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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I have a 12 year old girl with a BMI in the 97th percentile, her pediatrician wants me to put her on a more restrictive diet and help her lose 20 pounds. I am hesitant because I worry it will cause body image issues, I also think she is otherwise very healthy. She is a 3 sport athlete with big muscles, she can lift and squat more than I can and has a fast one mile run time. She also just got her period for the first time and it seems like her body is already going through enough changes. What would you do here?[/quote]

I mean… can’t you just do this stealthily and not tell her?  A slow and steady approach that she might not even notice?  Why would it give her body image issues if you don’t even mention anything has changed?

Despite what everyone says I would imagine that if the pediatrician thinks it’s a big deal you might want to actually take it seriously. [/quote]

The girl is 12 not 5, she'll definitely notice. Op I was a swimmer and water polo player during highschool and lifted a lot. I was on the heavier side but was also really muscular. In high school at 5'7" I got up to 160-165. Once I graduated and was not starving all the time due to the heavy lifting and all the cardio, I dropped down to 145 which is where I've stayed. Obviously focus on healthy eating, but try not to make a huge deal out of diet and weight unless it really is medically warranted. My mom was constantly making comments about my weight and what I was eating and I didn't have a healthy relationship with food until I was living on my own. In my case, feeling like someone was monitoring everything I ate only made me eat more. [/quote]

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