Re: Weight loss for 9 year old

[Guest guest]

My advice would be... nothing!

And here's why - you start a 9 year old keeping a food journal, looking up

different websites, " dieting " , etc. this could very well lead to an eating

disorder or at least disordered eating.

What I do recommend is getting the family on track as far as exercise (making it

fun - playing tag outside, bowling, swimming now that it's getting hot, etc) and

eating 7 - 9 fruits and vegetables per day (she'll be full off of these foods

and will hopefully not want the " junk " food as often).

Leave it at that. I have seen way too many kids that started out " trying to be

healthy... just want to be skinny like my friends... " you get the picture and it

really just led to not good things.

Good Luck!!!

From: rd-usa [mailto:rd-usa ] On Behalf Of

nutritionfocus

Sent: Wednesday, April 13, 2011 7:57 AM

To: rd-usa

Subject: Weight loss for 9 year old

What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

It isn't the parents that are worried about it but the child. She even on her

own started a food journal.

Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

Thanks,

Kim Tessmer, RD LD

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

[Guest guest]

My advice would be... nothing!

And here's why - you start a 9 year old keeping a food journal, looking up

different websites, " dieting " , etc. this could very well lead to an eating

disorder or at least disordered eating.

What I do recommend is getting the family on track as far as exercise (making it

fun - playing tag outside, bowling, swimming now that it's getting hot, etc) and

eating 7 - 9 fruits and vegetables per day (she'll be full off of these foods

and will hopefully not want the " junk " food as often).

Leave it at that. I have seen way too many kids that started out " trying to be

healthy... just want to be skinny like my friends... " you get the picture and it

really just led to not good things.

Good Luck!!!

From: rd-usa [mailto:rd-usa ] On Behalf Of

nutritionfocus

Sent: Wednesday, April 13, 2011 7:57 AM

To: rd-usa

Subject: Weight loss for 9 year old

What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

It isn't the parents that are worried about it but the child. She even on her

own started a food journal.

Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

Thanks,

Kim Tessmer, RD LD

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

[Guest guest]

My advice would be... nothing!

And here's why - you start a 9 year old keeping a food journal, looking up

different websites, " dieting " , etc. this could very well lead to an eating

disorder or at least disordered eating.

What I do recommend is getting the family on track as far as exercise (making it

fun - playing tag outside, bowling, swimming now that it's getting hot, etc) and

eating 7 - 9 fruits and vegetables per day (she'll be full off of these foods

and will hopefully not want the " junk " food as often).

Leave it at that. I have seen way too many kids that started out " trying to be

healthy... just want to be skinny like my friends... " you get the picture and it

really just led to not good things.

Good Luck!!!

From: rd-usa [mailto:rd-usa ] On Behalf Of

nutritionfocus

Sent: Wednesday, April 13, 2011 7:57 AM

To: rd-usa

Subject: Weight loss for 9 year old

What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

It isn't the parents that are worried about it but the child. She even on her

own started a food journal.

Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

Thanks,

Kim Tessmer, RD LD

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

[Guest guest]

Here are the basic strategies used at the Pediatric Obesity Clinic at UCSF under

Lustig MD.

Best Practices to Prevent Diabetes

· Limit sugared liquids fruit juice, soda, sports drinks, energy drinks

(drink mostly water and milk)

· Eat carbohydrate with fiber

· Wait 20 minutes for second helpings

· Buy your screen time minute for minute with physical activity

(Example: when you play basketball for 30 minutes, you can play computer games

for 30 minutes).

Osowski MS, RD, LD

Registered Dietitian

Weight loss for 9 year old

What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

It isn't the parents that are worried about it but the child. She even on her

own started a food journal.

Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

Thanks,

Kim Tessmer, RD LD

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

[Guest guest]

Here are the basic strategies used at the Pediatric Obesity Clinic at UCSF under

Lustig MD.

Best Practices to Prevent Diabetes

· Limit sugared liquids fruit juice, soda, sports drinks, energy drinks

(drink mostly water and milk)

· Eat carbohydrate with fiber

· Wait 20 minutes for second helpings

· Buy your screen time minute for minute with physical activity

(Example: when you play basketball for 30 minutes, you can play computer games

for 30 minutes).

Osowski MS, RD, LD

Registered Dietitian

Weight loss for 9 year old

What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

It isn't the parents that are worried about it but the child. She even on her

own started a food journal.

Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

Thanks,

Kim Tessmer, RD LD

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

[Guest guest]

Here are the basic strategies used at the Pediatric Obesity Clinic at UCSF under

Lustig MD.

Best Practices to Prevent Diabetes

· Limit sugared liquids fruit juice, soda, sports drinks, energy drinks

(drink mostly water and milk)

· Eat carbohydrate with fiber

· Wait 20 minutes for second helpings

· Buy your screen time minute for minute with physical activity

(Example: when you play basketball for 30 minutes, you can play computer games

for 30 minutes).

