Is my child overweight?

Children grow at different rates at different times, so it is not always easy to tell if a child is overweight. If you think that your child is overweight, talk to your health care provider. He or she can tell you if your child’s weight and height are in a healthy range.

How can I help my overweight child?

Involve the whole family in building healthy eating and physical activity habits. This benefits everyone and does not single out the child who is overweight.

Do not put your child on a weight-loss diet unless your health care provider tells you to. If children do not eat enough, they may not grow and learn as well as they should.

Be Supportive

• Tell your child that he or she is loved, special, and important. Children’s feelings about themselves are often based on how they think their parents feel about them.
• Accept your child at any weight. Children are more likely to accept and feel good about themselves when their parents accept them.
• Listen to your child’s concerns about his or her weight. Overweight children probably know better than anyone else that they have a weight problem. They need support, understanding, and encouragement from parents.

Encourage Healthy Eating Habits

• Buy and serve more fruits and vegetables (fresh, frozen, canned, or dried). Let your child choose them at the store.
• Buy fewer soft drinks and high-fat or high-calorie snack foods like chips, cookies, and candy. These snacks may be OK once in a while, but always keep healthy snack foods on hand. Offer the healthy snacks more often at snack times.
• Make sure your child eats breakfast every day. Breakfast may provide your child with the energy he or she needs to listen and learn in school. Skipping breakfast can leave your child hungry, tired, and looking for less healthy foods later in the day.
  
• Eat fast food less often. When you do visit a fast food restaurant, encourage your family to choose the healthier options, such as salads with low-fat dressing or small sandwiches without cheese or mayonnaise.
• Offer your child water or low-fat milk more often than fruit juice. Low-fat milk and milk products are important for your child’s development. One hundred percent fruit juice is a healthy choice but is high in calories.
• Limit the amount of saturated and trans fats in your family’s diet. Instead, obtain most of your fats from sources such as fish, vegetable oils, nuts, and seeds.
• Plan healthy meals and eat together as a family. Eating together at meal times helps children learn to enjoy a variety of foods.
• Do not get discouraged if your child will not eat a new food the first time it is served. Some kids will need to have a new food served to them 10 times or more before they will eat it.
• Try not to use food as a reward when encouraging kids to eat. Promising dessert to a child for eating vegetables, for example, sends the message that vegetables are less valuable than dessert. Kids learn to dislike foods they think are less valuable.
• Start with small servings and let your child ask for more if he or she is still hungry. It is up to you to provide your child with healthy meals and snacks, but your child should be allowed to choose how much food he or she will eat.
• Be aware that some high-fat or high-sugar foods and beverages may be strongly marketed to kids. Usually these products are associated with cartoon characters, offer free toys, and come in bright packages. Talk with your child about the importance of fruits, vegetables, whole grains, and other healthy foods—even if these foods are not often advertised on TV or in stores.

Find More Help

Your Health Care Provider

Ask your health care provider for brochures, booklets, or other information about healthy eating, physical activity, and weight control. He or she may be able to refer you to other health care professionals who work with overweight children, such as registered dietitians, psychologists, and exercise physiologists.

Weight-control Program

You may want to think about a treatment program if:

• You have changed your family’s eating and physical activity habits and your child has not reached a healthy weight.
• Your health care provider has told you that your child’s health or emotional well-being is at risk because of his or her weight.

The overall goal of a treatment program should be to help your whole family adopt healthy eating and physical activity habits that you can keep up for the rest of your lives. Here are some other things a weight-control program should do:

• Include a variety of health care professionals on staff, including doctors, registered dietitians, psychiatrists or psychologists, and exercise physiologists.
• Evaluate your child’s weight, growth, and health before enrolling him or her in the program. The program should also monitor these factors while your child is enrolled.
• Adapt to the specific age and abilities of your child. Programs for 4-year-olds should be different from those for 12-year-olds.
• Help your family keep up healthy eating and physical activity behaviors after the program ends.

Source: Weight-control Information Network