Moms: Exploring childhood obesity

An overweight child often has more than excess pounds to bear — they're often taunted by peers and can suffer health problems, now and later.

We met with Dr. Doria Aguilar, a Miami Lakes, Fla., pediatrician with Palmetto General Hospital, to get some advice on how to keep our kids from getting fat. Overweight kids can experience body aches, joint pain and have a greater risk of high blood pressure, diabetes, high cholesterol and heart disease. They can also have emotional problems, including self-esteem issues, depression and anxiety about food, activities, or even going out in public.

Aguilar's passion for the issue is fueled by her own experience as an overweight teenager. She has since lost about 100 pounds and has kept it off for five years.

Now, she works to educate kids -- and their parents -- about living a healthy lifestyle.

Question: What causes obesity in children?

Answer: "A combination of the way we live our life and genetics. Poor nutrition from fast food and unhealthy snacks are one reason. Today, moms aren't home like they used to be, so they're buying more prepackaged food that is higher in fat, carbs and salt. Kids also are less active and more sedentary. Genetics also play a role. If the parents are obese, there is a greater chance for the kids to be."

Question: What should a parent do first if their child is overweight?

Answer: "The first thing is to approach it as a family issue, because we are stronger together than alone. Because there are so many negative things attached to being overweight, don't make the child feel like he has done something wrong. Start with positive messages: 'Let's become healthier. Let's help our body feel better.' "

Question: When should parents seek medical attention for an overweight child?

Answer: "From the start, to help put the problem in perspective, reinforce healthy living and monitor improvements."

Question: What are your diet recommendations for overweight children?

Answer: Go back to the basic food groups.

Restrict the use of oil, or switch to olive oil.

Eat more fruits and vegetables. Add a little cheese to broccoli or honey to baby carrots to get your kids to try them.

Don't cut out a food completely, because it will lead to more cravings. If you want dessert, share one among all of you.