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The Weight of the Nation: Part 3 - Children in Crisis (HBO Docs) — Transcript

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0:19this joa is heavy as I
0:23was it's called
0:25acanthosis 18 plus% of our children
0:29right now are
0:30[Music]
0:33obese how loud are you about 280 if you
0:37go with the flow in America today you
0:39will end up overweight or obese as
0:412third of Americans
0:43do I don't want to be fat for the rest
0:46of my life I've got diabetes sleep apnea
0:49high blood pressure I get dizzy when I
0:51get up everything's hurting
0:55though you don't crave broccoli and our
0:58generation has grown up craving a big
0:59man
1:00we have built a cheap food model and
1:03that's the one we're dealing with right
1:04now it's so hard to combat against what
1:07the TV is telling you to buy your kids
1:09the kind of food that we eat is the kind
1:11that's most
1:13[Music]
1:19profitable local and regional foods
1:22taste
1:23better the weight of the nation is out
1:27of control but we can fix that how you
1:30like the market market mean everything
1:32for this neighborhood we have got to
1:34come together as a country and really
1:38make this a
1:42priority as long as we stick together
1:44that's what it's about it's not only
1:46Health it's about survival and
1:49well-being of the United States as a
1:52nation the reason we have government in
1:53the first place is to solve problems
1:56collectively that we can't solve
1:57individually if we don't now take this
2:00as a really serious urgent National
2:02priority we are all of us individually
2:05and as a nation going to pay a really
2:07serious price
2:17[Music]
2:34and two three let's do it all together
2:36on your sides front back and on your
2:41back right leg
2:46[Music]
3:02and front on your back right leg swing
3:05side and
3:06[Music]
3:11Center we're in the midst of an epidemic
3:14of childhood obesity with childhood
3:16obesity rates tripling in just a
3:19generation children who are obese are
3:21much more likely to become obese as
3:23adults but the health problems that
3:25obese children have start right then the
3:27evidence is incontrovertible that
3:30children who are obese are at greater
3:32risk for diabetes later hypertension and
3:36heart disease um asthma a variety of
3:40other health
3:44problems if you were told well your
3:46child is at risk for cancer that would
3:49get your attention you were told well
3:51your child is at risk for some sort of
3:53brain disease that would get your
3:54attention well obesity ought to be on
3:57that list
4:02[Music]
4:03often parents feel like they're failures
4:07they're not doing a good enough job to
4:09get their kids to eat well and it's
4:11important for them to just understand
4:13that there are all these forces working
4:15against
4:19them your children are about to enter a
4:22world where they will be besieged by an
4:25industry that wants them to eat more
4:28they will be thrust into a culture that
4:32Fosters eating at every hour of the day
4:35around every corner of every street that
4:37they they go on it will be very
4:40important to help protect them against
4:42those influences to buffer them from it
4:44to try to make the environment safer for
4:47your
4:48[Music]
4:50children I'm afraid because of the uh
4:54Rising obesity prevalence and its
4:56related cardi metabolic uh disorders
4:59inide effects and adverse effects that
5:01this is probably going to be the first
5:02generation of children who are going to
5:04have a shorter life expectancy than
5:06their
5:06[Music]
5:12[Music]
5:16parents I've struggled with my weight uh
5:19all my life he's missing out on one I
5:22think he's missing out on dating just
5:24going outside and he you know he can't
5:25he can't walk far he says you know it
5:28doesn't bother me oh he's so full of
5:30crap if this kid was 160 lb there'd be
5:34no stopping him he'd have the the World
5:36by the
5:38balls when I walk into a room people
5:40don't look at me they look at my size
5:43and um they don't want to get to know me
5:45or like even in school when I go into
5:47class I sit in the back of the classroom
5:49you know try to be as lowkey as possible
5:52inside of me I do have an urge to go do
5:55everything see everything you know and
5:57be amazing but being fat can hold you
5:59back
6:02[Music]
6:15try one more time on the high side
6:18increasingly we're aware that obese
6:20children have many of the metabolic
6:23characteristics of an obese 25y old they
6:26have elevated insulins they have risk of
6:29becoming diabetic their blood lipids are
6:35Disturbed okay lift your arm it's
6:37important for parents to know that there
6:38are pretty significant risk factors for
6:41um overweight and obesity and childhood
6:43it's not just about their physical
6:45appearance and we shouldn't be
6:47interested in solving the problem
6:49because of the way we think a child
6:52looks it's much more important than that
6:54there are pretty significant side
6:56effects from being overweight and obese
6:58in child
7:01childhood if we don't do something to
7:03prevent it it's going to be full on
7:07chronic liver disease or um heart
7:10disease by the time they're in their
7:12mid-30s we don't hear and look at what's
7:15going on Under the Skin but um biology
7:19is telling us that that the health
7:22impacts of obesity are screaming inside
7:25they're not silent we just don't hear
7:28them there too looks that looks like
7:32about a quarter of the plate so last one
7:35is how about
7:37three right there we ignore the early
7:39years at our Peril if we want to do
7:41something about um conquering this
7:44growing epidemic of obesity in our
7:46society one two you guys getting the
7:49pattern four out heel down and flex to
7:54my name is Sophia scaron I'm 14 and A2
7:57I'm 5' 5 and a quar and I weigh 191 lb
8:03every day I go out there probably the
8:05first thing they notice is that person's
8:07fat I think that definitely builds a
8:09whole wall from them seeing who I
8:12actually am and what I actually love
8:15doing and all my different I guess
8:18talents I would like to dance but it's
8:21not realistic if I don't lose the weight
8:23it's holding me back in every way from
8:26trying to pursue what I love doing
8:30[Music]
8:35I've always loved performing and just
8:37being able to have everybody just focus
8:40on you for that one second just this
8:43feeling of being at being the
8:49best she was actually very petite and um
8:53it wasn't until I would say she was
