Obese BMI

[Anonymous]

Doctors really aren’t going to help you with this. You should stop expecting them to have a solution.

[Anonymous]

I want to like Ellyn Satter, but I think the idea that children sneak and overeat sugary/caloric foods if you don’t regularly serve them as part of healthy meals is BULLLLLLLLLL. BULL. SO MUCH BULL.

Picture a small hill. This is the contribution of making something “forbidden.”

Picture Mount Everest. This is the contribution of the foods being highly palatable and the body being biologically wired to want them.

[Anonymous]

Anonymous wrote:OP. An average day would be:

Breakfast: smoothie (fruit, yogurt, milk, no added sugar), eggs, or overnight oats with peanut butter and half teaspoon of maple syrup
Lunch: whole wheat pasta with mushrooms, garlic, olive oil, and Parmesan or fish with a side of vegetables
Dinner: Tuscan bean soup with a sprinkle of Parmesan or homemade chili with guac and a sprinkle of cheddar

Snacks are almost always fruit or vegetables.

Oats, whole wheat pasta and fruit are all sugar. No matter what you call it, sugar is still sugar.

Have you at least tested her blood sugar level?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is her body size and shape drastically different from everyone in your family? Some people put on weight as adults through lifestyle factors and hormonal changes, but other people are just born into bigger bodies and will always be larger than other people.

The fact that she is also 97% for height implies she has a large frame. Even for heavier kids, isn’t the goal to keep them roughly on their growth curve? If her weight % keeps increasing relative to her height, that would seem more concerning than her height and weight increasing in the same proportion as her prior growth.

Height and weight have both moved higher than the curve recently to 98th and 99th. DH's family has weight and diabetes struggles and she basically looks like him in a wig.

This is your answer. What did he look like as a kid? Does he have sisters? The question is not “how do I turn my child born into a larger than average body into an average size or slim child?” Your question to the Dr or a dietitian should be “how do I help my child grow into a healthy adult who doesn’t yo yo diet or have an eating disorder”

His sister is obese which is one reason I'm worried. I'm very concerned about eating disorders which is why I've only spoken to the doctor about it privately or by portal message and make sure not to demonize any foods.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP. An average day would be:

Breakfast: smoothie (fruit, yogurt, milk, no added sugar), eggs, or overnight oats with peanut butter and half teaspoon of maple syrup
Lunch: whole wheat pasta with mushrooms, garlic, olive oil, and Parmesan or fish with a side of vegetables
Dinner: Tuscan bean soup with a sprinkle of Parmesan or homemade chili with guac and a sprinkle of cheddar

Snacks are almost always fruit or vegetables.

I feel like she’s gotta be eating other crap somewhere else then… school? Camp? Friends houses? What you’re describing doesn’t add up to the weight she is.

At church coffee hour and after soccer she's sometimes given unhealthy snacks (why are people handing out doughnuts at soccer???) but I don't think it would make this big of a difference. Her best friend's mom serves cheese and fruit as snacks during playdates.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is her body size and shape drastically different from everyone in your family? Some people put on weight as adults through lifestyle factors and hormonal changes, but other people are just born into bigger bodies and will always be larger than other people.

The fact that she is also 97% for height implies she has a large frame. Even for heavier kids, isn’t the goal to keep them roughly on their growth curve? If her weight % keeps increasing relative to her height, that would seem more concerning than her height and weight increasing in the same proportion as her prior growth.

Height and weight have both moved higher than the curve recently to 98th and 99th. DH's family has weight and diabetes struggles and she basically looks like him in a wig.

This is your answer. What did he look like as a kid? Does he have sisters? The question is not “how do I turn my child born into a larger than average body into an average size or slim child?” Your question to the Dr or a dietitian should be “how do I help my child grow into a healthy adult who doesn’t yo yo diet or have an eating disorder”

Plus one thousand million

Ditto. I recommend reading Ellyn Satter's book "Your Child's Weight: Helping Without Harming" which directly addresses this.

Thank you. I just requested it from the library.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP. An average day would be:

Breakfast: smoothie (fruit, yogurt, milk, no added sugar), eggs, or overnight oats with peanut butter and half teaspoon of maple syrup
Lunch: whole wheat pasta with mushrooms, garlic, olive oil, and Parmesan or fish with a side of vegetables
Dinner: Tuscan bean soup with a sprinkle of Parmesan or homemade chili with guac and a sprinkle of cheddar

Snacks are almost always fruit or vegetables.

