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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:
ChairCareOh · 03/05/2022 14:58

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SugarBaron · 03/05/2022 15:18

I think the point about calories is that it is basically true that energy in vs energy out is the driver of weight gain/loss, BUT in practice different people will need different amounts of calories and tracking calories as a way to lose or maintain weight is difficult to sustain in the long term. Most people who lose weight on 'diets' go on to regain the weight they've lost and more, so rethinking it as a permanent lifestyle change might be more effective.

Shmanmonet · 03/05/2022 15:23

I read there is a kind of 'set point' (for adults at least) and that it's very hard to lose beyond that point, your body works hard to bring you back up to it. So if your set point is established at an overweight level, it's hard to go much beyond that. And you tend not to go too much beyond it either.
It's quite true for me, my weight has hovered around the same for nearly all my adult life. If I've put on a few kilos, it's generally easy to lose back to my usual weight but then I find it really hard to lose any more.
Kind of also why I'd like DD to slim down a bit before she hits puberty, just in case the weight get 'set' and she'll find it hard to slim down any more.

I also read that exercise is far more of an influence on children's weight than on adults'. I can't remember where but it was definitely a solid source. Getting kids active is good for their health in general like it is for adults but it does help them with weight more. Apparently kids today are not eating much more calorie wise than they did 30 years ago (and maybe that's true - I certainly ate FAR more sugar and crap than my DD does) but they are FAR less active than we were.

OP posts:
worriedatthistime · 03/05/2022 15:47

Op well 7-8 is the clothes size she should be in at nearly 8, not surprising 6-7 are getting snug

worriedatthistime · 03/05/2022 15:51

@ChairCareOh i have done so many diets and i find calories in / out is all that works for me
Obviously i know the healthier choices but also think treats are important
I have two teenage dc's nothing is really off limit and we have never had diets for them they both sit at healthy BMI , does help super sporty and because i have dieted on and off all my life i have tried to keep this away from them and just kept an eye if i thought one appeared to be getting to close to going over bmi i cut portions and therefore calories down, if they ate junk one day the next few days i made it up
Hopefully this works as they maintain a healthy weight eating a very mixed diet of healthy and some junk thrown in
Its a very hard balance

worriedatthistime · 03/05/2022 15:55

@Shmanmonet I think we played out a lot more as kids than now
I remember going out dawn to dusk almost at a youngish age and we ran around playing games, skipping games were big and in school playgrounds we also played ball sports , running etc so probably burnt off a lot
Now we can't let them out so young and less green places etc
I was lucky as mine are very sporty and we walked to and from school which i think helps as tbh i don't really stop them having much, but they do burn a lot off

Shmanmonet · 03/05/2022 16:12

@worriedatthistime
Well, yes, this is what I mean - she's larger than average but it's not like I have to buy clothes 2 sizes up, she does wear age-appropriate clothes, she really doesn't stand out in that way. She looks great (in my unbiased opinion!) which I'm glad about for social and confidence reasons, especially as she gets older. I think with the clothes size that they probably have got a bit bigger as kids have got bigger on average. I mean, i think about 14% of reception kids are obese in the UK these days whereas it was less than 5% 30 years ago.

OP posts:
workwoes123 · 03/05/2022 19:49

Re controlling what she eats, and her being in control etc.

Even if you are putting food onto a plate, she’s still in control - as long as you aren’t making her clear her plate. That’s what it took me a while to realise when we stopped serving family style and letting people help themselves. Now I put a reasonable portion on a plate, serve it, and it’s entirely up to each person what they eat. It just means I am not making it too easy to eat more than a reasonable portion. The control still rests with the person who’s plate it is.

LethargeMarg · 03/05/2022 20:17

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.

Yes I agree my kids have never had seconds
Op could you give her a more filling breakfast - boiled egg and soldiers , banana or something - just wondering if she's playing catch up all day with such a small breakfast ? I know a lot of diets say to breakfast like a king and evening meal like a pauper/bit of a cliche bur worth trying ?

Shmanmonet · 04/05/2022 01:33

Breakfast is hard as she needs to be out the door by 6.40 and there's no time. That's why her snack is more substantial.
At weekends and holidays when she has more time for breakfast, she doesn't have a snack. She'll have porridge, eggs, pancakes etc and she has it later usually.

