Many Ky. parents don't realize children are overweight, or won't acknowledge it, but many report kids' poor health behavior

By Al Cross
Kentucky Health News

Many Kentucky parents don't realize that their children are obese or overweight, or at least aren't willing to acknowledge it. That is the obvious conclusion to draw from the latest results of the Kentucky Parent Survey, released Tuesday by the Foundation for a Healthy Kentucky.

The poll found that only 14 percent of Kentucky parents say their child weighs too much, but the National Survey of Children's Health found that 37 percent of Kentucky children are overweight or obese. Conversely, 76 percent of parents in the poll think their child's weight is about right, but the national survey found that only 58 percent of Kentucky kids have healthy weight.

The Kentucky Parent survey, taken by land-line and cell telephone from July 19 to Aug. 22 by the Center for Survey Research at the University of Virginia, interviewed 1,006 Kentucky parents, step-parents, grandparents, foster parents or other legal guardians of children in Kentucky selected at random. The statistical margin of error for that sample size is plus or minus 3 percentage points.

The poll also found that 56 percent of Kentucky children are watching more than the maximum daily recommended amount of “screen time” – watching television, playing video games or using the Internet – and that 59 percent drink sugar-sweetened beverages every day. Both are major factors in childhood obesity, research has found, and experts recommend no more than two hours of screen time a day and no sugar-sweetened drinks at all.

“Parents can help reduce this risk by encouraging healthy behaviors for their children,” said Dr. Susan Zepeda, president and CEO of the Foundation for a Healthy Kentucky.“Our children’s habits and behaviors impact their health today and shape their quality of life as they grow. When kids eat poorly and don’t get enough physical activity, it increases their risk for obesity, diabetes, heart disease and other chronic diseases. This poll data helps us understand what parents think about the behaviors that are so critical to health.”

The Kentucky Parent Survey also found that only 56 percent of Kentucky parents said their child got "enough" fruits and vegetables every day during the preceding week, and 66 percent of parents reported their child got "enough" physical activity every day during the preceding week. It also found that elementary and high-school students often get less than the recommended amount of sleep per day (chart).

The survey did not define "enough." The foundation noted that one strategy to reduce childhood obesity in Kentucky is "5-2-1-0," reflecting experts' recommendations that each day, children should eat at least five servings of fruits and vegetables, have no more than two hours of screen time, engage in one hour of physical activity, and drink zero sugar-sweetened beverages. For the foundation's press release, click here.

NYC deeply split on Bloomberg plan to ban supersize sodas

Bloomberg with Linda I. Gibbs, deputy mayor for health.
(New York Times photo by Chang W. Lee)

In a bold move to curb obesity, New York City Mayor Michael Bloomberg wants to ban the sale of supersize sodas and other sugary drinks by restaurants, movie theaters and street carts.

"The sale of any cup or bottle of sweetened drink larger than 16 fluid ounces — about the size of a medium coffee, and smaller than a common soda bottle — would be prohibited under the first-of-the-nation plan, which could take effect as soon as next March," reports Michael Grynbaum for The New York Times.

Exempt from the measure are diet sodas, fruit juice, dairy-based drinks and alcoholic drinks. The ban would include drinks sold in grocery or convenience stores.

"New York City is not about wringing your hands; it's about doing something," Bloomberg said. "I think that's what the public wants the mayor to do." In NYC, more than half of adults are obese or overweight.

A poll conducted Sunday showed about half of New Yorkers feel Bloomberg is going too far, while 42 percent said it would be good health policy, reports Samantha Gross for The Associated Press. The idea has been harshly criticized, with an editorial in the Times calling the plan "overreaching" and saying "Too much nannying with a ban might well cause people to tune out."

But conservative David Frum, a contributing editor for Newsweek and The Daily Beast, said "good for Bloomberg," pointing out: "Sugary drinks now provide 7 percent of the calories in the American diet, the largest single national source of calories. Teen boys average more than a quart of sugary soda per day. Even adults who say they are trying to lose weight still drink more two 12-ounces cans per day, on average."

"The campaign against obesity will have to look a lot less like the campaign against smoking (which involves just one decision, to smoke or not to smoke) and much more like the generation-long campaign against highway fatalities, which required the redesign of cars, the redesign of highways, and changes in personal behavior like seat-belt use and drunk driving," Frum argues.

Penny-per-ounce tax on sugar drinks could save $17 billion, cut consumption and prevent disease and death, academics say

More than $17 billion in medical costs over 10 years could be saved if sugared drinks were taxed at 1 cent per ounce, and it would prevent 95,000 cases of coronary heart disease, 8,000 strokes and 26,000 premature deaths, say researchers at Columbia University and the University of California.

