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    Parents of Obese Children Underestimate Weight?

    And parents of normal-weight kids often think they're too thin, review found

    continued...

    The problem is, young kids with excess weight tend to carry those extra pounds into adolescence and adulthood, the study authors said.

    With that extra weight comes an increased risk of heart disease, diabetes, arthritis and cancer, according to the CDC.

    These findings show that pediatricians need to take a more active role in counseling parents about their children's weight problems, said Marlo Mittler, a registered dietitian in pediatric and adolescent medicine at Cohen Children's Medical Center of New York, in New Hyde Park.

    "Pediatricians need to be more firm in saying, 'Your kid is in trouble. Let's take a look at this BMI chart and pinpoint the problem,' " Mittler said.

    In particular, pediatricians need to start using BMI charts more often to check a child's weight, Thornton said.

    "It's important for us to use those measurements and not simply rely on the way a child looks, because during different stages of development a child is supposed to have a different body shape than a typical adult," she said.

    Pediatricians should not pull their punches when it comes to childhood obesity, Thornton said. They need to be straight with parents about the health problems their children will face if their weight isn't addressed.

    "Pediatricians need to inform parents of their children's weight status when they are overweight," she said. "Generally, parents are looking to the doctor to give them an assessment of whether their child's weight is appropriate or not."

    In turn, Mittler said, parents must be ready to act if their pediatrician warns them of a health problem.

    "We need to not make light of it. We need to be more proactive," she said. "It's never too early to start. It's OK to introduce young children to fish and grilled chicken and salad, not just things that are off the kids' menu like mac and cheese."

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