8:55about 8 or 9 years old that I started to
8:59see um a growth spurt um and weight gang
9:03it has been difficult and I I've seen
9:05how she has uh struggled and and
9:07suffered from you know the comments of
9:10her uh classmates and friends my parents
9:13they do definitely care about my weight
9:15so they're always like oh Sophia don't
9:17eat this don't eat that only one portion
9:19if you don't want to finish it all you
9:21can take bring it home um it's it's
9:24constant you know it does definitely get
9:26very annoying small portion for you too
9:29I Sophia your plate I've been trying to
9:32help Sophia on my own I really think
9:34that she needs um professional help and
9:36our help as a
9:47[Music]
9:50family wa do
9:55I that's some kilos shoot get to be
10:03all so here's here's our BMI chart so
10:08this is where she was a year and a half
10:10ago and this is where she is today so
10:12she's not even just following along
10:14she's actually increasing so she's
10:16gained 12 kilos over the last 18 months
10:19wow so that's a lot of weight yes okay
10:21more than it should be so you see this
10:24stuff here okay you see how it's darker
10:27it's called acanthosis this
10:30is insulin working on the skin oh really
10:32you know what diabetes is you've heard
10:34of that so diabetes is high blood sugar
10:36right that's bad for you I can kill you
10:39it definitely was a wakeup call I mean I
10:41felt really shocked because I believe
10:44that even though I was at a higher um
10:47weight I would I would still be healthy
10:50because of the activities that I've been
10:51doing and I thought that when he said
10:53about my insulin being high I was like
10:56oh my God because I didn't think that I
10:58would be going through this now the
11:00question is why is her insulin High
11:02possibly genetic possibly stress and
11:06lack of sleep so there are a lot of
11:08things that are tied up in this High
11:09insulin so sugar is where you start okay
11:12estimates are that one in three children
11:15born in the year 2000 will develop
11:17diabetes sometime in their lifetime and
11:19this is a direct consequence of the
11:21Obesity epidemic and emphasizes that
11:24unless we're able to control this
11:25epidemic we're going to have an
11:27abundance of chronic disease and
11:29disability we never thought that type 2
11:32diabetes would occur in 10 or 12 year
11:34olds but now it's not uncommon at all uh
11:37to see that so these are serious
11:40consequences and the tendency to dismiss
11:43this or to perhaps even see it in some
11:45cultures as a norm uh is getting in the
11:48way of recognizing this as a real Public
11:50Health Emergency
11:52[Music]
11:59[Music]
12:10just got it
12:12thumb I got it in my
12:17head once there was these girls they
12:21were teasing me they call me fat and
12:25they just say you're
12:27ugly that's rude to me and I'm very sad
12:31about that I just want tiar to be
12:34content with her the person who she is
12:37you know mentally um I want her
12:39physically he healthy and you know I
12:42want her emotionally healthy I'm just
12:44concerned about her health it is such a
12:47young age you know you have young kids
12:49you know developing diabetes and you
12:51know certain issues and I'm just that's
12:53where my concern comes in
12:59[Music]
13:03so we're going to go to this room back
13:04here and I want you guys to just um make
13:06yourself
13:08[Music]
13:13comfortable Tiara's mother is
13:15exceptional she noticed a big increase
13:18in Tiara's weight and was motivated
13:21enough to seek out the support of our
13:23program you've probably seen this before
13:25we do her height for age and her weight
13:27for age let's make believe we took
13:31eight-year-olds and lined them up by how
13:33much they weighed she's about 97th in
13:36line so the very first thing we do in
13:38our program is it's almost detective
13:40work is try to find out what has led to
13:43the point where we are seeing uh
13:45patients refer to us TI's case was very
13:48interesting right around the age of four
13:51or five years of age she had a big
13:53increase in her body mass index a big
13:56spike in weight gain and for us the very
13:59first visit is a lot of um a lot of
14:02questions to try to get a sense of what
14:04happened Tara do you have TV in your
14:08room yeah you do do you watch it before
14:10you go to sleep at night I watch it
14:12every night you watch it every night I
14:14was trying to do is just completely
14:16eliminate TV during the week during the
14:18school week but that did not work with
14:20tiarra having a television in the
14:22bedroom has been found to be associated
14:24with obesity luy Fly Away with charm
14:30[Music]
14:32delous the popular belief before was
14:35that if children are watching more TV
14:37they're more likely to be couch potatoes
14:38they're not being Physically Active but
14:40more and more research is showing
14:42actually that children are exposed to
14:44pretty toxic advertising pretty
14:46significant food advertising that does
14:49not include fruit and vegetable
14:50advertising it's all high sugary
14:53beverages um high sugar
14:57cereals um and that it really really is
14:59through the uh content of this
15:03advertising that television might be
15:05related to uh to Wakee and obesity and
15:08children it's a breakfast cereal silly
15:10rabbit tricks are for kid some catch
15:13those charms
15:16got there are five new something magical
15:19is happening at McDonald's so
15:21tasty k out Froot Loop cereal part of
15:24this balanced breakfast ask your parents
15:26to go to Chuy cheese.com to play cuz in
15:29Mark boxes of Kell
15:33cereal back with the Airhead Kung Fu
15:36Panda 26 packs there's a very large
15:39research literature on the effects of
15:40food marketing directly to kids and I
15:43think it can be distilled into three
15:44words it's powerful it's pernicious and
15:48it's predatory and these are very strong
15:51words but I think absolutely warranted
15:53by the deplorable environment that's
15:55created of food marketing about $1.5
15:57billion dollars a year is spent by
15:59industry on the marketing of food
16:01products to Children those foods are not
16:05the healthiest foods for children the
16:07worst foods are the ones that get
16:08marketed most aggressively especially to
16:11Children kids develop brand loyalty very
16:14early in life for things like certain
16:16types of sugar beverages or certain
16:18types of fast foods studies show that
16:21food marketing affects children's food
