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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To bin this letter and not ring them about DS?

200 replies

Oddthomas · 15/04/2014 13:10

Got a letter about 4yo DS today. He was weighed and measured last month at school (yes, it's one of those threads). The letter says he is overweight :( It lists the dangers of being overweight with the line "you are putting your child at risk of..." and finishes with the sentence "to obtain support on what to feed your child please contact..." and the phone number for the nurse who visited the school. Also enclosed was a change 4 life leaflet.

I sat and I read the leaflet and there is nothing in there that we don't already do. He gets at least five portions of fruit and veg a day. He has at least 60 minutes of exercise (usually more as school alone is a 20-30 minute walk each way and he's always in the garden on his trampoline or scooter, rain or shine). He doesn't have fizzy drinks (despite his best efforts to persuade me that all of his friends do) and I don't keep sweets in the house, gets them now and then as a treat, generally when we visit grandparents.

He's always been on the high end of the charts, 95th percentile at birth and stayed there right through his baby and toddlerhood. He's a solid little thing but when he's got his top off I can see ribs and the knobs of his spine, he doesn't have any rolls, has just the one chin, and he's in the appropriate clothing sizes (a mix of 3-4 and 4-5).

Yesterday he ate:

  • breakfast: blueberry wheats (like shredded wheat with blueberry filling) in one of the kids bowls with semi-skimmed milk. A banana.
  • lunch: cheese and tomato sandwich (one slice of bread, folded over and then cut in two), sliced apple, sliced red and yellow pepper. A seafood stick. Three pieces of tuna and vegetable sushi.
  • dinner: chicken and mushroom tagliatelle with broccoli and sweetcorn in a homemade garlic cream sauce (garlic, herbs, low fat creme fraiche).
Drinks: glass of milk with lunch, the rest of the day either plain water or very weak sugar free squash. He has a drinks bottle that we top up as needed so he always has a drink available. We went to the park in the morning, walked there and back, and to a softplay after dinner.

Today, so far, he has had marmite on toast (two slices from one of those mini-sized 400g loaves), a satsuma, an apple and tuna pinwheels for lunch (tuna in a flour tortilla with mixed leaves, rolled up and sliced). Dinner tonight is going to be Spag Bol, lean steak mince with homemade sauce and hidden veg. We're about to head to the adventure playground for the afternoon.

This is all pretty typical fare. At school he has school dinners. Typical menus include pizza and wedges with carrot sticks followed by cake and custard or breaded chicken pieces (nuggets then?) with potatoes and seasonal vegetables followed by cake and custard. I'm now considering putting him on packed lunch instead!

He seems healthy enough to me, I'm not filling him full of shit and he never sits still and I mean never, he's a fidgeter. My siblings and I were all solid children, when I compared DS to photos of me and my siblings at the same age we all have a similar build, and we all stretched out around about when puberty hit.

AIBU to just bin this letter? Or should I be paying attention to their chart rather than the child in front of me?

OP posts:
MigGril · 15/04/2014 14:54

Are you giving a meal at night at well as school dinners?

As this would do it even with no snacks between meals two main meals a day would be to much. Especially with school puddings to.
I'd also be getting a second opinion from the GP just to be sure. But then Dh family have problem with weight so I would never just dismiss something like this.

Davsmum · 15/04/2014 15:03

When did having children become so complicated?
Its like parenthood now is filled with obsession and paranoia?

Monitoring, charting, measuring,...Its madness.

I think it reflects the excess of everything we have today. Buying unnecessary junk food and snacks and losing sight of the fact that children just need a balanced diet and exercise.
Its US that makes it complicated. It doesn't have to be.

YouAreMyFavouriteWasteOfTime · 15/04/2014 15:16

OP My siblings and I were all solid children, when I compared DS to photos of me and my siblings at the same age we all have a similar build, and we all stretched out around about when puberty hit.

fair enough but this is unusual - most people are fatter than their parents and it will effect their health and life expectancy.

WorraLiberty · 15/04/2014 15:30

What does solid actually mean?

ifyourehoppyandyouknowit · 15/04/2014 15:32

I don't know. Toddler DS is fairly sturdy looking I guess, he has chubby legs, but you can see his ribs and his face is quite slim looking. I'd describe him as solid though because he feels like he is made of lead when you pick him up.

ShatnersBassoon · 15/04/2014 15:32

I think it's a polite way of saying chubby, or overweight.

Oddthomas · 15/04/2014 15:42

I mean solid as in not soft, he's not squidgy or (and I hate this word in relation to a child) flabby.

OP posts:
WorraLiberty · 15/04/2014 16:03

Why do the hate the word in relation to a child if the child is in fact flabby?

I see what you mean by solid. Some people call it 'thick set', but either way the person is toned rather than having wobbly bits.

WorraLiberty · 15/04/2014 16:03

the = you

RunnerBeen · 15/04/2014 16:04

Your son eats a similar diet to my 4yo. I would ignore the letter, or at least get a second opinion from your GP or health visitor if you are genuinely worried.

if you know you're not feeding him crap, he is having plenty of excercise and has no flab etc. I find it hard to believe he is overweight.

