1. Darliene Howell Darliene Howell United States says:

    (3000 characters; 400 words)

    Stigma and discrimination of children based on their physical appearance or body size is resulting in physiological reactions to this stress. The pressure to reduce their body size in not only extremely difficult, if not impossible, it is BAD FOR THEIR HEALTH.

    As outlined in a 2007 report from Yale’s Rudd Center:
    “Research so far suggests that obesity may increase vulnerability to adverse physiological reactions to psychosocial stressors among youths. Experiences of weight stigma may specifically exacerbate negative health outcomes through heightened blood pressure, cortisol reactivity, and risk for hypertension. Given that similar findings pertaining to obesity and vulnerability to stress are emerging in both children and adults, it may be that obesity beginning in childhood heightens vulnerability to a long-term trajectory of negative physical responses to chronic psychosocial stressors. This could in turn increase various cardiovascular risk factors. These health problems often affect overweight children. Many of the negative psychosocial consequences of weight bias occur above and beyond the influence of high body weight, and this appears to be the case for negative health consequences as well (Matthews et al., 2005). Therefore, the health consequences common among obese children may partly result from the effects of discrimination.” (Puhl & Latner; Stigma, Obesity, and the Health of the Nation’s Children; 2007)

    Studies show that dieting, even that considered “naturalistic”, among young people lead to weight cycling [Naturalistic weight reduction efforts predicted weight gain and onset of obesity in adolescent girls; http://ebn.bmj.com/content/3/3/88.full]

    There is an evidence-based compassionate alternative to conventional dieting: Health At Every Size®. Please consider this alternative prior to making a decision that may result in weight cycling.

    I would also like to recommend the free NAAFA Child Advocacy ToolkitSM (CATK) and other written guidelines/resources. The NAAFA Child Advocacy Toolkit shows how Health At Every Size® takes the focus off weight and directs it to healthful eating and enjoyable movement. It addresses the bullying, building positive self-image and eliminating stigmatization of large children. Additionally, the CATK lists resources available to parents and educators or caregivers for educational materials, curriculum and programming that is beneficial for all children. It can be found at:
    issuu.com/.../naafa_childadvocacy2011combined_v04

    For more information on Health At Every Size, you can find a general explanation on Wikipedia (http://en.wikipedia.org/wiki/Health_at_Every_Size) or find in-depth research-based information in the book Health At Every Size - The Surprising Truth About Your Weight by Dr. Linda Bacon (http://www.lindabacon.org/HAESbook/).

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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