Start with what is measurable
A clinical review should plot height and weight on a growth chart, check blood pressure, review diet and activity, and consider the small number of medical and medication-related causes. Thyroid problems, some medicines and certain genetic conditions can all affect weight, and a child who is short as well as heavy always warrants investigation.
Habits with the strongest evidence
- Remove sugary drinks entirely - this single change has the biggest measurable effect.
- Eat meals at the table, without screens, at roughly the same times each day.
- Serve age-appropriate portions and let your child decide how much of it to eat.
- Aim for 60 minutes of activity a day, in any form your child actually enjoys.
- Protect sleep - short sleep drives appetite hormones in the wrong direction.
- Change the household food environment rather than policing one child.
Language matters
Comments about a child's body, dieting talk and weighing at home reliably increase disordered eating and do not improve weight. Talk about strength, energy and health. Never put a child on a restrictive diet without clinical and dietetic supervision.
This article is general educational information and does not replace individual medical advice. If you are worried about your child, speak to a qualified healthcare professional. In an emergency call 999, or NHS 111 for urgent advice.
To discuss your child, call 01926 624 235 or send us an enquiry.

