Recently a study by the World Health Organisation found that 80% of Czech children were not getting a decent amount of physical activity, helping lead to an increase in childhood obesity. This follows on the heels of a news report last month, with schools complaining that the new proposed food reforms – which aim to remove unhealthy products from school cafeterias – were ‘over the top’. The study also revealed that Czech children are leading the way with regards to alcohol, nicotine and marijuana consumption. The study targeted three groups of children – a group of 11-year-olds, another of 13-year-olds and finally a group of 15-year-olds – and various factors were considered: physical activity, sedentary behaviour, BMI, life satisfaction, risk behaviour, alcohol and substance consumption, parental and peer communication and school environment.
According to Michal Kalman of Jan Palcky University, Olomouc, the man in charge of the research for the Czech part of the survey, the reasons behind the problem are complex, although he does state that lack of exercise is a problem in Czech Republic, something which is decreasing year on year. He is right, though, that it is not the whole problem.
Contrary to popular belief, childhood obesity is not a problem which has struck since the accessibility of the internet, smartphones and computer games. In the early 1990s my father got his first car, and has since used it to drive to his local shop rather than walk the 10 minutes it would take on foot. I remember hearing about a study discussed on Channel 5’s The Wright Stuff a few years which found that, rather than moving less, children and teenagers in the UK generally moved the same amount as they had 50 years previously. The only differing factor was food: comparing nowadays with 50 years ago, not only are there more products with high levels of sugar and fat but we are generally just eating more than we used to in terms of portion size. This could also be true of Czech children: during communist times it was sometimes hard to get hold of general items, never mind luxury ones. Nowadays, however, supermarkets are fully stocked with anything you want. The idea that it is not only lack of exercise is further proven by the finding of the study of Czech children that, although boys are more active than girls in general, they are twice as likely to be overweight.
So, if more food is to blame rather than a lack of exercise, how do we go about controlling it? It is understandable that schools are not keen on the removal of certain items in their shops and cafeterias. Aside from the fact that the scheme plans to ban items such as fruit yoghurt, muesli bars and mustard alongside the usual high-fat, high-caffeine and high-sugar suspects – something which you could argue is over-the-top – it is good to remember that there are good reasons why these items are for sale: one, there is a high demand for them from students; and two, they are pretty much the only things one can sell in such an environment. If the children walked into any kind of small newsagents, they would only have the same sort of items on offer to buy. And, of course, if schools are forced to not sell them, then the children will just go elsewhere, meaning the vending machine companies and cafeterias will go out of business – and it is well worth remembering they are businesses, existing to make money rather than to care about the health of Czech school children.
Possibly an even greater worry is the high consumption of marijuana, cigarettes and alcohol amongst school children. It should come as no surprise that children, especially those of around the age of 15, are trying out these substances; one could argue it is a rite of passage and that presumably every child, or young adult, will try at least one of these things at least once in their life. What could possibly exacerbate the problem in Czech Republic is the permissive attitude surrounding these substances: here smoking is still allowed in pubs and clubs, marijuana smoking has been decriminalised and, like in many Slavic countries, drinking alcohol is deemed a perfectly acceptable pastime. So how do you get children as young as 11 to not try these things, especially if they live in a culture where a lot of people are doing it anyway?
In terms of obesity, the Czechs are trying to solve a problem which also many other countries in the developed world are trying to solve. In terms of substance consumption, it is a case of battling against ingrained culture. As Michal Kalman says, the key to improving Czech children’s health is through education, through developing strategies which promote healthy living, in the hope this will provide the turnaround needed.