A Child’s Right to an Environment That Prevents Obesity: Ethical Considerations

  • Garry Sigman
Part of the The Loyola University Symposium on the Human Rights of Children book series (LUSY, volume 1)


The addition of children’s rights to the human rights agenda was articulated and organized into specific areas by the Geneva Declaration of the Rights of the Child in 1924 at the League of Nations. It is stated that “mankind owes to the child the best that it has to give” (Parsi, 2002, p. 495). More specific principles were laid out in the Declaration of the Rights of the Child, proclaimed by the United Nations (UN) General Assembly (1959).


Child Obesity Body Dissatisfaction Obesity Rate Food Advertising Thrifty Gene 
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  1. Adair, L. S. (2008). Child and adolescent obesity: Epidemiology and developmental perspectives. Physiology & Behavior, 94, 8–16.CrossRefGoogle Scholar
  2. Alderman, J., Smith, J. A., Fried, E. J., & Daynard, R. A. (2007). Application of law to the childhood obesity epidemic. Journal of Law, Medicine & Ethics, 35, 90–112.Google Scholar
  3. Amuna, P., & Zotor, F. B. (2008). Epidemiological and nutrition transition in developing countries: Impact on human health and development. Proceedings of the Nutrition Society, 67, 82–90.PubMedCrossRefGoogle Scholar
  4. Anderson, P. M., & Butcher, K. E. (2006). Childhood obesity: Trends and potential causes. Future of Children, 16, 19–45.PubMedCrossRefGoogle Scholar
  5. Arenz, S., Ruckerl, R., Koletzko, B., & von Kries, R. (2004). Breast-feeding and childhood ­obesity – A systematic review. International Journal of Obesity and Related Metabolic Disorders, 28, 1247–1256.PubMedCrossRefGoogle Scholar
  6. Baskin, M. L., Ahluwalia, H. K., & Resnicow, K. (2001). Obesity intervention among African-American children and adolescents. Pediatric Clinics of North America, 48, 1027–1039.PubMedCrossRefGoogle Scholar
  7. BBC News (2007, February 27). Obese boy to remain with mother. Retrieved from
  8. Bibbins-Domingo, K., Coxson, P., Pletcher, M. J., Lightwood, J., & Goldman, L. (2007). Adolescent overweight and future adult coronary heart disease. New England Journal of Medicine, 357, 2371–2379.PubMedCrossRefGoogle Scholar
  9. Campos, P., Saguy, A., Ernsberger, P., Oliver, E., & Gaesser, G. (2006). The epidemiology of overweight and obesity: Public health crisis or moral panic? International Journal of Epidemiology, 35, 55–60.PubMedCrossRefGoogle Scholar
  10. Casper, R. C., Sullivan, E. L., & Tecott, L. (2008). Relevance of animal models to human eating disorders and obesity. Psychopharmacology, 199, 313–329.PubMedCrossRefGoogle Scholar
  11. Children’s National Medical Center (CNMC) (2008). Children’s national medical center policy statement: Childhood obesity. Retrieved from
  12. Coll, A. P., Farooqi, I. S., & O’Rahilly, S. (2007). The hormonal control of food intake. Cell, 129, 251–262.PubMedCrossRefGoogle Scholar
  13. Crawford, D., Timperio, A., Telford, A., & Salmon, J. (2006). Parental concerns about childhood obesity and the strategies employed to prevent unhealthy weight gain in children. Public Health Nutrition, 9, 889–895.PubMedCrossRefGoogle Scholar
  14. Deshmukh-Taskar, P., Nicklas, T. A., Morales, M., Yang, S. J., Zakeri, I., & Berenson, G. S. (2006). Tracking of overweight status from childhood to young adulthood: The Bogalusa Heart Study. European Journal of Clinical Nutrition, 60, 48–57.PubMedCrossRefGoogle Scholar
  15. Dietz, W. H., Bland, M. G., Gortmaker, S. L., Molloy, M., & Schmid, T. L. (2002). Policy tools for the childhood obesity epidemic. Journal of Law, Medicine & Ethics, 30, 83–87.Google Scholar