OP posts:
Shmanmonet · 04/05/2022 03:04

Finding it quite eye opening that all these people have kids who just never have any more that what they are given.
Food is on the table and they never help themselves to anything more or ask for any more of anything if it's been plated? Makes me wonder about what seems so normal to us! I often give myself a bit less to see how I feel and then help myself to more if I'm not satisfied and that's what I've done with my kids - which seems to have worked until this one!

OP posts:
Pickabearanybear · 04/05/2022 04:05

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RonaldMcDonald · 04/05/2022 04:34

I think that it is our job to be honest with ourselves about how much food our kids and ourselves need v our size.

I have one child who will eat almost until they are ill. I have made sure she is mid way in her weight category by giving her more food that isn’t too calorific. It has been a struggle for her sisters and I as we are very slight but tall I suppose you could say. Her weight and hunger seem very different.

She has scrambled egg and a bagel thin for breakfast.
For lunch/break she has chicken, hummus, peppers, carrot, cucumber, bread sticks, strawberries, blackberries and blueberries
Sometimes she has Serrano ham and Jarlsberg cheese instead of chicken hummus
sometimes she adds a proper yoghurt (I mean not low fat or fat free or that nonsense)
she’s obsessed with frozen grapes as her treat ( far from my idea - I hate grapes)
she has cut up cucumber and carrot sticks when she gets home or a fruit plate.
We often start our meals with a clear veg type soup or broth
some protein, some veg, (roasted veg and green beans are the new obsession) if a carb something with a lower gi ideally and a small portion.
Each dinner also has salad you can add.
Fruit at end
No fruit juice or fizzy drinks, rooibos tea with milk no sugar

it is really weird and hard, just keep trying

Shmanmonet · 04/05/2022 06:29

@Pickabearanybear
She's definitely overweight - on the 95 percentile for BMI which is getting close to obese. And when she's with her friends, I can see she's bigger, mainly around the tummy (depending on what she's wearing). There is quite a wide range of what's considered healthy weight though and if she's on the bigger side but a healthy weight, that's totally fine - some kids are just bigger. For her height and age, a healthy weight (according to the NHS) is anything from 21-30kg.

OP posts:
workwoes123 · 04/05/2022 06:40

I’m not surprised you’re finding it hard to get your head round plating up rather than letting people help themselves. I still feel like my mum every time I do I it - though she did it because she needed the leftovers for another meal, and she calculated how many meals she could get from a dish she made. If we were still hungry there was always bread and butter.

Occasionally I give in and serve a whole dish at the table - lasagne, gratin, stir fry etc. Guaranteed we’ll all have seconds at least, which I know we wouldn’t if I’d left it in the kitchen!

Ferngreen · 04/05/2022 06:44

Can she have cheese or meat for breakfast - there isn't much time - cold sausage? ham?.
Cereal doesn't fill me for long. Bacon or similar fills me for hours.
I had a fidgety skinny DD and a solid stocky one though they ate the same. But clothes shopping with the heavier one was a nightmare throughout her teens.
Also served up all meals. Surely if it's anything that is everyone's favourite then there are arguments for seconds, why do that.

Banoffe · 04/05/2022 07:04

It sounds like you are doing all the right things and your a healthy eating family.
The only thing is, if she’s on the 95th percentile is she actually getting close to obese? The percentiles are generally just average for her age and I wouldn’t think she’s close to obese.
Also I saw somewhere you said you’ve got in her in lots of sports activities (which is great) but she’d prefer to be doing things like drama/art. Wouldn’t it be nice to take account of her interests and put her in one activity that she would simply like doing and is not about her weight? I just think it’s a shame her interests aren’t taken account of because of the worry over her weight.

It does sound like your doing a great job but just seems like most of your emphasis on choices about her are simply about her weight and not taking account of who she is.

Shmanmonet · 04/05/2022 07:06

She never has cereal other than occasionally rice krispies or similar as a treat when on holiday. We don't usually have it in the house.
Her weekday breakfast is one slice of wholegrain toast. Usually she likes philadelphia on it. Yesterday she had 100% peanut butter (another questionable choice - yes, healthy, but also calorific).