Oats, whole wheat pasta and fruit are all sugar. No matter what you call it, sugar is still sugar.

Have you at least tested her blood sugar level?

It's not appropriate to put a young child on a zero carb diet. This is not a lot of sugar.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP. An average day would be:

Breakfast: smoothie (fruit, yogurt, milk, no added sugar), eggs, or overnight oats with peanut butter and half teaspoon of maple syrup
Lunch: whole wheat pasta with mushrooms, garlic, olive oil, and Parmesan or fish with a side of vegetables
Dinner: Tuscan bean soup with a sprinkle of Parmesan or homemade chili with guac and a sprinkle of cheddar

Snacks are almost always fruit or vegetables.

Oats, whole wheat pasta and fruit are all sugar. No matter what you call it, sugar is still sugar.

Have you at least tested her blood sugar level?

WTAF. The meal plan OP listed sounds fabulous. Assuming portion sizes are appropriate and she is not getting a lot of junk elsewhere, there is no reason to worry about a healthy, active child who is eating that on a regular basis.

[Anonymous]

^ But OP, if you haven’t already, check her thyroid levels

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Is her body size and shape drastically different from everyone in your family? Some people put on weight as adults through lifestyle factors and hormonal changes, but other people are just born into bigger bodies and will always be larger than other people.

The fact that she is also 97% for height implies she has a large frame. Even for heavier kids, isn’t the goal to keep them roughly on their growth curve? If her weight % keeps increasing relative to her height, that would seem more concerning than her height and weight increasing in the same proportion as her prior growth.

Height and weight have both moved higher than the curve recently to 98th and 99th. DH's family has weight and diabetes struggles and she basically looks like him in a wig.

This is your answer. What did he look like as a kid? Does he have sisters? The question is not “how do I turn my child born into a larger than average body into an average size or slim child?” Your question to the Dr or a dietitian should be “how do I help my child grow into a healthy adult who doesn’t yo yo diet or have an eating disorder”

This exactly. I have a similar-ish DD. 53.5” at 7.5 years, though “only” 74 pounds. So right on the line between normal and overweight, not obese. DH’s family are big and tall Scandinavian folks, and DD will always have the body she was born into. My goal is to get her through puberty with a healthy body and body image, even if she stays bigger than all of her peers. Keep focusing on developing a love for healthy foods, don’t make treats forbidden, and keep her active. If she continues climbing on the growth curves for more than one or two checks, then it may be actual weight gain and not a growth spurt. But don’t teach her to fight her body. It’s impossible and a sure fire way to cause body image issues.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP. An average day would be:

Breakfast: smoothie (fruit, yogurt, milk, no added sugar), eggs, or overnight oats with peanut butter and half teaspoon of maple syrup
Lunch: whole wheat pasta with mushrooms, garlic, olive oil, and Parmesan or fish with a side of vegetables
Dinner: Tuscan bean soup with a sprinkle of Parmesan or homemade chili with guac and a sprinkle of cheddar

Snacks are almost always fruit or vegetables.

I feel like she’s gotta be eating other crap somewhere else then… school? Camp? Friends houses? What you’re describing doesn’t add up to the weight she is.

You can’t say that without portion sizes.

[Anonymous]

Gosh you folks have really swallowed the healthy at any size bs. Yes, some people have larger frames and are built sturdier, but no one is “naturally” obese.

As for OP, it sounds like she is eating a healthy diet and is active. I wouldn’t do anything right now except keep up the good work.

[Anonymous]

Anonymous wrote:Her BMI is not obese.

It is actually.

[Anonymous]

Anonymous wrote:OP. An average day would be:

Breakfast: smoothie (fruit, yogurt, milk, no added sugar), eggs, or overnight oats with peanut butter and half teaspoon of maple syrup
Lunch: whole wheat pasta with mushrooms, garlic, olive oil, and Parmesan or fish with a side of vegetables
Dinner: Tuscan bean soup with a sprinkle of Parmesan or homemade chili with guac and a sprinkle of cheddar

Snacks are almost always fruit or vegetables.

What about other days?

[Anonymous]

There was a post on here awhile back that stuck with me about a parent with an overweight pre-pubescent child. And the doctor’s advice that actually worked was serve a fruit and a vegetable at every meal and for snacks, and ensure the child gets 60-90 minutes of medium intensity physical activity every day. Long walks/hikes, stuff like going to the playground or the trampoline park if they are running around the whole time. Not all kids organized sports/activities get them moving around as much as needed. After a few months of following this, the kid started to get into a healthier weight range.