  16. Ebbeling, C. B., & Ludwig, D. S. (2008). Tracking pediatric obesity: An index of uncertainty? JAMA, 299, 2442–2443.PubMedCrossRefGoogle Scholar
  17. Economos, C. D., & Irish-Hauser, S. (2007). Community interventions: A brief overview and their application to the obesity epidemic. Journal of Law, Medicine & Ethics, 35, 131–137.CrossRefGoogle Scholar
  18. Engeland, A., Bjorge, T., Tverdal, A., & Sogaard, A. J. (2004). Obesity in adolescence and adulthood and the risk of adult mortality. Epidemiology, 15, 79–85.PubMedCrossRefGoogle Scholar
  19. Evans, W. D., Finkelstein, E. A., Kamerow, D. B., & Renaud, J. M. (2005). Public perceptions of childhood obesity. American Journal of Preventive Medicine, 28, 26–32.PubMedCrossRefGoogle Scholar
  20. Faith, M. S., & Kerns, J. (2005). Infant and child feeding practices and childhood overweight: The role of restriction. Maternal & Child Nutrition, 1, 164–168.CrossRefGoogle Scholar
  21. Greenway, J. (2008). Childhood obesity: Bringing children’s rights discourse to public health policy. Community Practitioner, 81, 17–21.PubMedGoogle Scholar
  22. Hackie, M., & Bowles, C. L. (2007). Maternal perception of their overweight children. Public Health Nursing, 24, 538–546.PubMedCrossRefGoogle Scholar
  23. Hawkes, C. (2007). Regulating and litigating in the public interest: Regulating food marketing to young people worldwide: Trends and policy drivers. American Journal of Public Health, 7, 1962–1973.CrossRefGoogle Scholar
  24. He, M., & Evans, A. (2007). Are parents aware that their children are overweight or obese? Do they care? Canadian Family Physician, 53, 1493–1499.PubMedGoogle Scholar
  25. Holsten, J. E. (2008). Obesity and the community food environment: A systematic review. Public Health Nutrition, 14, 1–9.CrossRefGoogle Scholar
  26. Homer, C., & Simpson, L. A. (2007). Childhood obesity: What’s health care policy got to do with it? Health Affairs (Millwood), 26, 441–444.CrossRefGoogle Scholar
  27. Hughes, A. R., Stewart, L., Chapple, J., McColl, J. H., Donaldson, M. D., Kelnar, C. J., et al. (2008). Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight: Scottish childhood overweight treatment trial (SCOTT). Pediatrics, 121, e539–e546.PubMedCrossRefGoogle Scholar
  28. Inge, T. H., Krebs, N. F., Garcia, V. F., Skelton, J. A., Guice, K. S., Strauss, R. S., et al. (2004). Bariatric surgery for severely overweight adolescents: Concerns and recommendations. Pediatrics, 114, 217–223.PubMedCrossRefGoogle Scholar
  29. Jain, A., Sherman, S. N., Chamberlin, L. A., Carter, Y., Powers, S. W., & Whitaker, R. C. (2001). Why don’t low-income mothers worry about their preschoolers being overweight? Pediatrics, 107, 1138–1146.PubMedCrossRefGoogle Scholar
  30. Janssen, I., Craig, W. M., Boyce, W. F., & Pickett, W. (2004). Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics, 113, 1187–1194.PubMedCrossRefGoogle Scholar
  31. Janssen, I., Katzmarzyk, P. T., Boyce, W. F., Vereecken, C., Mulvihill, C., Roberts, C., et al. (2005). Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obesity Reviews, 6, 123–132.PubMedCrossRefGoogle Scholar
  32. Justus, M. B., Ryan, K. W., Rockenbach, J., Katterapalli, C., & Card-Higginson, P. (2007). Lessons learned while implementing a legislated school policy: Body mass index assessments among Arkansas’s public school students. Journal of School Health, 77, 706–713.PubMedCrossRefGoogle Scholar
  33. Kersh, R., & Morone, J. (2002). The politics of obesity: Seven steps to government action. Health Affairs (Millwood), 21, 142–153.CrossRefGoogle Scholar