Osowski MS, RD, LD

Registered Dietitian

Weight loss for 9 year old

What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

It isn't the parents that are worried about it but the child. She even on her

own started a food journal.

Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

Thanks,

Kim Tessmer, RD LD

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

________________________________

This message, including any attachments, is intended solely for the use of the

named recipient(s) and may contain confidential and/or privileged information.

Any unauthorized review, use, disclosure or distribution of this communication

is expressly prohibited. If you are not the intended recipient, or you received

this transmission in error, please contact the sender by reply e-mail and

destroy any and all copies of the original message.

[Guest guest]

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa (on behalf of Lawson

)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa >

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa

> [mailto:rd-usa ] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have

received this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa (on behalf of Lawson

)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa >

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa

> [mailto:rd-usa ] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have

received this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa (on behalf of Lawson

)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa >

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa

> [mailto:rd-usa ] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have

received this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I respectfully disagree.  Get a height and weight and plot on CDC growth

chart. 

If she is indeed overweight, give her and her family a plan - small sustainable

changes for progress toward a healthy weight - including quality of diet,

portion control, frequency of eating episodes, increased activty, monitored and

decreased screen time.  If she is " at risk for becoming overweight, " I would

also take the situation seriously but perhaps just educate for increased

activity and improved quality of diet with goal of weight maintenance while

height catches up with weight.   I would be sure that the family and the child

understands that this ia a concern because her weight is directly related to her

risk for developing health problems.  Make sure that child especially

understands that that is where you concern stems from, that her appearnce is not

the issue.  Then follow-up, support, support, support and monitor, adjusting

plan as needed for best possible outcome.

Too many professionals and parents excuse a little " chubbiness " that should be

addressed quickly before it impacts health. 

________________________________

To: rd-usa

Sent: Wed, April 13, 2011 8:46:50 AM

Subject: RE: Weight loss for 9 year old

 

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa (on behalf of Lawson

>)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa >

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa

> [mailto:rd-usa ] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have received

this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I respectfully disagree.  Get a height and weight and plot on CDC growth

chart. 

If she is indeed overweight, give her and her family a plan - small sustainable

changes for progress toward a healthy weight - including quality of diet,

portion control, frequency of eating episodes, increased activty, monitored and

decreased screen time.  If she is " at risk for becoming overweight, " I would

also take the situation seriously but perhaps just educate for increased

activity and improved quality of diet with goal of weight maintenance while

height catches up with weight.   I would be sure that the family and the child

understands that this ia a concern because her weight is directly related to her

risk for developing health problems.  Make sure that child especially

understands that that is where you concern stems from, that her appearnce is not

the issue.  Then follow-up, support, support, support and monitor, adjusting

plan as needed for best possible outcome.

Too many professionals and parents excuse a little " chubbiness " that should be

addressed quickly before it impacts health. 

________________________________

To: rd-usa

Sent: Wed, April 13, 2011 8:46:50 AM

Subject: RE: Weight loss for 9 year old

 

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa (on behalf of Lawson

>)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa >

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa

> [mailto:rd-usa ] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have received

this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I respectfully disagree.  Get a height and weight and plot on CDC growth

chart. 

If she is indeed overweight, give her and her family a plan - small sustainable

changes for progress toward a healthy weight - including quality of diet,

portion control, frequency of eating episodes, increased activty, monitored and

decreased screen time.  If she is " at risk for becoming overweight, " I would

also take the situation seriously but perhaps just educate for increased

activity and improved quality of diet with goal of weight maintenance while

height catches up with weight.   I would be sure that the family and the child

understands that this ia a concern because her weight is directly related to her

risk for developing health problems.  Make sure that child especially

understands that that is where you concern stems from, that her appearnce is not

the issue.  Then follow-up, support, support, support and monitor, adjusting

plan as needed for best possible outcome.

Too many professionals and parents excuse a little " chubbiness " that should be

addressed quickly before it impacts health. 

________________________________

To: rd-usa

Sent: Wed, April 13, 2011 8:46:50 AM

Subject: RE: Weight loss for 9 year old

 

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa (on behalf of Lawson

>)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa >

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa

> [mailto:rd-usa ] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have received

this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I guess I’m not technically saying “nothing†what so ever…

I agree, that if she truly is overweight and unhealthy eating habits are in

place, address this. But do so on a very small scale. Or at least in a very

“big picture†way. Giving a 9 year old a meal plan will appear too much

like a diet. And that is what I am so concerned about. I just see it too

often… an innocent try at being healthy turns into something not good.

From: rd-usa [mailto:rd-usa ] On Behalf Of Sandi

Birch

Sent: Wednesday, April 13, 2011 10:27 AM

To: rd-usa

Subject: Re: Weight loss for 9 year old

I respectfully disagree. Get a height and weight and plot on CDC growth chart.

