home
RSS
September 17th, 2010
11:11 AM ET

How do I put my 11-year-old on a diet?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Friday, it's Dr. Melina Jampolis, a physician nutrition specialist.

Question asked by Asked by Lisa

How do I put my 11-year-old daughter on a diet? She is 50 pounds overweight, though she only looks about 20 pounds over. She has a lot of muscle. She plays sports year-round.

She is a picky, picky eater. She has asked to go on a diet, but I don't think that an 11-year-old should, even though it's unhealthy to be so overweight. I have told her she will need to give up sweetened drinks, sweet snacks and white bread products.

Any other ideas that will not be too drastic but will show results?

Expert answer

Hi Lisa. I answered your question a couple of months ago but I received some excellent feedback from pediatric endocrinologist Craig Rudlin MD, FAAP, so I wanted to expand on my answer and make a slight correction based on the information that Dr. Rudlin provided.

A 2005 paper from the Pediatric Endocrine Society about childhood obesity suggested a more aggressive approach based on the associated health complications of overweight children, including high cholesterol, high blood pressure and pre-diabetes.

Specifically, for children with a BMI (body mass index– here's a calculator) of 85-95 percent, rather than focusing on weight maintenance, as I previously stated, the paper recommends "a modified diet with decreased sedentary activities."

They go on to recommend an even "more aggressive approach toward children and adolescents with BMI at or above the 95th percentile or in less obese children who suffer metabolic, orthopedic, or cardiopulmonary complications and/or psychological distress."

Dr. Rudlin, who treats overweight and obese children, says the weight loss goal should be about 1 pound per week, and that some older children and teens can safely lose 2 pounds per week.

When I expressed concerns about losing weight while children are still growing, he explained that a nutrient dense, portion-controlled diet, which he advocates rather than avoiding any particular food group, could actually improve growth.

"If they are eating a balanced diet of all five food groups, they are getting all the nutrients, protein, calcium, vitamins they need and the weight loss is from the loss of adipose tissue, which is desirable."

He also suggested measuring height every three months if this is a concern.

Regarding my suggestion to eat more vegetables, he suggested that I emphasize that parents try to increase their children's consumption of non-starchy vegetables, especially green vegetables.

If your child refuses to eat vegetables, try to re-introduce foods over the years as taste buds change. It is also critical to be a good role model and consume a variety of vegetables yourself on a regular basis.

In addition to my previous suggestions, which included eating breakfast daily, increasing fiber intake and limiting juice consumption, here are a few more suggestions from the childhood obesity consensus paper that I think would be useful for you to adopt as a family to support your daughter's weight loss efforts.

1. Eat meals as a family in a fixed place and time.

2. Do not skip meals, especially breakfast.

3. No TV during meals.

4. Use small plates and keep serving dishes away from the table.

5. Avoid unnecessary sweet or fatty foods and soft drinks.

6. Remove televisions from children's bedrooms; restrict times for TV viewing and video games.

And finally, although you mentioned that your daughter was very active in sports, make sure that she gets at least 60 minutes per day of exercise per the latest exercise guidelines for children.

In case you need the reference, here is the consensus statement regarding childhood obesity.


soundoff (634 Responses)
  1. Video Marketing Quote

    The very next time I read a blog, I hope that it won't disappoint me just as much as this particular one. I mean, Yes, it was my choice to read through, but I genuinely believed you would probably have something helpful to talk about. All I hear is a bunch of complaining about something that you could possibly fix if you weren't too busy searching for attention.

    https://slimmingworld.us/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 11, 2021 at 06:49 | Report abuse | Reply
  2. Social Media Marketing Service

    I was able to find good advice from your content.

    http://www.iphonehb.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 11, 2021 at 11:46 | Report abuse | Reply
  3. Content Marketing Experts

    I'm more than happy to uncover this page. I want to to thank you for your time due to this wonderful read!! I definitely appreciated every part of it and I have you book-marked to check out new information in your web site.

    https://bay.pickle.org/__media__/js/netsoltrademark.php?d=reviewnearme.com

    May 11, 2021 at 17:13 | Report abuse | Reply
  4. international shop near me

    I love looking through an article that will make people think. Also, thanks for permitting me to comment!

    https://gogvo.com/redir.php?url=https://ocrvshop.com/rv-repair-shop-pomona-california

    May 11, 2021 at 19:28 | Report abuse | Reply
  5. indoor rv storage orange county ca

    http://openforbusinessmagazine01.businesscatalyst.com/Redirect.aspx?destination=https://ocrv.pro/rv-mechanic-near-me