  34. Knutson, K. L., & Van Cauter, E. (2008). Associations between sleep loss and increased risk of obesity and diabetes. Annals of the New York Academy of Sciences, 1129, 287–304.PubMedCrossRefGoogle Scholar
  35. Kumanyika, S. K. (2008). Environmental influences on childhood obesity: Ethnic and cultural influences in context. Physiology & Behavior, 94, 61–70.CrossRefGoogle Scholar
  36. Kumanyika, S. K., & Grier, S. (2006). Targeting interventions for ethnic minority and low-income populations. Future of Children, 16, 187–207.PubMedCrossRefGoogle Scholar
  37. Lobstein, T., Baur, L., & Uauy, R. (2004). Obesity in children and young people: A crisis in public health. Obesity Reviews, 5, 4–104.PubMedCrossRefGoogle Scholar
  38. Ludwig, D. S. (2007). Childhood obesity – The shape of things to come. New England Journal of Medicine, 357, 2325–2327.PubMedCrossRefGoogle Scholar
  39. Mann, T., Tomiyama, A. J., Westling, E., Lew, A. M., Samuels, B., & Chatman, J. (2007). Medicare’s search for effective obesity treatments: Diets are not the answer. American Psychologist, 62, 220–233.PubMedCrossRefGoogle Scholar
  40. McGinnis, J. M., Gootman, J. A., & Kraak, V. I. (2006). Food marketing to children and youth: Threat or opportunity. Washington, DC: National Academies Press.Google Scholar
  41. Mendez, M. A., Monteiro, C. A., & Popkin, B. M. (2005). Overweight exceeds underweight among women in most developing countries. American Journal of Clinical Nutrition, 81, 714–721.PubMedGoogle Scholar
  42. Millstone, E., & Lobstein, T. (2007). The PorGrow project: Overall cross-national results, comparisons and implications. Obesity Reviews, 2, 29–36.CrossRefGoogle Scholar
  43. Molnar, A., Garcia, D. R., Boninger, F., & Merrill, B. (2008). Marketing of foods of minimal nutritional value to children in schools. Preventive Medicine, 47, 504–507.PubMedCrossRefGoogle Scholar
  44. Monteiro, C. A., Conde, W. L., Lu, B., & Popkin, B. M. (2004). Obesity and inequities in health in the developing world. International Journal of Obesity and Related Metabolic Disorders, 28, 1181–1186.PubMedCrossRefGoogle Scholar
  45. Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555.PubMedCrossRefGoogle Scholar
  46. Parsi, M. R. (2002). A world tailored for children and the young: The children and the young around us and the child and the adolescent within each of us. Minerva Pediatrica, 54, 489–506.PubMedGoogle Scholar
  47. Perrin, E. M., Vann, J. C., Lazorick, S., Ammerman, A., Teplin, S., Flower, K., et al. (2008). Bolstering confidence in obesity prevention and treatment counseling for resident and community pediatricians. Patient Education and Counseling, 73, 179–185.PubMedCrossRefGoogle Scholar
  48. Popovic, V., & Duntas, L. H. (2005). Brain somatic cross-talk: Ghrelin, leptin and ultimate challengers of obesity. Nutritional Neuroscience, 8, 1–5.PubMedCrossRefGoogle Scholar
  49. Prentice, A. M., Rayco-Solon, P., & Moore, S. E. (2005). Insights from the developing world: Thrifty genotypes and thrifty phenotypes. Proceedings of the Nutrition Society, 64, 153–161.PubMedCrossRefGoogle Scholar
  50. Puhl, R. M., & Latner, J. D. (2007). Stigma, obesity, and the health of the nation’s children. Psychological Bulletin, 133, 557–580.PubMedCrossRefGoogle Scholar
  51. Puhl, R. M., Moss-Racusin, C. A., & Schwartz, M. B. (2007). Internalization of weight bias: Implications for binge eating and emotional well-being. Obesity (Silver Spring), 15, 19–23.CrossRefGoogle Scholar
  52. Puhl, R. M., Moss-Racusin, C. A., Schwartz, M. B., & Brownell, K. D. (2008). Weight stigmatization and bias reduction: Perspectives of overweight and obese adults. Health Education Research, 23, 347–358.PubMedCrossRefGoogle Scholar
