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Joanna Dolgoff, M.D.

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Are You Underestimating Your Child's Weight?

Posted: 04/24/11 06:05 PM ET

As America's population becomes more and more overweight, people may develop a distorted perception of what is deemed a healthy weight. This is precisely what USA Today reported on when revealing the results from a recent study performed at Columbia University Medical Center in New York.

Researchers asked 111 women and 111 children questions about their age, income and body size, and also measured their height and weight. They were asked to identify their body shapes based on silhouettes representing underweight, normal weight, overweight, and obesity. Researchers found that many overweight mothers and their offspring were not as svelte as they thought:

-- 82 percent of obese mothers and 43 percent of overweight mothers underestimated their weight.
-- 86 percent of overweight or obese children underestimated their weight, while only 15 percent of normal-sized kids did.
-- 48 percent of mothers of obese or overweight children thought their children's weight was normal.
-- 13 percent of normal-weight mothers underestimated their weight.

These findings imply that those who are most affected by obesity are either unaware or underestimate their true weight. The study data show the need for health care providers to educate patients about the dangers of excess body weight. Strategies to overcome the obesity epidemic will need to address body image misperception.

Parents may not have "weight management" on their minds as they look at their active, yet overweight kids. This is why at Red Light, Green Light, Eat Right, parents are educated on identifying overweight children. This is extremely important as overweight children are at risk of developing serious health problems once reserved for adults, like Type II diabetes and heart disease. Early intervention is key, before a child's nutritional and exercise habits are set and when it's easier for them to lose weight.

 
 
 

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05:31 PM on 05/05/2011
Are skinny children healthier than chubby children? It ain't necessarily so. American children are often diagnosed with calcium and vitamin D deficiencies. Fat soluable nutrients cannot be absorbed by the human body without dietary fat. For example, low fat milk may have vitamin D in it but without the fat content of whole milk, or other fat in the meal, the vitamin D will not be absorbed.
Our emphasis on none of this and none of that for childhood nutrition is a mistake. It is normal for children to be chubby between the ages of 8 to 11. Their bodies are preparing for a growth spurt. My own son was 5' 11" at age 11. He got that way because I offered him a variety of foods with the old fashioned "balanced meal" in mind and let him eat anything he wanted. He is healthy as an adult and has beautiful, strong teeth.
Furthermore, I do wish that doctors would concentrate more on the germ causes of disease and less on food as a cause of diseases. For example, what germs are involved in the process of hardening of the arteries? "you got some splanin to do Lucy".
DrSnuggles
You label me and I'll label you
01:01 PM on 04/27/2011
So the worse their weight situation is - the more likely they are to have an altered perception of it?

This is news?! And I don't mean in the "Why do we care about this celebrity?" way but in the "Reporting that the sun is hot." way.
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frank day
Republican = FAIL
09:48 PM on 04/26/2011
3 balanced meals a day. At the table. No sodas and few sweets.
At least an hour of outside play every day.
Regular bedtimes and 9 hours of sleep per nite.
Children that follow this type of lifestyle are rarely obese.
This user has chosen to opt out of the Badges program
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Nalini Chilkov
11:38 PM on 04/25/2011
Let's support healthy children. We have an epidemic of childhood obesity and childhood diabetes which are also risk factors for cardiovascular disease and cancer later in life.
06:20 PM on 04/25/2011
Here's a crazy, but simple idea we came up with to eliminate the weight estimation problem in our household. We bought a scale.
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William Anderson LMHC
Licensed Psychotherapist, Weight Control Expert
11:56 PM on 04/24/2011
Correcting this obesity problem and reversing the obesity epidemic will take a lot more than glib do-gooder pleas. I and other clinicians like pediatrician and childhood obesity expert Dr. Robert Pretlow, see a deliberate effort by the food industry to profit at the expense of our children's health. We, as a nation, have happily over-indulged, buying into our prescribed role as "consumers". In doing so, we've consumed our way into obesity and ill health as we've lined the pockets of the food merchants with the profits from providing to our appetites, our addictions.

Turning this around will require more than half-hearted efforts to point out that we have a problem with being overweight. To counter this corporate effort to fatten us, we need to organize and mobilize, foment resistance to being exploited and fight back. Please read my book, 'The Anderson Method', and see my work at www.TheAndersonMethod.com . The obesity epidemic can and must be reversed.
09:09 PM on 04/24/2011
-Acupuncture- has been proven to stop -Obesity- in children, -Acupuncture- has been proven to stop children from eating at -McDonalds- etc.? Do not believe everything -You- read or hear in liberal websites???
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Joshua Maddox
11:55 AM on 04/26/2011
thanks for the tip. I will be sure to ignore what you just said then.
12:32 PM on 04/26/2011
Excellent Reply!!!