posted by [identity profile] lizw.livejournal.com at 12:45pm on 28/02/2007
I feel very sorry for this kid, and hope the media interest leads to him getting useful help (as opposed to his mother being told she's crap, which I suspect she knows already).

I don't want to judge from the media coverage whether she is crap or not. Certainly, I think it is far more likely that the professionals are. The mother claims that she has asked for help from medical professionals and not got it, and that is a common feature of such stories both here and in the US. I'm sceptical that the boy will get any useful help from the media attention - what he's got so far has led to him losing ten percent of his body weight in two months, when it is known that losing that proportion in a year significantly increases two-year mortality. Each 10% loss of body weight also reduces the metabolic rate by 15%, which is counterproductive. In addition, dieting in a child of that age is a classic trigger for eating disorders. What would be useful would be getting him under the professional care of someone who understands that (a) the risks of obesity are grossly overstated; (b) the risks of dieting are significantly understated; (c) there is no evidence whatsoever that dieting leads to a person acquiring the health benefits they might have had if they were naturally of a lower weight; and (d) dieting has a success rate of 10% in the most optimistic studies. Unfortunately, such people are rare and not likely to be credible to social services, given the prevailing hysteria on the subject.
 
posted by [identity profile] thekumquat.livejournal.com at 03:30pm on 28/02/2007
Urg - I mistyped. I meant she 'knows that other people think she's crap'.
Do you have a useful source for your stats on weight loss there? I'm particularly interested in the reduction of metabolic rate - given there exist societies where food is eaten in boom and bust cycles and people lose weight until the next harvest when they put it on again, I'd have thought the body would be more resilient than that. I'd also guess that the reason for the weight gain/loss would factor in.

I completely agree with your a) and b) and the importance of c). For d), I would guess it all depends on what is defined as 'dieting' and 'success'.
 
posted by [identity profile] lizw.livejournal.com at 05:33pm on 28/02/2007
I got the statistics from Tipping the Scales of Justice: Ending Weight-Based Discrimination by Sondra Solovay, which includes citations of the relevant studies. I don't have my copy to hand at the moment, as I'm at work (and won't be home till Sunday evening).

The studies on long-term dieting success define it as "maintained weight loss for two years", mainly because it has been extremely difficult to find sufficient people who have maintained it for longer. Solovay has some interesting comments on how difficult it was even to recruit people who fitted the definition above, and why even the 10% figure may be optimistic.

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