Studies say school warnings about children’s weight don’t work

The message is not accepted by parents and children, but it also fails to achieve the goal of losing weight for children.

“This was a pretty compelling study,” said Dr. Jenny Radeski, an assistant professor of pediatrics at the University of Michigan and CS Mott Children’s Hospital who was not involved in the study.

“Based on these results, schools and state education departments need to seriously consider whether BMI measurements in schools should be stopped altogether,” said Radesky.

“Parents who feel their child has reacted negatively to report card BMI should make a direct advocacy to the school,” she added.

Growing research institute

The study was led by Dr. Christine Madsen, an associate professor of public health at the University of California, Berkeley, and faculty director of the Berkeley Food Institute, and nearly 29,000 children in grades 3-7 in California. Was tracked for 3 years. Limit.

Finally, although the results were mixed, the study found that parental BMI tolerance did not affect childhood obesity and could reduce child satisfaction.

Such BMI report cards “increase parents’ weight-related anxiety, but provide little guidance on evidence-based health promotion strategies and provide no structural support for behavioral changes.” Dr. Tracy K. Richmond, an eating disorder specialist at Boston Children’s Hospital, said. Accompanying editorial.

This edit was co-authored by Idia Thurston, an associate professor of psychology and public health at the University of Texas A & M, and Kendrin Sonneville, a registered nutritionist who is an assistant professor of nutrition science at the University of Michigan, Ann Arbor.

“In our own study, adolescents who reported elevated BMI and” near-appropriate “weight engaged in healthier behavior, had less depressive symptoms, and were less likely to adopt chaotic weight management behavior. , Found that weight gain from adolescence to adulthood is low. “The trio wrote.

Harm than good?

The message about weight may backfire. In a previous study, “School-based BMI screening can increase weight stigma, including weight-based teasing and other forms of weight-related conversation, both of which are adolescent feeding behavioral disorders. I know it’s a factor. ” New research.

“Currently, there are several randomized controlled trials that show that school-based BMI screening is more harmful than good,” Radesky said. Using a BMI number, “the family finds that the child’s body is” wrong, “as the child is valued for size and appearance.”

“In reality, talking to children about their body and self-image requires deeper conversation and trust, which cannot be reduced to simple numbers,” she said.

In an editorial, Richmond and her colleagues said that public health programs “should empower rather than stigmatize what they are designed to benefit. This is a low-income community. It is especially important given that blacks and indigenous individuals and people of color systematically experience high weights.

The BMI letter approach also puts the child’s family “responsible for a healthier diet, more exercise, better sleep. Food environment, access to safe outdoor spaces, healthy housing, etc.” Acting despite our knowledge that system-level forces are shaping these deeply. “

Rather than measuring BMI, Radesky recommends “focusing on providing a healthy diet and a school culture that supports socio-emotional health and self-regulation.”

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