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High BMI on a three year old
nursingbug posted:
I just took my daughter for her 3 year old well visit yesterday. She has always been above the 90th percentile for height and weight,(she looks like she is 4) but apparently she made a gain even above that. The pedi is concerned about her weight. Not terribly, but he advised me to write down everything she eats for a week and see what could be cut back. I was frustrated because I thought I was feeding her well, whole foods, not many sweets, etc.
Started talking with my mil, who keeps her through the week while I am at work. Turns out she lets my daughter have 3+ cups of juice every day! she is with her 4 days a week, so that is about 12 cups of juice a week, I figure about 100 cals each. 1200 additional calories a week! no wonder she is overweight!
anyone else have a similar experience?
Haylen_WebMD_Staff responded:
Hi nursingbug - Thanks for sharing! How did your MIL react? Will she be on board with cutting out juice? That was a great suggestion from the pediatrician.

I just watched a slide show about juice on the front page of WebMD right before I saw your post because my 2 year old is CRAZY for the stuff.

This surprised me: For kids younger than 6, the AAP recommends no more than 4 to 6 ounces of pure fruit juice per day. That is one tiny glass.

Please check back in and let us know how she does without juice and if her weight drops as a result.

I'm interested to hear if other members have been through this too!


p.s. See the entire slideshow about juice here:
Juice Wars Slideshow
nursingbug replied to Haylen_WebMD_Staff's response:
I think she will be ok- I brought it up casually- told her the doctor was concerned about her weight, and wanted us to write down what she ate for a week. Then I mentioned that I thought I gave her too much soda on the weekend, and said that the doctor recomended no more than 2 servings of juice/soda in a WEEK. Then she came out herself and said, "oh, I give her 3 servings a day, what should I give her- Milk?"
How about water? lol
I don't have a follow up with the pedi for 6 months, but I am tempted to get her in after a few months of no juice, at this point I am thinking that is all she will need to be normal. This is a big deal to me, I have always been overweight and one of my main goals for her is to not have the issues that I do.
Haylen_WebMD_Staff replied to nursingbug's response:
I think a follow up is a great idea! I'm going to guess you will see a difference.

Also, how is her physical activity? I found a very inexpensive gymnastics class at our local YMCA. It's only once a week but suddenly my 2.5 year old is jumping around and "practicing" her moves.

I'm surprised that the doctor would OK any soda for a 3 year old - what kind does she drink?

nursingbug replied to Haylen_WebMD_Staff's response:
I give her sprite, before maybe 2 times a week, when we go out. I don't want her to have caffine, or the diet stuff really either.
Nutritionally there isn't much difference between juice and soda, sugar is sugar really.
This winter has been terrible for activity. I have thought about a class, but don't know how we would get her to it, between my husband and my schedule, and my mil watches her other granddaughter. She will get out this week though, it is so nice, and next winter she is going to preschool!
jhilton1 replied to nursingbug's response:
Reducing the juice is a step in the right direction! I would say you should probably cut the soda too. Adults shouldnt even drink it, its not something I would ever put into a 3 year old's little body.
keeping a food journal, and having your MIL do the same so you can see what she is eating all day every day.
Christopher Tiongson, MD replied to jhilton1's response:
Hello, everyone. My first post.

Cutting out the sugary drinks is definitely a great step to take. It is one of the top 4 things that make a difference for kids: zero (or almost zero) sugary drinks per day.

Sport drinks are just as bad from a sugar and calorie standpoint. They seem so healthy since athletes endorse them, but they really aren't any better to sip at snack or meal time.

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