Women chopping food

Welcome to the First Community dietitians guide on weight management for children.

It has been designed to help support families and carers to create healthy eating habits and a positive lifestyle for the whole family.

It is not about quick fixes or putting your child on a 'diet'. It is about making sustainable and long-term changes to help improve the health, well-being and confidence of your child.

Parenting styles

How you go about making changes to your child's diet and lifestyle can be made easier by adopting a more authoritative style of parenting. This can allow you to set and maintain boundaries and provide the support and guidance your child needs.  

Is my child overweight?

BMI (Body Mass Index) is a crude way to assess if your child is overweight.

It is important to note that it does not tell the difference between muscle and fat, give you a body fat percentage or consider the child's ethnic background or physical activity levels. However, it can give you an idea of your child's weight status.

To calculate the BMI of your child please visit: https://www.nhs.uk/health-assessment-tools/calculate-your-body-mass-index/calculate-bmi-for-children-teenagers

What is healthy eating?

Healthy eating means choosing a balanced, nourishing diet that supports your body's needs for growth, energy and overall well-being.

dietitian with child 2

It's not about strict rules or denying yourself food. Follow this link to see how much of what we eat overall should come from each major food group to achieve a healthy, balanced diet: https://www.nhs.uk/live-well/eat-well/food-guidelines-and-food-labels/the-eatwell-guide/

Watch the video to learn more about healthy eating and why parental role modelling is important.

Portion sizes

dietitian with child 3Children's portion sizes are typically smaller than adult portions. It's important to adjust them based on a child's age, appetite, and activity level.

  1. Fruit and vegetables. Portion size: About the size of your child's cupped hand. Daily recommendation: Aim for 5 portions of fruits and vegetables per day.
  2. Starchy Foods (Carbohydrates). Portion size: About the size of your child's fist for foods like bread, potatoes, or pasta. Daily recommendation: Offer starchy foods at each meal, choosing whole grains when possible.
  3. Protein (Meat, Fish, Beans, and Alternatives). Portion size: Roughly the size of the palm of your child's hand or the amount that fits into their cupped hand. Daily recommendation: Include 2-3 portions of protein-rich foods per day. For younger children, offer smaller portions.
  4. Dairy and Dairy Alternatives. Portion size: About 100-125ml (small glass) of milk or a small pot of yogurt (about 120g) or  a matchbox-sized piece of cheese (15-20g). Daily recommendation: Offer 2-3 servings per day of dairy or dairy alternatives, making sure they're fortified with calcium if plant-based.
  5. Fats and Oils. Portion size: Children need smaller amounts of fats and oils compared to adults. Daily recommendation: Use small amounts of unsaturated fats like olive oil or vegetable oil in cooking.
  6. Sugary or high fat snacks. Portion size: Foods like biscuits, crisps, or chocolate should be kept small and occasional. Daily recommendation: Limit sugary and high-fat snacks and have them occasionally rather than every day.

Your child's diet may be a long way from what is described above. Start by making small changes and build on these changes each week.  

General tips for managing portion sizes:

  • Listen to hunger cues: Encourage children to eat when they're hungry and stop when they feel full.
  • Plate sizes: Use smaller plates and bowls to better suit child-sized portions and avoid overloading plates.
  • Variety: Serve a range of foods from all food groups to ensure children get the nutrients they need for healthy growth and development.

Please visit this page for more information about portion sizes: https://www.nutrition.org.uk/creating-a-healthy-diet/portion-sizes/

Family meals

dietitian with child 4Shop bought meals, sauces, take-aways etc can be convenient and useful for busy families. However, when cooking a meal at home, YOU are in charge of what goes into a meal and, as well as often being healthier, it can also be more cost effective. There are lots of places to get inspiration for healthy, balanced family meals. Here are just a few suggestions:

NHS Healthier Families: https://www.nhs.uk/healthier-families/recipes/

BBC Good Food has lots of recipes including budget healthy recipes: https://www.bbcgoodfood.com/recipes/collection/cheap-and-healthy-recipes

Jamie Oliver Healthy Recipes: https://www.jamieoliver.com/recipes/healthy-meals/

Watch the video to learn more about why family meals and eating together is important as children learn behaviour from watching parents. The video also discusses the importance of sleep.

Activity

dietitian with child 5Being active is an important part of a child's development. It improves physical health and fitness; supports cognitive development; helps with mental health and emotional well-being; is important for social development; helps develop healthy habits for life; and improves motor skills. Finding an activity that your child enjoys might take a bit of time but it's worth the effort. There are lots of ways to find out what is going on in your area such as contacting your school or local health centre, using social media, talking to other local families or looking at local notice boards.

