Scottish Daily Mail

Why it’s wrong to tell our children obesity is ‘normal’

- DR MAX Let NHS psychiatri­st Max Pemberton transform your life Follow: @MaxPembert­on

Would you buy a bottle of cola if it had pictures of gangrenous feet caused by diabetes emblazoned on the side? Would it make you think twice before giving it to your children? Just as cigarette packets feature gruesome images warning of lung cancer, researcher­s are now looking into how this logic can be applied to other products. A study in the u.S. has shown that putting visual warnings of the effects of sugary drinks on their labels significan­tly reduced consumptio­n.

Parents were shown images of sugary drinks with labels that included written or picture notices about their health risks.

Images either depicted how much sugar was in each drink (such as in teaspoons), or the physical effects of consuming too much, such as tooth decay, weight gain and kidney disease.

As a result, parents were significan­tly less likely to buy the products for their children, raising the prospect that this strategy could help fight childhood obesity.

You might think that this would be good news, given that around a third of children in the uK are overweight or obese.

Evidence suggests that if someone has been overweight as a child, then they are very unlikely to be able to end up within a normal weight range as an adult. They are basically condemned to a life of obesity and all the associated ill health that comes with it.

Yet I worry that we have oversimpli­fied the issue of obesity, particular­ly when it comes to children. We love to demonise food groups, putting them in ‘good’ or ‘bad’ categories. By focusing purely on sugar, we are missing out the other factors that are contributi­ng to the obesity epidemic.

We are failing to acknowledg­e the impact that an increasing­ly sedentary lifestyle has on children’s weight, for example. But, more than that, we’re not really tackling why some children are allowed to become overweight.

Yes, it’s because they are consuming more calories than they are expending. The reasons for this, however, are complex. While obesity has long been associated with poverty and deprivatio­n, recent trends point to rates rising among upper and middle-class men. There is also a correlatio­n between the increasing levels of stress, depression and anxiety in men and rising levels of obesity.

Meanwhile, women who live further away from green spaces are more likely to be fat. Feeling safe from crime is associated with lower rates of obesity. The prevalence of fast-food outlets in your area has a significan­t impact on BMI, too. And so on.

The point here is that while people are fat because they consume more calories than they need, there are multiple social factors that also play a part in this. I’m not saying that sugar isn’t part of the problem, but neither is it the only reason for obesity. The latest research is useful in that it underlines that it is parents who choose what their children consume. We seem to forget this sometimes. Families have to take responsibi­lity for what they serve their children and for laying down rules around what they are allowed to eat and when. Too often children are treated like adults, as if they are capable of making decisions about what they will eat. Given the choice, of course they’re going to pick chips, burgers and chocolate! It’s the parents’ job to supervise their meals and ensure they are eating a balanced diet. I want schools to do more, too. I think fizzy drinks and processed food — including chips — should be banned from the canteen. But parents need to take the lead and show teachers that they support moves like this. What worries me is that fat young children are becoming the norm. Years ago there might have been one chubby child in a class. It was a relative rarity. Now, nearly half the class are overweight. This results in obesity-creep — the more overweight children there are, the more ‘normal’ it seems, and so it’s less likely to be addressed as a problem.

While the announceme­nt that disney has unveiled a plus-size character in its new short film Reflect has been met with applause for being inclusive, I am concerned that it’s part of a larger trend whereby obesity is being normalised.

It’s being presented as an identity, like the colour of someone’s skin or their sex, which is to be celebrated, and the implicatio­n is that it’s not something that can — or should — be changed.

Isn’t this a frightenin­g message to be sending children when the fact is that being overweight or obese increases the risks of a whole host of health problems, from cancer and strokes to heart attacks and diabetes?

I find our current attitude to obesity in children astonishin­gly complacent. I can think of no other condition so clearly linked to untold illness and misery that is brushed under the carpet in this way. It’s time to get the problem out in the open.

■ Germany has announced plans to legalise cannabis. In stark contrast to this, Suella Braverman was considerin­g making it a class a drug. Part of me welcomes this. I loathe cannabis. I’ve seen the damage it can do to mental health; the lives it has ruined. But, and I say this with a heavy heart, I fear we have lost the war on drugs. Though, as my colleague Peter Hitchens argues, we never really started it. Cannabis is now so widespread that very young children can get it and, with the police turning a blind eye, there’s little parents can do. The time has come to legalise it (not decriminal­ise it, which just gives carte blanche to dealers), tax it and licence it. The tax should go to mental health provision. It’s the only solution I can think of.

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