Abstract
Ethical reflections help us decide what are the best actions to pursue in difficult and controversial situations. Reflections on public policy consider how to alter patterns of individual activity and institutional policies or frameworks for the better. The rising prevalence of childhood and adolescent obesity may pose serious health issues. As such, it is related to ethical and public policy questions including responsibility for health, food production and consumption, patterns of physical activity, the role of the state, and the rights and duties of parenthood.
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Notes
- 1.
There is much scope for simplification on both sides of this equation. On the one hand, food eaten does not simply correspond to energy uptake by the body. (For example, the calorie value of foodstuffs corresponds to the energy uptake expected in a normal digestive tract. But this will clearly differ between individuals and in the same individual over time.) On the other, energy expenditure is not directly proportionate to the amount of “exercise” that a person undertakes. Even an intervention that is simply aimed at reducing BMI – as we argue above, not a goal that we think is helpful for policy purposes – might therefore intervene at numerous points that have no obvious relation to calorie intake or amount of physical activity. For some indication of the range of such factors, including the impact of ambient temperature control, pollution, smoking, medications and amount of sleep, see Keith et al. (2006).
References
Archard, D. (1995). Children, rights and childhood. London: Routledge.
Aristotle (2000). Nicomachean ethics. translated by Roger Crisp. Cambridge: Cambridge University Press.
Armstrong, J., Reilly, J.J., & Child Health Information Team (2002). Breastfeeding and lowering the risk of childhood obesity. Lancet, 359, 2003–2004.
Bayol, S.A., Farrington, S.J., & Stickland, N.C. (2007). A maternal ‘junk food’ diet in pregnancy and lactation promotes an exacerbated taste for ‘junk food’ and a greater propensity for obesity in rat offspring. British Journal of Nutrition, 98, 843–851.
BBC (2006, July 25). Blair threatens junk food ad ban. (October 21, 2010); www.bbc.co.uk/1/hi/uk_politics/5215288.stm.
BBC (2007, October 28). Fear stops child development. (October 21, 2010); www.bbc.co.uk/1/hi/education/7062545.stm.
BBC (2008, May 5). Parents ‘stop children cycling’. (October 21, 2010); news.bbc.co.uk/1/hi/education/7380691.stm.
British Medical Association (2008). Fetal alcohol spectrum disorders: a guide for healthcare professionals. (October 21, 2010); www.bma.org.uk/health_promotion_ethics/alcohol/Fetalalcohol.jsp.
Department of Agriculture Economic Research Service (2008). Food CPI, prices and expenditures: food expenditure tables. Washington (October 21, 2010); www.ers.usda.gov/briefing/CPIFoodAndExpenditures/Data/.
Dummer, T.J.B., Gibbon, M.A, Hackett, A.F., Stratton, G., & Taylor, S.R. (2005). Is overweight and obesity in 9-10-year-old children in Liverpool related to deprivation and/or electoral ward when based on school attended? Public Health Nutrition, 8, 636–641.
FAO (2004). Twenty-fourth FAO regional conference for Europe, food safety and quality in Europe, Montpellier, France. (October 21, 2010); ftp://ftp.fao.org/unfao/bodies/erc/erc24/J1876e.doc.
Food Ethics Council (2005). Getting personal: shifting responsibilities for dietary health. London (October 21, 2010); www.foodethicscouncil.org/node/115.
Furedi, F. (2001). Paranoid parenting. London: Allen Lane.
Garson, A. Jr., & Engelhard, C.L. (2007). Attacking obesity: lessons from smoking. Journal of the American College of Cardiology, 49, 1673–1675.
Gill, T. (2007). No fear: growing up in a risk averse society. London: Calouste Gulbenkian Foundation.
Hancox, R.J., & Poulton, R. (2006). Watching television is associated with childhood obesity: but is it clinically important? International Journal of Obesity, 30, 171–175.
Hickman, M. (2008, May 8). Confusion over official advice on healthy diet. The Independent (October 21, 2010); www.independent.co.uk/life-style/health-and-wellbeing/health-news/confusion-over-official-advice-on-healthy-diet-822823.html.
IDEFICS (2008). Identification and prevention of dietary- and lifestyle-induced health effects in children and infants. (October 21, 2010); www.ideficsstudy.eu.
