overweight child-Help!!!

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disneyloveNY

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Wondering if anyone has this problem-My 8 year old has an uncontrollable appetite. He is extremely shy and tends to be very anxious.He's gaining weight every day. He is in third grade and doing well. He is close to 30 pounds overweight. Blood tests have all been normal so far. We eat healthy, have no junk around but his problem is overeating. I have to be on top of him 24/7 to avoid this and this is close to impossible. The minute I look away he is eating something else, even after a full meal and dessert. Suggestions? Any weight control pills that are safe in children? It is causing all sorts of problems at home. My DH blames me, I am at a loss, Help!!!!
p.s.He does exercise -tennis, we run/walk on the weekend and he does an exercise class 1x/week
 
I have a son with weight issues as well. He is now 15. We learned the hard way that being on him about it often has the opposite effect. One thing we did was go to a weight management clinic run out of the local Children's Hospital. You may want to see if there is one in your area and have your pediatrician refer you. Good Luck!
 
This is a very difficult problem!

I was very heavy as a child, even though my parents did all the things that are suggested today to combat childhood obesity -- no junk food in the house, lots of planned family physical activities, no dessert other than maybe a piece of fruit, lots of veggies, only one hour of TV a day, etc. I still weighed far more than the other girls my age -- almost twice as much, actually -- and the other kids were brutal to me. (This was 35 years ago, when childhood obesity was rare, so I was generally the fattest kid around.)

I firmly believe that some people are just naturally heavy, and there is no point in blaming anyone. (And I would be really ticked off at my husband if I were you!) However, overweight children are subjected to intense bullying, and excess weight in children may result in health problems as an adult, so it's understandable that you'd want to fix this.

I have a few suggestions, although there is no guarantee that they will work.

Firstly, if you are not already feeding your son "low calorie density" foods, I would suggest you try this. The book Volumetrics by Barbara Rolls is the best source of information on this; you can buy it on www.Amazon.com

Secondly, there is recent evidence that sitting a lot may cause weight gain. (There is a thread on this further down the board.) Try to get your son doing things that don't involve a lot of sitting around. (Maybe get him Dance Dance Revolution or other video games involving activity, sign him up for sports, etc.)

As for medications that are safe for use in children, Adderall is given to many, many boys your son's age as a treatment for ADD, but it was originally designed as an anti-obesity drug (yes, really!) and it certainly causes a reduction in hunger. However, the fact that it is widely prescribed doesn't necessarily mean that it is safe. Adderall is amphetamine -- that is, "speed" -- so it is addictive. If you do try to find a doctor who will prescribe it for your son, I'd be interested in what the doctors say. I suspect that doctors are more willing to prescribe "speed" for ADD than they are for obesity (which I think is ridiculous, by the way.)

A final point: With growing children, the goal is to slow or stop weight gain and let the child "grow" into their weight. The goal isn't generally weight loss, as it is with adults. Also, many boys slim down when they hit puberty. (It doesn't work that way for girls, unfortunately.)
 
I am so sorry to read this. I am sorry that your DH is blaming.

I would definitely consult the pediatrician. If your son is shy have him enrolled in more activity that will take him away from the pantry, swimming lessons, soccer, any activity even if it is not sports related. Perhaps by having him interact with people and become more involved in things will take him away from the munchies.

If you don't dwell on it as the "D" word but rather a "fun" thing to try it may be something he can buy into and help as each day unfolds.

I really don't know how to exactly advise you and am interested in hearing your solution and what is offered.
 

As for medications that are safe for use in children, Adderall is given to many, many boys your son's age as a treatment for ADD, but it was originally designed as an anti-obesity drug (yes, really!) and it certainly causes a reduction in hunger. However, the fact that it is widely prescribed doesn't necessarily mean that it is safe. Adderall is amphetamine -- that is, "speed" -- so it is addictive.

Judy is right that Adderall is a stimulant. It should not be used for
anything besides ADHD and only after your child has had a full work--up
including EKG. The risks are too high in my opinion unless it's a necessity.

Here's a clip from the FDA:
" Health Canada has suspended marketing of Adderall XR products from the Canadian market due to concern about reports of sudden unexplained death (SUD) in children taking Adderall and Adderall XR. SUD has been associated with amphetamine abuse and reported in children with underlying cardiac abnormalities taking recommended doses of amphetamines, including Adderall and Adderall XR. In addition, a very small number of cases of SUD have been reported in children without structural cardiac abnormalities taking Adderall."


It's just way to scary to medicate unless you really have to.

