Saturday, April 5, 2014

"Fat Letters" and Individual Rights





In an effort to combat the growing epidemic of childhood obesity, a number of school districts across the United States have resorted to unconventional efforts in order to get their students on a healthy track of diet and exercise. Eliminating soda and cupcakes at classroom parties is one of the more simplistic ideas that, at the very least, is a high profile attempt to do something. However, the Chula Vista California School District is taking a more aggressive initiative by measuring and recording every student’s weight and height every two years. The district uses the data to identify students who are at risk for becoming obese or developing juvenile diabetes and creating strategies to address these issues. However the parents are not notified with the results.
When the city’s 25,000 plus students were measured four years ago almost 40% of the school children were identified at obese or overweight. The program in Chula Vista measures students in grades K-6.
The state of California has a mandate that all fifth, seventh, and ninth graders be screened and their parents notified of the results. The students are screened for their Body Mass Index (BMI).  BMI is a score that measures a person’s fat mass in proportion to height and weight. Arkansas also has a program in place. The school district in North Andover, Massachusetts sent home “fat letters” to parents of students whose BMI is in the obese range. At the present time, 19 states have similar programs in operation.
This policy has met with resistance from parents and eating disorder groups, especially from schools that send home the so called “fat letters.” Schools have been accused of traumatizing students and making them targets from their peers. Since such programs are in their infancy, there is little quantitative data to indicate the success of such initiatives.Your comments and suggestions are welcome.

C.2014 J. Margolis

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