If a child’s BMI is high and parents are concerned, what is the most appropriate initial response?

• A. Listen respectfully to their concerns and offer support; encourage a visit to their primary care provider for further evaluation
• B. Tell them to stop eating fats entirely
• C. Tell them weight will normalize on its own
• D. Ignore their concerns

Answer: (A)

The most helpful approach is to respond with empathy and provide a clear path forward. Start by listening carefully to the parents, validating their concerns, and offering support. This sets a nonjudgmental tone and keeps the dialogue open. Then encourage a visit to their child’s primary care provider for a thorough evaluation. A clinician can verify the BMI percentile, review growth over time, assess dietary and activity patterns, and screen for any related health risks. With that medical input, the family can receive guidance that is appropriate for the child’s age and development, plus referrals to nutrition or other support as needed. This approach respects the family, reduces stigma, and starts with a solid, evidence-based plan.

Telling them to stop fats entirely is not appropriate or safe for a child. Assuming weight will normalize on its own ignores potential health concerns and delays needed care. Ignoring the concern misses an opportunity to support the child’s health.