    May 11, 2021 at 20:26 | Report abuse | Reply
  6. rv fiberglass repair shops

    Pretty! This was an incredibly wonderful post. Many thanks for supplying this information.

    http://www.stockhausen.org/__media__/js/netsoltrademark.php?d=ocrv.rocks/rv-repair-shop-bell-california

    May 11, 2021 at 22:17 | Report abuse | Reply
  7. Van Rust Repair

    I must thank you for the efforts you have put in writing this site. I really hope to check out the same high-grade blog posts from you later on as well. In truth, your creative writing abilities has inspired me to get my own blog now 😉

    http://media.vol.at/weiterleitung/redirect.asp?id=https://fleetvehiclerepairshop.com/sprinter-van-mechanic-shop-near-me

    May 11, 2021 at 22:46 | Report abuse | Reply
  8. 2010 Sprinter Seat Belt Buckle Repair

    After exploring a number of the blog posts on your site, I seriously like your way of blogging. I saved it to my bookmark webpage list and will be checking back in the near future. Please visit my website as well and let me know your opinion.

    https://developer.vantiv.com/external-link.jspa?url=https://fleetservicerepairshop.com/van-upholstery-shop-near-me

    May 12, 2021 at 00:02 | Report abuse | Reply
  9. fiberglass dent repair

    Saved as a favorite, I really like your web site!

    http://ecare.unicef.cn/edm/201208enews/url.php?url=https://ocrv.pro/featherlite-trailer-collision-repair-paint-shop-near-me-orange-county

    May 12, 2021 at 02:05 | Report abuse | Reply
  10. blind repair orange county

    It’s nearly impossible to find experienced people on this subject, but you seem like you know what you’re talking about! Thanks

    https://glowing.com/external/link?next_url=http://youtube.com/watch?v=y_LQ3N84dDA

    May 12, 2021 at 02:56 | Report abuse | Reply
  11. bus body shop

    This blog was... how do I say it? Relevant!! Finally I've found something which helped me. Thanks!

    https://www.triathlon.org/?URL=http://youtube.com/watch?v=wLrKKo961Hs

    May 12, 2021 at 03:51 | Report abuse | Reply
  12. rv awning replacement near me

    Great post. I will be going through a few of these issues as well..

    https://trackings.oxfamintermon.org/click.php?campanya=SYD1612_S0310_03126_0001&data_enviament=20161207&desti=https://ocrvshop.com/rv-fiberglass-repair-near-me

    May 12, 2021 at 05:07 | Report abuse | Reply
  13. Approved Sprinter Repair Shops Near Me

    https://developer.vantiv.com/external-link.jspa?url=https://fleetrepairshops.com/sprinter-van-wrap-shop-near-me

    May 12, 2021 at 07:52 | Report abuse | Reply
  14. window repair orange county

    http://www.asiawebdirect.com/customer/recommend/?url=www.youtube.com/watch?v=HdWQvSzwvnY

    May 12, 2021 at 07:54 | Report abuse | Reply
  15. RV Fabrication Los Angeles

    https://www.genbank.com/__media__/js/netsoltrademark.php?d=www.yelp.com/biz/ocrv-center-yorba-linda

    May 12, 2021 at 15:06 | Report abuse | Reply
  16. RV Storage Near Me

    When I initially left a comment I seem to have clicked on the -Notify me when new comments are added- checkbox and from now on each time a comment is added I get four emails with the exact same comment. There has to be a way you can remove me from that service? Thanks!

    http://www.ponaflexusa.com/en/redirect?productid=266&url=http://g.page/ocrvcenter

    May 12, 2021 at 15:19 | Report abuse | Reply
  17. rv alignment near me

    http://www.doctor-navi.com/cgi/hospital-search-engine2/rank.cgi?mode=link&id=14979&url=http://youtube.com/watch?v=M1EPfakfST0

    May 12, 2021 at 18:25 | Report abuse | Reply
  18. Van Dent Repair

    https://pub.accesstrade.vn/deep_link/4413519309341732700?url=https://commercialvanrepairshop.com/box-truck-windshield-replacement-shop-near-me

    May 12, 2021 at 21:52 | Report abuse | Reply
  19. rv toilet parts near me

    https://cutephp.com/forum/redirect/?q=https://ocrv.guru/fleetstar-truck-collision-repair-paint-shop-near-me-orange-county

    May 13, 2021 at 01:18 | Report abuse | Reply
  20. rv repair in riverside ca

    http://tracing.uniview.com/tracking/?u=guilhen@ecare-security.com&msg=2E812EB8.E26C.4678.8716.95660E17C842.0007.001e38656675d537.3nn6otyh@uniview.com&url=https://ocrvandtrucks.com/rv-roof-repair-near-me

