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Nearly obese 7 year old - what else can I do?

131 replies

Shmanmonet · 02/05/2022 15:08

My DD is 7, nearly 8. She's 127cm and 33kg. This puts her on about the 95% percentile for her BMI, verging on obese.

I struggle to find the best way to approach this with her and to balance ensuring she eats healthily and exercises with not driving her crazy and making this into an 'issue'. I always think 'Will she thank me for this when she's older?'. Obviously she won't thank me for not trying to control her weight gain but similarly she won't thank me if I make her miserable about this!

We eat healthily at home and we're relatively active. The differences I see between her and her peers and her normal weight sibling is that:
a) She loves to eat, she doesn't seem to have an 'off' button and stop when she is naturally full, she will always notice if a meal is late, she'll talk about food a lot and she hardly ever refuses food
b) She's not naturally very physically active. She's just not that kid who runs around and it's a struggle to get her to be physical. She's not the kid racing around the playground playing footie at breaktime.
I think she really gained weight around one when she was just not moving. She only crawled at about 15 months and walked at about 18 months. Since then she's kind of tracked the same BMI percentile. I thought it might even out but it clearly hasn't and I'm increasingly worried. i did take her to the GP once when she was about 4 who just laughed basically and said she looks fine!!

My strategy with her is:
a) Fill her up with veggies and restrict carbs. I try to give her appropriate kid-sized meals and if she wants more, she has to have finsihed the protein and veggies and then only a little more of the carbs. Thankfully she's not fussy and more or less eats where we give her. I have sometimes told her no, that she's had enough. i don't know if this is right or wrong in terms of strategy. Should I be restricting more? Would that backfire? I don't want to be controlling, it doesn't feel right, but am I letting DD down by not doing more?
b) Restricting junk food at home. Is this right? Will this just make it mroe attractive elsewhere? Sometimes if we want something junky, i'll make it at home where i can control sugar, fats and portion size e.g. homemade healhier cakes, homemade popcorn for movie night, frozen banana icecream (whizzed up frozen bananas - she loves it and thinks it's a real treat like real icecream). But is even that too much if she's still obese? And what to do when we're out or with friends? Like today we were out at soft play with a friend, I bring water, an apple and a cheese stick for a snack for both of them. But then friend's mum arrives and allows friend to buy a pack of cookies. Friend of course offers my DD and they share. In this case, stepping in and not allowing would be far more harmful to DD (I think) but at the same time not helping DD's weight.
c) Fun physical activity as much as possible. We do try to get this in. I know she'd probabyl prefer to do activities that were not physically active (drama, art, robotics) or to just hang out at home but we do push her a bit to get out. She does Taekwondo 3 times a week and she does come out quite hot and sweaty so she works hard - thankfully we've found something she enjoys there as I think she likes the structure and having to think quite a bit as she's quite smart and has a good memory. She also does basketball once a week as an activity at school (which she enjoys because her friends do it too) and swimming once a week (enjoys less but swimming is an important skill). Then she has PE twice a week at school. At home, we try to get her out for at least an hour playing ping pong, badminton, cycling, walking the dog or roller blading. Again, she won't take herself out to play - she prefers to be at home playing with lego or reading a book - so we have to initiate and encourage it. I think she already does quite a lot of formal activities so probably not much more to do. But how much to force this if she doesn't want to be active? If she'd prefer to be inside? We aren't at the point of tears but definitely a lot of cajoling and encouragement is needed!

I will say that she doesn't stand out as a fat kid (but completely aware that's because the population overall has grown fatter compared with the reference population) and she does have decent physcial fitness. But I know her BMI and that she is very close to being obese, not just a little overweight, and I see her compared with her friends that she does have more of a tummy than they do.

Apologies for the long post but what else can I do to help DD? Where am I going wrong? And how do I address this issue without fucking her up (to put it bluntly)! I feel like I'm in a minefield here and I just want to get it right for her

OP posts:
Dancingmoonlight · 02/05/2022 15:38

This is the third my child is obese what do I do post today- think that’s a coincidence

Shmanmonet · 02/05/2022 16:19

What?