The book Volumetrics by Barbara Rolls sounds like a great
source of information. Also, your pediatrician might have some
suggestions. Just remember, puberty is right around the corner
and that's when they have a major growth spurt, thin out and
grow a few feet. Don't worry. You sound like you're doing a great
job watching what he eats, not having "bad" foods in the house, and
getting him to exercise. The only other thing you could check is
school lunches sometimes tend to be high in calories. Sometimes
counselors that specialize working with children are a good way to go.
They could meet with him and give him some other ideas
of things to do when he feels the urge to eat. I know when I was a
kid that I was a huge stress eater and I didn't learn how to change
this habit until I was older and replaced stress eating with running.

I wish you and your son luck. Everyone here on WISH are here
to support you, so please let us know how it's going:grouphug:
 
Thank you so much! These are some great suggestions and just hearing from everyone gives me that much more incentive to keep trying.
I will keep you posted.:)
 
Judy is right that Adderall is a stimulant. It should not be used for
anything besides ADHD and only after your child has had a full work--up
including EKG. The risks are too high in my opinion unless it's a necessity.
....
It's just way to scary to medicate unless you really have to....
I'm not trying to start an argument here, but I'm wondering why you'd feel Adderall should be used for ADHD but not obesity. Do you feel that obesity can always be treated with just diet and exercise, or do you feel that the health risks and other problems caused by obesity are less than those caused by ADD/ADHD, or do you maybe feel that Adderall would cause more health risks if taken by a heavy person than a thin person? (In which case, I'm not sure if you'd think a heavy person with ADHD should take Adderall it or not.)

Again, I'm not trying to argue, I'm just trying to figure out the reasoning behind supporting Adderall use for ADHD, but not for obesity. I know that many people oppose stimulants for all purposes, including ADHD, but I'm not sure how many support stimulant use for ADHD but for oppose it for other things.

What I would like to see is PPA and ephedrine made available again for treating obesity. They are probably almost as effective as amphetamine for obesity, but are less addictive.
 
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Stimulants as weight loss aids are not effective because the body adjusts to taking them after about 6 months and appetite does return. That is why they stopped prescribing stimulants as weight loss aids.

Also it appears that while stimulants can be addictive they do not seem to have the same affect when taken for ADHD.

My son is also overweight and I have discussed his weight with the pediatrician and they never suggested any pharmaceutical alternative. I don't believe that any responsible pediatrician would ever prescribe medication for weight loss in a child.
 
Stimulants as weight loss aids are not effective because the body adjusts to taking them after about 6 months and appetite does return. That is why they stopped prescribing stimulants as weight loss aids.

Also it appears that while stimulants can be addictive they do not seem to have the same affect when taken for ADHD.

My son is also overweight and I have discussed his weight with the pediatrician and they never suggested any pharmaceutical alternative. I don't believe that any responsible pediatrician would ever prescribe medication for weight loss in a child.
Stimulants taken for ADHD are less addictive than stimulants used illegally because ones for ADHD are taken orally (rather than intraveneously or by smoking or snorting like illegal drugs) and because they are used in controlled doses. The exact same thing would be true of stimulants used for weight loss, so there would be no reason for stimulants used for weight loss to be any more addictive than stimulants used for ADHD.

As for stimulants losing their weight loss effect after a few months, there were old theories that this would happen, but more recent studies show that this isn't true. Stimulants continue to produce a weight-reducing effect for as long as you take them. (This is why smokers gain weight when they stop, even if they've smoked for decades. Nicotine, which is a stimulant, was suppressing their weight for all those years.) In fact, I was recently reading a speech by Dr. Albert Stunkard, a leading obesity researcher (also a former professor of mine, and a really nice guy) who was saying that it makes no sense to prescribe stimulants only short-term for weight loss; they should be prescribed on an ongoing basis. I can try to scan in a copy of the speech, or look for some studies on this, if you would like.

I really don't understand why it would be OK to prescribe stimulants for ADHD in kids but irresponsible to prescribe them for obesity in kids. Again, I'm not trying to argue, I just really want to understand people's reasoning here. I asked some questions about this in my last post -- would you be willing to respond to them?
 
Stimulants taken for ADHD are less addictive than stimulants used illegally because ones for ADHD are taken orally (rather than intraveneously or by smoking or snorting like illegal drugs) and because they are used in controlled doses. The exact same thing would be true of stimulants used for weight loss, so there would be no reason for stimulants used for weight loss to be any more addictive than stimulants used for ADHD.
First of all stimulants taken orally can be just as addictive as those taken in other forms. Certainly the effects are more powerful if taken intravenously or snorted but overall they can produce the same addictive results. How else would you explain people being addicted to "uppers". Addiction occurred at a time when these medications were taken orally and in controlled doses.

