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TOPIC: Parenting

TITLE: Preventing Obesity in Young Children

Article:

Preventing Obesity in Young Children by: Cathy Strahl

Do you have a young child whose weight or eating habits are out of control? Need some real world help with '˜taming the cookie monster'? Here are some things that worked for our family.

Our daughter, now 14 years old, was plump from birth and thrived happily for her first year on a combination of breast milk and formula. When she was completely weaned and eating only solid foods, however, she began to gain a great deal of weight at an unhealthy rate. This continued for the next year until, on the advice of her pediatrician, we began to modify our daughter's eating habits. She was barely two years old, but her doctor felt strongly that we should make some changes before her weight became a lifelong problem. The goal was to prevent further weight gain until her height could catch up with her weight, without depriving her of nutrition or having her feel deprived of the comforting aspects of food.

I'm happy to report that our daughter is now a slender, healthy teenager with good eating habits and no '˜food issues', but learning how to modify our family's eating behavior was a long trial and error process. Because she was still mostly pre-verbal, discussing nutrition or reasoning with our toddler was not an option. We kept trying new things and learned over time what worked for her. (These tips should prove useful with older children as well but are NOT meant to replace professional advice: Be sure to talk to your pediatrician before changing or restricting your child's diet.)

Here are some important lessons we learned:

Enlist the cooperation of ALL family members and caregivers.

Chart your progress over time.

Eat what your child eats

Get creative in dealing with your child's individual needs.

Don't starve your child!

Be patient and expect resistance and setbacks

Enlist the Cooperation of ALL Family Members and Caregivers.

The first step is to explain thoroughly to grandparents, daycare providers etc., your concerns and those of your pediatrician's, pointing out that overweight children move more slowly, get less exercise and therefore develop less body confidence, often have social difficulties in school, and frequently become overweight adults.

Reassure them that you will follow good nutritional practices, that your child is under the care of a competent pediatrician, and that you will take special care to fill her psychological need for food in more appropriate ways.

Explain your goals for your child's weight (e.g. zero weight gain until weight catches up with height), and tell staff your child should not be praised OR punished where food is concerned, only encouraged to eat slowly and move on to another activity when a reasonable-sized meal has been eaten.

Chart Your Progress over Time

Once a month weigh your child and measure her height, being careful not to express displeasure if her weight has increased. Instead, praise her, saying 'how proud you are of the ways she is growing'. Get a copy of your child's growth chart (weight-for-height) from her doctor, and keep it updated monthly. This gives important feedback regarding whether your methods are working, and you can adjust meals, activity levels, etc. accordingly. Never scold your child for overeating or being heavy: Our daughter went through the chubbiest part of her childhood completely unaware that she was in any way 'different

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