The Secret Weapon to Ending America’s Health Crisis:Schools

Chelsea, Massachusetts

By Kenneth Thorpe

The United States faces a significant weight problem. Currently, 13 million American children struggle with obesity — a number projected to climb to 17 million by 2025, according to research published in Pediatric Obesity.

This trend is concerning because obesity can trigger serious health conditions including diabetes, hypertension, and heart disease. The nation’s healthcare system also bears substantial financial burdens as a result.

Both parents and policymakers must prioritize early education about healthy habits to protect children’s lives and control healthcare spending.

Poor dietary choices represent the primary driver of childhood obesity. Most children fall short of recommended fruit intake, with only eight in 100 consuming adequate amounts. Vegetable consumption is even lower, affecting fewer than two in 100 children.

Meanwhile, young people consume excessive amounts of processed foods. Daily fast food consumption affects one in three kids, while one in four high school students drink soda every day.

Physical inactivity compounds the problem. Fewer than half of American youth meet the U.S. Department of Health and Human Services’ recommendation of one hour of daily exercise.

When inadequate activity combines with poor nutrition, the consequences are severe. About 80 percent of obese children remain overweight into adulthood, facing lifelong weight management challenges.

This carries profound health consequences and strains finances. Annual obesity-related healthcare costs reach $210 billion nationally. Chronic diseases stemming from obesity are projected to cost $42 trillion between now and 2030, representing the primary factor in rising healthcare expenses.

Schools hold unique potential for addressing this crisis. Since children spend most of their day in school and typically eat at least one meal there, educators and administrators could equip students with health-promoting resources. Yet most have not done so.

Only four in 10 high schools and two in 10 middle schools mandate nutrition education. Physical education is also declining, with more than 20 percent of schools eliminating PE requirements and fewer than one in 10 offering daily gym classes.

Strengthening nutrition curricula and expanding exercise opportunities could significantly enhance American health outcomes and reduce healthcare expenditures.

Research demonstrates that adding one hour of gym class for kindergarten through fifth-grade students lowered average Body Mass Index by half a point.

Several schools have adopted innovative approaches to promote student wellness.

Students at Pulsaki Elementary School in Delaware receive a fruit or vegetable during snack time. They may also join a walking club and earn decorative tokens for their backpacks based on walking minutes accumulated.

The First Lady has also motivated schools to improve nutrition and physical activity levels. Through the national Let’s Move! initiative, many schools now partner with local chefs to develop nutritious, appealing meals. Additionally, more than 20,000 schools have pledged to incorporate 60 minutes of daily physical activity into their schedules.

When schools adopt and support such programs, students can achieve better health and maintain it throughout their lives. This benefits young people substantially and provides significant savings to the healthcare system.

Kenneth Thorpe is professor of health policy at Emory University and chairman of the Partnership to Fight Chronic Disease.