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25 In medical research, on the political agenda and in the media debate, overweight and obesity have attracted increasing attention in the last decades (Sandberg 2004; Monaghan 2008; G. Nilsson 2011); this attention has constituted a discourse of obesity seen as a global epidemic (cf. WHO 1998; Lissner et al. 2000; Moyers, Bugle & Jackson 2005). The rise of awareness has in particularly been applied to children (Flodmark, Lissau & Pietrobelli 2005; Reilly 2007). Altogether, the different inputs in the matter have reinforced a consensus in understanding overweight and obesity as a serious public health problem (Carlsson 2007; Nylander 2010; Skott 2013). This is not least due to the fact that it is considered one of the most unequally distributed health problems (Karnehed 2008; Singh, Siahpush & Kogan 2010; Sjöberg et al. 2011; Socialstyrelsen [The National Board of Health and Welfare] 2011b). There is a recurrent notion, apparent in both medical research (Lissner et al. 2000; Rasmussen et al. 2004; Magnusson 2011) and more generally (Sandberg 2004; Nilsson 2008) that overweight and obesity can be linked to socioeconomic vulnerability, more specifically that it can be explained in terms of social class and ethnicity. As a result, strategies and policies have been formulated on all political levels (internationally, nationally, locally), in order to deal with the problem and to try to attain better levels of health equity (cf. CSDH 2008; Socialstyrelsen 2011a; Stigendal & Östergren 2013). By extension, different professional groups Overweight and obesity among children has gained increased attention as one of the most unequally distributed health problems. This article draws on interviews with school nurses, who in their daily work handle this problem. Their responses articulate a discrepancy between the general view on overweight and obesity as a “disaster” for the afflicted children and the practice of turning “a blind eye” to specific cases. The aim is to examine how the school nurses in their dealing with the problem handle this discrepancy and make it logical. It is argued that a distinction between “legitimate” and “illegitimate” is apparent in the school nurses’ understanding of overweight and obesity. This distinction depends on how they, in moral terms, categorize foods and habits, children and parents.

A LEGITIMATE OR AN ILLEGITIMATE PROBLEM? How School Nurses Establish a Logic of Distinctions among Children who are Overweight or Suffer from Obesity