A century ago, a plump child was considered a healthy child. No
longer. An overweight child is now known to be at risk for maladies
ranging from asthma to cardiovascular disease, and obesity among
American children has reached epidemic proportions. Childhood
Obesity in America "traces the changes in diagnosis and treatment,
as well as popular understanding, of the most serious public health
problem facing American children today.
Excess weight was once thought to be something children outgrew,
or even a safeguard against infectious disease. But by the
mid-twentieth century, researchers recognized early obesity as an
indicator of lifelong troubles. Debates about its causes and proper
treatment multiplied. Over the century, fat children were injected
with animal glands, psychoanalyzed, given amphetamines, and sent to
fat camp. In recent decades, an emphasis on taking personal
responsibility for one's health, combined with commercial
interests, has affected the way the public health establishment has
responded to childhood obesity--and the stigma fat children face.
At variance with this personal emphasis is the realization that
societal factors, including fast food, unsafe neighborhoods, and
marketing targeted at children, are strongly implicated in weight
gain. Activists and the courts are the most recent players in the
obesity epidemic's biography.
Today, obesity in this age group is seen as a complex
condition, with metabolic, endocrine, genetic, psychological, and
social elements. Laura Dawes makes a powerful case that
understanding the cultural history of a disease is critical to
developing effective health policy.
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