OP posts:
Shmanmonet · 04/05/2022 07:17

@Banoffe
She does a robotics after school activity at school so she does have that. And she also does piano. To be honest, she hasn't actually asked to do anything else in terms of activities- she likes to be at home. I wouldn't deny her if she asked but she hasn't yet. The basketball at school she asked to do because her friends are also doing it (fair enough but not sure what I'd have said if it would have been a sedentary activity). And, as I've said a few times, she began Taekwondo a few months ago and she's enjoying it a lot and is really motivated (likes to walk around in her uniform, showing off her yellow belt in the grocery store😂) so as long as we can keep her enthusiasm for that one going, I think we're OK. The only one she's not keen on is swimming but that's just half an hour a week in our compound's swimming pool and that's more because it's an important skill to have.

But I agree with you - this is part of my dilemma and one of the reasons for posting. I'm pushing her a bit to be someone who she's not and I don't really like it actually. Left to her own devices, she'd be quite happy just hanging out at home and not being active. I mean, me too!! I love board games as does she and we like nothing more than a good game of Catan. Instead, I'm suggesting we go and have a game of table tennis if she hasn't been active that day.

OP posts:
LethargeMarg · 04/05/2022 08:15

Shmanmonet · 04/05/2022 03:04

Finding it quite eye opening that all these people have kids who just never have any more that what they are given.
Food is on the table and they never help themselves to anything more or ask for any more of anything if it's been plated? Makes me wonder about what seems so normal to us! I often give myself a bit less to see how I feel and then help myself to more if I'm not satisfied and that's what I've done with my kids - which seems to have worked until this one!

I do have to say to my three - 'no you can't have any more of x you've had enough to eat have an apple if you're still hungry etc...or more usually - you will be hungry if you don't finish your dinner but you're not filling up on crap' they do whine but I think it's often boredom and important to regulate appetite - mine are all slim and threaten that I'm making them anorexic (guilt trip -they're fine !) when I remove them from the biscuit tin / fridge .

LethargeMarg · 04/05/2022 08:19

Just another obvious question but I don't think anyone's mentioned but at this age are you giving her adult plates ? Mine were still having kids plates till about age 9 - makes quite a difference and also it's makes you feel like you've got more food if the plates smaller. Apparently the average adult dinner plate has increased over the years in line with our increasing weight as a nation .

Shmanmonet · 04/05/2022 08:36

I know it's obvious but I feel I should say that this weight issue is only one small part of who she is, it's certainly not what defines her in any way.

She really is an awesome kid - smart, funny, sociable, confident and popular with lots of friends. She's a happy girl, great company, and enjoys going to school too. The weight is not a big deal for her, only very occasionally she might mention her size in passing for whatever reason and usually matter-of-factly and that's how it should be at her age. She has a little bikini that she loves wearing when she can (usually no because of the sun!) and her sweet tummy pokes out of it and she couldn't care less which I love! This is our (parents) problem to sort out to try to set her up to be healthy, it's not on her at all. She's just getting on with being a kid!

OP posts:
AppleWax · 04/05/2022 08:46

This be the start of puberty or a growth spurt. Protein tends to quell hunger pangs and makes you feel satisfied so protein snacks (few cubes of chicken breast or fish, some beans etc) or more protein in her plate at meal times. And oils/fats are essential for growing children.

Shmanmonet · 04/05/2022 08:57

I don't think it's a puberty thing. She's went up the percentiles when she was about one and she's been high since then. So it's not like it's a sudden weight gain. She's only 7! She's showing no signs of puberty at all.

OP posts:
workwoes123 · 04/05/2022 08:58

Shmanmonet · 04/05/2022 03:04

Finding it quite eye opening that all these people have kids who just never have any more that what they are given.
Food is on the table and they never help themselves to anything more or ask for any more of anything if it's been plated? Makes me wonder about what seems so normal to us! I often give myself a bit less to see how I feel and then help myself to more if I'm not satisfied and that's what I've done with my kids - which seems to have worked until this one!

I tend not to say “you’ve had enough” because for me that oversteps the line into telling them how they should feel (ie full). Instead I would say “that was a full portion that you’ve had… are you sure you’re still hungry?” . Sometimes they say no, actually. Sometimes they say yes. I guess my aim is to get them to think about whether they need it or whether they just want it.

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