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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]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. [/quote]

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. [/quote]

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” [/quote]

Plus one thousand million[/quote]

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

Thank you. I just requested it from the library. [/quote]

I think Ellyn Sattler gives out terrible advice for kids who have a tendency to gain weight in families that have obesity.

You have to restrict food if you want your child to be a normal weight and the sooner you do it the better. You can’t leave it up to your child to listen to their hunger cues because it’s messed up. Knowing both my DH and I have obesity on both sides and we both struggle with weight when our kids were little we never allowed extra servings of food. We ordered pizza but as a preschooler you just get one slice.[b] If you are still hungry we had our kids go do something else or took them to walk the dogs. [/b]

If your child is obese eating the food you posted then it comes down to portion size. Don’t listen to Sattler, she just believes some kids are going to be fat. That kids can eat unlimited amounts of food you present to them for dinner if they are eating a balanced diet. Every year you prevent your kid from being overweight /obese is a win. I realize at least one of my kids will be overweight/obese eventually but I am trying to do all I can to prevent it.

So serve smaller portions then go do something else. Many kids aren’t even that hungry for breakfast. Start cutting back breakfast proportions. On the weekends we moved back the time we eat breakfast until 10 or 11 am so then we eat an early dinner. That means one meal less and we eat airpopped popcorn while watching a movie or go out for one scoop of ice cream at night. That is way less calories than a whole meal. [/quote]

Restricting food absolutely leads to binging and ignoring hunger cues and a future of yo-yo dieting and food issues. The key thing with Satter's approach is that you decide what is served for meals and when they happen. The child chooses how much but that doesn't mean it has to be totally unlimited. It's OK that there may be limited amounts of some things, e.g. I only made x amount of macaroni and cheese or one piece of chicken per person and everyone has to share what's available. If you are still hungry there are other things on the table to eat. So if dinner is pizza, it's going to be served with salad and fruit. Still hungry after your slice, you have other things to eat. Nobody should be getting told that going around hungry should be the normal course of life.[/quote]

Thank you. It is just crazy to tell a hungry kid to go take a walk.

And yea, common misunderstanding that Satter encourages eating unlimited food. Actually she gets criticism from some for the fact that the recommends restricting desserts to one serving!

Pizza is a good example. Serve it with stuff they really like - for my kids that would be grapes/strawberries, carrots, olives, maybe even a cookie. I actually let them have as much pizza as they want. But that may vary for some people.[/quote]

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