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recess or physical educa- tion class, and monitor the amount of afterschool and weekend physical activity he engages in. Knowing his screen time (how long he spends in front of the computer and TV, etc.) will also help when devel- oping a care plan. Your health care


provider will take your child’s history, height and weight, do a physical exam and calculate the body mass index (BMI). T is calculation helps determine if your son’s weight is appropriate for his height, and can be used to help track the progress of growth and weight loss if needed. BMI calculators can be found online and can help you start talking to your son about his growth. Identifying if your


child is overweight and developing a care plan are best done when there has been good history and an examination. Your health care provider can guide the discussion about weight manage- ment or weight issues. Sometimes just under- standing how your child grows can help everyone


Ready, Set, Grow


become more comfortable with the changes at this age of rapid growth. Recognizing the factors that may be contributing to a sudden change in his weight may involve looking at where his friends are and how he feels about the physical changes he may be expe- riencing. It’s important to avoid blaming anyone or anything for the weight changes. Rather, start to understand how your son is developing and how you can guide him to healthy eating and


exercise habits. T is will put him on the right track for life-long health.


Terea Giannetta, MSN, RN, CPNP, is a certifi ed PNP and Chief PNP at Children’s Hospital Cen- tral California, where she has had a clinical practice in Hematology/Oncology ambulatory clinic for 20 years. She is also full-time faculty and PNP Program Coordinator at California State University, Fresno.


Have a question? E-mail us.editor@cwcomms.com.


Understanding how to guide your son to healthy eating and exercise habits will put him on the right track for life- long health


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