eating processed meat products. The patient cried "Well what will I eat ??!!" So in order for parents to know what to do, we, as a society need to educate the parents and limit the kind of advertising we receive for junk food and alcohol. I think that each country should make it a priority to get their citizens and their littlest citizens, healthy.
  • Nov 5 2011: Under my the technical point of view we should try change uses of living in the familly, not only advicing population and collectivity. It is diffcult because parents dont recognise problem, even them also have it!. Eabc one has his one responsability and general trends are in the media and profesionals.
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    Nov 4 2011: Parents should be get informed to be abel to guide their children and make them used to a healthy lifestyle. Is also teacher's responsibility of course, if they spot obesity they should together with the parents and the boy or girl find a solution and help him or her to be healthier and have a better quality life style.
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      Nov 4 2011: Hi Marien

      Thank you for that insight. Teachers are not equipped to identify children who are obese - it should come from the primary health care practitioners; however, teachers can definitely identify which children are not eating an overall healthy dietary pattern. They see what the children bring for lunch and two snacks each day. It is valuable if teachers can then offer some nutrition education to the entire class to encourage the student body to choose healthier foods more often.
    • Nov 10 2011: Yes so this theoretical parent wants to be informed... where do they go?

      Thats what we need, a definitive destination where people can get good concise info.

      If they type it in google they will become confused maybe.