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Logo of bmjThis ArticleThe BMJ
BMJ. 2008 January 5; 336(7634): 7.
PMCID: PMC2174782

Stop all further research—and act

Nicole S Lavery, community adviser

How many studies into obesity does it take to build one cycle path for children to get to school on? I believe we have now reached saturation point as to how many studies and articles it takes to convince us that we are too fat as a nation.1 2 What good does it do to advise people that they need to walk/cycle/swim when the infrastructure is doing its best to prevent exactly this?

Given all the suggested health assessments, dietitians’ advice, government guidelines, and supermarket labels, there is something missing: action to force planners, developers, councils, and local authorities to end totally unsustainable, fat making practices. These practices include building roads without cycle lanes (or trying to get away with painting a thin white line on a 70 mph road and declaring it a cycle path) and putting up a nice little “walk to health” road sign along a traffic jammed road heavy with exhaust fumes.

Councils have “cycle to work days”—knowing that the best that cyclists can hope for on most roads is that they have a decent, soft ditch to fall into. The worst is to run out of cycle path and find yourself between a bus lane and two lanes of heavy traffic.

More examples of fat making practices are building schools that are impossible to get on foot or by bike. Also, swimming is regarded as one of the healthiest exercises, but the availability, accessibility, and opening hours of public pools in the UK is generally pathetic compared with those in European countries.

I suggest that all research stops now, all advice stops now, and all infuriatingly patronising labelling stops now. The money must now be spent on buying land from private owners, farmers, developers—and on building cycle paths. The only way we will be able to tie our laces in the future and not need cardiopulmonary resuscitation at the age of 35 is to demand and build a functioning, cyclist and pedestrian centred, integrated, reliable public transport network. Having witnessed the government’s transport policies in the last decades, I would say: fat chance.


Competing interests: None declared.


1. Westley H. Thin living. BMJ 2007;335:1236-7. (15 December.) [PMC free article] [PubMed]
2. Watson R. Steps to a leaner Europe. BMJ 2007;335:1238 (15 December.) [PMC free article] [PubMed]

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