If she is indeed overweight, give her and her family a plan - small sustainable

changes for progress toward a healthy weight - including quality of diet,

portion control, frequency of eating episodes, increased activty, monitored and

decreased screen time. If she is " at risk for becoming overweight, " I would

also take the situation seriously but perhaps just educate for increased

activity and improved quality of diet with goal of weight maintenance while

height catches up with weight. I would be sure that the family and the child

understands that this ia a concern because her weight is directly related to her

risk for developing health problems. Make sure that child especially

understands that that is where you concern stems from, that her appearnce is not

the issue. Then follow-up, support, support, support and monitor, adjusting

plan as needed for best possible outcome.

Too many professionals and parents excuse a little " chubbiness " that should be

addressed quickly before it impacts health.

________________________________

From: Cece Ohmart

<cohmart@...<mailto:cohmart%40mainehospital.org>>

To: rd-usa <mailto:rd-usa%40yahoogroups.com>

Sent: Wed, April 13, 2011 8:46:50 AM

Subject: RE: Weight loss for 9 year old

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa <mailto:rd-usa%40yahoogroups.com> (on behalf of

Lawson

><nataliel@...<mailto:nataliel%40apalacheecenter.org>>)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa <mailto:rd-usa%40yahoogroups.com>>

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa <mailto:rd-usa%40yahoogroups.com>

> [mailto:rd-usa <mailto:rd-usa%40yahoogroups.com>] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa <mailto:rd-usa%40yahoogroups.com>

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have received

this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I guess I’m not technically saying “nothing†what so ever…

I agree, that if she truly is overweight and unhealthy eating habits are in

place, address this. But do so on a very small scale. Or at least in a very

“big picture†way. Giving a 9 year old a meal plan will appear too much

like a diet. And that is what I am so concerned about. I just see it too

often… an innocent try at being healthy turns into something not good.

From: rd-usa [mailto:rd-usa ] On Behalf Of Sandi

Birch

Sent: Wednesday, April 13, 2011 10:27 AM

To: rd-usa

Subject: Re: Weight loss for 9 year old

I respectfully disagree. Get a height and weight and plot on CDC growth chart.

If she is indeed overweight, give her and her family a plan - small sustainable

changes for progress toward a healthy weight - including quality of diet,

portion control, frequency of eating episodes, increased activty, monitored and

decreased screen time. If she is " at risk for becoming overweight, " I would

also take the situation seriously but perhaps just educate for increased

activity and improved quality of diet with goal of weight maintenance while

height catches up with weight. I would be sure that the family and the child

understands that this ia a concern because her weight is directly related to her

risk for developing health problems. Make sure that child especially

understands that that is where you concern stems from, that her appearnce is not

the issue. Then follow-up, support, support, support and monitor, adjusting

plan as needed for best possible outcome.

Too many professionals and parents excuse a little " chubbiness " that should be

addressed quickly before it impacts health.

________________________________

From: Cece Ohmart

<cohmart@...<mailto:cohmart%40mainehospital.org>>

To: rd-usa <mailto:rd-usa%40yahoogroups.com>

Sent: Wed, April 13, 2011 8:46:50 AM

Subject: RE: Weight loss for 9 year old

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa <mailto:rd-usa%40yahoogroups.com> (on behalf of

Lawson

><nataliel@...<mailto:nataliel%40apalacheecenter.org>>)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa <mailto:rd-usa%40yahoogroups.com>>

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa <mailto:rd-usa%40yahoogroups.com>

> [mailto:rd-usa <mailto:rd-usa%40yahoogroups.com>] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa <mailto:rd-usa%40yahoogroups.com>

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have received

this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

I guess I’m not technically saying “nothing†what so ever…

I agree, that if she truly is overweight and unhealthy eating habits are in

place, address this. But do so on a very small scale. Or at least in a very

“big picture†way. Giving a 9 year old a meal plan will appear too much

like a diet. And that is what I am so concerned about. I just see it too

often… an innocent try at being healthy turns into something not good.

From: rd-usa [mailto:rd-usa ] On Behalf Of Sandi

Birch

Sent: Wednesday, April 13, 2011 10:27 AM

To: rd-usa

Subject: Re: Weight loss for 9 year old

I respectfully disagree. Get a height and weight and plot on CDC growth chart.

If she is indeed overweight, give her and her family a plan - small sustainable

changes for progress toward a healthy weight - including quality of diet,

portion control, frequency of eating episodes, increased activty, monitored and

decreased screen time. If she is " at risk for becoming overweight, " I would

also take the situation seriously but perhaps just educate for increased

activity and improved quality of diet with goal of weight maintenance while

height catches up with weight. I would be sure that the family and the child

understands that this ia a concern because her weight is directly related to her

risk for developing health problems. Make sure that child especially

understands that that is where you concern stems from, that her appearnce is not

the issue. Then follow-up, support, support, support and monitor, adjusting

plan as needed for best possible outcome.

Too many professionals and parents excuse a little " chubbiness " that should be

addressed quickly before it impacts health.