16:24preferences food choices their diets and
16:27their health it shapes shes what they
16:30want to eat what they're willing to eat
16:32and unfortunately today it shapes what
16:35they want to eat into foods that will
16:38kill them that will give them heart
16:40disease cancer and
16:46diabetes yummy part of this nutritious
16:48breakfast it is the advertising which
16:51drives the food supply which drives the
16:54likelihood of obesity in children that
16:55watch a lot of Television the First
16:57Amendment does doesn't give companies a
17:00right to deceive children or to
17:04undermine their health it doesn't give
17:06them the right to promote unhealthy
17:09products to children children who don't
17:12fully understand what marketing
17:18is speaking
17:24[Music]
17:25of there's some suggestion that
17:27television ads for Foods say gone down
17:29relative to the advertising that's
17:30available on TV that doesn't mean that
17:32food marketing has gone down it means
17:34that indeed marketers are moving to
17:36other venues and even though online
17:38advertising expenditures is still a
17:40relatively small part of overall
17:42advertising we're about to see an
17:44explosion of
17:50advertising it's clear that public
17:52health and Industry interests differ
17:54here industry's interest is in
17:56protecting the status quo because
17:58children are such valuable
18:03customers there's almost perfect overlap
18:06between the worst nutrition cereals and
18:08the ones that are marketed most
18:10aggressively to Children what I imagine
18:12you'll hear in the subsequent talks is
18:14that here's a long list of positive
18:16changes that the industry has
18:23made what I plan to do today is to show
18:26how self-regulation is meeting and
18:28respond to I's recommendations the goal
18:31was to shift the mix of advertising to
18:33kids so it included healthier products
18:35now 84% of cereals our participants
18:38advertised to kids contain no more than
18:4110 gram of sugar per
18:55serving and of course it's not just
18:58about the shirt it's also about
18:59nutritional density and that's improving
19:02too all of General Mill's big gese
19:04cereals contain at least 8 gram of whole
19:06grains and last year Kells also included
19:09whole grains in two of its iconic
19:11cereals further all of the cereals of
19:13participants advertised to kids include
19:15many essential vitamins and nutrients
19:17and they're usually consumed with milk
19:19part of this good breakfast crave those
19:21crazy
19:22squares food marketing to kids is
19:25handled almost exclusively through
19:27self-regulation the company ianes
19:29themselves Define what is unhealthy food
19:33for example Kellogg says frosted flakes
19:35are healthy or General Mills thinks that
19:38some of their sugary fruit snacks are
19:40healthy foods which are clearly junk
19:44food the best fruit tastes this side of
19:46the Milky
19:47Way
19:48catch while the boxes and the names
19:51still may be goofy but Charming what's
19:54inside the box has
19:56changed recently you might have noticed
19:58that a lot of cereals that you would
20:00have thought of being more like a
20:01dessert than a breakfast food are
20:04starting to really claim that they are
20:05in fact quite healthy so what you'll see
20:08are lots of claims like here on Reese's
20:10Puffs that their whole grain and here on
20:14the Corn Pops they are a good source of
20:16fiber or Cocoa Krispies are a good
20:19source of vitamin D so it's really
20:22confusing to the consumer to try to
20:24identify which are the healthy versus
20:25unhealthy cereals for their families FR
20:27loops and Apple Jack have 3 G of fiber
20:30in every Yummy Bowl they're the cereals
20:32your kids love and the fiber their
20:34tummies love Froot Loops and Apple Jacks
20:36an alsoo good source of fiber I have a
20:39sense of a bit of a trap in the we're
20:42getting better and better instead of
20:44getting good our charge is to accelerate
20:48progress in in the reduction of
20:50childhood obesity and and we've heard
20:52one argument which says on the food
20:55issue at least you can't you can't
20:57really accelerate progress unless you
20:59regulate and I'm hearing counterargument
21:01that no you don't need regulation we can
21:03we can do this voluntarily and and what
21:06I'm not hearing is what will it take to
21:09accelerate
21:12progress I understand you've gathered
21:14here in Washington this week to discuss
21:16some of the most pressing issues that
21:18your industry
21:25faces now I know you're all familiar
21:28with the statistics here how childhood
21:31obesity rates have tripled over the past
21:33three decades and that's really where
21:36all of you come in that it's okay to eat
21:38unhealthy Foods because they're endorsed
21:40by the cartoon characters our children
21:42love and the celebrities our teenagers
21:44look up
21:45to so let's be clear it's not enough
21:49just to limit ads for foods that aren't
21:51healthy it's going to be so critical to
21:54increase marketing for foods that are
21:57healthy
22:00[Music]
22:07so we went to Congress and worked with
22:08Senator Harkin to require the Federal
22:11Trade Commission and a number of other
22:13federal agencies to develop one
22:15consistent set of nutrition standards a
22:18set of nutrition standards developed by
22:20experts not by advertisers
22:28[Music]
22:37[Music]
22:57once they came out as a draft standards
23:00and we saw how much push back there was
23:03from the food companies then I realized
23:06what a really good idea it
23:11was these subcommittees will come to
23:13order I'm pleased today to be uh holding
23:16a joint hearing on such an important
23:18issue clearly the iwgs initial proposal
23:21went way too far frankly we'd like to
23:24find out what you have been cooking up
23:26in the kitchen right now I'm not sure
23:28sure I like the smell of it Mr vladic
23:30you recognized for 5 minutes I'm David
23:32vladic director of the Federal Trade
23:34commission's Bureau of Consumer
23:36Protection parents don't have an easy
23:38task when it comes to getting their kids
23:40to eat healthier foods the FTC is
23:42committed to working with its sister
23:44agencies and all stakeholders to make
23:47that burden on parents less da daunting
23:49before coming to CDC I was a professor
23:51of pediatrics at tus University School
23:53of Medicine in Boston and I'm a prior
23:55president of the Obesity Society and
23:57prior president president of the
23:58American Society for clinical nutrition
