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Children's health

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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:
Benjispruce4 · 02/05/2022 17:31

Are you and her father overweight? You sound like you are doing all the right things. I work with primary children and there are definitely some kids that are very interested in food and there are quite a few overweight y age 7. Their parents are too though. Is this a familial struggle? Could you all pull together if so?

Shmanmonet · 02/05/2022 17:32

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.

Mostly we eat whole grains. Only rice we tend to eat white.

School mornings she has one slice of wholegrain toast with philadelphia usually. She likes a bigger snack as she gets hungry mid morning and her breakfast isn't big so we send her in a fruit, some veg and a baby bel or cheese stick. She has school dinners (question mark over how much here) then home and a snack when she gets home (usually a fruit or veg, sometimes dh makes a smoothie with frozen berries and yoghurt, sometimes some nuts), dinner with the family (always have salad and veg with the meal) and a piece of.fruit for dessert.

I know she eats well and healthily but probably too much somewhere for her to be so heavy

OP posts:
Zezet · 02/05/2022 17:34

I have one child that has normal appetite and is moving around all day, and one who has just always loved food and doesn't move around so much spontaneously.

They were really born like that: DC1 wouldn't use a soother, didn't latch properly, never was particularly fussed about food, prefers bland food. DC2 loved suckling, and went straight to loving all kinds of food and eating and is much more focused on things including unhealthy.

I try to see it as she is much more interested in tastes, so she will eat - so what I try to do is interest her in ways food can be interesting other than by being fatty/sweet. So a policy of consciously introducing her to strong cheeses, spicy food, very good desserts with real dark chocolate... My theory/hope is that she will inevitably become a person who loves food, but it won't cause her weight problems because she gets the enjoyment out of something other than calorie content (and once you know what a proper dessert tastes like, it's easy to taste that your regular Twix or Mars is actually pretty awful).

So far she is absolutely still the one obsessed with cookies and chocolate and eating, in a way DC1 is absolutely not, but she is equally enthusiastic about other types of food (chicken! carrots! blue cheese! apple!) and so she is generally happy as long as she gets something to eat. She is still chubbier than DC1 but seems to have a reasonably okay weight.

Confusion101 · 02/05/2022 17:35

I can guarantee you she will thank you in adult life for the steps you are taking now. It is scientifically proven if you are an obese child, it is much much harder to lose weight in adulthood. Everything you are doing seems absolutely great, well done you for taking such great initiative!!
Have kind of dinners do you have? Often people forget about the foods that have extremely high sugar content, like ketchup, dolmio sauces, etc! I wouldn't worry about the odd treats too much, she deserves them and will keep sugar cravings away for another little while. Cutting them completely will drive her nuts.

Shmanmonet · 02/05/2022 17:35

Benjispruce4 · 02/05/2022 17:31

Are you and her father overweight? You sound like you are doing all the right things. I work with primary children and there are definitely some kids that are very interested in food and there are quite a few overweight y age 7. Their parents are too though. Is this a familial struggle? Could you all pull together if so?

Her dad is quite big and eats healthy but does like large portions. I've always been normal weight but not skinny at all. It is a bit of a family struggle. And it's good for all of us to be active so playing ping pong or.badminton with dd is good for us too of course.

OP posts:
LilacPoppy · 02/05/2022 17:35

How big are her meals? At 7 a side plate is the correct portion size. And drop the smoothie it’s not healthy and it’s unnecessary.

Confusion101 · 02/05/2022 17:36

What** kind of dinners do you have?

Perhaps the second helpings of food are an issue. Portion size is so hugely important in everyone's diets!

Shmanmonet · 02/05/2022 17:42

I think the dinners are generally fine. Pizza or takeaway maybe once every other week. Otherwise all home cooked.
Tonight it was wholemeal pasta and homemade veggie meat bolognaise type sauce plus salad and then two tangerines. Thats typical. It wasn't a large bowl and I was more generous with the sauce than the pasta. She didn't ask for seconds, just for the fruit for dessert.

OP posts:
Whenthegoatcomesin · 02/05/2022 17:44

I can’t see anything you’re doing wrong at all. You work far harder at it than most. I don’t think about half of this stuff with mine. I guess portion size?

NamechangeFML · 02/05/2022 17:44

I was always a little "chonky" at primary school. I was vaguely aware that i wasnt dainty like the other little girls and later on I disliked my legs. But i now realise they were just muscly legs. ( still are)
i wasnt fed loads - its just the way i was made.

im fine now. Perfectly average 12/14 and have been all my days

just make sure shes eating good stuff. She may have a growth spurt and even out at times.
id worry a bit more a few years down the line, if needed

Shmanmonet · 02/05/2022 17:45

Confusion101 · 02/05/2022 17:36

What** kind of dinners do you have?