    May 13, 2021 at 02:10 | Report abuse | Reply
  21. Rust Repair Sprinter

    It’s hard to find experienced people on this topic, however, you seem like you know what you’re talking about! Thanks

    https://www.bad.org.uk/for-the-public/patient-information-leaflets/androgenetic-alopecia/?showmore=1&returnlink=https://commercialvanrepairshop.com/kenworth-truck-repair-shop-near-me

    May 13, 2021 at 03:49 | Report abuse | Reply
  22. rv repair materials

    https://polo-v1.feathr.co/v1/analytics/crumb?flvr=email_link_click&rdr=http://youtube.com/watch?v=ZRX5WZSSsJ4

    May 13, 2021 at 04:18 | Report abuse | Reply
  23. RV Paint Shop Near Me

    bookmarked!!, I really like your web site!

    http://games-talk.de/ct_redir.php?url=http://g.page/ocrvcenter

    May 13, 2021 at 04:47 | Report abuse | Reply
  24. rv electrical repair near me

    This is a topic which is close to my heart... Many thanks! Where are your contact details though?

    https://www.igive.com/isearch/NonStoreExit.cfm?type=1&isid=0df7d37f-4feb-4f0f-b472-1df60f43914d&rurl=https://ocrv.rocks/prostar-collision-repair-shop-near-me

    May 13, 2021 at 08:10 | Report abuse | Reply
  25. rv upholstery repair

    http://www.ty360.com/goto_url.asp?url=https://youtube.com/watch?v=KLnLlPwDnwo

    May 13, 2021 at 08:55 | Report abuse | Reply
  26. Handicap Van Repair Near Me

    This is a topic which is close to my heart... Cheers! Exactly where are your contact details though?

    http://p113831.typo3server.info/index.php?id=34&type=0&jumpurl=https://ocrvfleetservices.com/sprinter-van-paint-shop-near-me

    May 13, 2021 at 19:38 | Report abuse | Reply
  27. awnings in orange county

    https://domaindirectory.com/servicepage/?domain=ocrvexperts.com/rv-repair-shop-valley-glen-california

    May 13, 2021 at 21:09 | Report abuse | Reply
  28. motorhome repair

    http://wwwnuevo.jus.mendoza.gov.ar/c/blogs/find_entry?p_l_id=29236&noSuchEntryRedirect=https://youtube.com/watch?v=z1MvwLbmjHU

    May 13, 2021 at 21:55 | Report abuse | Reply
  29. sunroof repair near me

    https://asi.ru/bitrix/rk.php?goto=https://ocrvart.com/rv-repair-shop-hesperia-california

    May 14, 2021 at 00:58 | Report abuse | Reply
  30. Wheelchair Van Repair Near Me

    http://ads.timesindonesia.co.id/network-1/www/delivery/ck.php?oaparams=2__bannerid=23__zoneid=33__cb=7f6aba05b4__oadest=https://fleetrepairshops.com/handicap-van-repair-shop-near-me

    May 14, 2021 at 01:24 | Report abuse | Reply
  31. Mercedes Sprinter Van Service Near Me

    https://surveys.montclair.edu/survey/preview.jsp?surveyid=1326825217719&url=https://fleetautorepairshop.com/nissan-luxury-van-repair-shop-near-me

    May 14, 2021 at 05:32 | Report abuse | Reply
  32. rv furniture center.com

    Spot on with this write-up, I truly think this site needs a great deal more attention. I’ll probably be returning to see more, thanks for the information!

    http://southampton.ac.uk/~drn1e09/foaf/visualizer.php?url=http://youtube.com/watch?v=rvwiyMN7slg

    May 14, 2021 at 07:39 | Report abuse | Reply
  33. Hot Water Specialist

    My programmer is trying to convince me to move to .net from PHP.
    I have always disliked the idea because of the costs.
    But he's tryiong none the less. I've been using Movable-type on a number of websites for about a year and am concerned about switching to another
    platform. I have heard good things about blogengine.net.
    Is there a way I can transfer all my wordpress content into it?

    Any kind of help would be greatly appreciated!

    May 14, 2021 at 10:16 | Report abuse | Reply
  34. qq188

    Excellent pieces. Keep writing such kind of info on your site.

    Im really impressed by it.
    Hi there, You have performed a great job. I'll certainly digg it and in my view suggest to my friends.
    I'm confident they will be benefited from this website.

    May 14, 2021 at 11:40 | Report abuse | Reply
  35. keto meals

    Hurrah, that's what I was searching for, what a material!

    existing here at this website, thanks admin of this website.