Keith, S.W, Redden, D.T., Katzmarzyk, P.T., Boggiano, M.M., Hanlon, E.C., Benca, R.M., Ruden, D., Pietrobelli, A., Barger, J.L., Fontaine, K.R., Wang, C., Aronne, L.J., Wright, S.M., Baskin, M., Dhurandhar, N.V., Lijoi, M.C., Grilo, C.M., DeLuca, M., Westfall, A.O., & Allison, D.B. (2006). Putative contributors to the secular increase in obesity: exploring the roads less traveled. International Journal of Obesity, 30, 1585–1594.
Marshall, J., & Hardman, K. (2000). The state and status of physical education in schools in international context. European Physical Education Review, 6, 203–229.
Matthews, G. (2005). Philosophy of childhood. Stanford Encyclopedia of Philosophy. (October 21, 2010); plato.stanford.edu/entries/childhood.
McDermott, N. (2008, April 30). I’ve been labelled the world’s worst mom. Spiked. (October 21, 2010); www.spiked-online.com/index.php?/site/earticle/5043/.
MEND Programme (2008). Mind, Exercise, Nutrition... Do It! London (October 21, 2010); www.mendprogramme.org.
Mennella, J.A., Jagnow, C.P., & Beauchamp, G.K. (2001). Prenatal and postnatal flavor learning by human infants. Pediatrics, 107, 88.
Millstone, T., & Lobstein, T. (2006). Policy options for responding to obesity: evaluating the options. Summary report of the EC-funded project to map the views of stakeholders involved in tackling obesity – the PorGrow project. University of Sussexhttp://www.sussex.ac.uk/spru/documents/eu_report_english.pdf.
NAAFA (2008). National Association to Advance Fat Acceptance. Oakland, California (October 21, 2010); www.naafa.org.
National Statistics (2008). Family spending. (October 21, 2010); www.statistics.gov.uk/cci/nugget.asp?id=1921.
Oxfam (2002a). Stop the dumping! How EU agricultural subsidies are damaging livelihoods in the developing world, 31, Oxford (October 21, 2010); www.oxfam.org.uk/resources/policy/index.html.
Oxfam (2002b). Milking the CAP: How Europe’s dairy regime is devastating livelihoods in the developing world, 34, Oxford (October 21, 2010); www.oxfam.org.uk/resources/policy/index.html.
Oxfam (2004a). Spotlight on subsidies: cereal injustice under the CAP in Britain, 55, Oxford (October 21, 2010); www.oxfam.org.uk/resources/policy/index.html.
Oxfam (2004b). Dumping on the world how EU sugar policies hurt poor countries, 61, Oxford (October 21, 2010); www.oxfam.org.uk/resources/policy/index.html.
Phipps, S.A., Burton, P.S., Osberg, L.S., & Lethbridge, L.N. (2006). Poverty and the extent of childhood obesity in Canada, Norway and the United States. Obesity Reviews, 7, 5–12.
Public Health Information for Scotland (2008). Obesity by class. (October 21, 2010); www.scotpho.org.uk/home/Clinicalriskfactors/Obesity/obesity_data/obesity_deprivation.asp.
Schafer Elinder, L. (2005). Obesity, hunger, and agriculture: the damaging role of subsidies. British Medical Journal, 331, 1333–1336.
Surrey County Council (2008). Safe routes to schools’ initiative. Surrey (October 21, 2010); www.saferoutestoschools.com.
Taylor, M. (2008, May 6). Parents afraid to allow their children to cycle on roads. The Guardian. (October 21, 2010); www.guardian.co.uk/uk/2008/may/06/transport.children.
Wadas-Willingham, V. (2008, May 25). Six states get an ‘A’ for work against kids’ obesity. CNN News: Health; www.cnn.com/2007/HEALTH/diet.fitness/01/30/obesity.report/index.html.
Walk to School Campaign (2008). London (October 21, 2010); www.walktoschool.org.uk.
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Wickins-Drazilova, D., Williams, G. (2011). Ethics and Public Policy. In: Moreno, L., Pigeot, I., Ahrens, W. (eds) Epidemiology of Obesity in Children and Adolescents. Springer Series on Epidemiology and Public Health, vol 2. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6039-9_2
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