24:01the more television a child watches the
24:03more likely they are to consume Foods
24:04while watching television and those
24:06foods are more likely to be the foods
24:08that are advertised on television we
24:10don't need the federal government
24:11dictating which foods can be marketed to
24:14Children the government should stop
24:16pretending after all these decades that
24:18it has the answers because it does not
24:21so rather than being attacked for
24:24government intrusion or other such
24:26nonsense um you know we should be saying
24:28thank you because I think your report uh
24:30helps all of us as parents and all of us
24:33as a country I am Dan jaffy Executive
24:36Vice President of the association of
24:38national advertisers the iwg in effect
24:41is attempting to re-engineer the
24:43American diet by declaring war on many
24:45healthy products these guidelines need
24:47to be formally withdrawn and returned to
24:49the drawing board the food
24:51manufacturers and advertisers are not
24:54going to change what has been working
24:56for them because what has been working
24:58for them is adding to their profits the
25:00overwhelming majority of products
25:03marketed to children are still of poor
25:06nutritional value industry doesn't even
25:09want a compromise they want Congress to
25:13step in and kill the inter Agency workg
25:16Group we think that this is a very
25:18radical proposal we don't think that
25:20that's hype we just think that's the
25:22fact they were so unhappy to have a
25:25strong set of nutrition standards
25:27proposed
25:28by these federal agencies because they
25:31want to look like they're limiting junk
25:34food marketing without really having to
25:37do
25:38it the iwg should completely withdraw
25:41these recommendations and do what they
25:44were instructed to do by Congress
25:46conduct a study and Report the findings
25:49to Congress
26:00[Music]
26:24it's just hard to explain to a little
26:26girl why she's
26:28developing so fast and why she's not
26:31like the other
26:36[Music]
26:40kids it's always been a stigma like that
26:44never be my
26:48kid but when it happens to you it's
26:52almost
26:53like it's kind of like life changing
26:59you understand that sometimes it's not a
27:02choice to be the way you are your
27:06[Music]
27:07ha for her it's been definitely a
27:13challenge a lot of the kids were just
27:15really mean to her like normal kids
27:17would be you know just taunting and
27:19teasing her you
27:22know we've always instilled in her that
27:24she's beautiful and she's smart and
27:28you're not supposed to let anybody
27:30create your self
27:35worth let's see if I can race you on
27:37your Scooter Race me okay okay we're
27:40going to run hang
27:42on ready okay ready
27:48go I win I win of course you're going to
27:51win you got a
27:54sco I don't want anything to weigh her
27:56down I just want her to be comfortable
27:58in her skin I totally rocked it she's
28:02already a positive person she's very
28:04optimistic she's very outgoing so just
28:06want to keep that
28:08[Music]
28:14going there you go you really got to
28:18move your body back and forth this place
28:21is wonderful for ta there you go there
28:25you go they make exercise fun and
28:27exciting
28:28[Music]
28:33we both didn't grow up knowing how to
28:35eat correctly coming here the dietician
28:38kind of show us what to look for we go
28:41by the calories and the
28:44sugars just do a little bit more
28:46research on what we give
28:48[Music]
28:50her seeing other kids who are in the
28:53same struggle as she is I think that
28:55really helps to have peers who are not
28:57judging her
28:58[Music]
29:05I'm still going to talk to Mom about
29:07letting you walk home possibly from
29:09school I think it's a good idea cuz I
29:11think it'll be good exercise for you
29:13okay you know to things in besides the
29:15peas
29:16Fitness bye love you love you too have a
29:19good day okaying
29:28take pride in seeing my baby enjoy
29:31life seeing her healthy and we just want
29:35her to be the best te she can
29:41[Music]
29:45be and I just want her to look back and
29:48say yes Mom and Dad you did put in the
29:51effort and hard work and you did try I
29:55just never want her to feel like we
29:57didn't and
29:59try y you know mhm all right
30:04[Music]
30:17[Music]
30:26[Music]
30:33[Music]
30:35SM
30:46[Music]
31:08[Music]
31:33[Music]
31:41as the childhood obesity epidemic has
31:43unfolded it has forced a lot of people
31:45to really look carefully at the
31:47cafeteria to see how it has
31:51changed because there is a commercial
31:54interest meaning that the cafeteria
31:57needs to be supporting they have really
31:59been kind of put in a corner where they
32:01need to figure out a way to sell the
32:03most product to the students and
32:05unfortunately what they've done is
32:07really come to mimic a food court you
32:09might see in a shopping mall so a lot of
32:12school cafeterias will have stations set
32:14up where children can buy chicken
32:16nuggets and french fries and you know
32:18hot dogs and
32:20pizza and all the typical foods that we
32:22think of as really being fast food and
32:24unhealthy food
32:29[Music]
32:33there a lot of what people call
32:35competitive Foods because they compete
32:37with the school lunch program they
32:40undermine the school lunch program
32:41because if you can sell hoos and chips
32:45and Gatorade in competition with you
32:48know a grilled chicken patty on a whole
32:52weep bun with a fruit or a vegetable it
32:54it's hard for that healthy school meal
32:55to compete
32:57[Music]
33:04[Music]
33:26our school cafeteria is our set up free
33:28efficiency how do we get as many kids
33:30through the system as quick as
33:35[Music]
33:37possible they don't have good food they
33:39don't have enough time to eat um it's
33:42pretty dismal
33:44[Music]
33:47actually we see more attention problems
33:51behavior problems and just exhaustion
33:54because they're not well fed
34:00I do not eat the school lunch if I eat
34:03the food on a regular basis here I gain
34:06[Music]
34:08weight I think sometimes as
34:10organizations we've looked at things
34:12that are go fast I mean we have fast
34:15turnarounds we have fast recess fast
34:17lunch and maybe we just need to slow it
34:19down a little and look at the questions
34:22that we're asking ourselves about our
34:23kids health and nutrition
34:28I think really what we serve him is more
34:30convenience for our Central Kitchen to
