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Is My Child Fat? It’s not easy for a parent to admit when a child has a weight problem, but here’s the bottom line 
Growth spurt. Baby fat. You may be using these euphemisms to avoid dealing with your child’s size. But if you’re not helping your child maintain a healthy weight, you may instead be putting him at risk for elevated blood pressure and high blood sugar, according to Ron Williams, M.D. director of the pediatric weight management program at Penn State Milton S. Hershey Medical Center and Health System, Hershey, Pa. How do you tell if your child is overweight? Talk about your child’s weight and height patterns with a pediatrician. Your child’s BMI (body mass index, which is a ratio of weight to height) is also an important indicator of his wellbeing, say medical experts. “Every exam should plot the height and weight to show how well the child is growing,” says Sandra Hassink, M.D., chair of the American Academy of Pediatrics Obesity Leadership Workgroup. In addition, pediatricians now calculate BMI, factoring in age and gender, as a clue to obesity, Hassink says. (See the sidebar for more information on determining BMI and what your child’s number means.) “Doctors should look at BMI and see whether it’s in a dangerous range,” Williams says. A score that puts your child in the 85th percentile or above is cause for concern. “The first thinking when a child goes higher than 85 percent is to ask what’s going on. Is the child not playing outdoors? Is the child being teased? Look at what’s changed [in the household],” says Hassink, director of the Nemours Obesity Initiative. The pediatrician should mention the link between BMI and health. The goal is to prevent your child from developing a chronic disease, such as type 2 diabetes. However, if your child hasn’t reached his full height you’re probably not going to get a lecture on restrictive diets. Growing children shouldn’t be losing weight, but slowing the gain, according to Williams. “I don’t want to cut calories, which could prevent growth. You have 8 to 10 year olds who are close to their adult weight; they will grow taller and into their weight,” Williams says. You can put the brakes on your child’s weight gain if everyone in the family eliminates caloric soft drinks, cuts back on television and computer game time, gets more exercise and eats regular meals instead of frequent snacks, Williams says.
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Bev Bennett, a veteran food writer and editor, is the author of "Dinner for Two: A Cookbook for Couples" and "30-Minute Meals for Dummies"
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