  53. Rosenbaum, M., & Leibel, R. L. (1998). The physiology of body weight regulation: Relevance to the etiology of obesity in children. Pediatrics, 101, 525–539.PubMedGoogle Scholar
  54. Rosenheck, R. (2008). Fast food consumption and increased caloric intake: A systematic review of a trajectory towards weight gain and obesity risk. Obesity Reviews, 9, 535–547.PubMedCrossRefGoogle Scholar
  55. Rossner, S., Hammarstrand, M., Hemmingsson, E., Neovius, M., & Johansson, K. (2008). Long-term weight loss and weight-loss maintenance strategies. Obesity Reviews, 9, 624–630.PubMedCrossRefGoogle Scholar
  56. Schwartz, M. B., & Brownell, K. D. (2007). Actions necessary to prevent childhood obesity: Creating the climate for change. Journal of Law, Medicine & Ethics, 35, 78–89.CrossRefGoogle Scholar
  57. Schwartz, M. W., Woods, S. C., Seeley, R. J., Barsh, G. S., Baskin, D. G., & Leibel, R. L. (2003). Is the energy homeostasis system inherently biased toward weight gain? Diabetes, 52, 232–238.PubMedCrossRefGoogle Scholar
  58. Shick, S. M., Wing, R. R., Klem, M. L., McGuire, M. T., Hill, J. O., & Seagle, H. (1998). Persons successful at long-term weight loss and maintenance continue to consume a low-energy, low-fat diet. Journal of the American Dietetic Association, 98, 408–413.PubMedCrossRefGoogle Scholar
  59. Spear, B. A., Barlow, S. E., Ervin, C., Ludwig, D. S., Saelens, B. E., Schetzina, K. E., et al. (2007). Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics, 120(Suppl. 4), S254–S288.PubMedCrossRefGoogle Scholar
  60. Story, M., Kaphingst, K. M., & French, S. (2006). The role of schools in obesity prevention. Future of Children, 16, 109–142.PubMedCrossRefGoogle Scholar
  61. Swinburn, B., Egger, G., & Raza, F. (1999). Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity. Preventive Medicine, 29, 563–570.PubMedCrossRefGoogle Scholar
  62. Swinburn, B., Sacks, G., Lobstein, T., Rigby, N., Baur, L. A., Brownell, K. D., et al. (2008). Sydney principles’ for reducing the commercial promotion of foods and beverages to children. Public Health Nutrition, 29, 1–6.Google Scholar
  63. Tsai, A. G., Asch, D. A., & Wadden, T. A. (2006). Insurance coverage for obesity treatment. Journal of the American Dietetic Association, 106, 1651–1655.PubMedCrossRefGoogle Scholar
  64. United Nations Convention on the Rights of the Child (1989). United Nations General Assembly Document A/RES/44/25. Retrieved from
  65. Ventura, A. K., & Birch, L. L. (2008). Does parenting affect children’s eating and weight status? International Journal of Behavioral Nutrition and Physical Activity, 5, 15.PubMedCrossRefGoogle Scholar
  66. von Kries, R., Koletzko, B., Sauerwald, T., & von Mutius, E. (2000). Does breast-feeding protect against childhood obesity? Advances in Experimental Medicine and Biology, 478, 29–39.CrossRefGoogle Scholar
  67. Wang, Y., & Lobstein, T. (2006). Worldwide trends in childhood overweight and obesity. International Journal of Pediatric Obesity, 1, 11–25.PubMedCrossRefGoogle Scholar
  68. Wang, Y., Monteiro, C., & Popkin, B. M. (2002). Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. American Journal of Clinical Nutrition, 75, 971–977.PubMedGoogle Scholar
  69. Wardle, J., Carnell, S., Haworth, C. M., & Plomin, R. (2008). Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment. American Journal of Clinical Nutrition, 87, 398–404.PubMedGoogle Scholar
  70. Warin, M., Turner, K., Moore, V., & Davies, M. (2008). Bodies, mothers and identities: Rethinking obesity and the BMI. Sociology of Health & Illness, 30, 97–111.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Loyola University Medical CenterMaywoodUSA

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