Boy Scouts Discriminate Against Obese Children

Photo courtesey of USScouts.org

There are times when I feel like I'm living in a make believe world.  I hear some stories in the news and I think this must be from The Onion; the story is so absurd that it must be fake.  Today was exactly one of those days because I saw a story that the Boy Scouts of America (BSA) was not going to allow Boy Scouts whose BMI was greater than 40 to attend their annual Jamboree.  In addition to that, children with a BMI between 32 and 39 had to submit medical information beforehand to be cleared to attend.   Part of the reason for this harsh rule was explained in the Time.com article:

The quadrennial pow-wow’s activities range from mountain biking and rock climbing to scuba diving and a water obstacle course — all strenuous exercises that require physical fitness, Dan McCarthy, director of the BSA’s Summit Group, told the Associated Press. Because there are no vehicles on site, the participants are required to walk everywhere, often on hilly or mountainous terrain.

In all honesty I'm almost at a loss for words for how shocked and appalled I am at this news.  I'm sure we've all heard news that the Boy Scouts are known for their previous discrimination of homosexuals, preventing openly gay scout leaders from joining their organization.  They recently changed that policy but they've decided to change their focus now to "fat kids." The spokesperson for the BSA tried to justify this new policy by saying that Scouts were made aware of the weight rule a year in advance and that troops developed health-related programs to help Scouts lose weight.  Health-related programs are great but we don't need any focus on weight.

BMI is not the only indicator for health and some would argue that it's not even a very good tool to use in the first place.  So why are the Scouts allowed to do this?  Well in short, discriminating against heavy people is probably the last form of discrimination that is socially acceptable and it's even more prevalent than we may think.  One common example is when companies have higher health care premiums for the obese employees.

So let's play this BSA scenario out a little.  Let's say Scout X has a BMI of 42 at the start of last year and he starts to try to lose weight.  He loses some weight by joining the Troops healthy living program and as the deadline approaches, Scout X's BMI is now 40.2.  With the deadline just days away, what does the boy do?  Does he try to sweat out those last pounds by working out extra hard, does he think about restricting his food intake for just a few days.  Maybe he goes to an extreme and takes a diet pill that he saw advertised on TV?  Are these behaviors healthy?  Are these the skills that we want our children to develop in the Scouts?  I don't want my son to ever have to resort to this behavior.  I fear that this might lead to an unhealthy relationship with food, a bad body image and a lifetime of dieting.

I'm sure that the Scouts that are not going to this year's Jamboree because of their weight are disappointed but I'm also guessing that they feel incredibly ashamed.  How will this shame lead to improved healthy behaviors?  Will someone who is ashamed feel more inclined to go for a walk and choose healthy foods?  Or will that person isolate themselves, maybe feel depressed, maybe begin to eat more?  Where is the support system for these kids?  As the rest of their troop returns, how will these Scouts be treated?

The saddest part of this story to me is the fact that I've not heard a lot of public outrage over it.  Take this Fox News online poll that was started as the story broke.  With a total of 9000+ votes recorded 35% agreed that they Boy Scouts are allowed to ban obese kids from attending the Jamboree and 48% thought it was discrimination.  18% were undecided.  Seriously, 35% agree?! Wait 18% are undecided?!  You must be kidding me.

Hopefully this policy will soon change and we will stop fat-shaming our children, our friends, our family, our co-workers. Hopefully we will begin changing our attitudes toward obesity and focus more on healthy behaviors and not the number on the scale or what our BMI is.  Hopefully, we will change our attitudes about fat the same way we are changing our attitudes towards minorities.

Zipzicles!!!

If you've been following my blog recently you might have read my post on Otter Pops.  If you haven't read it, click here.  After I wrote that article, my wife found a product on Pinterest called Zipzicles. Basically they are slender, reusable BPA-free zip top plastic bags so you can make your own homemade Otter Pops.  You can imagine how happy I was that my wife found these products.  God bless the internet, right?  This weekend, the stars aligned: it was 90+ degrees, we had no plans all day, we had the right ingredients in the house so it seemed like a perfect day to give the Zipzicles a test run.

Our ingredients

The company provides you with a couple of sample recipes on the back of the package so we tried one of their suggestions: strawberries and lemonade.  The recipe provided was as follows:

1 cup strawberries
3  + 1/2 cups lemonade
Puree 1 cup strawberries and 1/2 cup lemonade in a blender.  Once mixed, add 3 cups lemonade and pour into Zipzicle.