________________________________

From: Cece Ohmart

<cohmart@...<mailto:cohmart%40mainehospital.org>>

To: rd-usa <mailto:rd-usa%40yahoogroups.com>

Sent: Wed, April 13, 2011 8:46:50 AM

Subject: RE: Weight loss for 9 year old

I agree with ...at 9 years old, she is most likely getting that " pre

puberty " chubbiness that she will need to get her through puberty. Promoting

physical activity and sound nutrition should be the focus, not weight loss.

Cece

---- Original message ----

>Date: Wed, 13 Apr 2011 08:34:55 -0400

>From: rd-usa <mailto:rd-usa%40yahoogroups.com> (on behalf of

Lawson

><nataliel@...<mailto:nataliel%40apalacheecenter.org>>)

>Subject: RE: Weight loss for 9 year old

>To: <rd-usa <mailto:rd-usa%40yahoogroups.com>>

>

>

>

> My advice would be... nothing!

>

> And here's why - you start a 9 year old keeping a

> food journal, looking up different websites,

> " dieting " , etc. this could very well lead to an

> eating disorder or at least disordered eating.

>

> What I do recommend is getting the family on track

> as far as exercise (making it fun - playing tag

> outside, bowling, swimming now that it's getting

> hot, etc) and eating 7 - 9 fruits and vegetables per

> day (she'll be full off of these foods and will

> hopefully not want the " junk " food as often).

>

> Leave it at that. I have seen way too many kids that

> started out " trying to be healthy... just want to be

> skinny like my friends... " you get the picture and

> it really just led to not good things.

>

> Good Luck!!!

>

>

>

> From: rd-usa <mailto:rd-usa%40yahoogroups.com>

> [mailto:rd-usa <mailto:rd-usa%40yahoogroups.com>] On Behalf Of

> nutritionfocus

> Sent: Wednesday, April 13, 2011 7:57 AM

> To: rd-usa <mailto:rd-usa%40yahoogroups.com>

> Subject: Weight loss for 9 year old

>

> What are your best recommendations for a parent of a

> child that is 9 years old and just slightly over

> weight but wanting to take it off.

> It isn't the parents that are worried about it but

> the child. She even on her own started a food

> journal.

> Any good websites, books, etc... that I can refer

> them to that would be for either the parent OR

> child? This is not a patient or client of mine just

> someone that asked for a little advice and I am

> trying to send them in the right direction. Her

> mother is actually a family physician and was

> wondering what might be out there if anything to

> help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> ________________________________

> This message, including any attachments, is intended

> solely for the use of the named recipient(s) and may

> contain confidential and/or privileged information.

> Any unauthorized review, use, disclosure or

> distribution of this communication is expressly

> prohibited. If you are not the intended recipient,

> or you received this transmission in error, please

> contact the sender by reply e-mail and destroy any

> and all copies of the original message.

>

> [Non-text portions of this message have been

> removed]

>

>

This message is intended for the use of the addressee only and may contain

information that is privileged and confidential. If you are not the intended

recipient of this message, be notified that any dissemination or use of this

message is strictly prohibited. Un-intended transmission does not constitute

waiver of attorney-client privilege or any other privilege. If you have received

this message in error, please delete all copies of the message and its

attachments and notify the sender immediately. Thank you.

[Guest guest]

Interesting an RD friend went to a lecture where they were talking about

addressing whenever the weight goes up disproportionately over height, even

under 1 year old - problem solve then. It is the prcoess of addressing it

that needs to be worked out. That a 9 year old is keeping food journal just

sends up a red warning flag for me.

>

>

> I respectfully disagree. Get a height and weight and plot on CDC growth

> chart.

> If she is indeed overweight, give her and her family a plan - small

> sustainable

> changes for progress toward a healthy weight - including quality of diet,

> portion control, frequency of eating episodes, increased activty, monitored

> and

> decreased screen time. If she is " at risk for becoming overweight, " I

> would

> also take the situation seriously but perhaps just educate for increased

> activity and improved quality of diet with goal of weight maintenance while

>

> height catches up with weight. I would be sure that the family and the

> child

> understands that this ia a concern because her weight is directly related

> to her

> risk for developing health problems. Make sure that child especially

> understands that that is where you concern stems from, that her appearnce

> is not

> the issue. Then follow-up, support, support, support and monitor,

> adjusting

> plan as needed for best possible outcome.

> Too many professionals and parents excuse a little " chubbiness " that should

> be

> addressed quickly before it impacts health.

>

> ________________________________

>

> To: rd-usa

> Sent: Wed, April 13, 2011 8:46:50 AM

> Subject: RE: Weight loss for 9 year old

>

>

> I agree with ...at 9 years old, she is most likely getting that " pre

>

> puberty " chubbiness that she will need to get her through puberty.

> Promoting

> physical activity and sound nutrition should be the focus, not weight loss.

> Cece

>

> ---- Original message ----

> >Date: Wed, 13 Apr 2011 08:34:55 -0400

> >From: rd-usa (on behalf of Lawson

> >)

> >Subject: RE: Weight loss for 9 year old

> >To: <rd-usa >

> >

> >

> >

> > My advice would be... nothing!