34:33mass produce it and get it out and where
34:35we just have to keep it
34:38warm today we're serving chicken strips
34:41each student get three chicken strips a
34:44third cup of uh fresh fren broccoli and
34:47an ounz of uh shrip cheddar shredded
34:51cheese the chicken nuggets are bouncy
34:54and the pizzas uh takes 10 napkins to
34:56wipe off the grease so I don't like them
34:59I don't EES cuz they're pretty
35:02disgusting MTH produced and that sort of
35:05sort of I don't think
35:08that's the system that we currently have
35:11is is called a prepack system it's it's
35:13very efficient it's built on the
35:15Industrial Revolution model where people
35:18stand in a line and and they pack you
35:19know the three chicken nuggets and then
35:21they pack a handful of fries and then in
35:23a different line they pack in orange
35:25slices and then vegetables and things
35:27like that so kids can grab those and and
35:30eat with their hands on a daily
35:33basis they're responsible for my child
35:36when he is there and so they're
35:39responsible that they're giving him real
35:41food that they're if they're filling his
35:43body full of things they should be
35:45filling his body full of real food and
35:48parents and Madison have been
35:49complaining about this at least a dozen
35:51years my son comes home and says oh I
35:55had Fizz Edibles and chocolate milk for
35:57lunch like what the heck is a Fizz
36:00edible he tried to explain it to us and
36:03we're like is it like a potato chip well
36:05sort of is it like a he couldn't I don't
36:09still don't know what it is it's a
36:10Goldfish cracker it is is it really
36:14that's not
36:19food we need to rethink what is the most
36:22effective methodology to providing those
36:25meals to our kids that prepack system
36:27which it probably isn't anymore I can
36:29imagine it's hard to balance all of
36:31those things right you have you have
36:32this pot of money and you have this
36:34thing you need to do and I don't think
36:36it's easy I I can't
36:38imagine you know how it is that they
36:41would make that switch but I know others
36:42have done it and so I expect it I expect
36:45that they will find you know the you
36:48know see the best interest of our kids
36:50and they won't take the shortcuts
36:52they'll find a way to get fresh food to
36:53our kids because that's their job Food
36:56Service in general for a K12 education
36:58is lowly underfunded for what
37:00expectations need to be for what we're
37:02feeding our kids we're painted into a
37:04corner of pouring more money into food
37:07service and competing with educational
37:09programs and the answer unfortunately is
37:12too easy at the end of the day we're not
37:14going to take resources out of the hands
37:16of kids and learning to provide them a
37:18different food
37:24product I'm a special assistant to the
37:26president at the domestic policy Council
37:28and my role is to um coordinate and
37:30facilitate the development of
37:32administration policy on a number of
37:33issues including childhood obesity and
37:36and the nutrition programs as well the
37:38president will shortly be signing into
37:39law legislation that for the first time
37:41ever it will give the secretary of
37:42agriculture the authority to set
37:44nutrition standards for all foods sold
37:46in regularly sold in school during the
37:48school day which um hopefully will
37:50really change the food landscape within
37:52schools and really Empower parents who
37:54release their children into this
37:55environment to know that when they're
37:57there they will have um good food to
37:59[Music]
38:02eat Harry Truman said that nothing is
38:05more important in our national life than
38:07the welfare of our children and proper
38:09nourishment comes first in attaining
38:12this welfare all children should have
38:14the basic nutrition they need to learn
38:16and grow and to pursue their dreams
38:27the healthy hunger-free kids act is the
38:30strongest Child Nutrition
38:31reauthorization I think Congress has
38:33come up with in
38:39decades it invests more money into the
38:43school lunch and other Child Nutrition
38:45programs than ever
38:46[Music]
38:55before the child nutrition
38:57reauthorization Bill Builds on several
39:01reports from the Institute of medicine
39:03which have made recommendations about
39:04what the composition of those foods
39:06should
39:07[Music]
39:18be that act does a great job sort of
39:21moving us to the next level in terms of
39:23nutrition those foods are likely to be
39:25lower in fat sugar and
39:40salt parents have a right to expect that
39:43their kids will be served fresh healthy
39:46food that meets High nutritional
39:49[Applause]
39:52standards Congress released a new
39:54spending Bill last night that changes PR
39:57President Obama's plans to make school
39:59lunches healthier the new bill keeps
40:02french fries on the menu at school it's
40:04a lays a requirement to boost whole
40:05grains and it calls the tomato paste on
40:08pizzas a vegetable under the current
40:10school lunch regulations Pizza is
40:14classified as a vegetable the Obama
40:16Administration recently tried to change
40:18that rule but a new spending Bill
40:20blocked new tomato paste regulations and
40:23kept Pizza in the vegetable category
40:26changes were requested by by food
40:27companies that make frozen pizzas and by
40:30potato Growers nothing scares potato
40:33lobbyists more than Michelle Obama likee
40:36health freaks who might prevent them
40:38from putting French fries on school
40:40lunch trays every single day ah it's not
40:45democracy it's Douro
40:49[Music]
40:55[Music]
41:02[Music]
41:08[Music]
41:19[Music]
41:37so Tira I'm going to have you come up
41:39here come up on the table can you look
41:42all the way up tiarra she has this kind
41:44of dark ring around her neck and it's an
41:47indication she might have early signs of
41:50what's called insulin resistance where
41:51her body can't handle um the insulin uh
41:55very well we need to figure out out what
41:57she's eating that might be affecting her
41:59blood sugar so that we can actually
42:00start working more specifically on
42:02changes in her diet to bring down the
42:04sugar
42:05content Tara what do you usually drink
42:07at home orange juice apple juice okay
42:12any soda drink any soda I used to you
42:15used to and then what happened now she
42:18um told me stop drinking soda
42:22good that is one thing you'll hear from
42:25a lot of us today is no soda it's not so