OP posts:
caringcarer · 02/05/2022 16:27

It sounds like you are a good Mum giving her veggies and not too many carbs. Also getting her doing sport. If she likes Tai kwando would she like karate too. She could work her way up the belts, so quite motivating for them to continue. All I would add is don't ever buy crisps, biscuits etc then when she wants a snack she will have to choose a healthy one. Also if she asks for more food after a meal offer more veg or protein but never carbs. Unfortunately she sounds like she will have to watch her diet as she grows up. Probably slower metabolism. You could ask her GP to get thyroid function checked.

Wutipo · 02/05/2022 16:28

Have you tried parkrun? Junior park run is good if you can get friends to come along too.
try to encourage swimming as much as possible it becomes more fun as they get older and are swimming rather than learning to swim. Sounds like you are doing a pretty good job really

Beetlewings · 02/05/2022 16:31

Can you walk to and from school? That sustained routine every morning and evening will help

Boating123 · 02/05/2022 16:31

I guess obesity is a common problem.

It sounds like she does quite a lot of exercise a already so I wouldn't try to increase that - unless you find she suddenly wants to do something else.

Does she eat mindlessly, I.e eat things while doing something else? If so, i would stop that. When she is eating she should be sitting, concentrating on eating - just a thought.

Wutipo · 02/05/2022 16:32

We found that specifying one bar a day is all that’s allowed for treats. So one that is eaten no more. One Kitkat for instance. So she knows she gets one treat but doesn’t keep going back for more.
also you could possibly use the “it’s bad for teeth” thing. So you don’t have her thinking you are restricting cos of weight? I found this helps a bit too

JurasicPerks · 02/05/2022 16:35

It sounds like you are going the right way with food types and excerise. So the only thing left to moderate is the amount served at each meal.

What does she drink? Can you cut calories from that?

FWIW, I understand kids shouldn't loose weight, just not gain weight so as their height increases, the centile comes down. I've just put my 11 (this month) year old on the scales. And he's 33kg. So you are looking at minimal weight gain for 2-3 years.

bakewellbride · 02/05/2022 16:38

Complex carbs are very important so please don't think about 'restricting carbs' for a growing child. Deffo no junk food at home. Speak to your GP.

Seeline · 02/05/2022 16:38

That sounds as though she is quite tall for her age? You would therefore expect her to be heavier than average. Are you sure she is nearly obese? Being 95 percentile isn't bad if she is in a similar percentile for her height - just means she is tall.

Mine always put on a bit of weight just before a growth spurt, so I wouldn't panic.

If you are really concerned I would go to the GP again, and if necessary get a referral to a proper dietician. I don't think you should be restricting carbs etc for a growing child without medical advice.

Shmanmonet · 02/05/2022 16:41

Wutipo · 02/05/2022 16:28

Have you tried parkrun? Junior park run is good if you can get friends to come along too.
try to encourage swimming as much as possible it becomes more fun as they get older and are swimming rather than learning to swim. Sounds like you are doing a pretty good job really

We're not in UK and don't have park runs here. I did put her in for a junior triathlon and we had some prep as well. It wasn't a lot: 25m swim, 1km bike and 400m run but it also felt manageable for her so she was happy to do it (and her friend did it too which helped). Must admit she didn't enjoy the actual physical activity (moaned after how much she hates running 🙄) but did enjoy the medal and achievement (we made a huge fuss of how well she did and how hard she tried) so hopefully she'll want to do it again!

OP posts:
Shmanmonet · 02/05/2022 16:45

Seeline · 02/05/2022 16:38

That sounds as though she is quite tall for her age? You would therefore expect her to be heavier than average. Are you sure she is nearly obese? Being 95 percentile isn't bad if she is in a similar percentile for her height - just means she is tall.

Mine always put on a bit of weight just before a growth spurt, so I wouldn't panic.

If you are really concerned I would go to the GP again, and if necessary get a referral to a proper dietician. I don't think you should be restricting carbs etc for a growing child without medical advice.

It's BMI that she's 95 percentile so that will account for height.
Not restricting carbs - she has carbs at nearly every meal - but it's the main one I keep an eye on.

I went to gp a few years ago about this and he just said she's fine and the standard advice.

