Boy Scouts |

Proposed (by me) “Weight Cycling” patch

In the wake of my previous blog post about BMI and the Boy Scouts of America (BSOA), I’ve been reading some responses. And the responses I’ve been reading by various members and officials within the BSOA are troubling to say the very least. Let me give you some examples:

1. We haven’t turned anybody away because of BMI. In an article found in the Cleveland Plain Dealer, Adult leader Ron Blasak states, “there was no one in the Greater Cleveland Council who was turned away because of a BMI issue.” However, Blasak also admits that it’s possible “that someone read the requirements and shied away.” To which I reply, hmmm. Do you think so? Do you think that plastering BMI requirements all over the marketing materials and saying they will be strictly enforced just might make a kid fear that he will be shamed and ridiculed at this shindig? Do you find it surprising that your average 13-year-old might choose not to trap himself miles away from civilization with people who are convinced he can’t do anything?

2. We’re turning away kids with high BMI for their own good. In that same article, Blasak also states, “Overweight boys would have a tough time getting around and probably wouldn’t have much fun.” I have to wonder what evidence he is using to form this conclusion. BMI is a simple calculation based on height and weight. It doesn’t tell you anything about the fitness level of a potential participant. A Scout with a BMI in the “ideal” range may be very unfit and may be at greater risk than a stouter scout who exercises more and has greater functional fitness. Assuming that all the overweight kids will be miserable is just that, an assumption. And we all know what happens when you ASSuME.

We’ve given the scouts plenty of time to get thin. In many of the articles I’ve read, BSOA spokespeople are quick to point out that they released these health requirements two years in advance of the Jamboree, which should give the scouts plenty of time to get fit and achieve an acceptable BMI. In an article published by Fox News, BSOA spokesperson Deron Smith states:

“We published our height-weight requirements years in advance and many individuals began a health regimen to lose weight and attend the jamboree. But, for those who couldn’t, most self-selected and chose not to apply.”

To which I say, “You got it half right, but 50 percent is still a failing grade.” Over a two year period, it may be reasonable for a young person to make significant changes to their overall conditioning and fitness level. We know how to do that. What we don’t know how to do is make a fat kid into a thin kid–at least over the long term. We can make a fat kid into a thin kid temporarily. We might even get the timing right and make that fat kid thin at just the right moment to pass his physical and enjoy the Jamboree. But when we look at the statistics for that kid staying thin over the long haul, the success rates are dismal. So instead of teaching fat Scouts how to become thin scouts, we are teaching them the amazing, adult-level skill of weight cycling. This is the process of losing weight, gaining it all back plus a little more, losing weight, gaining it all back plus a little more and so on and so on. In fact, this process of BMI busting in order to make Jamboree weight seems ideally suited to the process of weight cycling. That’s what led me to suggest that maybe the BSOA should just make a “weight cycling” badge and be done with it. (Please see proposed badge design above.)

And what can I say about “self-selected and chose not to apply” other than “see point 1 of this blog”? Yup, if you tell pudgy kids and chubby kids and fat kids that they are not welcome in enough ways, with enough 14 point bold print on your website, they will ultimately get the message, “Don’t bother to apply, because we don’t want you.”

But the real story is not in the rhetoric that is flying back and forth on the airwaves and in cyberspace. The real story is the way that this policy will affect the lives of real kids. Kids like the one referenced in this recent NAAFA press release:

One mother reported to NAAFA in 2009 that her son was having issues attending Philmont High Adventure Boy Scout Camp in Cimmaron, NM. “Philmont has a weight standard and anyone over this standard is labeled unhealthy and cannot participate. I tried to explain to them that my son plays football, wrestles and runs relays, shot put, discus thrower, in track & field and a weight lifter. During the summer he swims, weightlifts and conditions for football. He has been conditioning for Philmont by hiking for 2-3 hours with a 50 pound pack on his back for the last 2 months. He weighs 261 lbs. and has been eating a 1200 – 1400 calorie diet trying to lose weight. Unfortunately he only lost 3 pounds… According to Philmont medical staff if he doesn’t weigh below 246, he will be sent home. It didn’t matter to them if he is active, only his weight number. I have watched my son condition for football and he can run circles around other players that are what society deems healthy.”

This is why this is such a big deal. We have kids who really want to go, who have put in the long hours of training required to be physically prepared for the challenge, who are probably in far better physical condition than many of their younger counterparts who are told, “go home fatty.” Given the rise in eating disorders among young men, I have a hard time understanding not only how this is considered reasonable, but also, how it can be considered responsible.