As for stimulants losing their weight loss effect after a few months, there were old theories that this would happen, but more recent studies show that this isn't true. Stimulants continue to produce a weight-reducing effect for as long as you take them. (This is why smokers gain weight when they stop, even if they've smoked for decades. Nicotine, which is a stimulant, was suppressing their weight for all those years.) In fact, I was recently reading a speech by Dr. Albert Stunkard, a leading obesity researcher (also a former professor of mine, and a really nice guy) who was saying that it makes no sense to prescribe stimulants only short-term for weight loss; they should be prescribed on an ongoing basis. I can try to scan in a copy of the speech, or look for some studies on this, if you would like.
I'll have to disagree with the studies that you are citing regarding the long term affects of stimulants. One of the reasons that women during the 60's & 70's became addicted to diet pills was that when their appetites returned they would increase their dosages in order to suppress the appetite again which turned into a vicious cycle with addiction as the outcome. Also experience shows that, while a child will have decreased appetite when they first start taking stimulant medication, their body does adjust and their appetite will return.

I really don't understand why it would be OK to prescribe stimulants for ADHD in kids but irresponsible to prescribe them for obesity in kids. Again, I'm not trying to argue, I just really want to understand people's reasoning here. I asked some questions about this in my last post -- would you be willing to respond to them?
For children with ADHD stimulants (or even non-stimulants) are about restoring a child's neurological function. The brain of children with ADHD lacks some component that allows them to control their attention and/or impulsive behaviors. Stimulants bridge that gap in their body's neurological function. There are diets out there that do help children with ADHD such as the Feingold Diet but in most cases using a diet to control ADHD is not successful.

That being said most obesity in children is preventable though diet alone. By teaching children to eat properly and limiting what types of snacks are available to them a child's weight can be managed. If a child is obese due to neurological or medical reasons then certainly I feel as though a child should be given medication if warranted. However, unless there is a medical reason present other than "I can't get my kid to stop eating", giving a child stimulants is irresponsible IMO.
 
First of all stimulants taken orally can be just as addictive as those taken in other forms. Certainly the effects are more powerful if taken intravenously or snorted but overall they can produce the same addictive results. How else would you explain people being addicted to "uppers". Addiction occurred at a time when these medications were taken orally and in controlled doses.
I agree that stimulants can be addictive when taken orally (although less so than when taken via other routes of adminstration.) My point though, was that stimulants taken orally for ADHD are just as likely to cause addiction as stimulants taken for obesity. I haven't seen anything, here or elsewhere, saying otherwise.

I'll have to disagree with the studies that you are citing regarding the long term affects of stimulants.... Also experience shows that, while a child will have decreased appetite when they first start taking stimulant medication, their body does adjust and their appetite will return.
I'm basing my opinion on one of the leading researchers in the field of obesity, Dr. Albert Stunkard of the University of Pennsylvania School of medicine. If you've seen evidence saying otherwise, I'd be happy to look at it, but I would need the names of researchers or titles of journal articles.


For children with ADHD stimulants (or even non-stimulants) are about restoring a child's neurological function. The brain of children with ADHD lacks some component that allows them to control their attention and/or impulsive behaviors. Stimulants bridge that gap in their body's neurological function. There are diets out there that do help children with ADHD such as the Feingold Diet but in most cases using a diet to control ADHD is not successful.

That being said most obesity in children is preventable though diet alone. By teaching children to eat properly and limiting what types of snacks are available to them a child's weight can be managed. If a child is obese due to neurological or medical reasons then certainly I feel as though a child should be given medication if warranted. However, unless there is a medical reason present other than "I can't get my kid to stop eating", giving a child stimulants is irresponsible IMO.
Hmmm. I was thinking that perhaps you were opposed to giving stimulants to children because you thought that stimulants would be more dangerous in a heavy child than in a thin one, or because you were unaware that they are effective for weight loss. But, reading your response, it seems that you believe obesity is generally a character defect that doesn't have any medical basis and therefore doesn't require medication to treat.

Certainly, when I was growing up, the other children at school believed this. They thought that obese children like me were just weak-willed, gluttonous, lazy pigs who would be a normal weight if we would just stop sitting on our butts all day and stuffing ourselves. That's why they felt entitled to call me "Fatso" and beat me up on a regular basis. But, the fact was, I wasn't eating junk, and I was exercising, but I just still weighed twice what the other girls weighed.

Scientists now believe that weight is regulated by at least 100 different hormones, most of which science doesn't fully understand yet. The reason that I can't show you what medical reason is causing my obesity is because until a few years ago, doctors weren't even bothering to look for those reasons, so they have no idea.