Pouring the mixture in the bags

Simple enough to do, right!  Once our mixture was ready we broke out a little funnel and filled the bags one at a time.  The recipe is supposed to make enough to fill all 12 bags that come in the package but we only had enough to fill 9.  After filling the bags, we put them in the freezer and 6 hours later they were ready to enjoy.


Once we were ready to try our finished product, I was anxious to see what my kids thought.  They were very excited to try them and they loved the flavor we made.  While we sat there and enjoyed our Zipzicles in the afternoon shade, we thought of new flavors to try so it looks like we'll be doing this again which is great!

What color is my tongue?

When we were all done with our Zipzicles, Reuben asked "What color is my tongue?"  Of course since there was no food dye in our treat, his tongue did not change color. He was a little sad about this, but mommy and daddy were quite happy!  We explained to him why his tongue had not changed color and he seemed to understand but still wasn't quite happy since he really likes that effect!  That's ok.  He'll survive.

Overall, I would say our Zipzicle experiment was quite successful.  We'd definitely make them again when the opportunity presents itself.  We might even try some "adult" variations with tequila for some dinner parties.  What recipe ideas do you have?  Let me know and maybe we'll give them a shot.

Disclaimer -- I did not receive any compensation from Zipzicles to write this post.  It is not an advertisement in any way and my opinions/thoughts/comments are my own.

Shira's Zipzicle

Reuben's  Zipzicle

My Intuitive Eaters

I often get asked about how I apply Intuitive Eating to my kids so I thought I would give you an example from tonight's meal.

I really didn't feel like cooking tonight so I knew I was going to make something simple. As my wife and I try to do on a consistent basis, we asked our kids what sounded best out of three different options. Once my kids decided, I helped them prepare their own plates. We had turkey sandwiches with carrots, hummus, and fruit.  They were in charge of making their sandwiches with as much or little turkey, cheese, mayo and/or mustard. I stood by just to help unscrew a container or handle a sharp knife.  They also put as much or as little of the other foods on their plate depending on their own hunger.

When they started to sit down to eat I made sure not to comment on what or how much they ate.  When they were finished they said their usual, "I'm done" and they took their plates to the sink.  Of course they wanted dessert and we usually offer something sweet to our kids. As with the main meal, we offered choices and tonight my son choose Bunnies, and my daughter wanted a Popsicle.  The interesting thing we do with dessert is we let our kids choose how much they want.  As you can see from the picture below, my son got a small bowl, opened the Bunnies himself and served his own portion.  In case you can't see it, he took about 15-20 Bunnies. 

We have worked had to build trust with our kids and their food choices.  I think that our kids trust it too. They know that we will offer foods they like and a variety of play foods. We trust that they will eat until they are full and that they will not abuse the play foods that we provide.  

How have you succeeded or struggled with feeding your kids?  I'd love to hear your experiences.

Enough With the Otter Pops Already

My wife and I share a lot of responsibility with our twins.  We both work and we've been fortunate enough to have different work schedules so one of the ways we divide up some of the work is that my wife drops the kids off at their preschool and I pick them up.  Most of the time I'm there by 4pm and the vast majority of the time my kids have already had a snack.

Before I go too much further, let me say that our preschool has provided my kids with a very loving, nurturing environment.  They've met great friends, they've had great experiences and developed an early love of Judaism.  But one thing that our school needs to work on is the food they feed my kids.  

We provide lunches for them but the school often gives them snacks.  Since I pick them up I hear mostly about the afternoon snack. If you've ever met my daughter you'll understand why some people call her the "court reporter." She remembers everything and will report back to you anything you want to know about the day's events.  It's not common but there are some days that I pick them up and they have bright blue faces!  The "court reporter" yells, "Daddy, we had popsicles today!" They are smiling, excited to see me and they show me how blue their lips and tongues are.  Of course they're blue, that's what happens when you eat Otter Pops.

I know that some Otter Pops are now made with 100% juice and that they only have 40 calories per pop.  I know that some of you are saying what I've heard before, "Just lighten up." Well to be honest, I will not lighten up when it comes to feeding my kids, thank you very much.  When my kids feces is bright green the next day because of the food coloring in their popsicle, I will not lighten up.

There are plenty of alternatives to the neon glow of an Otter Pop.  Why not make some juice pops with the kids?  My colleague, Sumner Brooks, MPH, RD recommended frozen mango chunks.  I'm sure a handful of grapes or some watermelon would be equally refreshing as a popsicle.

