Dear Ann Landers: This is a response to “Concerned Aunt in California,” who is worried about her obese 10-year-old niece. As a registered dietitian who works with parents of overweight children, I would like to provide some additional advice for anyone who is concerned about a child’s weight.
The number of children who are “too fat” is appalling. Childhood obesity is now a serious health problem. Children as young as 10 years old are being diagnosed with serious diseases related to obesity. Type II diabetes was formerly known as “adult onset diabetes” because most of those diagnosed were over the age of 40. A few years ago, the medical community stopped using that designation because the disease began occurring in much younger populations.
“Concerned Aunt” should gather some reputable information from the library and suggest that her niece’s parents educate themselves on nutrition and health issues related to obesity. She should know that children who are overweight have a much greater chance of being overweight adults than those who are at a healthy weight. It is ignorant and irresponsible for parents to assume their children will “grow out of it.”
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The parents should also be aware that Type II diabetes is related to a person’s weight, eating habits and physical activity level. Americans are more inactive and consume more calories, in larger proportions, than ever before. Children are not excluded from this disease.
Here are some tips for parents who are concerned about their child’s weight:
1. Speak to your child’s pediatrician about the problem, and ask for a referral to a registered dietitian. Do not assume that all pediatricians are educated in providing appropriate information on nutrition.
2. Encourage your children to be physically active. Many obese children feel uncomfortable or self-conscious when playing team sports with their peers. Let them choose a sport or activity that they enjoy. You should also play with your children. They can get exercise while enjoying time with you. Limit TV time because it promotes inactivity and overeating.
3. Do not single out your child within the family as being “overweight” or on a “diet.” It is a good idea to keep nutritious snacks on hand and prepare healthy meals for everyone in the family.
4. Do not refer to your child as being fat or overweight. This may make the child feel inadequate and unworthy of your love. It could lead to long-term self-esteem problems and eating disorders.
5. Do not encourage your child to “clean the plate.” This will accustom your child to overeating.
6. Encourage your child to eat lots of fresh fruits and vegetables. Limit soft drinks and sugary snacks.
I hope this helps.
— A Registered Dietician in Los Angeles
Dear L.A.: Thank you for your excellent suggestions. Americans are getting more obese every year, and poor eating habits start during childhood. Type II diabetes is becoming a major health hazard for children. Those who want more information on diabetes or would like to assess their risk should contact the American Diabetes Association at 1-800-DIABETES (1-800-342-2383) (www.diabetes.org).
Gem of the Day: A woman told the picture framer, “Please frame this, and be careful. It cost $120,000.” She then unwrapped her son’s college diploma.
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