Overweight Teens & Pre-Teens
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Overweight Teens & Pre-Teens
March 2009
We have a 13 year old who complains that she's too fat. Her legs and feet hurt when she
walks too much. I would say that she is about 20 pounds overweight. She's about 5 feet tall
and wears a woman's size 16. We try to guide her without making her feel bad about
herself. We have heard that there are some excellent summer camps that build self-esteem
while also providing support and tools for weight management. Suggestions?
Marilyn
Please take a look at this website: http://www.thebodypositive.org/.
This is a fantastic local organization that has worked with many teen
girls to address the issues your daughter is struggling with and may
be able to help her figure out ways to address her concerns through
their various workshops and other services.
Body Positive Fan
This is not what you are going to want to hear, but...
I am 5' tall, a healthy weight, and wear a size 2 or 4 petite. The
ideal weight for this height is between 95 and 110 pounds. Your
daughter, wearing a size 16 is not just 20 pounds overweight, in fact
she is most likely obese, or at the very least, very close to it.
Being overweight/obese at the young age of 13 is already damaging her
health and her long term health outlook is extremely poor.
To help your daughter you need to break through your denial and face
the painful truth. You probably need to dramatically change your home
environment, both physically and psychologically. This is a family
problem, not hers alone. As a parent, you need to step up and
recognize that someone, and if not you, who?, needs to provide better
family health leadership/management.
I suggest that you start working with an obesity specialist/therapist
who can help you identify the root causes of your family's health
imbalances so that you can make specific system-wide changes that will
help your daughter lead a healthier, happier, life.
On the bright side, since she's only 13, her metabolism is relatively
high, and will remain so for another decade, so loosing weight at this
age is a lot easier then for a middle aged adult.
former fatty
Feb 2008
I have a 14 year old girl who has always been very happy, outgoing, friendly,
with lots of attention from boys. Lately, however, I've noticed that she doesn't
get many phone calls or invitations. She seems unhappy, insecure and
increasingly lazy. Sure, she's a teenager, but unfortunately, she has also
gained a lot of weight (maybe 20 pounds in a year and a half). She loves to
dance, but is not doing that well, I think, because of the added weight. We
eat very healthy (and fairly low-calorie) meals in the house (healthy
breakfasts and sitdown dinners with lots of vegetables every night), but with
my 14 year old, it's the quantity that's the problem. Instead of one bowl of
cereal, it's three. When I ask her what she eats at school for lunch, it often
sounds like she has a four course meal. I've eliminated junk food from the
house (we're down to only having dessert on Friday and Saturday nights), but
nothing seems to help. On the nights we have ice cream, she will eat almost
an entire pint. At this age, it's very hard to control how much she eats.
My question is, what do I say to her to help her lose weight and change her
eating habits? Whenever I try to get her to stop eating so much, she says I'm
trying to turn her into an anorexic. Come to think of it, I think the overeating
problem started not long after a lecture at her middle school by someone
trying to prevent anorexia in teenage girls. I really want to help her, but
don't know how.
Anon.
Hi,
I have a niece who was seriously overweight until she was
14. Nothing anybody would say to her made the slightest
difference until she decided to do something herself. She
joined a gym, changed her diet, eliminating simple carbs and
refined sugar, and put up photos of what she'd like to look
like inside cupboards. She's 18 now and still keeps the same
diet.
Hope this helps.
J.
Dear Anon,
While you may think you know what your daughter needs to do, you do not.
Please just STOP trying to control her eating behavior. You're doing your job,
providing healthy meals. Your daughter is learning about her own body and it
IS her body, not yours. So just be quiet. You might find that the weight issues
may be yours, not hers. Frankly, a 20 pound weight gain as a girl goes into
puberty is not that out of line in our culture. Sure, our culture isn't very
healthy around food and health, but your daughter has to learn how to
navigate her culture. You are providing a good role model (I assume, from
what you describe about your family's eating habits--do you eat enough, do
you exercise--but not over-exercise--is your own body weight healthy, that
is, not underweight or overweight? Then you've done your part.) DO NOT get
into a power struggle with your daughter over her weight. She'll figure it out.
And you know what? Boys, dates, social stuff--if she isn't accepted as she is,
then how worthy are these people and should she/you want them in her life?
Mom, she needs YOUR acceptance and love as she goes into the teenage
years. Just take a deep breath and say three times: I can't control it and I can't
cure it and I didn't cause it.
anonymous parent
March 2007
I have an 12 year daughter who is 25-35 pounds overweight, and
it's getting worse. We rarely eat out, buy healthy/organic
foods. Because of afterschool tutoring, homework, parents long
work hours and two other children our days are long and
exhausting. I'm wondering if there are any gyms or classes that
specialize in helping overweight children. I saw some sleep away
summer programs but they are to expensive and I doubt Kaiser
would pay. These are the things we have tried: nutrtion classes,
restricting unhelathy food intake, some excercise in the
evenings- both pareents work every weekend, she used to swim 3-4
times a week-it didn't really help and there is no time for it
now. I stopped naging but she's becoming more aware of her body
and is very unhappy. I am more concerned for her mental well
being and health. We need something intense and consistent maybe
during the summer? Or anytime. Have any other parents dealt with
this issue? Any advice or suggestions would be greatly
appreciated.