> >

> > And here's why - you start a 9 year old keeping a

> > food journal, looking up different websites,

> > " dieting " , etc. this could very well lead to an

> > eating disorder or at least disordered eating.

> >

> > What I do recommend is getting the family on track

> > as far as exercise (making it fun - playing tag

> > outside, bowling, swimming now that it's getting

> > hot, etc) and eating 7 - 9 fruits and vegetables per

> > day (she'll be full off of these foods and will

> > hopefully not want the " junk " food as often).

> >

> > Leave it at that. I have seen way too many kids that

> > started out " trying to be healthy... just want to be

> > skinny like my friends... " you get the picture and

> > it really just led to not good things.

> >

> > Good Luck!!!

> >

> >

> >

> > From: rd-usa

> > [mailto:rd-usa ] On Behalf Of

> > nutritionfocus

> > Sent: Wednesday, April 13, 2011 7:57 AM

> > To: rd-usa

> > Subject: Weight loss for 9 year old

> >

> > What are your best recommendations for a parent of a

> > child that is 9 years old and just slightly over

> > weight but wanting to take it off.

> > It isn't the parents that are worried about it but

> > the child. She even on her own started a food

> > journal.

> > Any good websites, books, etc... that I can refer

> > them to that would be for either the parent OR

> > child? This is not a patient or client of mine just

> > someone that asked for a little advice and I am

> > trying to send them in the right direction. Her

> > mother is actually a family physician and was

> > wondering what might be out there if anything to

> > help them out a bit!

> > Thanks,

> > Kim Tessmer, RD LD

> >

> > ________________________________

> > This message, including any attachments, is intended

> > solely for the use of the named recipient(s) and may

> > contain confidential and/or privileged information.

> > Any unauthorized review, use, disclosure or

> > distribution of this communication is expressly

> > prohibited. If you are not the intended recipient,

> > or you received this transmission in error, please

> > contact the sender by reply e-mail and destroy any

> > and all copies of the original message.

> >

> > ________________________________

> > This message, including any attachments, is intended

> > solely for the use of the named recipient(s) and may

> > contain confidential and/or privileged information.

> > Any unauthorized review, use, disclosure or

> > distribution of this communication is expressly

> > prohibited. If you are not the intended recipient,

> > or you received this transmission in error, please

> > contact the sender by reply e-mail and destroy any

> > and all copies of the original message.

> >

> > [Non-text portions of this message have been

> > removed]

> >

> >

> This message is intended for the use of the addressee only and may contain

> information that is privileged and confidential. If you are not the

> intended

> recipient of this message, be notified that any dissemination or use of

> this

> message is strictly prohibited. Un-intended transmission does not

> constitute

> waiver of attorney-client privilege or any other privilege. If you have

> received

> this message in error, please delete all copies of the message and its

> attachments and notify the sender immediately. Thank you.

>

>

[Guest guest]

Interesting an RD friend went to a lecture where they were talking about

addressing whenever the weight goes up disproportionately over height, even

under 1 year old - problem solve then. It is the prcoess of addressing it

that needs to be worked out. That a 9 year old is keeping food journal just

sends up a red warning flag for me.

>

>

> I respectfully disagree. Get a height and weight and plot on CDC growth

> chart.

> If she is indeed overweight, give her and her family a plan - small

> sustainable

> changes for progress toward a healthy weight - including quality of diet,

> portion control, frequency of eating episodes, increased activty, monitored

> and

> decreased screen time. If she is " at risk for becoming overweight, " I

> would

> also take the situation seriously but perhaps just educate for increased

> activity and improved quality of diet with goal of weight maintenance while

>

> height catches up with weight. I would be sure that the family and the

> child

> understands that this ia a concern because her weight is directly related

> to her

> risk for developing health problems. Make sure that child especially

> understands that that is where you concern stems from, that her appearnce

> is not

> the issue. Then follow-up, support, support, support and monitor,

> adjusting

> plan as needed for best possible outcome.

> Too many professionals and parents excuse a little " chubbiness " that should

> be

> addressed quickly before it impacts health.

>

> ________________________________

>

> To: rd-usa

> Sent: Wed, April 13, 2011 8:46:50 AM

> Subject: RE: Weight loss for 9 year old

>

>

> I agree with ...at 9 years old, she is most likely getting that " pre

>

> puberty " chubbiness that she will need to get her through puberty.

> Promoting

> physical activity and sound nutrition should be the focus, not weight loss.

> Cece

>

> ---- Original message ----

> >Date: Wed, 13 Apr 2011 08:34:55 -0400

> >From: rd-usa (on behalf of Lawson

> >)

> >Subject: RE: Weight loss for 9 year old

> >To: <rd-usa >

> >

> >

> >

> > My advice would be... nothing!

> >

> > And here's why - you start a 9 year old keeping a

> > food journal, looking up different websites,

> > " dieting " , etc. this could very well lead to an

> > eating disorder or at least disordered eating.

