Re: Controlling diet of your Child!
I have a comment regarding exercise. All children need about 60 minutes of physical activity a day, regardless of weight. This not only helps with weight management, but also strengthening of the muscles and bones, which is equally important in growing children. It does not have to be done all at once. Several short 10 minute (or even 5 minute) bursts of activity throughout the day are as beneficial as 60 minutes of continuous exercise.
Also, medically speaking (and contrary to popular opinion), very overweight children do not require more exercise than slimmer children. Their extra body weight means that they will naturally burn more calories for the same activity. In other words, there is no need to place the poor lass on a 4 hour exercise regimen. Encouraging her to engage in some sort of physical activity for 60 minutes will be enough to help her manage her weight (if there are no other issues involved, such a metabolic or endocrine disorder).
It is also important to note that if a child is not accustomed to being active (and that seems to be the case here), they may have difficulty transitioning from minimal or no physical activity to 60 minutes of daily activity. In such cases, the child should be encouraged to begin at the level of activity that they can do and are comfortable with and build up to 60 minutes a day. They are more likely to continue and maintain their new activity levels if it is a gradual process as opposed to transitioning abruptly from no daily exercise to suddenly exercising for 60 minutes and feeling sore the next day.
I would also recommend nutritional counseling. This would be to the benefit of the entire family, not only the girl herself. Learning about proper nutrition and healthy eating habits is something everyone can benefit from. After all, at 9 years old, it is rather likely that the girl’s parents or other family members are preparing most of her meals. By learning about appropriate nutrition, they can help her make healthier food choices, as well as, making healthier choices themselves. In addition to nutritional counseling, I have found that involving children in the preparation of food (in an age appropriate manner, of course) is also extremely helpful in encouraging healthy eating.