Exam Room Nutrition: Where Busy Clinicians Learn About Nutrition

59 | Interpreting Growth Charts to Address Pediatric Weight Concerns

Colleen Sloan, PA-C, RDN Episode 59

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In this episode, we dive deep into the world of pediatric growth charts with Kat, the Failure to Thrive Dietitian. We explore how to effectively use growth charts, identify red flags, and provide sensitive and practical advice to families dealing with underweight and overweight children.

Key Takeaways:

  • Understanding Growth Trends:
    • Focus on trends over time rather than single data points.
    • Significant changes in percentiles, either up or down, are red flags.
  • Addressing Red Flags:
    • Investigate potential underlying issues like food insecurity or abuse if there are drastic fluctuations in growth.
    • Bring back younger children for reassessment sooner than older children.
  • Sensitive Communication:
    • Avoid focusing on weight; use terms like "growth" to discuss a child's progress.
    • Seek permission from both the child and parent before discussing nutrition or weight.
  • Nutritional Strategies for Underweight Children:
    • Add high-calorie foods to what the child already eats, such as butter, cheese, whole milk, and nut butters.
    • Consider dips like guacamole or hummus to increase caloric intake in a fun way.
  • Nutritional Strategies for Overweight Children:
    • Start by addressing sugary drinks before making changes to their food intake.
    • Focus on adding nutritious foods rather than taking away favorites.

Follow Kat on Instagram: @failuretothrivedietitian

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Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.

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