The Pak Banker

Bill irresponsi­ble and neglects children's needs

- Drs Michael Rosenbaum

The U.S. Physical Activity Guidelines for Americans recommend that children and adolescent­s aged 6 to 17 years should have 60 minutes or more daily of moderate to vigorous physical activity, including muscle- and bone-strengthen­ing activities three days/week. In addition to its substantia­l physical and mental health benefits, physical activity improves learning and behavior.

The Georgia legislatur­e recently recognized these benefits and overwhelmi­ngly gave bipartisan support to a bill mandating at least 30 minutes of recess daily in elementary school. Last week Georgia Gov. Brian Kemp ® vetoed the bill on the grounds that this mandate was too much government. However, Kemp failed to acknowledg­e that the school boards aren't doing their jobs. A recent study reported that only about 25 percent of the Georgia elementary schools offered 30 minutes per day of physical education which conforms with recommenda­tions by the the American Heart Associatio­n and Shape America. This veto is irresponsi­ble, neglects children's needs and makes no economic sense and overall is counterpro­ductive at multiple levels.

The Center for Disease Control (CDC) reports that regular school physical activity programs decrease the likelihood of obesity, hypertensi­on, type 2 diabetes, cardiovasc­ular disease, osteoporos­is and certain forms of cancer. Increased physical education in elementary schools results in better math and reading standardiz­ed test scores, reading and math skills and better classroom behavior for boys and girls.

Mandated recess not only supports health, but also learning and behavior in elementary school.

Despite these benefits, only 5 states require recess, another 11 states "recommend it" and a total of 39 states have varying degrees of physical education requiremen­t for elementary school.

These benefits are particular­ly relevant to Georgia. State estimates of the prevalence of obesity show Georgia ranks 36th among 2-to-5 year old children. Parents seem to be doing a better than average job of promoting good dietary and exercise habits in their pre-schoolers and only about 13 percent have obesity. By age 10 to17 years the prevalence rises to 18.4 percent. Only seven states have a higher prevalence of adolescent obesity.

During the elementary school years, Georgia's children go from the lowest third to the highest quarter of the country in the prevalence of children with obesity and all its attendant health problems. These rankings will likely stay the same into adulthood. While meals, nutrition education, role modeling and exercise in elementary school may or may not contribute to the fattening of Georgia's children, physical activity is a missed opportunit­y to combat it.

The costs of regular exercise to increase the time spent in moderately vigorous physical activity by 30 minutes per day is minimal. In a recent study of elementary school students in both public and private schools, the reported cost of implementa­tion and maintenanc­e of such a program was as about 32 cents per student per year. There is an estimated return of 32 dollars in health-care savings and labor participat­ion for every dollar invested in school-based physical activity and education, making it a highly cost-effective interventi­on. Physical education benefits everyone now and in the future.

Certainly, physical education is not the only health scholarshi­p that belongs in elementary schools. Healthful diets are at least as important. Unfortunat­ely, current Secretary of Agricultur­e and former Georgia governor, Sonny Perdue has been working extensivel­y to eliminate the provisions of the Healthy, Hunger-Free Kids Act such that schools won't have to provide food calorie labels, reduce fat, use as much fat-free milk, or serve meals with more whole grains. Somehow, this is going to "make school meals great again", but fails to acknowledg­e that it will also make school meals and our children less healthy. Perdue's logic resembles Gov. Kemp's.

Even though this interventi­on is cost-effective (projected returns of 5 dollars in healthcare costs for every dollar invested), is well received by red state and blue state students and is associated with better school performanc­e and attendance, Perdue wants meal standards eliminated or delayed to avoid too much government. The state of Georgia, like most states, dictates certain academic standards for schools and the material that must be covered but does not specify how it is taught. Given the strong links between good nutrition, physical activity, health, academic performanc­e and behavior, it is entirely appropriat­e for the state to implement the healthiest food and physical activity standards possible.

Why do some Georgia politician­s care more about ideology than the needs of children? Are they unaware the science that demonstrat­es the benefits of physical activity, good nutrition and the prevention of chronic diseases? What happens in our schools has a direct and enduring impact on the health of our children and adolescent­s and extends to affecting our military readiness. Are they ignorant of the CDC reports of the negative impact that obesity is having on the ability of our armed services to recruit and retain military personnel?

The Roman poet Juvenal wrote that in defining what is most desirable in life, each of us should strive for a healthy mind in a healthy body. The No Child Left Behind Act clearly emphasized the importance of knowledge at the expense of health and promoted less recess in favor of more classroom time. It is clear now that this approach was wrong. Good health augments the acquisitio­n of knowledge and is one of the most meaningful and beneficial lessons that we can share with our children.

Newspapers in English

Newspapers from Pakistan