159896 No evidence of unintended consequences following passage of Arkansas obesity legislation

Monday, November 5, 2007: 3:30 PM

Martha M. Phillips, PhD, MPH, MBA , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
James M. Raczynski, PhD , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Delia West, PhD , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
LeaVonne Pulley, PhD , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Zoran Bursac, PhD , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
C. Heath Gauss, MS , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Jada Walker, MEd , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Brooke E.E. Montgomery , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Victoria L. Evans, MPH , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Rebekah Craig , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Amanda Philyaw Perez, MPH , University of Arkansas at Little Rock, College of Public Health, Little Rock, AR
The Centers for Disease Control and Prevention estimate that more than a third of children and two-thirds of adults in the United States are overweight or obese and that these proportions have been increasing dramatically over recent decades. This trend, now considered to be an epidemic, has led a number of state legislatures and school districts to consider regular measurement of body mass index (BMI) for school children, in an attempt to stimulate action in families and communities. Many, however, worry that the increased emphasis on weight, while well-intentioned, will yield negative consequences, such as increased teasing, embarrassment of students, and unhealthy weight-control practices. Arkansas Act 1220 of 2003 mandated annual BMI measurements for all public school students in the state and the reporting of those measurements to parents. Data from an ongoing evaluation of the effects of Act 1220 will be presented, suggesting that none of these concerns have occurred in Arkansas. In fact, reports of weight-based teasing are reduced from 12% in year 1 (baseline) to 6% in year 3, and the percentage of adolescents reporting recent use of diet pills is down from 6% at baseline to 2% in year 3. Results from the analysis of characteristics of students engaging in potentially unhealthy weight control behaviors will also be presented.

Learning Objectives:
1. Understand concerns which emerge when BMI measurement and reporting to parents is implemented 2. Summarize changes which have occurred as a result of annual BMI measurement and reporting to parents in weight-based teasing, embarrassment of students from BMI measurement, and unhealthy weight-control practices 3. Summarize student characteristics associated with engaging in potentially unhealthy weight control behaviors

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.