We take the side of organizations and people working to help end childhood obesity. We asked Anupama Joshi, Co-Director of National Farm to School Network, five questions about creating healthy behavior change and her ideas for ending this epidemic in a generation. Here is what she said:

1) Tell us about the work of Farm to School. What do you view as your most significant accomplishments to date?

I serve as the Co-Director for the National Farm to School Network, which has been spearheading the development and promotion of the Farm to School model. Farm to School programs connect K-12 schools with local farms with the objectives of serving healthy meals in school cafeterias; improving student nutrition; providing agriculture, health and nutrition education opportunities; and supporting local and regional farmers. Over the last decade, we have collaborated with organizations across the country to build public and government support for Farm to School. From just a handful to programs in 1997, we have assisted in the establishment of well over 2,000 Farm to School programs in all 50 states.

The National Farm to School Network provides a unified voice from the neighborhood to the nation for Farm to School efforts. For example, the U.S. Department of Agriculture recently initiated a Farm to School Team, which is collaborating with the Network to address administrative barriers to Farm to School. The Network’s launch of “Bearing Fruit,” a report on the impact of Farm to School, has helped secure buy-in from the Centers for Disease Control and Prevention, which now recognizes Farm to School as a community-based solution to obesity prevention. And recently, the Let’s Move campaign is promoting community gardens, school gardens and Farm to School programs in its Take Action section.

2) There are numerous of campaigns today to encourage children to make healthy life choices. But childhood obesity rates continue to climb. What do you think could make these campaigns effective?

There are various factors that need to be addressed to combat childhood obesity. Campaigns and programs tend to focus on individuals and families, but they also need to look at changes at the institutional and environmental levels. Schools and other institutions serving children need to take a stand on better quality foods served in an environment that is conducive to healthy lifestyles – teachers need to model healthy eating and active behaviors, and school activities such as fundraisers should support the same – selling fruits and healthy snacks instead of candy! Rampant advertising of junk food and sodas to young children is another major issue that needs to be addressed.

And, it is a no-brainer that children enjoy learning when it is interactive and fun. Getting kids involved in hands-on activities such as gardening, tasting and cooking healthy foods is a great way to initiate a deeper connection with food and health, that will last a lifetime.

3) Will educating Americans about eating healthy and being physically active be enough to spur a revolution of health conscious communities? What do you think can motivate people to be healthy?

Education is only one part of the solution. Environments and policies that support health are needed. Improved public transportation with a focus on access to healthier food outlets and farmers markets as well as parks and recreational facilities, biking and hiking trails, and open spaces to grow fresh food are all part of the solution. Workplaces can also play a role in incentivizing and promoting healthier lifestyles.

4) What can the average person do to be healthy if they don’t have access to affordable and healthy foods (e.g., live in areas with “Food Deserts”), or have opportunities to be physically active?

Grow your own food – be it on a rooftop, a container garden or at a community garden. Get connected to where your food is coming from. Read labels and if the ingredients don’t make sense – don’t eat it. And most importantly, get cooking! The healthiest food is when you cook it yourself, and it is an efficient use of your food dollars too.

I am not a physical activity expert, but simple lifestyle changes can meet the day’s activity needs. Climb the stairs instead of taking the elevator, walk or bike instead of driving (and you’ll save money!) or just get out and play ball with the kids.

5) If you could create one solution to change the current trend of childhood obesity, what would it be and why?

Farm to School programs in every single school! Connecting with kids early in life about food choices. That’s what I am working on!

For more information about Farm to School, please visit www.farmtoschool.org

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Aaah! Condiments! – Application Review

by Andrea Hill on August 6, 2010

As mentioned in an earlier post, Let’s Move has sponsored a competition called Apps for Healthy Kids. These are engaging progrmas to help encourage kids to lead healthier lives.

One of the submitted apps is an iPad game called “Aaah! Condiments!” by Allonzy Interactive. The goal of the game is to “capture food by defeating them in a shake-out battle fest on the iPad”.