> >

> > What I do recommend is getting the family on track

> > as far as exercise (making it fun - playing tag

> > outside, bowling, swimming now that it's getting

> > hot, etc) and eating 7 - 9 fruits and vegetables per

> > day (she'll be full off of these foods and will

> > hopefully not want the " junk " food as often).

> >

> > Leave it at that. I have seen way too many kids that

> > started out " trying to be healthy... just want to be

> > skinny like my friends... " you get the picture and

> > it really just led to not good things.

> >

> > Good Luck!!!

> >

> >

> >

> > From: rd-usa

> > [mailto:rd-usa ] On Behalf Of

> > nutritionfocus

> > Sent: Wednesday, April 13, 2011 7:57 AM

> > To: rd-usa

> > Subject: Weight loss for 9 year old

> >

> > What are your best recommendations for a parent of a

> > child that is 9 years old and just slightly over

> > weight but wanting to take it off.

> > It isn't the parents that are worried about it but

> > the child. She even on her own started a food

> > journal.

> > Any good websites, books, etc... that I can refer

> > them to that would be for either the parent OR

> > child? This is not a patient or client of mine just

> > someone that asked for a little advice and I am

> > trying to send them in the right direction. Her

> > mother is actually a family physician and was

> > wondering what might be out there if anything to

> > help them out a bit!

> > Thanks,

> > Kim Tessmer, RD LD

> >

> > ________________________________

> > This message, including any attachments, is intended

> > solely for the use of the named recipient(s) and may

> > contain confidential and/or privileged information.

> > Any unauthorized review, use, disclosure or

> > distribution of this communication is expressly

> > prohibited. If you are not the intended recipient,

> > or you received this transmission in error, please

> > contact the sender by reply e-mail and destroy any

> > and all copies of the original message.

> >

> > ________________________________

> > This message, including any attachments, is intended

> > solely for the use of the named recipient(s) and may

> > contain confidential and/or privileged information.

> > Any unauthorized review, use, disclosure or

> > distribution of this communication is expressly

> > prohibited. If you are not the intended recipient,

> > or you received this transmission in error, please

> > contact the sender by reply e-mail and destroy any

> > and all copies of the original message.

> >

> > [Non-text portions of this message have been

> > removed]

> >

> >

> This message is intended for the use of the addressee only and may contain

> information that is privileged and confidential. If you are not the

> intended

> recipient of this message, be notified that any dissemination or use of

> this

> message is strictly prohibited. Un-intended transmission does not

> constitute

> waiver of attorney-client privilege or any other privilege. If you have

> received

> this message in error, please delete all copies of the message and its

> attachments and notify the sender immediately. Thank you.

>

>

[Guest guest]

Interesting an RD friend went to a lecture where they were talking about

addressing whenever the weight goes up disproportionately over height, even

under 1 year old - problem solve then. It is the prcoess of addressing it

that needs to be worked out. That a 9 year old is keeping food journal just

sends up a red warning flag for me.

>

>

> I respectfully disagree. Get a height and weight and plot on CDC growth

> chart.

> If she is indeed overweight, give her and her family a plan - small

> sustainable

> changes for progress toward a healthy weight - including quality of diet,

> portion control, frequency of eating episodes, increased activty, monitored

> and

> decreased screen time. If she is " at risk for becoming overweight, " I

> would

> also take the situation seriously but perhaps just educate for increased

> activity and improved quality of diet with goal of weight maintenance while

>

> height catches up with weight. I would be sure that the family and the

> child

> understands that this ia a concern because her weight is directly related

> to her

> risk for developing health problems. Make sure that child especially

> understands that that is where you concern stems from, that her appearnce

> is not

> the issue. Then follow-up, support, support, support and monitor,

> adjusting

> plan as needed for best possible outcome.

> Too many professionals and parents excuse a little " chubbiness " that should

> be

> addressed quickly before it impacts health.

>

> ________________________________

>

> To: rd-usa

> Sent: Wed, April 13, 2011 8:46:50 AM

> Subject: RE: Weight loss for 9 year old

>

>

> I agree with ...at 9 years old, she is most likely getting that " pre

>

> puberty " chubbiness that she will need to get her through puberty.

> Promoting

> physical activity and sound nutrition should be the focus, not weight loss.

> Cece

>

> ---- Original message ----

> >Date: Wed, 13 Apr 2011 08:34:55 -0400

> >From: rd-usa (on behalf of Lawson

> >)

> >Subject: RE: Weight loss for 9 year old

> >To: <rd-usa >

> >

> >

> >

> > My advice would be... nothing!

> >

> > And here's why - you start a 9 year old keeping a

> > food journal, looking up different websites,

> > " dieting " , etc. this could very well lead to an

> > eating disorder or at least disordered eating.

> >

> > What I do recommend is getting the family on track

> > as far as exercise (making it fun - playing tag

> > outside, bowling, swimming now that it's getting

> > hot, etc) and eating 7 - 9 fruits and vegetables per

> > day (she'll be full off of these foods and will

> > hopefully not want the " junk " food as often).

