Too few nutrients and too many calories: climate change and the double burden of malnutrition in Asia

About half of children age under five worldwide who are classified as undernourished (84 million out of 151 million) or overweight or obese (17.5 million out of 38 million) live in Asia. Tackling malnutrition in Asia is however fairly complex since the nutritional transition, a consequence of rapid economic development and globalisation, made many Asian nations undergo the simultaneous burdens of under- and over-nutrition. The dual burden of malnutrition is characterised by a concurrence of undernutrition along with overweight and obesity within the same individual, household, community, region and/or country. Providing that household food security is closely linked to malnutrition, this raises questions about the implications of climate change on the dual burden of malnutrition. That climate change affects food availability, access, utilisation and stability is evident. Accordingly, households facing food insecurity due to climatic shocks may allocate food differentially. Adult members may receive low-cost high-calorie food inducing obesity, whilst children receive nutrient-poor foods leading to undernutrition. Little is known about the climate impacts on the double burden of malnutrition and how this affects population subgroups differentially. This Editorial discusses the potential impacts of climate change on the double burden of malnutrition and concludes with the recommendation of strategies to tackle the issue.     

Anticipating fatness: childhood, affect and the pre-emptive 'war on obesity'

This paper draws together recent geographical work on fatness, pre-emptive biopolitics, affect and childhood in order to question the spatiotemporalities of obesity policy in the UK. Through analysis of key policy documents and associated media coverage, the paper questions the dystopian production of the future nation in obesity policy; the role of affect in making futures felt as realities which can be acted on in the present; and the role of childhood and children's bodies within such policy. It argues that children are central to the production and pre-emption of obese futures because of the affective potential of childhood and the paradoxical position of children's bodies both as children in the present and adults of the future. The paper concludes by arguing that obesogenic environment theories are fundamentally problematic and that recognition of the temporalities as well as the spatialities of obesity is necessary for a balanced critical geography.     

Everyday Politics of Fat

Abstract: This paper explores the everyday politics and lived experiences of young people who identify as fat, obese or overweight. Situated within the emerging interdisciplinary fields of fat studies, critical weight studies and critical geographies of body size, this paper gives voice to young people who are often marginalised and frequently stigmatised. I draw attention to the embodied relationalities and intersectionalities evident with the young people's narratives of body size as well as the structures of constraint that operate to reinforce the marginalisation they feel. I conclude by outlining the challenges that exist in transforming the everyday politics of fat.     

Child and Adolescent Obesity and Employment Sector in Urban China

Despite its importance as a part of the economic reform in China, sectoral employment has been overlooked as a potential determinant of child and adolescent obesity (CAO). Using large-scale longitudinal data from surveys conducted from 1989 to 2006, this paper examines the relationship between the sector in which a parent is employed and CAO, with the sector being based on ownership and categorised as either state or non-state. Analyses of over 1700 children and adolescents show that children and adolescents whose parents work in the state sector are less likely to be obese. Patterns of sectoral employment's effect are robust across time periods, in fixed-effects models, and across multiple measures of obesity. Additionally, the paper shows that socioeconomic characteristics of the parent, such as income, education, and occupation, typically thought to be important predictors of CAO, are not as important when the parental working sector is included in the models.     

Choosing Health? Exploring Children's Eating Practices at Home and at School

Abstract:  This paper considers the influences on children's eating habits in both school and home spaces in the UK. Since 2002 the UK government has been committed to halting the increase in child obesity rates, and has sanctioned particular parental and school based practices as more "healthy" than others. This study examines this through critically questioning, in particular, the classed discourses written into health education advice and advocates a new way of thinking about health education messages. Based on qualitative research with children from one secondary school and with eight families in the North of England the paper reveals that while parents and children make decisions about their lives with reference to dominant discourses about ideal "healthy" family eating practices, their ability to realise these practices is limited in numerous ways. Moreover, the influences on children's eating habits in both home and school spaces are intricately interrelated and children's practices are clearly influenced by the spaces they inhabit. Their decisions involve balancing health education knowledge with a range of other knowledges that are bound up in the socio-spatial relations of their everyday lives. A holistic approach to understanding children's eating habits therefore requires a critical understanding of class background, parental influences and contemporary parenting practices as well as the microgeographical relations found in the school dining room.     