Signed: worried mom
Just stop worrying. Your daughter is 12, so she's probably
worried enough without your worries multiplying hers. Some girls
gain weight just as they go through puberty. Most girls don't,
but for those who do, it is normal. It seems to happen most
often for girls with particularly curvy figures.
Trust me--my mother was a size 4 all through her teenage years,
and when I went up to a women's size 12 at age 12, she panicked
and worried, and completely stressed me out. I think it was
really more about her idea of how I should look than it was about
my self-image.
For me, the weight came off easily around the time I entered
college. I weight about the same as a 30-something mother as I
did in 8th or 9th grade.
Meanwhile, the best thing you can do is to exercise WITH your
daughter. How much exercise do you get? Do you run? bike?
include her in whatever excercise you do.
still fitting into my Bat Mitzvah dress
It sounds like your daughter is depressed or unhappy about
something. Is she the middle child? Does she need more time with
mom and dad? You said your days are long and exhausting. I hate
to say it, but maybe you need to re-evaluate the whole family
structure and see if there's a way for you or the other parent to
be around more. I can tell you that as a kid who was nagged by
her mom about her weight (and I was not even close to
overweight), I have lifelong issues. So tread carefully, mom. I
know the whole world is going nuts over childhood obesity, but
there is something to be said for positive acceptance of her body
no matter what its size.
Wanted to address your ''overweight'' daughter concern. I'm 43,
been Obese all my life, and I hate it. Part of this is
genetics; I have Polycystic Ovarian Syndrome...and HIGHLY
recomend that you get your daughter checked out for
this...especially if she has irregular periods. The other part
is environment. What's going on in the house? Are you taking
her on walks, hikes, are you an active family. My parents were
couch potatoes...so am I. Lastly, love her JUST AS SHE
IS...the more you tell her she's fat and ugly (not necessarily
those words, but the intention can still be there) she will BE
fat and ugly. When I look back at my younger pictures, I see a
beautiful child and teen...but I never heard that or saw it
back then.
If you would like to talk, please don't hesitate to email me.
D
I would recommend Ellyn Satter's books on eating and weight
issues. One of my favorites is ''How to get your child to
eat...but not too much''. She discusses helping children learn
to regulate their own eating, eat a variety of foods and how to
help parents and children accept the child's body.
I would also recommend the ''Health at Every Size'' journal.
Weight is similar to height, mostly influenced by genetics and
fairly immutable. Most people who become obsessed with weighing
less at your daughter's age end up either with an eating
disorder or gaining weight beyond their genetic set-point
because of frequent dieting attempts. I would encourage you to
help your daughter feel healthy and happy in her body right
now. Check her previous height/weight charts with her doctor.
If she has always been heavier, this is probably her body, she
is not overweight for her set-point. If she has gained
recently, it may be her response to puberty or a growth spurt.
She also may need some support in self-regulationg her own
eating without guilt, shame, good foods or bad foods. Either
way, most diets lead to more weight gain.
Engage in healthy family behaviors, do not obsess about weight
(hers or yours), and help your daughter feel good about herself
as a whole person.
Good Luck,
Eating Disorder therapist
Oh, I feel for you.
I was a fat kid...went to Weight Watchers for the first time in
the 3rd grade.
My biggest comment to you is: don't harp on her weight. Don't
judge her food choices, even if it kills you. It makes it
worse--if she's using food to cope with her feelings and she
feels judged, etc, she'll sneak and eat in private.
Read Overcoming Overeating (and I think the authors have a book
for kids, too) and see if it helps you understand. You're doing
all the right stuff...try to get her active, try to find
something (even if it isn't physical) that she can throw herself
into and be excited about.
Best to you-- this is a tough road.
Been there.
I feel for you.
I have a niece who is now 19. She was always about 10% to 20%
over her ideal weight until high school, then became about 50%
over her healthy weight in high school. She ended up having a
lap band put in. My sister and I have talked about it and what
she said is she wishes she had made the following small changes:
No fast food, ever. Keeping a stock of food that my niece could
eat anytime she wanted but asking her ''Are you hungry or is
something else going on?'' and not making food a reward for
anything.
I asked her about weight watchers because I am going now, nearly
all the women in my family are overweight, and she said that
when she mentioned it to my niece at age 9 or 10, my niece
said ''why can't you just accept me like I am, why do I have to
be different?'' So she gave up on the idea. That said, we have
had several 10 - 12 year old girls at weight watchers who have
lost between 20 - 25 pounds and have become lifetime stars.
I hope some of this helps. My niece said that it's really hard
for her now that she has lost 60 pounds because she realizes
that people now say hello to her when she walks into a room and
she knows that they either didn't see her when she was heavier
or chose to ignore her when she was nearly 300 pounds.
I applaud you for trying to help. It seems that you're doing
many of the right things. Good luck to both of you.