42:28difficult to convince a family that soda
42:31really has no nutritional
42:37benefits it's harder to try to convince
42:40families that juice can have almost
42:43exactly the same sugar content as a
42:45glass of soda
42:51[Music]
43:02we're substituting juice for soda in so
43:05many different
43:06venues Bill Clinton went to the soft
43:09drink industry to get them to pull sodas
43:13from elementary schools and the soda
43:16industry agreed and they have done that
43:19for the most part around the
43:21country
43:23but why did they agree to that the
43:26reason reason because the soda companies
43:29also own the juice and sports drink
43:30companies and those are not included in
43:33the deal so the only thing that's
43:34changed is that they've changed the
43:36vending
43:41machine
43:4248% of people's sugar consumption comes
43:46from sugar sweetened
43:51Beverages and those calories are half of
43:55what has been the increase in calories
43:57in the US in the last 20 30 years we
44:00need to reduce the sugar do what we can
44:04to change people's taste buds to the
44:05degree that they will accept products
44:07with less sugar in it drink new Kool-Aid
44:13fun in 2010 children ages 2 to 5 saw
44:18almost as many ads for 5H Hour Energy
44:20drink as they did for Capri Sun
44:23[Music]
44:28[Music]
44:32teens are targeted by energy drinks
44:35flavored Waters and sports
44:39strengths the American Academy of
44:41Pediatrics states that energy drinks
44:43should never be consumed by children or
44:45adolescent so they're intentionally
44:47going contrary to what medical advice is
44:50that kids shouldn't be drinking these
44:51but they're they're marketing them more
44:53to kids than they are to grown-ups if
44:55parents are going to help their children
44:56develop healthy eating habits and try to
44:59promote a healthy weight they need to
45:01stop being undermined by the food
45:03industry which is marketing the worst
45:06products directly to
45:13[Music]
45:19kids we talked about sugars because if
45:21you drink a lot of sugar that Sugar
45:23turns into what F yeah which is very
45:25very unhealthy for the body body and so
45:27I have a little demonstration here if I
45:29can have some of the volunteers come up
45:31and help me with this we have natural
45:34orange juice we have a Red Bull we have
45:37a Starbucks frappuccino so out of those
45:39which one has the most sugar Starbucks
45:41the Starbucks okay how many teaspoons do
45:44you guys think it has five keep going 12
45:47keep going 15 keep going 20
45:5025 25 teaspoons 100 g of sugar and the
45:54Starbucks frappuccino the Coke and the
45:57sprad have 17 teaspoons the chocolate
45:59milk has 16 the orange juice has 10
46:02teaspoons a lot of parents think juice
46:05is good for my kids it has vitamin C it
46:07has a little sprinkle of vitamin C but
46:09it has a ton of sugar in it if you're
46:11only going to remember one thing from
46:12today is to just stop drinking juice
46:14stop drinking soda you guys don't need
46:16it changing what we eat and drink making
46:19it easier to do the healthy things
46:22that's the sweet spot for public health
46:24we have to change for children children
46:28what good looks
46:33like we know physical activity for all
46:36Americans of every age has gone down
46:39over the last 20 30 years and we know
46:42kids don't do physical activity and we
46:44know at a certain age girls just faint
46:46to stop moving much at
46:48[Music]
46:50all in young children the neuromuscular
46:53development is so compromised when you
46:55see a toddler sitting for hour upon hour
46:58throughout the course of the day we're
47:00seeing four 6 8 hours a day engaged in
47:04sedentary Behavior and the likelihood of
47:06them then engaging in a sport and
47:09becoming physically active as they get
47:11into Elementary School is very
47:13compromised my daughter got a computer
47:16and she's on the computer and she's
47:18communicating with her friends on the
47:20computer so that's sitting in one spot
47:23actually she has a computer and she has
47:24a television and then she'll eat in
47:27front of the computer and the television
47:29and that could be that could be my fault
47:30it feels like I have to get a a crowbar
47:33to get my kids off the couch sometimes
47:35on the weekends we have to physically
47:37push him out the door make him go out
47:40there against his will to play you when
47:42the last time you seen kids playing
47:43whiffle ball kickball street hockey
47:46anywhere this kid never goes out he's in
47:48all time he's in front of his computer
47:50or his t
47:57[Music]
48:01oh we tried every sport in the book to
48:04get kin up and moving right now where
48:06where kids socializes online um through
48:10Facebook on games I mean his friend time
48:13is sitting in a chair with his headset
48:15playing a video
48:16[Music]
48:20game I mean this kid has been on
48:23basketball teams he's been on baseball
48:24teams he's had swimming lessons he he's
48:27been on soccer leagues he had fencing
48:30lessons he I honestly yeah oh yeah we
48:34have tried it all and he did not find
48:36something that he really baseball he did
48:39not find anything that he connected
48:43to you'd never want to hear the news
48:46that things are less than optimal in
48:49your child's health
48:56here you
48:57go okay heels against the wall and try
49:01to push your belly button backwards you
49:02look straight
49:04ahead that's good slide down a little
49:06bit towards your feet okay kayin it's
49:08important you stay very still now for me
49:12kayin was always a kid that would get a
49:13little wider and then You' get taller
49:15and then you get wider and you get
49:16taller and there's a point that he
49:17wasn't keeping up with that same
49:20pattern to have some of those tests come
49:23back and show that yes you know his
49:25cholesterol is elevated and his Tri
49:26glycerides are elevated you know that's
49:28hard I mean that's hard to take because
49:30you think well those are adult problems
49:32I mean you know I have high
49:33triglycerides and you know spotty
49:37cholesterol just coming to the level of
49:39your knees now kayin 2 minutes to go
49:41you're doing a great job he's a kid he
49:44shouldn't be having these kinds of
49:46issues we are almost done hang in
49:51there the BMI graph here kayn we'd
49:54really like to be below the 85%
49:57which would really be our goal to kind
49:58of say now we're in this healthy
50:01[Music]
50:07range 30 or 40 years ago most children
50:10were able to walk to school today less
