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Daughter now classed as overweight in 97th percentile.

(32 Posts)
trumphy Fri 09-Nov-12 21:48:37

Dear all, I am feeling absolutely wretched. I have become increasingly concerned over my daughters weight gain over the last 6 months. According to the NHS BMI calculator she is now in the severely overweight bracket. I have been to the Drs and she is referring me to the hospital paediatrician for blood tests etc. My daughter has also been constipated since birth and has always had a very swollen tummy, so I think this also has an impact on her weight. We are a very health conscious family. I don't buy junk food and cook meals at home, we exercise regularly. My other daughter does not have this problem and my husband and I are not overweight. I am wondering if something else is affecting her. Possibly a thyroid problem. I feel so helpless. We are taught that if we eat healthily and exericse we will be a healthy weight, but she continues to get bigger. Not sure what I want from everyone on here but I feel so worried and distraught. No one else I can talk to. Has anyone else had a problem with this? Possibly with chronic constipation and weight gain?

Inmyopinion1 Sun 11-Nov-12 05:11:11

Pictures of children with congenital hypothyroidism (or what used to be called cretinism) are likely unhelpful here. All children are screened for hypothyroidism, albeit by TSH only (the stimulating hormone as opposed to the actual thyroid hormones), and there is a very effective national programme for this. If she is doing well in school and keeping up with her peers I wouldn't be concerned about the congenital form. Later onset thyroid disease isn't typically seen at that age.

Whilst there are conditions that lead to children being large they are invariably linked with over eating (the condition makes the child "hyperphagic") or the child has limited exercise. Whilst some people are constitutionally larger than others, this is often exacerbated by those families also eating more and giving their children larger portion sizes than required.

I'm afraid that ultimately weight gain is caused too much energy in and not enough expended and ultimately that's what will need to be changed.

ArthurPewty Sun 11-Nov-12 08:21:21

If you think that screening for congenital hypothyroidism will solve all cases just by testing TSH, you're mistaken.

ArthurPewty Sun 11-Nov-12 08:22:14

" Later onset thyroid disease isn't typically seen at that age."

Doesnt mean it is impossible. Means it ought to be effectively and thoroughly ruled out (with FT3 and FT4) before moving on to other causes.

Inmyopinion1 Sun 11-Nov-12 22:44:06

I don't think that screening with TsH only will uncover all cases which is why I took pains to point out that that is all that is looked for (on the newborn screening program). However, outside of pituitary problems it tends to be very effective and many hospital labs will only run TSH when asked to do a thyroid profile. Demanding free T3 and T4 from the GP will likely not be well received.

ArthurPewty Mon 12-Nov-12 17:01:37

I am a central/pit case and it took years to get past the TSH to diagnose my problem...

FT4 and TH are run here when a GP ticks TFTs on the bloods form. FT3 is usually only when ? hyperthyroidism, or patient on meds already. I have the nurse write "patient on T3" on mine so FT3 gets done every time.

trumphy Thu 15-Nov-12 18:34:56

Thank you everyone. We have an appointment in Jan so fingers crossed we will get somewhere with it.

Lillyaan Fri 16-Nov-12 00:09:45

Just to put your mind at rest because you are not alone. This very same issue is being voiced by many parents across the UK and causing some distress due to misunderstanding/ lack of information.
EG. Due to pressure on the Public Health Department to address the growing obesity problem in the UK, the implementation of the programme went ahead without public information /advertisment to explain it.
The NHS utilising the BMI chart from (World Health Organisation) selected the 97th percentile simply as the CUT OFF POINT.
Firstly one needs to consider the childs Birth centile. Was she (above 50th? near the 97th? or thereabouts? in addition to family genetics (tall/small) & medical history.
The following example is how one should read the chart.
3% of children will be below the 3rd centile and 3% above the 97th.
15% will be below the 15th centile and 15% above the 85th.
50% will be below the 50th centile and 50% above the 50%. = Read as 50% of the normal population will be below this line and 50% above it.

If a childs weight is 'OFF THE CHART' (ABOVE 97th centile) it is wise to have this checked but in many cases all is well. Also consider the 'confidence' long term effects on a child where lots of tests may emphasise or highlight a 'weight' problem.
Not entirely sure about your worry re- Thyroid problem as there are other very obvious factors you would have noticed and you have not mentioned.

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