Aunt to a Terrific Niece
If your daughter is a healthy eater and an active child, I
think you should not worry about her weight. She is entering
puberty and emotionally and physically changing rapidly-this is
not a good time to put her on a diet. I went to fat camp when I
was 12 and it was one of the most degrading and horrific
experiences of my life. I felt abandoned, ugly, shamed etc. I
did not want to tell my friends where I had been that summer
and any weight I lost was re-gained within a matter of months.
I suggest you read Ellen Satter's books as well as check out
the website bodypositive.com. You should also know that the BMI
is a human created measure and like the met life insurance
measures before it serves little purpose as a measure of
health. You should examine your motivations for wanting your
healthy daughter to lose weight.
Anon
Hi--A quick Google search using the words ''Kaiser Permanente
kids weight'' turned up several programs that Kaiser sponsors or
offers a reduced rate on. Kaiser tends to be really good with
the preventative approach. You should call your local Kaiser's
health education office to see what they're currently offering
for your child.
Anonymous
My suggestion is to enroll your daughter in an fun, active summer
camp in keeping with her interests. There's a Shakespeare camp in
John Hinkle Park off the Arlington, that my child has attended
for two years. All day long, they are rushing up and down the
hill, doing stage combat and acting out scenes. Lots of fun, and
they don't even notice that they are stronger after the two
weeks. The Cal camps are also very active, if your daughter has
one she's interested in. Or what about an overnight camp. Just in
the normal course of hiking and swimming your daughter would get
plenty of exercise. Also, her food choices would be up to her,
and both of you would experence less stress about her eating.
As an adult who attended weight watchers in high school, and many
times afterward, I can't say that it was particularly helpful,
and I continue to be significantly overweight. My child is normal
weight, which I attribute to encouraging her to be active, and
having reasonable food choices around (including some treats)
without restricting her eating.
it's her body
2001
Need suggestions for getting daughter's weight under control
Does anyone have suggestions for teen weight control ? My daughter has a
weight problem which seems to be only getting worse. I think she is in
denial about it. All my efforts to get her involved with sports ( she was
athletic) have not worked for one reason or another -- a hurt ankle stopped
swimming, She did not make her school's sports team she tried out for. So
we are in a vicious circle. I have tried monitoring, I have tried patience
and support. I am concerned for her, not for cosmetic reasons but for
health reasons and because I feel it is inhibiting her activities and growth
as a person. I think her eating comes from emotional issues related to pre
adoption experience. She is in therapy. I would love to hear from parents
who have successfully helped their teen children deal with this problem.
Anon.
My background is in Psych nursing and I worked with adolescents with eating
disorders. As I am sure you have realized it is a touchy subject. First, I
would check with your daughters therapist. Is this an issue they have
discussed and would she recommend initiating any program or weight loss at
this time? It is possible that your daughter is depressed and as the
depression resolves the weight will be less of an issue. If she has recently
broken and ankle and not made it on a team, she may be feeling out of control
and need other areas of her life to bolster her self esteem. Meanwhile, is
she getting any exercise? Would she be inclined to go to a gym or use a
treadmill in the home? Second, I would buy a book on the subject to inform
myself..there are some good ones out there and one that is recently
published...author might be Laura Mellon. Third, I would suggest contacting
a nutritionist who specializes in adolescent weight issues. I would consult
with her and see what she recommends. Laura Mellon was associated with UCSF
but there are probably others in the East Bay. Maybe there are some
recommendations on the UCB parent's web page. This would give you a starting
point from which to feel confident about addressing the issue with your
daughter. The nutritionist should also be able to discuss exercise and diet
concerns with you and with your daughter if things progress to that point.
Sometimes it is easier for teens to work with a nutritionist because they
develop a relationship with that person and it is not a control issue between
you and your daughter. You can then support her choices by buying and
preparing the proper food. Finally, it is important to consider your own
feelings and your family's attitude toward weight and food. A session with
the therapist for you and your daughter's father would probably be helpful.
Good luck.
Candace
I found that taking a teenager to a nutritionist an outside person who can
explain scientifically to the teenager what the health issues are was helpful.
I had my two teenagers tested for high cholesterol and triglycerides
because it is in the family history including early heart disease. Both
teenagers indeed had high cholesterol and one also had high triglycerides.
They want to live a long life and could understand what the nutritionist was
explaining to them in terms of exactly what dietary changes they need to
make. I'm not saying everything is perfect, but I see a change in their
choices of which foods they eat ( some of the time). In addition I spoke
with the nutritionist prior to my daughter's visit making it clear that I did
not want "weight" per se to be emphasized because I know how sensitive my
daughter is also she definitely will always be ( I think) a stocky large
muscular person that is her body type. Somehow looking at it strictly as a
health issue which it is , as opposed to a fat/thin issue seems somewhat less
loaded. Good luck! FR
I took my daughter to a nutritionist last year. I think it was worth
it mainly for the pep talk - including advice on how much
iron-containing foods she should be eating now that she was close to
menstruating, as well as other things you would expect. In terms of
weight, the nutritionist just spent time with her working out how she
could incorporate at least 35 minutes a day of exercise into her life
- and I've kept that as a rule of thumb since then. My daughter is in
pretty good shape these days, in all ways.
Fiona
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