I'm doing my best to raise my kids as intuitive eaters and I believe in the principles I've learned from Ellyn Satter.  My kids have eating habits that I'm proud of and I do not deny them any shortage of play foods inside and outside of our house but in the end the issue is this: when I see bright blue faces when I pick my kids up from school, a part of me feels like the hard work I'm putting in is being unintentionally undermined.  Dr. Yoni Freedhoff said it very well in this article he wrote, "Why is Everyone Always Giving My Kids Junkfood?"

Somewhere along the line, we've normalized the constant provision of junk food to children. It seems no matter how small the ship or short the journey, sugar pretty much christens each and every voyage on which our children set sail. 

There's simply no occasion too small to not warrant a junk food accompaniment. But for me, the strangest part of all is the outcry that occurs if and when I point it out. My experiences have taught me that junk food as part of children's' activities has become so normalized that my questioning this sugary status quo genuinely offends people's sensitivities and sometimes even generates frank anger.

I'm hoping that the status quo will change soon and that my kids will not be supplied endless amounts of sugar and food coloring in the coming years but that might not happen.  I hope that we stop relying on the highly processed food as our go-to snacks for our kids.  I hope that when it comes to treats, we make it from scratch instead of getting it from a box.

What do you think?  Do any other parents struggle with what their kids are fed when they are not with them?

What's Wrong with Fat?

Photo Courtesy of Oxford University Press

I was fortunate enough today to attend a lecture with Abigail Saguy, PhD discussing her new book, "What's Wrong with Fat?"  It was a very interesting discussion and I'm excited to read the book to learn more about what she has to say about "fatness" and our society.

The major point of her discussion today was to help us question whether our society's emphasis on the "Obesity Epidemic" is really helping or are we stigmatizing those individuals who are overweight or obese.  By the way, Dr. Saguy used the word fat so I'll use that here instead of the former terms.

Her talk was very interesting and I'm not going list each point but the the highlight was learning about how we "frame" the obesity or fat issue has an effect on how we address it.  Most of my fellow employees in healthcare see fatness as a medical issue.  Something that can be cured or fixed with the right treatment.  Some of my fellow RDs see it as a public health issue where numbers are reaching epidemic proportions.  But lastly, there are some who would see fatness as a social justice issue, where fat is just a diversity issue and we must learn to accept people no matter what their size without bias or stereotypes.

She also discussed how no matter what perspective we use, there is research that would suggest that weight alone is not a good predictor of mortality.  One study she highlighted was Flegal KM, et al., 293[15]: 1861-7, 20 April 2005 in which the authors found this notion of an "obesity paradox" where people with BMIs between 26 and 29 (overweight) actually had a decreased risk of death compared to those in the normal weight category.

As we concluded she closed by questioning why our perception of fat changed over that last 100 years.  It used to be that being fat was a desirable trait but that is no longer the case.  But today, being fat is quite negative.  When you see someone who is fat, what do you think?  "They're lazy and weak. They're slobs and how could they do this to themselves?"  One interesting point that Dr. Saguy made was by explaining that a disproportionate number of minorities and lower income people are fat compared to other groups.  Fatness aside, these groups are also ones that are often discriminated against for other reasons so are we just adding another by making obesity such an issue?

As a dietitian, this topic is extremely important in the work that I do.  Many of my colleagues and other health-care providers will not agree with me, but I agree with Dr. Saguy and I feel that if we can take weight out of the equation we can focus on the behaviors that really matter.  Why should we force our clients to lose weight when 1) most will likely gain weight and 2) losing weight might not improve their health unless they change their behaviors?

As a individual, this topic hits home with me.  I am fat!  I have a belly but that does not limit me in my health.  I can run, I can play sports, I can bike and I am healthy.  I know that some of my clients and some of my fellow employees look at me and say to themselves, "Why is this guy teaching a class on losing weight! He should take some of his own advice."   Well to those folks I say this: my weight is just one part of me. From what I learned today and what I continue to learn, it does not mean I have five years less to live than you.

So what do you think, does Dr. Saguy make you change the way you think about how we frame the question of obesity/fatness?

CPK, Stop Marketing Soda to Kids

As a dietitian and a parent, I'm very sensitive to how foods are marketed to kids.  This week I took my daughter with me to meet some family friends for dinner at California Pizza Kitchen.  Of couse when we sat down, my kids got their own Kids Menu complete with pages to color, crosswords, and word searches.

I'm not going to go into their kids menu but let's just say it is pretty standard and could use some improvement but that's another post.

After my daughter was done coloring she wanted some help with the word search.  Since she's not even reading yet, I was doing most of the work and as I tried to help her find words, I noticed what one of the word search words was, "Pepsi!" See the picture below.

