Anybody who has hung out here for very long has probably been acquainted with the trials and tribulations of L.’s weight. If you haven’t been a part of that particular conversation, you can catch up here, here, and here; but the shorthand version is that pretty much since he was two and a half years old, my six-year-old son has been deemed overweight by his pediatrician. Not by his clothing size, not by the naked eye of anyone who knows him, but strictly by his BMI. And J. and I have tried our best to manage it, to deal with it, without resorting to the suggested tactics — restricting portions of healthy foods, eating only nonfat dairy, giving low-fat and low-calorie snack alternatives instead of real food items. We’ve also tried to deal with it as a parenting issue without losing our everloving minds. One of us was more successful at that particular trick than the other — want to wager a guess who was who?
Insert wry smirk here.
I haven’t said this before on this blog. I’ve thought about it a lot, and I thought maybe I never would. I thought maybe it wasn’t relevant and maybe it was a lens through which you’d all see me, and through which I didn’t want to be seen. But it’s SO relevant. It’s absolutely a part of this conversation for me to tell you that when I was a child, and a teenager, and a young adult, and really up until L. was just about a year old, I struggled mightily against disordered eating and severe body image issues. Yes, I threw up. Yes, I tried (and was never much good at) severely limiting calories. Yes, I binge ate. Yes, I obsessed over calories and I hated myself, and I once — as a grown woman — called my mother in tears because I was having something very closely approaching a panic attack over the fact that my graduate-school friends wanted to order a pizza and the entire thought of having to be in a group and figure out whether or not to eat pizza in front of others was so overwhelming that it was actually, almost literally, crushing. I loved to swim and be in water when I was a child, but once I hit my twenties I stopped wearing bathing suits, ever, and would never go in a pool or to the beach. I’d wear long pants to cover my fat, fat legs and I’d just cuff them to stick my toes in the water and pretend I was having a great time. And the final straw was being a first-time mother with a wonderful baby who was so terrified of an upcoming family vacation to the shore, so conflicted about whether or not I could actually enjoy that time with my son and be the mother I wanted to be for him, that I ended up in counseling with a very nice, very puzzled woman who handed me tissues and talked to me about trying on bathing suits while L. crawled around my ankles.
So that’s my stuff. And it’s better now. But I’ve got to own it, I have realized, because it has taken every bit of emotional wherewithal I have to NOT allow all of that past shadowy craziness color the way I view L. and his perfect, God-given body….and to not allow it to make me feel guilt, shame, and humiliation over being the mother who possibly “made” him “overweight.”
All this by way of saying: It’s been a weird place, inside my head.
I maybe didn’t realize how weird it’s been, actually, until today. Today was L.’s six-year checkup. It occurred to me last night that I had been subconsciously tensing up for about a week, girding my emotional loins, as it were, for a fight. I have been so used to taking my kid to the doctor and having to defend his weight and my feeding practices and…US…that I was already stressed out about it before I ever even got in the car to take him there. When I figured out that my new tooth-grinding habit was possibly a premature reaction to something as simple, and yet not simple, as a pediatric visit, I knew I had to acknowledge why this bothers me so much.
It bothers me because of my own history. Obviously. It bothers me because L. is a beautiful, bright kid who also has sensory-neuro disabilities, and motor issues, and therefore there’s a whole lot of stuff to talk about when it comes to him and his health that I feel like we’ve glossed over at these appointments in the past, in favor of discussing the relative merits (!) of restricting portions of raw oats and dried fruit. It bothers me because, due to some of his symptoms and some of his problems, managing his sense of hunger and fullness is complicated; managing his activity level is even more complicated; and frankly, when you’re working with an academically advanced preschooler who also can’t hold a crayon or go up and down stairs properly, the last thing you’re really worrying about — to be one hundred percent honest — is “Eat Less, Move More.”
So clearly, I was about as wired as I could get by the time I got poor L. to his appointment today. Which I needn’t have been, as it turns out, because for the first time in years, I got a thumbs-up (what IS this, anyway? A parenting report card?) and L. was complimented on how healthfully he eats.
All the ire is slowly leaking out of me. He grew well over four inches this year, and he didn’t even gain three pounds. His weight, percentile-wise, is lower than it’s been since he was two. He hasn’t gone up a pants size (except for length) in a year. And now, in kindergarten, in the beginning of his sixth year, L. is happy and healthy and thriving.
Well. He was most of that before. But I didn’t get to hear it and own it and feel pride about it, because he was also “the fat kid,” as his doctor memorably suggested once. Which became all that mattered.
So somehow, we’ve come into another part of the forest — I won’t dare to suggest we’re out — that is the childhood obesity epidemic, and it would be easy to say that we’ve “rescued” L.’s weight or some such thing. That we’ve done the right stuff and avoided the dreaded curse of fatness, and now I have the answers. Of course I don’t. Nobody has the answers. But I know what I know.
