OK, so DD is officially overweight. I am crushed because I have vowed never to let my kids get overweight. I need to figure out a Dr visit for her (I will probably try to see our old pedi when we go to FL in 3 weeks). Every time she had a pedi appt, her BMI was on the high end of the normal range. And every time our pedi assured me that she is not overweight. I checked the CDC calculator today and her BMI is in the 91st percentile (BMI 17.4, she is 36 lbs 12 oz, 38.5 inches). I have discussed this with our pedi every visit because she looks a tad chubby. So it is not like she is all muscle.
Until I can see a pedi, what can I do?
I have no idea how many calories she consumes in a day - I will keep a food diary and figure that out. But here is what she might eat on a typical day:
Breakfast - 1 or 2 scrambled eggs, 2-3 oz of homemade sausage (basically just plain organic, low fat pork with salt & pepper), 1 TBSP of ketchup, 1/4-1/2 cup of coconut milk (sweetened - contains 8 g of sugar per cup, 80 calories per cup), 1/4 - 1/2 of plain gluten free toast
Lunch - egg sandwich (1 - 2 slices of gluten free toast, she usually does not eat all the bread, so it is closer to 1 slice, 1 egg, mayo - enough to cover the bread), 3-4 baby carrots, a couple of tomato slices
Dinner - meat (may be 1 chicken drumstick or 2 chicken wings or 2-3 oz of salmon or a 2 oz of lean beef), 1/2 corn on the cob, 2-3 pieces of steamed broccoli
Snack (two a day) - corn chips (I have not monitored the amount) or a larabar, or an apple, or 2-3 TBSP of cashew butter with 1/2 TBSP of honey, or nuts (I have not monitored the amount, I am guessing 1/4-1/2 cup, she likes pecans and cashews - plain, raw, no oil or salt added), or a smoothie (1/2 cup blueberries + 1/2 banana - no sweeteners added, just water)
I really do not see much space to cut calories, maybe offer just smaller portions of meat or nuts. She drinks water or coconut milk the rest of the day. She does not drink more than 1 cup of coconut milk a day. We do not drink juices. Sweets are a super rare treat. I cannot remember last she had a cookie beyond the larabar. I rarely bake and if I do, it is pretty low in sugar, grain free paleo style baking.
1-2 a week 45 minute PE class
1-2 a week 45-60 minutes of swimming (she does swim a lot, she is in water that is too deep for her so she swims and dives, no floaties)
when it is nice outside, she spends time playing in the yard and swinging or playing in the snow - nothing too strenuous, just playing
once a week some kind of other physical activity - open gym at gymnastics, bounce house play place, playground, riding a bike (with training wheels so it is slow going)
On the cold rainy days (like today) ... we could do better, I really do not do much in terms of exercise in the house. Some suggestions would be great.
I also worry think that it may be her thyroid. Her levels were above normal per 1 pedi (TSH little over 3 first blood test, 2.8 a couple of months later after diet changes). One pedi who practices integrative medicine (she is an MD) thinks that is too high, our regular pedi is not too concerned. I am hypothyroid and struggle with weight.