This game educates players on the caloric value of various foods, encourages them to see condiments as evil, AND incorporates physical activity. Thanks to the motion sensors of the iPad, players must move more than just their thumbs to play. They must shake the iPad or jump up and down to win. Oddly enough, players also need to scream at the screen – I’m not entirely sure how that is measured, or why , but if it encourages game play, it’s a worthwhile addition.

Will this game make a difference? It helps kids make associations with certain types of food, and also gets them to engage in some physical activity. But will kids take the next step to apply this information to their daily lives? We may not know until we see a 6 year old yelling at a ketchup bottle in a restaurant! That is one thing that is great about this game: while some children may not be able to make the right decisions at the grocery store, they do have control over the added condiments they do or don’t load onto their plates.

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Obesity on TV: Voyeurism or Education?

by Seth Klukoff on August 6, 2010

I saw a commercial the other night for a new reality show: “Too Fat at 15.” This is a documentary series following four overweight teens and a pre-teen at the Wellspring Academy, a weight-loss boarding school in North Carolina. While the “message” embedded in this show is quite obvious, I really wonder if viewers will actually get it, or if they will tune in simply out of voyeuristic impulses. My hunch is the latter. I think that’s the same line of thought that drives people to watch other “fat porn” TV programs, such as The Biggest Loser and One Big Happy Family. “Geez, glad that isn’t me,” is the common refrain. “Pass me the chips.”

On the one hand, I’m glad that there is a concerted mass media focus on the dangers of obesity. On the other hand, in light of continually rising obesity rates, I’m wonder if those vehicles accomplish anything more than filling time slots and, potentially, garnering ratings points.

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Voting Now Open in Apps for Healthy Kids Competition

by Andrea Hill on August 5, 2010

Apps for Healthy Kids is a competition associated with the Let’s Move childhood obesity campaign. The competition encouraged developers and students to develop games to help promote healthy eating and physical activity.

Submissions for the competition were accepted earlier this year, and now the public is invited to vote on the winner. According to the contest rules, Submissions must be software tools or games that use the USDA Nutrition Dataset found at www.data.gov/details/1294 and “encourage children directly or through their parents to make more nutritious food choices and be more physically active”

In our own childhood obesity work with Nemours Health and Prevention Services, we promote the adoption of the ’5-2-1-Almost None” lifestyle by youth. This refers to 5 servings of fruits and vegetables, less than 2 hours of screen time, 1 hour of physical activity and almost no sugary beverages.

The Apps for Healthy Kids competition explicitly refers to the positive attributes of this prescription, but there is no accommodation for the aspects of the formula that call for restraint. Indeed, the fact it’s a software gaming competition actually may encourage more screen time. That being said, if children are being supported to make healthier choices, the end may justify the means.

There are five categories of applications: physical activity, calorie content, menu planner, myPyramid and nutrition facts. Over a series of blog posts in the next week, I’ll look at a few of the games per category and offer my thoughts. There are plenty of great entrants, so feel free to explore them on your own, and vote for your favorites!

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The physical side effects of childhood obesity are well known. But now, beyond diabetes, heart failure, depression and cancer – researchers are finding that the cost of being obese goes beyond health issues.

University of Michigan epidemiologist, Philippa Clarke, set out to discover what happens to people who’ve been overweight since adolescence. So, using national data that tracked 5,000 high school graduates for 20 years, she set out to find out the social and economic consequences of being overweight since high school.

“We found that those people who were persistently overweight were more likely to not have gone on to have any further education beyond their high school [diploma]; to be receiving welfare or unemployment compensation at age 40 and to have no current partner,” said Clarke in an interview with NPR.

The study also shows that the chronically overweight group studied was two times more likely to be unemployed, on welfare and single.
With even more negative implications, one can only hope that our nation’s efforts to end this epidemic pays off soon.

Find out more about the social and economic impact of childhood obesity on the NPR Blog.

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