As for ADHD, my opinion is that most children diagnosed with ADHD are basically normal kids whose personalities don't lend themselves to sitting still and studying. Drugs are given to these kids for the convenience of parents and teachers. The so-called "paradoxical effect" of stimulants in ADHD kids doesn't exist; low doses of stimulants make just about everyone, whether they supposedly have a disorder or not, better able to sit still and concentrate.
 
I agree that stimulants can be addictive when taken orally (although less so than when taken via other routes of adminstration.) My point though, was that stimulants taken orally for ADHD are just as likely to cause addiction as stimulants taken for obesity. I haven't seen anything, here or elsewhere, saying otherwise.
Then you have obviously not read enough. As you mentioned before, since the stimulant is controlled and in low enough doses, it does not cause addiction. In fact, children who take medication for ADHD are less likely to become involved with drugs than children with ADHD who are not taking medication. Most children with untreated ADHD will look to "self-medicate" in order to try to make sense of how they feel.

I'm basing my opinion on one of the leading researchers in the field of obesity, Dr. Albert Stunkard of the University of Pennsylvania School of medicine. If you've seen evidence saying otherwise, I'd be happy to look at it, but I would need the names of researchers or titles of journal articles.
And I am basing my information on Dr. Russell Barkley a leading researcher and doctor in the field of ADHD.

Hmmm. I was thinking that perhaps you were opposed to giving stimulants to children because you thought that stimulants would be more dangerous in a heavy child than in a thin one, or because you were unaware that they are effective for weight loss. But, reading your response, it seems that you believe obesity is generally a character defect that doesn't have any medical basis and therefore doesn't require medication to treat.
Hmmm and apparently you failed to read the part that said I am not opposed to medication if a child was obese for medical reasons.

Certainly, when I was growing up, the other children at school believed this. They thought that obese children like me were just weak-willed, gluttonous, lazy pigs who would be a normal weight if we would just stop sitting on our butts all day and stuffing ourselves. That's why they felt entitled to call me "Fatso" and beat me up on a regular basis. But, the fact was, I wasn't eating junk, and I was exercising, but I just still weighed twice what the other girls weighed.
Uh helloo...I was one too although I did not get beat up for it.

Scientists now believe that weight is regulated by at least 100 different hormones, most of which science doesn't fully understand yet. The reason that I can't show you what medical reason is causing my obesity is because until a few years ago, doctors weren't even bothering to look for those reasons, so they have no idea.
I can tell you the reason for mine....I like to eat. But when I eat properly and exercise I lose weight and keep it off. The fact is that some people can eat what they want and it will burn right off and for some people it doesn't. Now those people can do a couple of things....they can keep eating what they want when they want and be obese or they can decide that they will eat healthier, make better choices and find a good balance. My choice up until September was to eat what I wanted when I wanted and I have only myself to blame for being a big woman.

As for ADHD, my opinion is that most children diagnosed with ADHD are basically normal kids whose personalities don't lend themselves to sitting still and studying. Drugs are given to these kids for the convenience of parents and teachers. The so-called "paradoxical effect" of stimulants in ADHD kids doesn't exist; low doses of stimulants make just about everyone, whether they supposedly have a disorder or not, better able to sit still and concentrate.
Obviously you have never had to deal with a child with ADHD (especially the hyperactive type) otherwise you would feel differently I think.

It's funny though that now you seem to want to take this into a neener-neener "Oh yeah you think I like being fat...well you just don't want to parent your child" contest.


Just wanted to add....that I am now done with this conversation. Obviously I pushed a button but since I have been overweight to obese for most of my life it never occurred to me that anyone would take my comments about most weight problems being controllable through diet and exercise as insulting.
 
It's funny though that now you seem to want to take this into a neener-neener "Oh yeah you think I like being fat...well you just don't want to parent your child" contest.
I'm not saying that people with hyperactive kids don't want to parent their kids, and I'm sorry if it came out that way. I think that expecting kids to sit still in school for hours on end isn't a natural state for children, and many kids have trouble coping with it. That's a problem with how schools are set-up, rather than a problem with how the kids have been raised.

Do I think that some kids really are outside the norm and have something different about them that makes them extremely hyperactive? Yes, I do. But, I don't think that's true of all kids getting medication.