> >

> > Leave it at that. I have seen way too many kids that

> > started out " trying to be healthy... just want to be

> > skinny like my friends... " you get the picture and

> > it really just led to not good things.

> >

> > Good Luck!!!

> >

> >

> >

> > From: rd-usa

> > [mailto:rd-usa ] On Behalf Of

> > nutritionfocus

> > Sent: Wednesday, April 13, 2011 7:57 AM

> > To: rd-usa

> > Subject: Weight loss for 9 year old

> >

> > What are your best recommendations for a parent of a

> > child that is 9 years old and just slightly over

> > weight but wanting to take it off.

> > It isn't the parents that are worried about it but

> > the child. She even on her own started a food

> > journal.

> > Any good websites, books, etc... that I can refer

> > them to that would be for either the parent OR

> > child? This is not a patient or client of mine just

> > someone that asked for a little advice and I am

> > trying to send them in the right direction. Her

> > mother is actually a family physician and was

> > wondering what might be out there if anything to

> > help them out a bit!

> > Thanks,

> > Kim Tessmer, RD LD

> >

> > ________________________________

> > This message, including any attachments, is intended

> > solely for the use of the named recipient(s) and may

> > contain confidential and/or privileged information.

> > Any unauthorized review, use, disclosure or

> > distribution of this communication is expressly

> > prohibited. If you are not the intended recipient,

> > or you received this transmission in error, please

> > contact the sender by reply e-mail and destroy any

> > and all copies of the original message.

> >

> > ________________________________

> > This message, including any attachments, is intended

> > solely for the use of the named recipient(s) and may

> > contain confidential and/or privileged information.

> > Any unauthorized review, use, disclosure or

> > distribution of this communication is expressly

> > prohibited. If you are not the intended recipient,

> > or you received this transmission in error, please

> > contact the sender by reply e-mail and destroy any

> > and all copies of the original message.

> >

> > [Non-text portions of this message have been

> > removed]

> >

> >

> This message is intended for the use of the addressee only and may contain

> information that is privileged and confidential. If you are not the

> intended

> recipient of this message, be notified that any dissemination or use of

> this

> message is strictly prohibited. Un-intended transmission does not

> constitute

> waiver of attorney-client privilege or any other privilege. If you have

> received

> this message in error, please delete all copies of the message and its

> attachments and notify the sender immediately. Thank you.

>

>

[Guest guest]

I would like to know how we are going to address " obese " 4 month old babies that

are solely breast fed? This suggestion that over weight babies under a year at

any age need to be addressed is just going to amplify the problem. Don't tell me

we are not raising a generation of eating disorders, where if you are not on a

diet or not the " right " weight you will be looked down on. Scary! : (

Jackie Chase RD

Dillingham AK

> Interesting an RD friend went to a lecture where they were talking about

> addressing whenever the weight goes up disproportionately over height, even

> under 1 year old - problem solve then. It is the prcoess of addressing it

> that needs to be worked out. That a 9 year old is keeping food journal just

> sends up a red warning flag for me.

>

>

>

[Guest guest]

The idea is dealing with big differences - something is going on. The idea

is to find out what is going on - and it may be be nothing to be concerned

about. That is why we do growth charts.

On Wed, Apr 13, 2011 at 10:05 PM, Jackie Chase wrote:

>

>

> I would like to know how we are going to address " obese " 4 month old babies

> that are solely breast fed? This suggestion that over weight babies under a

> year at any age need to be addressed is just going to amplify the problem.

> Don't tell me we are not raising a generation of eating disorders, where if

> you are not on a diet or not the " right " weight you will be looked down on.

> Scary! : (

>

> Jackie Chase RD

> Dillingham AK

>

>

>

>

> > Interesting an RD friend went to a lecture where they were talking about

> > addressing whenever the weight goes up disproportionately over height,

> even

> > under 1 year old - problem solve then. It is the prcoess of addressing it

> > that needs to be worked out. That a 9 year old is keeping food journal

> just

> > sends up a red warning flag for me.

> >

> > On Wed, Apr 13, 2011 at 10:26 AM, Sandi Birch

> wrote:

> >

>

>

[Guest guest]

Thanks everyone for the GREAT discussion!!

Just a few points is that this child’s parents are BOTH well-respected family

physicians. It is the child herself that decided she needed to lose a little

weight and not her parents. But they support her and tell her on a regular

basis that she looks fine, etc... Her Mom said one of her biggest problems is

portion control. She is 9 years old so when she is hungry she eats. How do you

teach a 9 year old that it is OK to feel hungry at times or how do you help them

to monitor that? From what she has said her nutritional intake isn’t too bad

but it is eating too much that seems to be somewhat of a problem. As an adult

when you are hungry but know you shouldn’t eat you can reason with yourself

and know it isn’t time to eat, etc... But what do you do with a 9 year old in

that situation? That is the type of guidance the parents are looking for. She

did mention that she keeps a food journal and gives herself a happy or sad face

depending how she does for the day. In addition she weighs herself frequently.