OP posts:
GenerallyGreenerGrass · 02/05/2022 16:47

You're lucky that she will eat anything, so I would make meals that are heavy on protein and veg, with very little or no carbs.
No sugary drinks, biscuits, cakes etc.
Completely ban junk food from the house, instead of just cutting back.
Will she eat nuts? If so, give her a few almonds if she's hungry between meals or a cube of cheese or ham rolled with full fat soft cheese inside, hard boiled eggs, avocado slices and plain full fat yogurt with blueberries as a treat.
don't give her anything low fat, it's the sugar and hidden sugar that's the problem, not fats.
when you're out with friends I would relax these rules altogether.

Tigerteafor3 · 02/05/2022 16:47

How does her weight centile compare to her height? 95% on weight with 65%on height would be a problem but if she's tall too then it's less of an issue.

Pile on the veg at meal times and encourage fun movement without an exercise intent - a walk in the woods or to the shops etc.

Shmanmonet · 02/05/2022 16:53

caringcarer · 02/05/2022 16:27

It sounds like you are a good Mum giving her veggies and not too many carbs. Also getting her doing sport. If she likes Tai kwando would she like karate too. She could work her way up the belts, so quite motivating for them to continue. All I would add is don't ever buy crisps, biscuits etc then when she wants a snack she will have to choose a healthy one. Also if she asks for more food after a meal offer more veg or protein but never carbs. Unfortunately she sounds like she will have to watch her diet as she grows up. Probably slower metabolism. You could ask her GP to get thyroid function checked.

This is what we do basically foodwise
I don't think it's her metabolism or thyroid, I think she eats more than other kids and moves less.

OP posts:
Shmanmonet · 02/05/2022 16:56

bakewellbride · 02/05/2022 16:38

Complex carbs are very important so please don't think about 'restricting carbs' for a growing child. Deffo no junk food at home. Speak to your GP.

She has carbs with every meal. When I say restrict, I mean if she wants more after a kid's sized meal, she's then offered veggies and protein, not another serving of carbs (or if she really wants then only a small one). And definitely try to cut back on added sugar

OP posts:
BigHuff · 02/05/2022 16:58

GenerallyGreenerGrass · 02/05/2022 16:47

You're lucky that she will eat anything, so I would make meals that are heavy on protein and veg, with very little or no carbs.
No sugary drinks, biscuits, cakes etc.
Completely ban junk food from the house, instead of just cutting back.
Will she eat nuts? If so, give her a few almonds if she's hungry between meals or a cube of cheese or ham rolled with full fat soft cheese inside, hard boiled eggs, avocado slices and plain full fat yogurt with blueberries as a treat.
don't give her anything low fat, it's the sugar and hidden sugar that's the problem, not fats.
when you're out with friends I would relax these rules altogether.

Will add that frozen grapes are also an excellent snack/treat. A half cup takes a little while to get through, which gives the impression of a more substantial treat.

Shmanmonet · 02/05/2022 17:01

JurasicPerks · 02/05/2022 16:35

It sounds like you are going the right way with food types and excerise. So the only thing left to moderate is the amount served at each meal.

What does she drink? Can you cut calories from that?

FWIW, I understand kids shouldn't loose weight, just not gain weight so as their height increases, the centile comes down. I've just put my 11 (this month) year old on the scales. And he's 33kg. So you are looking at minimal weight gain for 2-3 years.

She always be a bit on the heavier side and that's fine, there's a healthy range for a reason. But I would like her to be moving in the right direction in the centiles over time and clearly I'm not managing to do that.
We don't have juice in the house, it's an occasional treat when out. She does like to drink milk though and I always push her to drink water first. Sometimes she likes to have some no sugar squash but mostly milk or water

OP posts:
Shmanmonet · 02/05/2022 17:07

GenerallyGreenerGrass · 02/05/2022 16:47

You're lucky that she will eat anything, so I would make meals that are heavy on protein and veg, with very little or no carbs.
No sugary drinks, biscuits, cakes etc.
Completely ban junk food from the house, instead of just cutting back.
Will she eat nuts? If so, give her a few almonds if she's hungry between meals or a cube of cheese or ham rolled with full fat soft cheese inside, hard boiled eggs, avocado slices and plain full fat yogurt with blueberries as a treat.
don't give her anything low fat, it's the sugar and hidden sugar that's the problem, not fats.
when you're out with friends I would relax these rules altogether.

