A couple of weeks ago, I took my son to the pediatrician for a couple of booster shots. Because he was a new patient, the doctor started a file on him that included weighing him and measuring his height. The doctor made his notations, consulted his charts and — in the absence of any other information on growth trends in my son — casually remarked to me that my son was 2kg/4.5lbs over weight.
Now you’ll have to take my word on it that my son is not over weight. He’s always been in the 98th percentile for weight. I will accept that he’s heavier than the averages on the chart for his height because he’s very active and actually quite muscular, but overweight? No way! I buy him slim cut pants and still have to take in the elastic waist adjusters.
I got to talking to my husband and a couple of his friends about this, and they too admitted that at one time or other they have been labeled as obese by their physicians. None of these men would strike anyone as being even a little overweight. One man is a lean 6 feet tall and weighs about 200lb. My husband could stand to lose 10lbs, but I’d hardly call that obese!
It’s obvious — to me anyway — that these charts have been created with averages in mind. Doctors should consult them and then really look at the person in front of them. Are they tall or short? Are they large boned, medium or petite? Are they athletic and muscular or soft? What is their BMI? Where are they carrying their weight? There are so many more factors that play into health than the number on the scale. Being thin doesn’t automatically mean a person is healthy. Even thin people have heart attacks.
For the most part I’d put this all out of my mind, except for the occasions I get to tease my husband by pinching his love handles, then I saw this article in The New York Times over the weekend:
Japan, Seeking Trim Waists, Measures Millions
Under a national law that came into effect two months ago, companies and local governments must now measure the waistlines of Japanese people between the ages of 40 and 74 as part of their annual checkups. That represents more than 56 million waistlines, or about 44 percent of the entire population.
Those exceeding government limits — 33.5 inches for men and 35.4 inches for women, which are identical to thresholds established in 2005 for Japan by the International Diabetes Federation as an easy guideline for identifying health risks — and having a weight-related ailment will be given dieting guidance if after three months they do not lose weight. If necessary, those people will be steered toward further re-education after six more months.
To reach its goals of shrinking the overweight population by 10 percent over the next four years and 25 percent over the next seven years, the government will impose financial penalties on companies and local governments that fail to meet specific targets. The country’s Ministry of Health argues that the campaign will keep the spread of diseases like diabetes and strokes in check.
Now, I suppose I can understand why a country whose government provides health care for its citizens would be interested in how much people weigh, since being overweight can lead to so many health problems. But isn’t this taking things a little too far? How can they assign a one-size-for-all plan? I realize that Japan is probably a more genetically homogeneous country than the United States, for instance, but aren’t there still going to be variances in skeletal size that would make some people naturally larger than others? And are they taking age into consideration? I don’t know about you, but my waist is expanding as I age.
And are sumo wrestlers going to be exempt?? Somehow I think the sport might be a lot different if they didn’t have their giant bellies to bump together.
I’m all for being healthy and fit, but if the government of Japan is really concerned, why not offer free yearly physicals for everyone? They could keep track of a number of variables like weight, blood pressure, etc and look for trends in each individual they examine. Yes, it would take longer than whipping out a tape measure but it would also be more accurate. At it is, I think Japan may find that they start having a surge in other health problems like eating disorders such as bulimia or abuse of appetite suppressant drugs. Not exactly what they have in mind, I’m sure.























