poop and weight labels

Many of you probably know what I think of arbitrary labels for children and weight- adults too for that matter! (Please check out and comment on the post about doctors labeling children if you are so inclined!)Well, I had a funny conversation with a friend the other day and it illustrated the absurdity of it all. We are both moms, feeding our children very well, they sleep well, they have opportunity for physical activity, they are happy and thriving, they are growing in a steady and predictable way. One is at the very top of the growth curve and always has been, the other girl is at the very low end of the growth curve and always has been.We both shared how we would get worried before their checkups because they are growing at the extremes of the bell curve, but are growing in a healthy way for them. What was crazy was that a few ounces one way or the other would mean a few percentile points. Perhaps enough to be labeled "obese" or "underweight" or flag some concern, when in reality, clinically all was well."I hated it when she pooped right before her visit, then I knew her weight would look like it went down," my friend confided.  I chuckled, because my little one was pooping every other day, and it was more than a few ounces in my estimation.  " I was worried if she didn't poop!" I said. "If she pooped, she'd drop a couple percentile points, and no one would care!"Because really, in small children a few ounces can make a big difference if you live in the land of the extremes and arbitrary labels. ( According to the bell curve, ten percent of us will live at the top and bottom five percents happily and healthily.) In a five-year-old girl, 5 pounds can span the range from "normal" to "obese." And while a few pounds may not be clinically significant, telling the mom of a five-year old girl that her daughter is 'obese' IS significant.Did any of you worry about weigh-ins?

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great interview with Ellyn Satter

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paralyzed by our own fears: food and others