Perhaps the second helpings of food are an issue. Portion size is so hugely important in everyone's diets!

Yeah it is. But what do you say to a kid who asks for seconds? If they're still hungry? Here's where i worry that if I say no, that it'll become a control thing. This is the dilemma. I don't say no, just try to direct to veggies or a fruit for dessert but if she really wants, if she's still hungry, I give her.

OP posts:
Jojobees · 02/05/2022 17:46

I had an 8 year old that was potentially going the wrong way weight wise. He’s now 11 and lean, but he too likes food and eats well.
I didn’t restrict anything but controlled portions strictly. There was never a second portion of dinner if what he’d had was enough. I never said no, just “sorry dude it’s all gone, choose a piece of fruit or a yoghurt.
I upped his fluid intake massively, and his activity even though he wasn’t naturally active.
He remained the same weight for 2 years but grew 5cms.
I think you need to stop seconds, stop smoothies, and up her activity levels a lot.

Benjispruce4 · 02/05/2022 17:47

If her father is overweight it will probably be a struggle for her if she has his appetite and interest in food. I would defo never have junk in the house as nobody needs it. If you’re having a treat then buy on the occasion rather than having tempting things easy to hand. Other than that really look at portion control, you seem to have it covered. Stick with it .

Shmanmonet · 02/05/2022 17:47

Whenthegoatcomesin · 02/05/2022 17:44

I can’t see anything you’re doing wrong at all. You work far harder at it than most. I don’t think about half of this stuff with mine. I guess portion size?

I do worry about it but because she's overweight. I didn't worry about it with her (now teen) sibling who just did her own thing and turned out fine!

OP posts:
Jojobees · 02/05/2022 17:48

She’s not genuinely hungry she’s used to seconds, especially if she asks after every meal. She doesn’t need it.
also make sure school aren’t giving her seconds of school dinners.

Benjispruce4 · 02/05/2022 17:49

Don’t make enough for seconds op! Then it’s fruit for after or nothing.

HotWashCycle · 02/05/2022 17:50

If she has had enough to eat at a meal, don''t give second helpings. You are in charge of what she eats - she is seven! Make meals that are nutritionally dense - so no empty calories - and she will be satisfied on less food because it has more nourishment in it. I would not encourage a taste for sweet things either.
Finally, get her to drink plenty of water - just water, no squash or sweetened drinks. Sometimes an appetite for food is really about needing more water.

Shmanmonet · 02/05/2022 17:52

Some good ideas but even the responses here show how much conflicting advice there is. Its so hard to know what's right!
I may try and access a dietician, i think this thread has reinforced i need professional advice as I still don't know what's best to.do for DD. GPs just trot out the standard advice which we're already following.
Thanks for all the input

OP posts:
Shmanmonet · 02/05/2022 17:53

Jojobees · 02/05/2022 17:48

She’s not genuinely hungry she’s used to seconds, especially if she asks after every meal. She doesn’t need it.
also make sure school aren’t giving her seconds of school dinners.

She is getting seconds at school, she told me.

OP posts:
Shmanmonet · 02/05/2022 17:55

Benjispruce4 · 02/05/2022 17:49

Don’t make enough for seconds op! Then it’s fruit for after or nothing.

We usually eat family style at the table.rather than plating up in the kitchen , we always have enough for seconds.😀

OP posts:
AntarcticTern · 02/05/2022 18:07

Could you just cook a bit less? So there's not enough for seconds? Especially carbs - try to cook the 'right' amount of rice/pasta.

LilacPoppy · 02/05/2022 18:08

Why the smiley face op? Seconds are not a good thing when your dd is obese. You don’t need a dietician, just give her one portion on a small plate and tell the school to stop given her seconds. It’s not complicated - you are over feeding her.

Benjispruce4 · 02/05/2022 18:09

Ahh family style means you eat more if you have temptation on the table in front of you just as with a buffet. Plate up for everyone a healthy portion, leftovers get put in a Tupperware and frozen or taken to work next day.

Benjispruce4 · 02/05/2022 18:10

And school shouldn’t give seconds these days. Ours doesn’t.

Confusion101 · 02/05/2022 18:12

I think plating up portions could be an option. Generally, if people waited a few minutes after eating and let their food settle, they'd realise they actually aren't hungry enough for seconds. Agree with others who have suggested giving fruit or yoghurt as a dessert as opposed to seconds! You'd be surprised how much of an impact that is having. People's stomachs contract and expand depending on the portion sizes they are used to.