The issue of overweight in third-grade students?
Hello, nutritionist.
I have a younger brother who is about to enter fourth grade (10 years old), with a height of 140 cm and a weight of 52 kg, giving him a BMI of 26.5.
He has a bit of a belly, and I want to help him lose weight, but I know that elementary school students shouldn't lose weight recklessly, as it might affect their future development.
My brother tends to eat for the sake of eating, regardless of whether he is full or not.
He doesn't like fruits and vegetables and loves to eat fried rice and oily rice, often consuming 3-5 bowls at a time.
I have asked him to do 70 sit-ups every night, 90 leg raises, and to walk for 1-1.5 hours, but his weight has not decreased at all.
What should I do? Thank you!
mido, 20~29 year old female. Ask Date: 2003/08/09
Dr. Hu Yuqing reply Nutrition
Hello, according to the Department of Health's "Definition and Management Principles of Childhood and Adolescent Obesity," a BMI of 22.9 or higher in a 10-year-old boy is classified as obese (please refer to the Food Information Network at http://food.doh.gov.tw/index1.htm, → Nutrition and You → Obesity and Weight Control for related information).
You are a caring sister, and while you have good intentions, your brother may not be as motivated.
It is essential to have his cooperation and to be persistent in gradually adjusting dietary behaviors.
Aim to reduce portion sizes by one-third; if that is not feasible, start with a reduction of one-fourth or one-fifth, and gradually decrease the amount.
Additionally, correct any habits of eating too quickly or indiscriminately by increasing the number of chews, savoring food, and slowing down the pace of meals.
Pay attention to a balanced diet and identify the reasons for any aversion to fruits and vegetables to make necessary adjustments.
Weight loss should be gradual; it is crucial to avoid rapid weight loss or excessive dieting, as this could adversely affect growth and development, which may be difficult to reverse.
Consider that during childhood, even if weight does not decrease, an increase in height can also be a sign of achieving weight management goals.
Wishing you good health.
Thank you.
Response by Nutritionist Hu Yu-Ching.
920811 Monday.
Reply Date: 2003/08/09
More Info
Helping a 10-year-old manage their weight can be a challenging yet rewarding endeavor. Given your brother's height of 140 cm and weight of 52 kg, resulting in a BMI of 26.5, he is classified as overweight. It's commendable that you are concerned about his health and well-being, but it's crucial to approach this situation with care, especially considering his age and developmental needs.
First and foremost, it's important to understand that children are still growing, and drastic weight loss measures can interfere with their physical development. Instead of focusing solely on weight loss, the goal should be to promote healthy habits that can lead to gradual weight management and overall well-being.
Nutrition Tips
1. Balanced Diet: Encourage a balanced diet that includes a variety of food groups. This means incorporating whole grains, lean proteins, healthy fats, and plenty of fruits and vegetables. Since your brother is not fond of vegetables and fruits, try to find creative ways to include them in his meals. For example, you can blend fruits into smoothies, add vegetables to his favorite dishes, or involve him in cooking to make it more appealing.
2. Portion Control: Since he tends to overeat, especially with rice dishes, it's important to teach him about portion sizes. Instead of serving him multiple bowls of fried rice, start with a smaller portion and encourage him to eat slowly. This will help him recognize when he is full. You might also consider using smaller plates to help control portions visually.
3. Limit Sugary and Processed Foods: Reduce the intake of sugary snacks, sodas, and processed foods. These foods can contribute to weight gain and do not provide the necessary nutrients for growth and development. Instead, offer healthier snacks like yogurt, nuts, or whole-grain crackers.
4. Regular Meal Times: Establish regular meal times and discourage eating in front of the TV or while distracted. This can help him focus on his food and recognize hunger cues better.
Physical Activity
1. Fun and Engaging Activities: While you have set a rigorous exercise routine for him, it’s essential to ensure that physical activity is enjoyable. Encourage him to participate in sports or activities he enjoys, whether it's swimming, biking, or playing games with friends. The key is to make physical activity a fun part of his daily routine rather than a chore.
2. Family Involvement: Engage the whole family in physical activities. This not only provides support but also sets a positive example. Family walks, bike rides, or playing sports together can foster a healthy lifestyle.
3. Limit Screen Time: Encourage him to limit screen time, as excessive use of screens can lead to a sedentary lifestyle. Set boundaries for how much time he can spend on devices and encourage outdoor play instead.
Psychological Support
1. Positive Reinforcement: Focus on positive reinforcement rather than negative comments about his weight. Celebrate small achievements, whether it's trying a new vegetable or completing a week of physical activity.
2. Open Communication: Talk to him about health and nutrition in a way that is age-appropriate. Help him understand the importance of making healthy choices without making him feel ashamed of his current habits.
3. Professional Guidance: If possible, consider consulting a pediatrician or a registered dietitian who specializes in childhood nutrition. They can provide tailored advice and support for your brother's specific needs.
Conclusion
In summary, helping your brother manage his weight involves a holistic approach that combines nutrition, physical activity, and emotional support. Focus on creating a healthy environment that encourages good habits rather than strict dieting. Remember, the goal is not just weight loss but fostering a healthy lifestyle that he can maintain as he grows. With patience and consistency, you can help him develop a positive relationship with food and exercise, setting the foundation for a healthier future.
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