Childhood Diseases

Posted by: tlee | 2010-08-31


17 months 97th percentile

Dear Doc

At our last clinic visit when my lb was 17 months he weighed 13.9kg and measured 87cm. The clinic sister told me he is on the 97th percentile weight wise but I am not sure where he is height wise. He was always between the 50th percentile and the 97th percentile but shot up from there in 6 weeks.

She seemed concerned about his weight and suggested I cut down on calories.

My worry is that he is a happy healthy child that does not look overweight (his weight looks in proportion to his height). He is very active and has a big appetite and becomes ratty and does not sleep well if he does not eat enough.

Is it really necessary to cut back on calories and how do you suggest I do this?

He is going back to the clinic next week when he will be 18 months to get his Chicken Pox vac (they have been out of stock this whole year) and he will be weighed and measured again. I am worried that the sister will have something to say as he has definitely grown about 2 cm or more and has put on more weight so will probably still be on or over the 97th percentile.

Daily diet:
150ml full cream milk
Bowl of toddler pronutro (about 7 tablespoons dry porridge with full cream milk)
1 cup of fruit yoghurt
1 sandwhich (cheese / ham / tuna mayo / egg mayo / peanut butter and jam) (must be protein or he gets too hungry later in the day)
150ml full cream milk
2 provitas or cracker bread with marmite / jam
1 fruit (banana / apple / pear / guava - normally only eats about half or three quarters)
Dinner (4 chicken nuggets / 2 fishcakes / 4 meat balls / mini pizza / sasage with veg eg. butternut or gem squash or potato)
150ml full cream milk
He drinks about 300 - 400 ml of juice (1/3 liquifruit and 2/3 water) a day, more in hot weather.

Your advice would be appreciated.

Kind regards!

Expert's Reply



Your little or should I rather say big toddler boy is really big for his age. His height and weight are both on the 97th percentile [top 3% for boys of his age] so his weight is in perfect balance with his height. You should not change his diet at all.There is absolutely no need for any concern.

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