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Kids' Weight: Time to See the Light

Parents, Doctors Need to Break the Silence on Weight Issues, Experts Say
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WebMD Health News
Reviewed by Louise Chang, MD

March 8, 2006 -- Parents often don't recognize that their children are overweight or aren't concerned about those extra pounds, a new study shows.

The study, published in Pediatrics, included 223 children. Nearly 40% of the kids were overweight or at risk of becoming overweight.

"Few parents of overweight and at-risk-of-overweight children recognized their child as overweight or were worried," write Kathryn Eckstein, MD, and colleagues, noting that past studies have had similar results.

Eckstein's team wants that pattern to change, since recognizing a weight issue is the first step toward treatment. So they came up with several ways parents can take control of the touchy topic of kids' weight.

Getting Visual

Eckstein worked on the study while at the University of Tennessee's medical school. She's now in Boston at the Harvard Longwood Psychiatry Residency Training Program.

Eckstein's team asked parents if their kids were "overweight" or "a little overweight." Few agreed, even if those descriptions were accurate.

Parents were better at picking sketches that looked like their child's body. The drawings showed kids of various shapes, ranging from very thin to several times larger.

In short, parents knew their kids' bodies. But they didn't always know when kids crossed the line from "normal" to "overweight."

"Sketches might be useful as a research tool," Eckstein tells WebMD.

About a quarter (26%) of those with overweight or nearly overweight kids voiced concern about their kids' weight, the researchers report.

Talking About It

Parents were more likely to recognize their child's weight problem and be concerned about it if a doctor had mentioned it, the study shows.

"I think that was actually an important and kind of encouraging finding, that if the physicians have indicated concerns, that that may heighten the parents' level of concern," Nancy Krebs, MD, MS, tells WebMD.

Krebs co-chairs the American Academy of Pediatrics' Task Force on Obesity. She's also a pediatrics professor at the University of Colorado's medical school.

Parents can ask doctors if their child's weight is keeping pace with growth. Waiting for a doctor to broach the topic isn't necessary.

In Eckstein's study, most parents of overweight or nearly overweight children said they didn't recall a doctor mentioning their child's weight problem. Those reports weren't confirmed.

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