50:13than 20% of children walk to school
50:15according to the women's sports
50:17foundation in the last 35 years the
50:19physical education system for children
50:21has crumbled PE is no longer mandatory
50:24in Most states many parents are afraid
50:26to send kids outside for unsupervised
50:28play so they end up staring at TV and
50:30computer screens it turns out that only
50:32five states actually require physical
50:35education so more and more schools are
50:37making PE
50:41optional all across the country starting
50:44a number of years ago schools began to
50:47drop PE and in fact today only one out
50:52of six schools in the United States
50:54require PE at least 3 days days a week
50:57many of us remember um growing up in
51:01school settings where we had to change
51:03into our gym uniforms three four times
51:07five times a week um that there's been a
51:11pretty significant change in
51:15[Music]
51:23that in a recent speech President
51:26Kennedy said he was afraid we were
51:27getting to be a nation of Spectators
51:30that we prefer to look instead of play
51:32ride instead of
51:34walk I welcome this opportunity to speak
51:37to the people of America about a subject
51:40which I believe to be most important and
51:42that is the subject of physical fitness
51:44a country uh is as strong really as its
51:46citizens with the physical development
51:48of their children with the participation
51:50in the vigorous life and then also as
51:53their children get older inculcate into
51:55them a desire to maintain that
52:00big with the cooperation of 19 leading
52:03educational and medical organizations
52:05the president's Council has developed a
52:07recommended basic physical fitness
52:09program for the nation's
52:12[Music]
52:21schools Texas has the sixth highest rate
52:25of obesity in children we're the 12th
52:28basically fattest state in the country
52:31and that has consequences it's pretty
52:33well documented in the state of Texas at
52:35least if our population continues the
52:37way it's going by
52:402025 private employers will incur an
52:43additional 30 plus billion a year in
52:48health care cost
53:01I would argue and this report I think
53:03would argue that PE is one of the
53:06smartest Investments this state can make
53:09prevention is always always always
53:12cheaper than medicine the bill that I
53:14had re had filed was a k312 physical
53:18education daily I couldn't pass that
53:21bill you cannot
53:23imagine the the obstacles that that we
53:26faced I mean it was uh a lot of
53:29resistance from the administrators who
53:33who their their strongest argument was
53:36that the focus needed to be on academic
53:38instruction there's a tension principes
53:41will say well I can't increase the
53:42number of fiz head classes because I've
53:44got to get the math and reading scores
53:45up that that's really misguided first
53:48off even if you don't increase the
53:50number of hours that kids are spending
53:52in fizzed you can improve the quality of
53:54the physical education
54:06do you think today if you were to come
54:08back and file a new PE Bill and and I'm
54:12sort of pushing on this because I went
54:14to two schools yesterday they to two
54:16middle schools they have populations of
54:18sixth seventh and eighth graders who are
54:21already overweight and only 8% of senior
54:25girls are passing 9% of the boys and
54:28they have fallen off the cliff well our
54:31agenda was you get the kids exercising
54:35you you make sure that we've got a an
54:37atmosphere a structure and a culture
54:39where they're getting exercise every day
54:41and then it's about calories in calories
54:44out we're still trying to get it
54:47reimplemented in high schools from the
54:49economic perspective which is what
54:51obviously is my focus if we have a trend
54:55line going in the wrong direction more
54:58obesity more overweight less fewer kids
55:02able to pass a fitness gram than I would
55:04say to the legislature we're going to
55:06have a productivity
55:08crisis last one the hard work Mar Fusion
55:12short CIO work
55:22out we got more Let Go
55:26I put in some money uh as controller in
55:31my last four years to get kids to have a
55:35fitness Grant so that they would do PE
55:38and then they would be measured to see
55:40what worked there's been considerable
55:42research that shows that physical
55:44exercise improves brain development for
55:47learning kids are getting physical
55:49activity on most or all days they're
55:51going to learn better in class if kids
55:53aren't bouncing up and down in gym
55:55they're going to be bouncing off the
55:56walls in
56:11class you all have been working really
56:13hard you got daily PE here what
56:15improvements of any are you seeing in
56:17these kids total Improvement I mean
56:18these the kids understand and have
56:20become I would say accountable for their
56:23own level of fitness
56:27I'm just thrilled to see him running I
56:28love the got sweatshirts I think it's
56:31all
56:34[Applause]
56:37fantastic my belief is that if you give
56:41kids the opportunity lifetime to do PE
56:44you will in fact get your money back by
56:47reductions in health care
56:58[Music]
57:04are you sophomore no I'm eighth grade
57:07eth
57:10grade what are you doing in gym these
57:12days oh we did gym for about 20 minutes
57:15it was just we knew about the Pediatric
57:17Fitness clinic at the University of
57:19Wisconson our pediatrician gave us her
57:22blessing and so we decided let's give
57:24this a try and see what they have to
57:25offer what' you do yesterday I was on my
57:27electrical for 20 minutes
57:30I kayin was making his own goal about
57:33what he wanted to do Fitness wise and he
57:35really connected with the staff so he
57:37wanted to go there he wanted to do their
57:39after school workout time he was really
57:42engaged in what they were doing we've
57:44been very happy to have a team of people
57:46that can help us help him so he can
57:48figure out this for himself about how he
57:50wants to be a healthy young man
57:56[Music]
58:02kin's found Ultimate Frisbee after
58:05school and has really latched onto that
58:08as something that he
58:10enjoys having him be more aware that he
58:13needs to be more active that there's a
58:15direct connection between activity level
58:17and health seem to be on the right
58:21trajectory okay Kaylin come on up and
58:23take a
58:25look now one of the most important
58:27values on here for us is called the
58:29percent body fat that tells you what
