Supersized Kids - Don't Do What America Does

I watched a group of school kids being shepherded by their teachers on a cultural outing to the San Diego Zoo. There were two children who were lean and athletic. Twenty others were, shall I say, fat! Many carried bottles of Coke or bags of chips as they walked by. Supersized kids abound. We are looking at a ticking time bomb regarding future health issues in this county. This time bomb is ticking for many other countries as well that imitate the American life style. It was not always this way.

Twenty years ago, one could travel to Chingmai, Bombay, Kandy, Pokhara or Karachi and be struck with the unique cultural identity of the inhabitants by observing their clothing, their head dress and what they ate. The streets used to be filled with vendors, small shops, and specialized market areas where only pots and pans were sold, where sweet merchants shoed the bees away from their displays of jalabees, where cloth merchants occupied small stalls filled with bolts of cloth that even a rajah would covet. The streets were filled with skinny people, muscular workers, slender women dressed in traditional costumes which did not reveal their curves. And the children ran here and there; ran, not waddled here and there. Traditional modes of transportation were available including horse drawn carriages, rickshaws, dandis, wildly decorated lorries, bikes and it seemed all the rest were walking on two feet.

Of course I am being nostalgic for the ‘good old days’ where what was ‘cool’ was what was Nepali or Thai. Are those days gone forever? We now see replicas of downtown Chicago or New York in Karachi and Mumbai? Must we see clothing that only was worn in Los Angeles in December now in January on the backs of practically every young man wandering the streets; blue jeans, T shirts, and those god-awful visor caps worn backwards just like in El Paso, all duly emblazoned with slogans that were rejects in San Diego? What has happened to the Burmese wrap around ‘longee’, to the elegant sari, to the loose fitting pajama pants and kamiz? “Where have all the chaplis gone, long time passing?”

In my childhood dormitory room there were twelve youngsters who slept together in the Woodstock hostel in Mussoorie. Eleven of us were skinny, always hungry, beanpoles. The twelfth was an unfortunate young man from Delhi, from a very wealthy family who sent him sweets, candies and biscuits every week. His nick-name was Motu, and he was a fat little guy who had a box under his bed with a lock on it. In it he hoarded his candy bars which he sneaked when we were all fast asleep. It was where he kept his shiny silver rupees which he used on Saturday to buy cakes from the box wallah. We coveted his stash, but, unfortunately gave him a hard time on the running track, on the basketball court or when football teams were selected; he was the last one chosen. He was there for a year and did not return. Children back then were cruel.

On the June 23rd. Time Magazine cover there is a picture of what could be Motu’s younger American brother. The cover shouts, OUR SUPER SIZED KIDS. “It’s not just genetics and diet. An in-depth look at how our lifestyle is creating a juvenile obesity epidemic – and the scoop on how to cure it.” The American way, (you know the WAY that the rest of the world copies so slavishly), has produced a generation of people who are overweight, fat, to use the forbidden three letter word. Not just the kids, adults, particularly those from poorer families, families that don’t read books, that get food stamps to survive, families that have marginal incomes, it is among these that the problem of being overweight is most severe. But young people from families of both the rich and the poor are suffering from the same problem, obesity. It is the American way. Fast, unhealthy foods.

I was on Newport Beach last week and did a survey of preteen kids that walked by our beach-house. Many were fat; most were eating or carrying food in their hands. Time’s report was correct; we have a real problem here! Supersized kids, super-fed kids.

We brought a variety of things to the beach house to share with the other four families that were together, you know, potluck. We brought whole grain cereals, and fruit, strawberries and lots of mangoes and peaches. Guess what? We seemed to be the only ones who ate them. The other food, the American stuff was more delicious. Chips, dips, cheeses, breads, deserts, hot dogs, Kentucky fried chicken, you name it we had it. (Ice cream cones were only consumed when we walked along the board walk.)

American children who are overweight are setting themselves up for a lifetime of problems, diabetes, high cholesterol, arthritis, heart problems and a host of other diseases related to adiposity. It is a national problem. Certainly, this aspect of our way of life should not be coveted, mimicked or adopted in ‘developing’ countries. Interestingly, the highest rates of obesity among adults and children are among those with high rates of poverty and even ‘hunger’. Poorer people, Mexican laborers, migrant workers, maids, are frequently people who live close to a financial margin that is, just getting by. Obesity and hunger go hand in hand in America the land of opportunity. Why? In America, prepared foods are the most easily available and very cheap. A greasy, double meat, and double cheese bacon burger fills a hungry stomach cheaply. But where is the subzi? Vegetables, if you see them are tossed salads, if you are lucky. White flour, grease, sugar makes things taste very good and these are the culprits. Where are the fibers and fruits? Most Americans love to drink. No, I don’t mean water. But with their meals a beer sounds good as does a Coke, Pepsi or Orange Juice. Small containers of sugared, fruit-flavored water are the first choice for most school children. Pure carbohydrates which give a quick lift and a fast let down. Fast foods, fast life, slow kids.

I read a very nice study by Stephanie Schulze, a Student Participant from North High School, Iowa entitled, “Education for Poverty: Information against Hunger and Obesity in India.” I was struck by the title, the topic and the research this student did about India, half way around the world. “Hunger and obesity can coexist because of a lack of nutritious food and a lack of education about healthy lifestyles. Hunger is prevalent in many countries, including India.” Her point of view is that education will be the answer to better living, better nutrition and less obesity in India.

The National Institute of Nutrition in Hyderabad, India, has published studies that show that the “…primary deficiencies in the diet of people in India are mainly whole grain calories, vitamins and minerals.” Stephanie’s study goes on to say that one-fifth of the population in India is undernourished (21%) in spite of the food distribution programs that exist. The kinds of foods that are frequently distributed are high calorie foods, white rice and flour, sugars, and animal fats or hydrogenated vegetable fats. Not only is there a growing obesity problem among poorer Indians but among women. Studies show that Indian women are genetically more predisposed to gain weight around the middle and their posteriors. I didn’t notice that among the Bollywood dancers. Are they a different race?

It is not just the poor that are getting fat in India. “India is facing an obesity crisis among its newly wealthy middle class as millions of its rural poor still struggle for enough to eat. As the country becomes richer, many people are becoming fatter and, like Westerners, they are seeking medical help” (See Amelia Gentleman in Mumbia, “Observer”, Dec.4, 2005, “India’s newly rich battle with obesity.” Not only are Indians wearing blue jeans, they are getting gastric bypass operations that restricts the amount of food absorbed. Even men are …concerned about the male breast area and love handles.”

For the wealthy, Indian foods have always been heavy and rich. (silver covered) Stews, curries, ghee cooked breads and sweets are favorites. The newly affluent are concerned, like the Westerners in an epidemic weight gain problem. Now diet pills sell like hot cakes, and cosmetic surgeons are doing a good business in Mumbai.

But there is a vast divide between the newly affluent and the millions who struggle to feed themselves. A World Bank study said that 45 % of Indian children under five suffer from malnutrition; while a McDonald’s branch in Delhi is selling Chicken Maharajah Macs to the newly middle class. A beefless burger?

Amelia’s article reveals that an estimated 25 million Indians have diabetes and the numbers are growing. The medical profession and medical journalists need to become assertive in their statements to those who make laws, those who teach, and those who lead. Diseases like TB, malaria and dysentery can be treated with pills. Those who become fat, particularly our children face a lifetime of problems, the hardest of which is loosing the fat and eating more healthy diets. Motu, I wonder if you are still with us.