The tax would mean an extra 12 cents per can or 20 cents per bottle, and would generate about $13 billion in annual tax revenue. The study, published in this month's HealthAffairs, found the consumption of sugary drinks, including soda, sports drinks like Gatorade and energy drinks like Red Bull, would be cut by 15 percent among adults ages 25 to 64.

"Even our conservative estimates show that a penny-per-ounce tax on sugar-sweetened beverages could substantially reduce the negative health and financial impacts of obesity, diabetes and cardiovascular disease," said Dr. Y. Claire Wang, assistant professor at the Mailman School of Public Health at Columbia  and lead author of the study. "Putting the money raised by the tax into efforts to prevent obesity and other health problems could potentially increase the impact of such a policy."

In 2009, Americans consumed 13.8 billion gallons of sugar-sweetened beverages, which translates to about 45 gallons per person. The average 20-ounce bottle of a sugar drink contains almost 17 teaspoons of sugar. (Read more)

Most beverage companies targeting kids, teens even more to sell sugary drinks, despite pledges; Pepsi an exception

A study analyzing the marketing practices for 600 products made by 14 companies found there is more advertising of sugary drinks to children, despite industry pledges to the contrary.

Child and teen exposure to TV ads for full-calorie soda doubled from 2008 to 2010. "This increase was driven by Coca-Cola and Dr. Pepper Snapple Group. Children were exposed to nearly twice as many TV ads for sugary drinks from these companies," the report by the Yale Rudd Center for Food Policy and Obesity reads. "In contrast, children were exposed to 22 percent fewer ads for PepsiCo sugary drink products." PepsiCo makes Mountain Dew, so sugary and popular among youth in Eastern Kentucky that dentists have identified a tooth-decay syndrome of "Mountain Dew mouth."

Coca-Cola, PepsiCo, Dr. Pepper Snapple Group and Kraft Foods produce two-thirds of the 900 products analyzed.

Coca-Cola accounted for three out of four brand appearances seen by children and teens. Nearly two-thirds of all full-calorie soda or energy drink ads on TV included sponsorship of an athlete, sports league or teams, or an event or cause.

In 2010, black children and Hispanic teens saw 80 to 90 percent more TV ads than white children. Marketing on Spanish-language TV is also growing. In 2010, Hispanic children and teens saw nearly twice the number of sugary drink and energy drink ads as in 2008.

The American Academy of Pediatrics says highly caffeinated energy drinks "have no place in the diet of children and adolescents." But in 2010, teenagers saw 18 percent more TV ads and heard nearly twice as many radio ads for energy drinks than adults did. (Read more)

Teens who drink sugary beverages add 300 calories a day to their diet, national survey finds

American teens who drink pop, energy drinks like Red Bull and other sugar-based beverages like Gatorade are consuming an average of 327 calories a day, the equivalent of two and a half cans of cola, according to an analysis conducted by the National Center for Health Statistics, part of the Centers for Disease Control and Prevention.

Data also show half of Americans drink sugary drinks on any given day, reports Nanci Hellmich of USA Today. Teens and young adults are drinking more of them than any other age group. About 25 percent of people drink at least 200 calories from them. Another 5 percent of the population age 2 and older consume nearly 600 calories a day from these drinks.

"Sugar-sweetened beverages are the No. 1 single source of calories in the American diet and account for about half of all added sugars that people consume," said Rachel Johnson, spokeswoman for the American Heart Association. "These are empty calories with no health benefits," said Barry Popkin, a nutrition professor at the University of North Carolina-Chapel Hill.

The findings stem from the National Health and Nutrition Examination Survey, which studies the eating and drinking habits of Americans. The results are from more than 17,000 in-person interviews about dietary habits conducted from 2005 to 2008. Added calories can lead to obesity, which increases the risk of diabetes and heart disease. (Read more)

Drink bottles, cans must now show calorie content on front

In an effort to educate people about how many calories they're sucking back, the front labels of packaged beverages in bottles or cans of 20 ounces or less must now show the total number of calories they contain.

"Beverage containers traditionally 'hid' the nutritional content at the back in a small square with small print and cleverly listed just calorie content per serving," said Dr. Jessica Bartfield, part of a physician-led team with Loyola University Health System that is trying to help people change behaviors that lead to them being overweight. "Unbeknownst to those who are happily guzzling their favorite cola or fruit drink, most packaged beverages contain multiple servings, and most Americans fail to do the math on the total calorie count."

In terms of caloric consumption when it comes to fruit and soft drinks, Bartfield shared some troubling statistics, which research research-reporting service Newswise listed:

• The average American consumes 22.5 teaspoons of added sugar each day. Half of that amount comes from soda and drinks, the National Health and Nutrition Examination Survey (1999-2004) showed.

• One in 10 overweight adults "consume 450 calories of sugar sweetened beverages per day, which is three times that of an average American. Cutting 450 calories per day would lead to about a 1 pound per week weight loss, close to 50 pounds in one year," Bartfield said. (Read more)