58:32percentage of your body weight is fat
58:35most important to us is how much muscle
58:37is there and how much fat is there the
58:41scan that's on the screen now kayin is
58:42when you were 11 years old 86 2009 when
58:47we first met you we did your first scan
58:49the one I hold in my hand is the one
58:51that we did today let's take a look at
58:53some of the changes this is your muscle
58:55Total Lean pass back then 28 347 before
59:00let's look at today
59:0239517 that's great huge increase in
59:05muscle mass let's take a look at the
59:07percent fat Mass our goal was that it
59:09didn't go up remember that
59:1336.2
59:1534.5 y not only did not go up it went
59:17down it's a nice drop
59:20wow so the relationship between muscle
59:23and fat is getting better and better kin
59:26saw all the improvements of the
59:28different measures seeing the look on
59:29his face that was great you know it's
59:31tangible it's something that we can
59:32point to and say the things that you are
59:34doing are having a direct effect on your
59:37health I mean this is really good news
59:39that's the kind of thing that motivates
59:40a teenager in a way that Mom saying you
59:44need to turn off the television and go
59:46outside never will he's got some ways to
59:48go to get his cholesterol and um
59:51triglyceride is where we want him to be
59:53but there's so many things that we see
59:54every day where he's is doing what we're
59:56hoping for and he feels good about it
59:59that's what counts I would encourage
1:00:02anybody is in a similar situation they
1:00:04have the opportunity to take advantage
1:00:06of a resource like that to do
1:00:08[Music]
1:00:22it Tiara she lost weight and she's more
1:00:26at home she's not watching as much TV I
1:00:29tell her we don't say can't we don't say
1:00:31I can't do this it may be difficult but
1:00:34if one person has done it you can do it
1:00:37too I'm involved and I want to educate
1:00:41my daughter I think it's harder for
1:00:44Tiara because I think she's she has the
1:00:47knowledge but not the understanding you
1:00:49know she knows that there's a a issue
1:00:52with her health but she doesn't
1:00:55understand the long term effects of it
1:00:57and that's fine that's fine for right
1:00:59now long as she knows and I can just say
1:01:02to her you know Tiara healthy unhealthy
1:01:04that's good enough for
1:01:08me a child hasn't created the
1:01:10environment in which he or she is living
1:01:13a child hasn't grown the foods or
1:01:15marketed the foods or or decided which
1:01:19uh aspects of the sort of food
1:01:20distribution system are going to be you
1:01:23know active in their community a child
1:01:26doesn't decide where Parks will be
1:01:28situated a child doesn't decide how much
1:01:31education they're going to be able to
1:01:33get about nutrition and and active
1:01:36living you know in their school
1:01:39system the Obesity crisis is a moral
1:01:42challenge for us as a society but
1:01:44fundamentally the root of it is the
1:01:46question of what kind of society are we
1:01:50and what kind of environments do we owe
1:01:52all of our children
1:01:58we''ve got to develop a multi- sectoral
1:02:01multi-component program that addresses
1:02:03sugar drinks that addresses physical
1:02:05activity that addresses physical
1:02:07education in schools government has a
1:02:09responsibility to act but they're not
1:02:12the whole answer we also need companies
1:02:16to step up to reformulate their products
1:02:19to change their marketing practices to
1:02:21make healthy options available in
1:02:23restaurants families have a
1:02:24responsibility we all share in this
1:02:28responsibility and all need to do our
1:02:30part obesity will crush the United
1:02:33States and we will fade in the rear view
1:02:37mirror in Oblivion we could have done
1:02:40something different we should have done
1:02:42something different and we lacked the
1:02:45moral fiber and love for our children to
1:02:49do the right
1:02:52thing it is much better to prevent these
1:02:55problems s than to try to fix them later
1:02:58to wait to not intervene early and to
1:03:01deal with problems after the fact um is
1:03:06basically um
1:03:09sentencing um some part of the
1:03:12population to a less healthy and shorter
1:03:16life what a tragedy after all of these
1:03:19years of building up our health care in
1:03:22a circumstance where people are saved uh
1:03:26from premature disability and death we
1:03:29could turn that all around we could lose
1:03:31all of those gains it could hardly be
1:03:33more serious that when you think about
1:03:35it in those terms do you want your
1:03:37children and your grandchildren to
1:03:39inherit a society where their hopes uh
1:03:42for a long and healthy life are not even
1:03:43as good as yours were that can't be the
1:03:46right thing to
1:03:53do we're simply not genetically
1:03:56programmed to Turn Down calories when
1:03:58they are in front of us back in the day
1:04:00when there wasn't a lot of food
1:04:02available to us and we were presented
1:04:04with a a large animal we needed to
1:04:06consume as much of it as we possibly
1:04:08could over a short period of time we're
1:04:10living in an environment in which it's
1:04:12possible to eat yourself into obesity
1:04:15without any physical activity other than
1:04:17dialing the cell phone unlimited number
1:04:19of calories my food addictions
1:04:22McDonald's pizza with extra cheese fried
1:04:24chicken fast food I like it at all it's
1:04:26the policies that promote the way our
1:04:29communities are designed that promote
1:04:31cheaper food anytime I want fast food I
1:04:33just stand here and go like H what
1:04:36degree of free will do people really
1:04:38have if by just knowing someone's zip
1:04:40code you can pretty well predict their
1:04:42BMI it would cost the industry about 36
1:04:45to4 billion if we reduced our caloric
1:04:47intake by 100 calories the triple
1:04:49Whopper is
1:04:511,140 calories most Farmers don't view
1:04:54what they grow as food but as a
1:04:57commodity that's going to go into high
1:04:59fructose corn syrup part of it is it's
1:05:02the least risky thing to do all that
1:05:04corn is
1:05:05insured we can do something about this
1:05:08but it's going to take National
1:05:10recognition that this is a priority
1:05:17[Music]
1:06:01[Applause]
1:06:05[Music]
1:06:26m
1:06:28[Music]
1:06:49[Applause]
1:06:51[Music]
1:06:55[Applause]
1:06:57[Music]

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