Then you have obviously not read enough. As you mentioned before, since the stimulant is controlled and in low enough doses, it does not cause addiction. In fact, children who take medication for ADHD are less likely to become involved with drugs than children with ADHD who are not taking medication. Most children with untreated ADHD will look to "self-medicate" in order to try to make sense of how they feel.
I wasn't saying that there is much of an addiction risk for kids who take stimulants for ADHD. My point was that stimulants taken illegally for "getting high" are much more likely to cause addiction than stimulants taken orally under a doctor's supervision. I wouldn't expect stimulants taken for obesity OR for ADHD to be particularly addictive, as long as the doctor prescribing them knew what he or she were doing. If you've seen something saying stimulants for obesity are more addictive than stimulants for ADHD, I'll be happy to look at it.

By the way, yes, I have seen the research saying that kids who take stimulants for ADHD are less likely to get addicted to stimulants later in life than kids who have ADHD and don't take stimulants, and yes, I believe that. However, this isn't unique to ADHD or stimulants. For example, teenagers who can drink legally are less likely to binge-drink than teenagers in countries where they are forbidden to drink alcohol.

And I am basing my information on Dr. Russell Barkley a leading researcher and doctor in the field of ADHD.
The point I was referring to was whether stimulants work over the long term for weight loss; I was saying that they do, and you were saying that they don't. Research on ADHD isn't relevant for this point. I do want to clarify something I said, though. When I said that stimulants work over the long term for weight loss, I meant that they cause people to lose a "clinically significant" amount of weight (generally defined as 10% of starting weight) and allow people to keep it off. Stimulants don't allow people to just keep losing and losing weight, though -- the loss levels off after a while, just as it generally does with dieting. So, if a person expected to be able to get down to a Size 2 via stimulants and kept upping the dose to try to get there, then, yes, that would put them at risk of addiction. (Currently, the only treatment available that allows most people to lose more than 10% of their body weight over the long term is bariatric surgery.)

Hmmm and apparently you failed to read the part that said I am not opposed to medication if a child was obese for medical reasons.
I did read it. But, it seemed to me that you were saying that most children who are obese could become a normal weight if they would eat & exercise properly, and that if doctors can't find a medical reason for a child's obesity, that means there probably isn't one. I disagree with this. (If I misunderstood you, I apologize.)

I can tell you the reason for mine....I like to eat. But when I eat properly and exercise I lose weight and keep it off. The fact is that some people can eat what they want and it will burn right off and for some people it doesn't. Now those people can do a couple of things....they can keep eating what they want when they want and be obese or they can decide that they will eat healthier, make better choices and find a good balance. My choice up until September was to eat what I wanted when I wanted and I have only myself to blame for being a big woman.
My experience is different than yours, I guess. My experience is that when I diet, I get headaches, feel dizzy, can't sleep, can't concentrate, and my body temperature drops and I always feel cold. Like you, I've been dieting since September, but I only lost weight during the first few weeks, and I felt terrible all the time. During weeks 6 to 11 or so on my diet, I felt better (other than being freezing all the time), but no weight came off. A few weeks ago I started stimulants, and now I'm losing again. (Although I still can't seem to get my body temperature back up to normal.)

In my case, I feel that I have been "making good choices" about what I eat, for many years. Since I became a vegetarian 26 years ago, I've eaten non-starchy vegetables as the bulk of my food, by weight. I have also exercised regularly for about seven years, and I very strictly limit added sugars and refined starches. Yet, despite this, and despite the fact that the many doctors I have seen can find no medical explanation for any weight gain, I have become morbidly obese. What I'm finding now is that nobody believes that I have a healthy lifestyle. They look at me and figure that, since I'm fat, I must eat junk and not exercise. When I say that I'm having all sorts of physical problems from dieting, people assume that I must be doing something wrong.

I really didn't mean to start an argument. :flower3: But, I am just so extremely frustrated with the idea that obese people "should" be able to lose weight and keep it off just through diet and exercise. It seems like even overweight people themselves believe this, even though most of them have tried and failed to get to and stay at a normal weight.
 
Wondering if anyone has this problem-

disneyloveNY - I wish you and your family well, it is a hard task ahead of
you, but WISH is a supportive place and hopefully everything will work out
well:goodvibes

Just wanted to add....that I am now done with this conversation.

simpilotswife - thank you for your imput. I agree with you about ADHD,
meds and the reasons behind them to treat a chemical imbalance.
I stopped posting for the same reasons as you.


Again, I'm not trying to argue, I just really want to understand people's reasoning here. I asked some questions about this in my last post -- would you be willing to respond to them?

your questions have been answered and this thread is not about you, but
to support the original poster and answer her questions about her son.
My advice is if you want to have a debate about diet vs meds that you
should start your own thread and leave this thread for people trying to help
and support disneyloveNY and her family.
 
Since this thread really has strayed from the OP I am closing it.

We here at WISH look forward to the support of all posters and hope this can be done in an encouraging manner.
 
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