Tonight, as I sit here typing this and wondering if I’m really brave enough to even hit “publish” on this manifesto of my angst, I know these things about childhood obesity:
1. You can do everything “right,” and still have the outcome — the all-exalted BMI — come out “wrong.”
2. When the BMI is “wrong,” the implication is that you, as a parent, are “wrong.” It doesn’t matter how compassionately the subject is dealt with; at its very core, the subject of weight in this country is perceived to be a problem of personal responsibility, and however flawed that perception may be, try telling yourself that it’s all B.S. when the searchlights are trained on you and your kid.
3. If we allow the conversation to continue to center on weight, not on health, not on habits, but on WEIGHT, then inevitably the shame spiral is going to trickle down to our kids. The fear of fatness, and the hatred of fatness, is going to become impossible for us to hide from them.
4. The mainstream medical establishment does not have all the answers about how to make our kids slimmer. J. and I did not, in fact, take the advice of our mainstream pediatrician in “treating” L.’s weight. We instead relied upon our own instincts, our own barometers, as parents — and gave him MORE fat. MORE protein. MORE real food. LESS sugar. LESS low-fat. LESS processed food. His appetite noticeably regulated. His body — its size AND its vitality — followed.
5. If relying upon common sense and parental barometric pressure is going to be any part of the solution — which I fully believe it needs to be — then as a nation, we are in very significant trouble.
Sure, J. and I have a good handle on these things, relatively speaking. We also have education, tools, resources, and skills…like the ability to cook, the ability to shop for and afford good food, the ability to prioritize good habits like family dinners and regular healthy breakfasts. I don’t for a moment believe that the majority of the parents in our country have all of those assets at their disposal. It’s not as easy as telling a whole nation of struggling families, “Just pull out your skillets and your grass-fed beef, try quinoa and other whole grains instead of white flour, and replace all your low-fat items with coconut oil and pastured organic butter!” It’s not even as easy as telling everyone to eat more vegetables. Or to “Eat Less and Move More.”
The contributing factors that are making our kids heavier and, in some cases, sicker, are vast and numerous and have been discussed at length by people far smarter and more articulate than I. I won’t rehash them. What I will say is that I believe we need a hard left turn, a major shift away from the “science” of losing weight, and a beeline to wherever it is that we need to go that will allow us to focus solely on really, honestly providing true nourishment and healthful habits to every child. If we focus on calories and weight, we’re lost; if we focus on giving kids vital nutrition, real, living foods, and fresh air and love and freedom from our uptightness and judgment about fatness or thinness, we’ll be okay.
Yeah. I really am a dreamer.
But I’m a dreamer who just enjoyed giving her son a mug of homemade hot cocoa, and for the first time in possibly two years or more, didn’t worry in some small part of her mind that she was ruining him.
Thanks for hitting the publish button. 🙂 That took a lot of courage. You are doing a great job as a mom. Hugs to you! <3
Thank you, Lisa! It’s truly appreciated. 🙂
I would like to give you a hug. Since I can’t do that, I’ll just say that you are a great Mom, and a great person with the amazing gift of being able to think outside yourself while also bringing a deep personal conviction to all that you say. All of that, while also being real, and funny, and “one of us.” Getting that pediatrician thumbs up is so strangely affirming (I know, WHY do we feel like a check up for them is like a report card for us?) and knowing how confused and defeated you’ve felt in the past I was just so glad to hear not only that L. is doing well, but that you finally got to focus on something other than his weight at a doctor visit.
You have never defined L. by his weight, knowing your son better than anyone, you KNEW that you were feeding him well and in his own best interest, and good for you and J. for sticking with your convictions. You knew, and you were right.
As parents I think that we get so bogged down in every little thing. In the past year I’ve found that the goal really needs to be focusing the child as a whole person – not as a series of milestones or check ups or bragging points. Health, happiness, well being . . . Those things don’t get measured in numbers or inches.
Enjoy that cocoa. Job well and lovingly done.
Thank you so much for this lovely comment. It’s so nice to receive support and kindness from people who read this blog. 🙂 I love what you said about things that “don’t get measured in numbers or inches.” It’s so, so true that the majority of the best things we actually do for our children are not things we do with any hope of truly measuring them. We do them anyway, because we do believe that they are right and good and because we hope that the unmeasurables are the most impactful.
I LOVE this post. What women among us hasn’t struggled with irrational, pointless, life-inhibiting thoughts about our weight, our body shape, what someone will see/feel/judge about our bodies. Isn’t that horrible? I worry a lot about messages like that while I’m raising a teenage daughter (or rather watching her raise herself). Real food, YES! Withholding and judging and picking does not work and in case would be so depressing and boring. You are a wonderful, intuitive, educated, dedicated mother and I only wish I knew you in real life so I COULD give you a hug.
I think it is, to some extent, universal among women — and you’re right that it’s a horrible scourge among us. I have to admit that some small part of me has always been, in a way, relieved to not be raising young girls at this moment in time. Boys bring their own unique challenges, but the whole concept of trying to navigate the body image thing with a girl feels like a terrifyingly vast and unwieldy task to me.