Here are a few ideas to get you started:  Cubs and Scouts, Rainbow and Girl Guides, boxing, joining a gym, Joe Wicks online videos, yoga, Pilates, gymnastics, Cadets, cycling, orienteering, gardening, cricket, rugby, football, go ape, karate, judo, trampolining, skating, swimming, walking, climbing, horse riding, dance and parkrun. Many of these activities are free. Here is a link for parkrun which actively welcomes all ages and all abilities:   https://www.parkrun.org.uk/

Finding something that your child enjoys is crucial. It's also important to role model being active. Watch the video below to learn more.

How to discuss foods without causing harm

The information provided on this webpage has been developed to support parents and carers in creating a healthy diet and lifestyle for the children that they care for. The aim is to help them have a healthier relationship with food and their bodies. Watch the video below to help bring all the information together and to see tips on managing discussions around food and activity with your child without causing harm. 

Useful links and further support

Activity:

https://www.nhs.uk/healthier-families/activities/   - This website gives information about how much activity children need as well as ideas to achieve this.

Healthy eating (including eating on a budget):

https://www.nhs.uk/healthier-families/   - For family focused information on: healthy eating, healthy swaps, sugar calculator and recipe ideas, mental health and keeping active.

https://www.nhs.uk/live-well/healthy-weight/childrens-weight/overweight-children-advice-for-parents/  - Gives lunch box ideas as well as general advice on healthy living

https://www.bda.uk.com/resource/food-facts-eat-well-spend-less.html   - For information on how to have a healthy diet on a budget.

https://www.healthforteens.co.uk/lifestyle/nutrition-diet/ - website for nutrition and diet advice on Health for Teens.

https://realfood.tesco.com/healthy-recipes.html - healthy meal ideas from Tesco

https://www.sainsburysmagazine.co.uk/recipes/healthy - healthy meal ideas from Sainsbury's

https://www.asda.com/good-living/tag/healthy-recipes - healthy recipes from ASDA

https://www.waitrose.com/ecom/recipes/healthy - healthy recipes by Waitrose

How to read food labels:

https://www.nutrition.org.uk/putting-it-into-practice/food-labelling/looking-at-labels/  - This webpage gives information on how to read food labels.

Mental health:

https://www.nhs.uk/every-mind-matters/supporting-others/childrens-mental-health/ - For how to support children's mental health NHS Every Mind Matters.

Further support

If you and your family would like more individual or tailor-made support, there are services available in Surrey and West Sussex which you can self-refer to and which are free of charge.

Surrey:   Be Your Best is Surrey's healthy lifestyle programme, aimed at families with children and teenagers aged 5-17 who are above the healthy weight range. The link to their website can be found here: https://www.bybsurrey.org/ Families are eligible for Be Your Best targeted programme if:

  • They have a child aged 5-17 years
  • Who is on or above the 91st centile for BMI
  • Who lives, goes to a school or is registered with a GP in Surrey

West Sussex: The Healthy Weight for Families Programme offers personalised, one-to-one support for families concerned about their child's weight and looking to lead healthier lifestyles. Each family is paired with a friendly, dedicated wellbeing keyworker who provides ongoing support and motivation throughout their journey. Sessions are fully tailored to the family's needs and designed collaboratively to help them achieve their goals. Topics covered include:

  • Basic nutrition and how different foods affect the body
  • Snack and lunchbox ideas
  • Understanding misleading marketing on food packaging
  • Meal planning and budgeting
  • Cooking simple, affordable meals
  • Creating a weekly meal plan

Families also get to explore a variety of fun physical activities based on their interests, from home-based exercises to outdoor or gym-based options.

The programme aims to boost confidence, self-esteem, and remove barriers to a healthier lifestyle. Sessions are held at a location convenient for the family-at home, school, a community venue, leisure centre, or virtually-and typically last about an hour. The number of sessions is flexible and based on the family's individual needs, as assessed by the wellbeing keyworker. Families can stay in touch with their keyworker at any time for continued support. If involved with Early Help or Children's Services, the keyworker will attend relevant meetings and coordinate with professionals as needed.

Criteria

  • Families must live in West Sussex
  • The child must be above their ideal weight for their age and height (classified as overweight or obese)
  • Child must be between 5-16years.

How to refer:

For further details and to discuss a referral call Caroline Daplyn 07712290606 or email referral@123start.co.uk

Crawley: Weight off workshop (WOW) is a 12-week programme designed to help you lose weight and be healthier. Their website can be found here: https://crawley.westsussexwellbeing.org.uk/topics/healthy-eating/weight-off-workshop-wow To be eligible you must be:

  • Be aged 16+
  • Live and / or work in Crawley
  • BMI range of between 25 and 40 (see the BMI calculator on the NHS website)

For support for a child with a BMI of 40+ please contact your GP to access Tier 3 weight management services in Surrey or West Sussex.

All images owned by ©World Obesity Federation