My youngest son is a very big boy and has been since he was born. When he was 10 months old I took him for his well-baby check and vaccinations. The nurse noted his weight and said, quite casually, âHe is in the 99th percentile for weight so he is at risk for obesity. You may want to keep an eye on that.â I said, âHe is exclusively breastfed. He refuses to eat any solids yet.â What did she expect me to do? What would it mean to âkeep an eye onâ an exclusively breastfed babyâs weight?Â
She backed off saying, âWell he looks fine!â â proving once again that weight bias is not truly about health â But I know many other parents who are not as informed as I am about weight science and size diversity would react to this interaction by policing their childâs food intake, if not as an infant, then when he was an older child. This is exactly the type of seemingly-inconsequential interaction that starts the ball rolling on a lifetime of dieting, disordered eating, negative body image, and weight-based abuse for too many fat people.
Years later when he was five, another doctor measured his weight and height and commented that he is off the charts on both, but âat least he is in proportion.â And if he was not âin proportion,â I am sure I would have been advised once again to âwatch his weight.âÂ
I no longer allow healthcare providers to weight my children unless it is absolutely medically necessary. They are unable to control their weight talk, which is a known harm for children.
We need to completely eliminate weight talk from medicine, especially when it comes to children. Even the smallest exposure can have terrible consequences.