Recently I saw an 11 year old boy who was 100 pounds overweight for his age. Besides getting a school lunch, he eats when he gets home from school, and eats right through playtime and dinner. Mom goes to work at 6pm so he stays indoors supervised by grandmother. He was referred to me because of overweight and high cholesterol.
In the office, upon questioning the mom, she said she was powerless to control his eating habits. He sneaks food when no one is around. He is not physically active.
When I suggested he not eat before dinner and go outside to play, he became visibly upset. He cried when it came time to examine him because of his large breasts which he did not want me to look at.
In the end, I suggested to mom to start with small changes. For example, no fruit juicesat school or home. He is eating enough that he doesnt need the sugar drink they offer at school. They are empty calories.
Mom will try to keep him outdoors now that the weather is nicer.