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The Problem with Fat-Talk at the Pediatrician’s Office

“His BMI is on the high side of normal. See?” The pediatrician showed me a chart. “This is something we need to keep an eye on.” I had brought my younger child for his seven-year-old checkup, a pro forma ritual as far as I was concerned. Our pediatrics practice always asks my kids if they eat vegetables and run around every day, but this was new. I felt suddenly worried and defensive. It seemed like we should talk about it, but I was reluctant to do it in front my son.

“He looks healthy to me,” I said to the doctor. “Are you concerned?”

“Well, it’s high side of normal. You need to be aware. We should monitor this.”

I listened as he probed my son’s answers to questions about vegetables, athletics, and screen time. I could tell that in our soccer-and-lacrosse-obsessed suburb, my child’s lack of interest in organized sports was raising red flags. “Look,” I said, “my kids walk to and from school every day. Our dinners usually include brown rice and kale. I don’t regularly serve snacks or dessert. We have good habits.” The doctor let it drop, after one more warning glance at me…

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