And I’ll take a virtual hug any day. 🙂
This is beautiful. Thank you.
I’m not a mom, but I hope I can bring the same level-headed compassion as you if I’m ever faced with these same hurdles.
It’s so important to remind ourselves that weight is not greater than health, weight is an element (yes, a very important element) of health.
I’m so happy to have read this today. It resonates deeply for me and has caused a swirl of thoughts about my own struggles with weight and self-perception.
Thank YOU. I always hope to be helpful, in whatever way people need. 🙂
+++ for your strength in posting this. Your boys are very lucky to have a mom a great as you looking out for them. You are a beautiful woman….it is a shame that you have EVER had to question this…our society is really messed up in regards to weight. Keep up the good work lady!
Thank you so much, Kim. I love all the supportive comments I’m getting from such fabulous and admirable people!
This is such a courageous and important post. I’ve often felt that we “dodged a bullet” in that my husband and I have naturally lean physiques that we passed on to our kids, but I’m the fist to tell you that appearance or BMI is NOT a fair measure of good health or good habits. (And I know this because my kids absolutely don’t get enough physical exercise, something we’re working on.) It’s terribly unfair for your doctor to make assumptions about your family’s feeding habits based on the “magic number” of BMI, and good for you for sticking to your guns and trusting your instincts!
Thanks, Bettina. 🙂 I do think genetics is such an overlooked thing, partly because it can be used as an excuse or a crutch. But in our case, my husband and I were both larger kids who one day stopped being particularly “larger.” It just happened. We hit puberty, or got taller, or something, and suddenly it was less of an issue. To this day we’re healthy by every conceivable measurement, if not model-lean; but we weren’t built to be model-lean. We’ve got heartier builds than that. And so does L.
It sounds like you are doing a great job feeding your children what they need. Keep doing what feels right to you.
My neice had the opposite problem. When she was about a year old she was very tiny, both height and weight. The doctor thought she wasn’t growing quickly enough. She seemed to be a very healthy eater. She consumed plenty of breast milk and ate a large variety of fruits and vegetables. The doctor wanted her to increase her calories. I don’t think they even took into consideration that she was just meant to be small. This wouldn’t have bothered me too much if they had recommended for her to increase healthy calories, but they actually told my sister to give her strawberries dipped in sugar. I could hardly believe this. I suppose this is the same doctor that said my nephew should be fed McDonald’s hamburgers if it convinces him to eat meat even though he had no problems consuming eggs, cheese, or milk.
Thanks for the support, Jamie! Isn’t it crazy how the trend these days seems to be not letting kids grow into their own bodies, on either end of the spectrum? I’ve said a few times that one of my grandfathers was a country doctor for years and would never give parents a hard time about the SIZE of the child. He’d ask questions about the kid’s habits instead and assess whether the kid seemed to be thriving, and that was it, unless there was an extreme case that needed intervention. I feel like things used to turn out better.
Probably because doctors spend very little time with your child, and so they tend to prioritize those things they can measure. They can measure how much your kid weighs, they can measure the BMI. They can’t measure “how big is the rest of the family that’s not here, how big were they as kids?” as easily, so they tend to disregard it.
Plus, I’m convinced that many of them simply don’t understand percentiles more than the rest of the public. *Some*body has to be in the fifth percentile, and another person in the ninetyfifth! This isn’t Lake Woebegon!
Very true, Uly. I think we all need to remember your last point: Somebody has to be in the 5th percentile, and somebody in the 95th, or else there wouldn’t be much of a statistical mean from which to deviate, no?
This is such a wonderful piece! Thanks for sharing so honestly. As a “thin” and “healthy” person (I’m 5’5” and 123 pounds) who has been dealing with a myriad of health issues, including hypertension and gestational diabetes, restless legs, ongoing yeast infections… and who has had to work hard to “reset” my gut with whole, living foods, I support the idea 100% that it’s not about size as much as health. I am getting better now that I’m finally in the care of an excellent acupuncturist and drinking raw whole milk and eating more healthy protein, fiber and fats, and taking supplements like cod liver oil and probiotics. I wish nothing more than for everyone in our country to be able to afford and access these foods, tools and resources. The way federal food dollars are spent is truly a crime. The “lowfat/nonfat foods” fix to obesity is killing us. And your post very eloquently hit the nail on the head!! xoxoxo.
Thank you for this comment, Jennifer! I hate to think of you going through all those health problems — and yet I thank you for sharing them, because this is really the crux of the issue, isn’t it? I’ve never been “thin” but have always had great — even LOW — blood pressure, am rarely really sick, had two healthy pregnancies, and have no “health” issues to speak of. It really goes to show that the size and shape of your body don’t tell as much about your insides’ function as people have led us to believe. I SO hope for you that you continue to get more healthy and to become another beautiful example of health at any size — whether it’s your size or mine!