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Infants being treated for obesity Infants being treated for obesity
(30 minutes later)
Doctors say they are now seeing children as young as six months old in their obesity clinics.Doctors say they are now seeing children as young as six months old in their obesity clinics.
They are concerned some parents are supersizing meal portions for very young children and have lost sight of what "normal" weight looks like.They are concerned some parents are supersizing meal portions for very young children and have lost sight of what "normal" weight looks like.
They told the BBC that in extreme cases overfeeding a young child should be seen as a form of abuse or neglect.They told the BBC that in extreme cases overfeeding a young child should be seen as a form of abuse or neglect.
A BBC investigation has learned obesity has been a factor in at least 20 child protection cases in the last year.A BBC investigation has learned obesity has been a factor in at least 20 child protection cases in the last year.
The BBC contacted almost 50 consultant paediatricians around the UK to ask if they believe childhood obesity can ever be a child protection issue.The BBC contacted almost 50 consultant paediatricians around the UK to ask if they believe childhood obesity can ever be a child protection issue.
Obesity is a public health problem, not a child protection issue Royal College of Paediatrics and Child Health Kacey's weight went off the scaleObesity is a public health problem, not a child protection issue Royal College of Paediatrics and Child Health Kacey's weight went off the scale
Dr Tabitha Randell, a consultant paediatrician from Nottingham, is one doctor who believes some parents are killing their children with kindness.Dr Tabitha Randell, a consultant paediatrician from Nottingham, is one doctor who believes some parents are killing their children with kindness.
In one extreme case Dr Randell saw a child aged two-and-a-half who weighed more than four stone (25.4 kg). Children of this age should weigh around two stone.In one extreme case Dr Randell saw a child aged two-and-a-half who weighed more than four stone (25.4 kg). Children of this age should weigh around two stone.
"They said she was big-boned and they were too. I think the perception of parents is a very real problem."They said she was big-boned and they were too. I think the perception of parents is a very real problem.
"If you see every other child in the playground with their belly hanging over their trousers you think that's normal.""If you see every other child in the playground with their belly hanging over their trousers you think that's normal."
OverfeedingOverfeeding
In virtually all of the cases, it is down to overfeeding, according to the doctors surveyed.In virtually all of the cases, it is down to overfeeding, according to the doctors surveyed.
PORTION SIZES FOR ONE YEAR OLDS One tablespoon of finely chopped meat or fish or one egg, 2-4 times a dayHalf a small apple, pear or one small plum, 2-4 times a dayOne tablespoon of vegetables, 3-5 times a dayOne slice of bread or one tablespoon of potato, rice or cereal, 4-6 times a dayAvoid foods high in fat or sugar
The were concerned that some parents no longer understand the correct portion sizes for very young children or select the wrong types of food - crisps, fizzy drinks and other sugary or high fat snacks - for their child.The were concerned that some parents no longer understand the correct portion sizes for very young children or select the wrong types of food - crisps, fizzy drinks and other sugary or high fat snacks - for their child.
One of the doctors said they knew of a parent who had fed a baby a McDonald's milkshake with a bottle and a teat.One of the doctors said they knew of a parent who had fed a baby a McDonald's milkshake with a bottle and a teat.
PORTION SIZES One-year-olds One tablespoon of finely chopped meat or fish or one egg, 2-4 times a dayHalf a small apple, pear or one small plum, 2-4 times a dayOne tablespoon of vegetables, 3-5 times a dayOne slice of bread or one tablespoon of potato, rice or cereal, 4-6 times a dayThree dice-sized pieces of cheese or two tablespoons of yoghurt, 2-4 times a dayAvoid foods high in fat or sugar500ml of full fat milk in a day 2-3-year olds One and a half tablespoons of fish or meat, 2-4 times a dayOne small apple, pear or banana, 2-4 times a dayTwo tablespoons of vegetables or one small chopped salad, 3-5 times a dayOne large slice of bread or one to two tablespoons of cereal, rice or potato, 4-6 times a day4 dice-sized pieces of cheese or three tablespoons of yoghurt, 2-4 times a daySome fatty or sugary food allowed - six small chips or one biscuit or small slice of cakeThree glasses of full fat or semi-skimmed milk
But some health professionals think it is unhelpful to see childhood obesity as potential neglect.But some health professionals think it is unhelpful to see childhood obesity as potential neglect.
The Royal College of Paediatrics and Child Health said: "Obesity is a public health problem, not a child protection issue."The Royal College of Paediatrics and Child Health said: "Obesity is a public health problem, not a child protection issue."
Some parents feel they face an uphill struggle to convince their children to eat healthily in a society where there are many high fat choices on offer.Some parents feel they face an uphill struggle to convince their children to eat healthily in a society where there are many high fat choices on offer.
PORTION SIZES FOR 2-3 YEAR OLDS One and a half tablespoons of fish or meat, 2-4 times a dayOne small apple, pear or banana, 2-4 times a dayTwo tablespoons of vegetables or one small salad, 3-5 times a dayOne large slice of bread or up to two tablespoons of cereal, rice or potato, 4-6 times a dayFour small cubes of cheese or three tablespoons of yoghurt, 2-4 times a day500ml of full fat milk in a dayLimit fatty or sugary food - six small chips or one biscuit or small slice of cakeThree glasses of milk
At the children's centre in the deprived Meadows area of Nottingham parents are offered support to improve their children's diet.At the children's centre in the deprived Meadows area of Nottingham parents are offered support to improve their children's diet.
A group of mothers has just signed up for a six-week course, learning how to prepare healthy food from scratch.A group of mothers has just signed up for a six-week course, learning how to prepare healthy food from scratch.
The mothers say it is too easy to blame parents.The mothers say it is too easy to blame parents.
Vikki Sansom, who has two young children, said: "I think there is a big difference between not feeding and overfeeding.Vikki Sansom, who has two young children, said: "I think there is a big difference between not feeding and overfeeding.
"It's really hard for parents and it's wrong to say that's neglect"."It's really hard for parents and it's wrong to say that's neglect".
The British Medical Association is due to debate a motion on this issue at its annual conference at the end of June.The British Medical Association is due to debate a motion on this issue at its annual conference at the end of June.