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ever-growing. Extra weight on your child’s body can cause lung problems, leading to ailments such as asthma. Sleep apnea (a condition where your child has abnormal breathing patterns while sleeping) can be a complication of childhood obesity. Being obese can create hormone imbalances for your child that can cause puberty to start earlier than expected.
    Extra weight can even affect the way your kid’s feet are formed. Did you know that flattened arches are often developed during childhood? An article in the June 21, 2010 edition of USA Today states that extra pounds can take a toll on feet, causing conditions such as flat feet, inflamed tendons, and sore feet. A spokesman for the American College of Foot and Ankle Surgeons said, “The foot was made to carry the average body, of maybe up to 200 pounds. When you add 100 or 200 pounds, it overloads the tendons, the ligaments, and the bones.” While your child may not be 100 pounds overweight, any excess weight puts undue pressure on their feet. Likewise, Dr. Wendy J. Pomerantz of Cincinnati Children’s Hospital Medical Center found obese children had more leg, ankle, and foot injuries than normal-weight children. 3

    Source: Adapted from Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report .
    When we say that obesity can affect you from the top of your head to the soles of your feet, we’re not kidding.
Is My Child Part of This Problem?
    Is your child at risk of being overweight or even obese? How can you tell? Phillip and I like to evaluate healthy weight by using the Body Mass Index (BMI) chart.
    BMI is a number calculated from a person’s weight and height that is a reliable indicator of whether your child is overweight. It’s not foolproof, however, because it doesn’t take into consideration how much muscle a child has. Muscle weighs more than fat, and some kids naturally have more muscle than others. Also, the BMI chart can be a little skewed during periods of rapid growth. Still, it’s a generally solid guideline to use. The best way to get an accurate reading is to get a scale that measures body fat, weight, and hydration levels or make an appointment with your child’s doctor.
    If you decide to calculate your child’s BMI on your own, you first need to take some measurements. Measure your child’s height and write it down. Then weigh your child and write that number down. Compare these numbers with the chart on the previous page or insert them into the handy BMI calculator on the Centers for Disease Control website ( http://apps.nccd.cdc.gov/dnpabmi/ ).
    If you find that your child falls in the overweight or obese range, don’t waste time beating yourself up about it or blaming your poor parental skills. The key is to realize that starting today, you can change this number. You can change the way your family eats. You can change the way your family exercises (or doesn’t at all). You can even change your child’s health if she is suffering from weight-related conditions. You can make a difference.
    Reading this book and working through the 90 challenges in Part 2 is a great first step. Make this a priority and read the challenges together as a family at the breakfast or dinner table, right before or after you help your children with their homework, or the first thing when they come home from school. Make these challenges a part of your routine to help your children understand that you are on their side and you want to help them be healthy.
    Don’t judge or make your kids feel bad if they are overweight. Support them and let them know this is something you can conquer together. When I was a little girl, my grandmother would make negative comments about my weight all the time. She meant well, but it made me feel as if she didn’t approve of (or even like) me. Your child needs to know that you love her and support her in every