    May 14, 2021 at 16:52 | Report abuse | Reply
  36. homes for sale bayview idaho

    I could not refrain from commenting. Perfectly written!

    https://www.clixgalore.com/NoRedirect.aspx?ID=11387&AfID=225385&BID=111815&ER=1&RU=https://meganleary.com/

    May 14, 2021 at 19:05 | Report abuse | Reply
  37. Maserati For Sell Near Me

    I enjoy reading through a post that will make people think. Also, thank you for permitting me to comment!

    http://www.dresscircle-net.com/suteki/rank.cgi?mode=link&id=633&url=http://www.club-maserati.com/

    May 14, 2021 at 21:36 | Report abuse | Reply
  38. Maserati Watch

    Next time I read a blog, Hopefully it doesn't disappoint me just as much as this particular one. I mean, Yes, it was my choice to read, however I actually believed you would have something useful to say. All I hear is a bunch of crying about something you could fix if you were not too busy looking for attention.

    http://www.openherd.com/adredirect.aspx?adType=SiteAd&ItemID=9539&ReturnURL=https://club-maserati.com/

    May 14, 2021 at 22:26 | Report abuse | Reply
  39. homes for sale hauser

    Hello there, I do believe your website might be having browser compatibility issues. When I take a look at your website in Safari, it looks fine however when opening in Internet Explorer, it's got some overlapping issues. I merely wanted to provide you with a quick heads up! Aside from that, excellent site!

    https://d.agkn.com/pixel/2389/?che=2979434297&col=22204979,1565515,238211572,435508400,111277757&l1=https://meganleary.com

    May 14, 2021 at 22:28 | Report abuse | Reply
  40. Pediatric Optometrist

    https://adengine.old.rt.ru/go.jsp?to=http://arizonasvision.com/

    May 14, 2021 at 23:21 | Report abuse | Reply
  41. Maserati Concepts

    Next time I read a blog, I hope that it doesn't disappoint me just as much as this one. I mean, I know it was my choice to read through, nonetheless I really thought you would probably have something useful to talk about. All I hear is a bunch of moaning about something that you could fix if you were not too busy searching for attention.

    http://hammer.x0.to/cgi/search/rank.cgi?mode=link&id=6289&url=http://club-maserati.com

    May 15, 2021 at 01:53 | Report abuse | Reply
  42. Optometrist Tempe Az

    https://v2.afilio.com.br/tracker.php?banid=4459803&campid=30926;2260&siteid=48458&url=https://arizonasvision.com/

    May 15, 2021 at 02:04 | Report abuse | Reply
  43. rv remodel companies

    Good information. Lucky me I came across your blog by accident (stumbleupon). I've saved it for later!

    http://emarkimg.info.arvest.com/enews/t.aspx?S=196&ID=12708&NL=2946&N=11626&SI=4386826&url=http://ocrv.us/

    May 15, 2021 at 03:10 | Report abuse | Reply
  44. nearby homes for sale

    Hi, I do believe this is a great blog. I stumbledupon it 😉 I'm going to come back once again since I book marked it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.

    http://www.bellinghoven-online.de/index.php?url=https://meganleary.com

    May 15, 2021 at 04:37 | Report abuse | Reply
  45. realtors wallace idaho

    This is a topic that is near to my heart... Many thanks! Exactly where are your contact details though?

    https://www.paper.li/SharonLaMothe/1411841847?read=https://meganleary.com

    May 15, 2021 at 08:54 | Report abuse | Reply
  46. home for sale wallace id

    http://tamiroom.com/bbs/cafe.php?mode=node&id=936&page=1&home=meganleary.com/

    May 15, 2021 at 09:10 | Report abuse | Reply
  47. Oakley Rx Sunglasses

    https://www.kultur-bad-vilbel.de/goto/?u=https://arizonasvision.com/

    May 15, 2021 at 09:13 | Report abuse | Reply
  48. Maserati Pregnant

    Hi, I do think this is an excellent site. I stumbledupon it 😉 I will return yet again since I book marked it. Money and freedom is the greatest way to change, may you be rich and continue to help others.

    https://www.geekzone.co.nz/downloads_thru_content.asp?ContentId=668&URL=http://club-maserati.com

    May 15, 2021 at 10:11 | Report abuse | Reply
  49. homes for sale near by

    http://pt.tapatalk.com/redirect.php?app_id=4&fid=8678&url=https://meganleary.com

    May 15, 2021 at 13:16 | Report abuse | Reply
  50. trailer repair nearby

    https://www.autotriti.gr/news/preview_news.asp?home=webnews&url=https://ocrv.rocks

    May 15, 2021 at 18:41 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.