Participant observation in obesity research with children: striated and smooth spaces

This article discusses the value of conducting participant observation in obesity research with children in an Australian community setting. Obesity is highly stigmatized, and the use of activity-based interviews exposed the intellectual and embodied consciousness that children negotiate when they take part in research about food and bodies. Instead of opening up possibilities, interview-based activities can lead to a moral correctness about healthy lifestyles. It was through participant observation, in engagement with what Deleuze and Guattari [1988 Deleuze, G., and F. Guattari. 1988. A Thousand Plateaus: Capitalism and Schizophrenia. London: Athlone Press. [Google Scholar]. A Thousand Plateaus: Capitalism and Schizophrenia. London: Athlone Press] call striated and smooth (or regulated and unregulated) spaces of children's everyday activities, that richer understandings of obesity and children's bodies became apparent. We argue that without participant observation, our understandings of what children say and draw about healthy lifestyles may be limited by the striated spaces in which we conduct our research and the constraints that accompany the cultural politics of childhood and obesity.     

Doing Justice to Bodies? Reflections on Food Justice,Race, and Biology

Abstract: The food justice concept takes disproportionate prevalence of obesity and type 2 diabetes among people of color as evidence of injustice. Yet several measurements of obesity are based on norms derived from white bodies, which can also be a source of injustice. Part of the conceptual problem lies with reticence to discuss questions of material bodily difference as it relates to race given the legacy of racial science. Noting the distinction between racialism and racism, this article explores ways to think about biological difference in raced bodies, without reducing it to genetics. It draws on insights from Foucauldian notions of race and the new science of epigenetics to suggest that biological difference is more an effect of racism than a cause. Several pathways to obesity exist that have less to do with current day food access or genetic inheritance than with differential exposures that are somatized epigenetically.     

Teaching the Politics of Obesity: Insights into Neoliberal Embodiment and Contemporary Biopolitics

Abstract:  This article reflects on the author's experiences teaching an undergraduate lecture course on the politics of obesity. The course involved a critical examination of the construction and representation of the so-called epidemic of obesity and the major causal explanations for the rise in obesity. Students were unusually discomfited by the course and invoked pedagogical concerns and instructor embodiments in expressing their reactions. Student responses demonstrate how obesity talk reflects and reinforces neoliberal rationalities of self-governance, particularly those that couple bodily control and deservingness and see fatness as weakening the health of the body politic. The course also animated many students to scrutinize more deeply their own diet and exercise practices. I argue that the intensity of reaction stems from the productive power of the discourse of obesity and considerable investment students had in their bodies as neoliberal subjects. Besides classroom observations, the data in this paper are taken from student journals.     

Losing it in Hawai‘i: Weight Watchers and the paradoxical nature of weight gain and loss

In Hawai‘i, bodies may be big, successful, widely accepted, and revered by their public, yet some subjects may simultaneously be seeking a thinner body even with what appears to be ‘fat acceptance’ by many state residents. This article analyses weight and weight loss narratives of two prominent public and nonwhite men, Israel Kamakawiwo‘ole and Sam Choy. We connect these narratives to Weight Watchers International discourses of slimming as these apply to ‘nonwhite’ subjects in Hawai‘i. We suggest that Weight Watchers normalizes thinness through discourses of whiteness inherent in particular foods. Hawai‘i's regional cuisine known as ‘Local Food’ is framed as ‘exotic,’ which is distinct from what the organization proposes is ‘good’ food that produces ‘healthy’ bodies. Weight Watchers narrates slim bodies and health while normalizing ‘white’ cuisine and the bodies who consume it thereby excluding Local brown bodies in Hawai‘i.     

Maternal work hours and adolescents’ body weight in South Korea

This study examined whether previous findings linking maternal work hours to obesity among children generalised to Asian populations. Using a nationally representative sample of Korean middle school students and their parents (N?=?1,873), ordinary least squares regression and logistic regression models assessed the association between maternal work hours and adolescents’ body mass index (BMI), overweight, and obesity. There were no significant associations between mothers’ weekly work hours and adolescents’ BMI (raw score, z-score, and percentile), overweight and obesity. These null associations were robust across different specifications for maternal employment, the proposed mediators, and outcome variables. Although longer maternal work hours were associated with adolescents’ longer unsupervised time, more sedentary behaviours (TV/Video/DVD viewing and electronic game playing), and less physical activity, this did not lead to an increase in the likelihood of being overweight and obese.