Benefits, risks in state-mandated school-based BMI assessments

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Benefits, risks in state-mandated school-based BMI assessments
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A resource economist finds mandated in-school Body Mass Index assessments adopted in varying forms by 24 states to combat childhood obesity have the potential to improve the health of some students while introducing body-image issues for others. The research is believed to be the first to assess these policies as a whole, rather than in single states or school districts.

A University of Massachusetts Amherst resource economist finds mandated in-school Body Mass Index assessments adopted in varying forms by 24 states to combat childhood obesity have the potential to improve the health of some students while introducing body-image issues for others. The research is believed to be the first to assess these policies as a whole, rather than in single states or school districts.

In addition, Churchill finds that overweight teenagers were more likely to report that they were trying to lose weight. He identifies a small but significant decrease in teens' BMI. The study did not detect any meaningful changes in exercise or calorie-limiting behaviors linked to mandated BMI assessments. The findings are based on national and state Youth Risk Behavior Surveys between 1991 and 2017.

"It's hard to look at the change in childhood BMI and say these policies are a resounding success, given the potential unintended consequences for adolescent girls in the form of distorted self-image and body perception," he says. Prior research has found these issues can lead to shame, anxiety, bullying and eating disorders.

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