Well, needless to say I was a little upset about why on earth Pepsi would need to be included in the word search.  Maybe it's just what CPK thinks makes up a healthy kids meal.  Pizza, pasta, sundae, brownie and Pepsi.  Why that's just all the good stuff a growing body needs.  Sugar, fat and salt. Yum!

So I took to Twitter and posted the tweet below. 

Thanks @calpizzakitchen for marketing soda to my kids!"Pepsi" in the wordsearch on the kids menu? Really?! twitter.com/BVMRD/status/3…
— Aaron Flores, RD (@BVMRD) April 17, 2013

I didn't expect a response at all but the good news is that tonight, CPK sent me the following tweet:

@bvmrd @caseyhinds Thanks for voicing your concern. We're in the process of making new crossword puzzles & "Pepsi" has been removed. Thanks!
— CPK Restaurants (@calpizzakitchen) April 19, 2013

I'm always amazed by the power of social media.  I'm not naive enough to think that just because of my tweet that CPK is changing it's word search, but the point is, when you notice something that goes against what you believe in, make your voice heard.

How have you noticed junk foods marketed to kids?

Mission Accomplished!

Well, I can say that I am a marathoner!  I can't believe it but I completed my goal and finished the LA Marathon last month.

I've been waiting to write this post about my run because honestly, it has taken me a while to process what I've done.

Let's start with the basics.  My time was 6:32 minutes.  My goal was to be under 6 hours but that didn't happen.  I ended up waking the last 9 miles because I was feeling pretty nauseous.  Leave it to a dietitian to screw up race-day nutrition!  Regardless of my time, I never felt down, or upset or angry.  I finished and above all things, I kept moving forward. I even put a reminder on my hands to keep me focused on the goal, "Forward is a pace."

The day was filled with emotions.  I was scared and nervous as my wife drove me to the starting line. I could barely eat my pre-race meal because of my nerves.  When I got to the starting line I calmed down and I was so happy to have some friends from work there who I was going to run with.  My father also came to send me off as well.  We were supposed to run together but an injury during training sidelined him for the big day.

As the race started and I waited for my turn to cross the starting line, my first tears of the day began to form.  I was really going to do this.  With all the training and anticipation, I couldn't believe the moment was finally here and in that moment I realized why I was doing this.

Ready for the start.

I was challenging myself because even though I am a totally different person, there is still a part of me that thinks of myself the young man that weighed 300+ pounds that could not walk up a flight of stairs and who shied away from any exercise. That person does not exist anymore, but the memory of that former life is like I'm am still living it.  So crossing the start line I raised my hands up in joy because the courage was to start, and not in the finish.  I started this journey to prove to myself (again) that I am strong. That I am an athlete.  That I am a runner and that I can do anything I put my mind to.

Greeting my kids

During the race there were other moments of joy filled tears.  Tears came twice as I saw the video message that my wife and kids made as it played on the big screen at mile 8 and 21.  There were more tears as I met  my kids at mile 23.  It was a moment I will never forget and I honestly can't think which was more meaningful, the kiss and hugs I got from my kids or finally crossing the finish line. Of course there were even more tears as I finally crossed the finish line and was reunited with my wife!  What I didn't expect, though, were the tears that came in the days after as I began to reflect on what I had done.  Not one tear was from pain, sadness or anguish, but rather joy, pride and awe.

Hugging my wife at the finish line

I ran the marathon alone but I couldn't have done it without so much support from friends and family.  I have to, of course, thank my wife for being my biggest cheerleader and supporter.  Seeing my friends and family along the course was so great so thanks to everyone who came out to cheer me along.  Thanks also should be given to my father who helped me train.  Running with him early weekend mornings was an amazing experience!  I should also thank my un-official coach Juli for helping me plan training runs and listening to me while I worried about each new milestone.  And lastly, I have to thank my friend Dana who was my first running partner.  She was such a great help to me.  Every time I had a bad run or had any self-doubt, she helped me refocus and encouraged me to stay positive. The best thing she did was jumping in at mile 19 and walking the last part of that marathon with me.  Having her alongside me helped me move forward each step.  Thank you to you all!

Overall I have to say my marathon experience was nothing but positive.  Remember, up until just a couple of years ago, I've never been a runner.  So this milestone was huge for me.  If I can go from the couch to 26.2 miles in just a couple of years, so can you.  I'm already thinking of what my next race will be.  Maybe a half marathon, maybe a 10k or maybe another marathon.  Are you inspired by my story?  Want to join me?

I got my medal!

The mass of runners climbing Hill St.

All smiles at mile 24!

Dana greets me at mile 19