How do you tell a 9 year old not to keep a food journal when she is trying to

eat better by paying attention to what she is doing? And how do you guide them

not to worry about their weight when they obviously do? She has sisters who are

thinner and wants to look better in her summer bating suit. Though she is still

eating plenty so she isn’t doing anything drastic. I am used to working with

adults only so kids seem to be a whole different world!!

Again, I am not counseling them! Was not asked to do that. Her Mom is my

doctor and she just brought it up at my last visit knowing I am an RD. Knowing

I am an author the discussion was more about are there any books out there to

help and if not I should think about writing one.

Thanks again!

Kim Tessmer, RD LD

[Guest guest]

I have a similar situation that I am not sure how to deal with. I just received

a call on a 9 year old girl that is 120# and 4'9 " . I am to see her next week.

Spoke with her mother on the phone. Mother stated that the family drinks only

milk and water with limited pop on special occasions, she limits the amount of

meat and potatoes her daughter eats, but allows her to eat as much fruit and

vegetables as she wants. The mother said that the child will eat whatever she

can and often will eat until she throws up because she is so full. TSH and T4

wnl on labs. I already charted her on growthcharts->95%ile for ht, wt, and BMI.

I happen to know the girl and see her riding her bike and playing basketball, so

I know she gets some exercise. I am wondering how to proceed. I question if it

is appropriate to ask for a food diary from the mother on foods served/eaten by

the daughter to help see if there is something blatant. Any ideas?

>

> What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

> It isn't the parents that are worried about it but the child. She even on

her own started a food journal.

> Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

[Guest guest]

I have a similar situation that I am not sure how to deal with. I just received

a call on a 9 year old girl that is 120# and 4'9 " . I am to see her next week.

Spoke with her mother on the phone. Mother stated that the family drinks only

milk and water with limited pop on special occasions, she limits the amount of

meat and potatoes her daughter eats, but allows her to eat as much fruit and

vegetables as she wants. The mother said that the child will eat whatever she

can and often will eat until she throws up because she is so full. TSH and T4

wnl on labs. I already charted her on growthcharts->95%ile for ht, wt, and BMI.

I happen to know the girl and see her riding her bike and playing basketball, so

I know she gets some exercise. I am wondering how to proceed. I question if it

is appropriate to ask for a food diary from the mother on foods served/eaten by

the daughter to help see if there is something blatant. Any ideas?

>

> What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

> It isn't the parents that are worried about it but the child. She even on

her own started a food journal.

> Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

[Guest guest]

I have a similar situation that I am not sure how to deal with. I just received

a call on a 9 year old girl that is 120# and 4'9 " . I am to see her next week.

Spoke with her mother on the phone. Mother stated that the family drinks only

milk and water with limited pop on special occasions, she limits the amount of

meat and potatoes her daughter eats, but allows her to eat as much fruit and

vegetables as she wants. The mother said that the child will eat whatever she

can and often will eat until she throws up because she is so full. TSH and T4

wnl on labs. I already charted her on growthcharts->95%ile for ht, wt, and BMI.

I happen to know the girl and see her riding her bike and playing basketball, so

I know she gets some exercise. I am wondering how to proceed. I question if it

is appropriate to ask for a food diary from the mother on foods served/eaten by

the daughter to help see if there is something blatant. Any ideas?

>

> What are your best recommendations for a parent of a child that is 9 years old

and just slightly over weight but wanting to take it off.

> It isn't the parents that are worried about it but the child. She even on

her own started a food journal.

> Any good websites, books, etc... that I can refer them to that would be for

either the parent OR child? This is not a patient or client of mine just someone

that asked for a little advice and I am trying to send them in the right

direction. Her mother is actually a family physician and was wondering what

might be out there if anything to help them out a bit!

> Thanks,

> Kim Tessmer, RD LD

>

[Guest guest]

>

> I have a similar situation that I am not sure how to deal with. I just

received a call on a 9 year old girl that is 120# and 4'9 " . I am to see her

next week. Spoke with her mother on the phone. Mother stated that the family

drinks only milk and water with limited pop on special occasions, she limits the

amount of meat and potatoes her daughter eats, but allows her to eat as much

fruit and vegetables as she wants. The mother said that the child will eat

whatever she can and often will eat until she throws up because she is so full.

TSH and T4 wnl on labs. I already charted her on growthcharts->95%ile for ht,

wt, and BMI. I happen to know the girl and see her riding her bike and playing

basketball, so I know she gets some exercise. I am wondering how to proceed. I

question if it is appropriate to ask for a food diary from the mother on foods

served/eaten by the daughter to help see if there is something blatant. Any

ideas?

>

That seams binge eating to me or bulimia. Binge can be caused by a psychological

disorder, genetic disorders like Cushing´s Syndrome or a physiological disorder

of the hypophysis or other gland. You need more labs to check if there is some

hormonal disorder behind that besides TSH and T4 (those only give an idea of

thyroid function). Also those 2 aren't enough to check for thyroid disorders.

Cátia Borges