She will more or less eat anything. I mean she has likes and dislikes but not entire food groups and she'll give most things a go. So I know that's a big advantage I have with her.
We don't have any junk food in the house other than a few nut bars for the other kids which she occasionally has.
I don't know which way to go with fats. I mean, I know they're healthy but at some point do calories themselves matter?
Same for artifical sweetners. She is used to things not being sweet generally. But at the weekend I made her a hot chocolate and rather than sugar I sweetened with sweetner. Neither is great but for an overweight kid maybe sweetner is better than sugar for a treat. I don't know!!!

OP posts:
melissasummerfield · 02/05/2022 17:07

Imo you sound obsessive and its this kind of behaviour that is going to give your daughter issues with food for life. Why are you even weighing her? Its such a strange thing to do.

she has after school activities 5 days a week, you force her to stop reading to play ping pong and are talking about ‘restricting carbs’ for a 7yo? Surely you realise how abnormal that sounds?

Shmanmonet · 02/05/2022 17:08

@BigHuff
Good idea with the grapes! We'll do that one

OP posts:
Tanaqui · 02/05/2022 17:11

Are you and her dad tall? Some kids who are destined to be tall do seem stockier as children (although well fed kids can also reach their adult height early, so important to look at genetics rather than comparing to peers). If she has tracked 95th all along, it might just be right for her, in which case just keep doing what you are dojng- it sounds like you have a good balance. Flowers for you though, because it is super tough.

Shmanmonet · 02/05/2022 17:13

melissasummerfield · 02/05/2022 17:07

Imo you sound obsessive and its this kind of behaviour that is going to give your daughter issues with food for life. Why are you even weighing her? Its such a strange thing to do.

she has after school activities 5 days a week, you force her to stop reading to play ping pong and are talking about ‘restricting carbs’ for a 7yo? Surely you realise how abnormal that sounds?

Thanks for the support 🙄
She was weighed at the hospital actually when we went in for something completely different.
Should I just ignore it then? Allow her to not be active? I would love to just go with it and let her do what she wants and eat what she wants.
Will she thank me later if she's an obese teen and adult?
She has carbs with every meal. She is not on a low carb diet, just if she wants more after an appropriate sized portion, she's offered veggie and protein first to fill up on. And I do restrict added sugar

OP posts:
Shmanmonet · 02/05/2022 17:19

Tanaqui · 02/05/2022 17:11

Are you and her dad tall? Some kids who are destined to be tall do seem stockier as children (although well fed kids can also reach their adult height early, so important to look at genetics rather than comparing to peers). If she has tracked 95th all along, it might just be right for her, in which case just keep doing what you are dojng- it sounds like you have a good balance. Flowers for you though, because it is super tough.

No, I'm not tall.
Like I said, she hit 95 percentile when she was a year old or so and delayed in crawling and walking. It just seems to have stuck.
If this is her natural.size then that's fine but I don't want to set her up for health problems down the line. We have bad diabetes genes on both sides (i had gestational diabetes with her) so we need to be careful as a family.

OP posts:
Aberration · 02/05/2022 17:20

@melissasummerfield the op isn’t obsessed. She is doing the right thing by trying to steer her daughter towards a healthy weight instead of doing what most parents seem to do which is insisting that they are “big boned” and setting the up for a life of obesity.

Op in regards to carbs are they all white carbs? Could you consider wholewheat ones to help her feel full?

personally I would make sure the only “seconds” available are vegetables and she doesn’t always have to have seconds. If shes genuinely still hungry after dinner then fruit should do her.

I also wouldn’t offer cheese or ham as a snack as I saw suggested further up. They aren’t bad food in moderation but they aren’t the healthiest of snacks! Carrot sticks and cucumber would be better. If she likes to drink milk I would limit this to one glass a day, don’t make it about weight just say its for sharing and needs to last till next shop.

have you tried logging what she eats for a day or two and seeing how it looks in terms of fats proteins etc? You might find some surprises.

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