DoJo · 15/04/2014 16:04

If you don't have any concerns about his diet or activity levels, then surely the thing to do is take him to your GP to check that there is nothing else which could be affecting his weight.

Someone I know put on a LOT of weight when she developed lactose intolerance, for example, and another friend identified her daughter's thyroid problems when her weight and height weren't matching up. I wouldn't ignore it as this could be your opportunity to either set your mind at ease or possibly catch a problem early and avoid it getting worse.

ImAThrillseekerBunny · 15/04/2014 16:11

It is unfortunately entirely possible to be overweight on an apparently healthy balanced diet if the portion control is wrong. It's especially possible for young children who you would normally feed more fat and less fibre than is required for a balanced adult diet.

arethereanyleftatall · 15/04/2014 16:17

The irony is that it seems like the only unhealthy food he's getting is his school.dinners!
If you're absolutely sure that's all he eats, and you would know! , then he has a fantastic diet and I wouldn't worry.

DIYapprentice · 15/04/2014 16:46

How much overweight is he by percentages? DS1 was about 4% overweight when I checked the charts, and I automatically got one of those letters, too. They don't seem to have a normal band, as soon as they're over the midpoint, you get a letter.

Did anyone get a letter saying their DC were underweight?

SuburbanRhonda · 15/04/2014 17:04

But oly4, why would the OP be making a big deal about her child's weight just by taking him to the GP? He can't read the letter and he probably has no idea what being overweight means Hmm

Oddthomas · 15/04/2014 17:05

It says that anything over the 91st percentile suggests the child is overweight. That's their word. Suggests.

We've gotten home from the park and I got him to hop on the scales (this is now his new game and he's enthusiastically hopping on and off while holding different items to check the difference it makes). I've got him at 106cm and spot on 20kg which is 93rd percentile. They've got him at 104cm and 20.6kg which is 98th percentile.

Think I might speak to our GP. Should be interesting, he hates the percentile charts :o

OP posts:
SuburbanRhonda · 15/04/2014 17:12

Bathroom scales are generally not as accurate as the ones the health professionals use, though OP.

I can understand you wondering why you've got this letter when you feel your DS is a perfect weight and you can see his ribs and vertebrae. But if he is a normal weight, what possible harm can it do to get a second opinion?

TeacupDrama · 15/04/2014 17:14

go to NHS child BMI calculator as it will adjust weight for height

also you get the same letter however much the weigh difference could be as little as 250g

however unless a child is over the 75th centile a weight on 98 centile is probably overweight not necessarily obese

HolidayCriminal · 15/04/2014 17:40

If you're in no doubt then just bin the letter, OP.
If you are in doubt, then a chat to GP would be a nice reassurance.

FWIW I ignored my letter for opposite reasons; they said DS was a healthy enough weight when he was obviously plump to my eyes. I reduced portion size slightly, reduced fat in his diet slightly, got him slightly more active.

Oly4 · 15/04/2014 17:57

Suburban, I'm just saying how these things can start and how it can affect your child in the long run even if parents think they're doing the 'right thing'. In this case I agree that if the OP wants to visit her GP it won't do any harm but I don't think anyone should underestimate how quickly children pick up that something is 'wrong'. Putting your child on and off the scales, taking them to doctors, discussing it with family/OH when you think they're not
Listening but they are... It can be very damaging. If anyone thinks their child is overweight, it's easy to do something about it without them really noticing. Extra bike rides/more swimming/smaller portions....

sunshinemmum · 15/04/2014 18:04

This reply has been deleted

Message withdrawn at poster's request.

firesidechat · 15/04/2014 18:37

Anyone with common sense can see by looking whether a child is overweight or not.

I don't think that's necessarily true though. I was listening to an expert on the radio saying that school class photos from a few decades ago show that generally children were noticeably slimmer than they are today. I think our idea of what constitutes fat has been skewed over the years. Our "normal" is bigger than it's ever been.

I say all this as a fat person.

addictedtosugar · 15/04/2014 18:40

Oddthomas,

I've just stuck my 4 yr old (OK, very nearly 5 yr old) on the scales and against the wall chart.
Hes also 106cm tall, but only weighs 17kg. That puts him around 35% on the bmi charts. Sounds like your son might be either very muscular, or possibly tending to overweight. But is he about to shoot up? Might it be worth re measuring in 3 months time, and if the answer is similar, seeing the GP?

But on the food amounts - he'd eat all of the above, plus fruit / yoghurt after one meal, a second breakfast (so say slice of toast at 6.30, and a bowl of cereal / porridge at 9), and probably fit in a snack after school. How big are the portion sizes compared to his fist?

MoominsAreScary · 15/04/2014 19:25

Mine have all been what id discribe as solid toddlers, the older two shot up at about 8 or 9 and are not over weight, ds1 is 19 6 foot 4 and really broad. I think its just they way they are built. Ds3 whos just turned 3 has size 11 nearly 12 feet and huge hands.

quietbatperson · 15/04/2014 19:26

This reply has been deleted

Message withdrawn at poster's request.