Maybe we need to help the BSOA along a little and propose some new HAES-friendly, body-positive awards. Got any ideas? I’d love to hear your proposals for new BSOA awards patches that are more likely to help young men accept and care for the bodies they already have and learn to feel comfortable in the skin they are in. Feel free to post your ideas in the comments below!

Love,

The Fat Chick

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Would the BSOA deem Russell “too fat” to go to camp?

Yesterday, I read Ragen Chastain’s amazing post on the new policies implemented by the Boy Scouts of America regarding participation in events and BMI. In order for any Boy Scout to participate in a “high adventure” activity which includes a duration of over 72 hours and being over 30 minutes drive from emergency medical services, his parents and doctors must fill out a group of forms including Part C which has a whole lot of questions about BMI. In fact questions about height and weight are the first things listed on the form before listing any pre-existing conditions or other information about disease or wellness. Any scout with a BMI over 40 will be forbidden from participating in these high adventure activities (including the Jamboree). And according to the site:

The Jamboree Medical Staff will review all applicants with a BMI of 32.0–39.9 and consider jamboree participation based on 1) health history, 2) submitted health data, and 3) recommendation of the applicant’s personal health care provider. For applicants with a BMI >31.9, a recommendation of “no contraindications for participation” by the applicant’s personal health care provider does not necessarily guarantee full jamboree participation. The jamboree medical staff will have final determination of full jamboree participation.

The Boy Scouts of America (BSOA) site, lists these reasons for the new restrictions:

“Anyone who is obese and has multiple risk factors for cardiovascular/cardiopulmonary disease would be at much greater risk of an acute cardiovascular/cardiopulmonary event imposed on them by the environmental stresses of the Summit. Our goal is to prevent any serious health-related event from occurring, and ensuring that all of our participants and staff are “physically strong.”

And frankly, all of this sent me scrambling for my manuals and training information about exercise in children. One question I had right away was, “Are they using data for all-cause mortality in adults and extrapolating that information for children?” Because, the data I’ve reviewed indicate that mortality among exercising children and teens comes from different sources that that of adults.

According to the Youth Sports Safety Alliance, the number one cause of death among exercising young athletes is Sudden Cardiac Arrest (SCA). During my fitness certification training, I learned that the number one cause for SCA is a heart defect called hypertrophic cardiomyopathy, a thickening of the heart muscle. Hypertrophic cardiomyopathy and other heart conditions likely to lead to SCA are often virtually undetectable from a standard physical exam. This is why many schools are starting to recommend and a few are beginning to require a EKG for participation in strenuous school sports. When SCA occurs, death often follows. Being close to a hospital only helps so much as mortality risk increases by 10 percent for every minute it takes to get to medical care. This is why there is a greater focus on CPR and Automatic External Defibrillators for helping to protect student athletes these days.

I am not aware of any research indicating that SCA is more frequent among overweight or obese young athletes. I am also unaware of any efforts on the part of the BSOA to ask that participants in high adventure activities be screened for hypertrophic cardiomyopathy or be given an EKG as part of the Part C form. Now, I understand that an EKG can be expensive to administer and read, but if the concern is really about the safety of the participants, it would seem that this is a more important test than BMI.

Another important risk for kids and strenuous exercise is heat stroke. And there is some research that indicates that heat illness is more frequent among overweight and obese football players than “normal weight” players. But many experts stress that exertional heat illness is 100 percent preventable. Most experts strongly recommend an acclimation process to help get student athletes ready for physical exertion. The super punishing, first day of practice workouts in full pads and gear is now frowned upon. I wonder if the Jamboree and other “high adventure” scouting activities really do enough to help scouts of all sizes acclimate to higher temperatures and altitudes or if they simply assume that as long as the kids are skinny, they will be safe.

Which makes me wonder. Where is the data? Show me the data that BMI has a serious impact on safety for children and youth who wish to participate in strenuous physical activity. Do not simply show me studies from adults and extrapolate down to kids. And if the health and safety of your scouts is of primary importance, why are you not requiring adequate screening for the leading cause of death among young exercisers? Are you building adequate acclimation days to make the camp safe for participants? Or again, are you assuming skinny = safe and healthy? And why are you making your most important event so strenuous that you have to worry so much about health and safety in the first place?

To borrow from a famous phrase from the film Jerry Maguire, “Show me the data!”