要倡导健康，而不是减肥

要倡导健康，而不是减肥

RECENTLY, I GOT A CALL from a concerned mother who’d been referred to a registered dietitian because of her son’s weight. When she and her son saw the pediatrician for an annual checkup, the doctor suggested that his weight was cause for concern. Now this mom sits across from me confused and wondering where she went wrong.

最近，我接到一位忧心忡忡的母亲打来的电话，因为她儿子的体重，她被推荐给了一名注册营养师。当她和她的儿子去看儿科医生进行年度体检时，医生表示他的体重是令人担忧的。现在这位妈妈坐在我对面，困惑不解，想知道她哪里出了问题。

Although the American Academy of Pediatrics issued guidelines in 2016 suggesting that weight not be discussed with children and that behavioral recommendations like family meals and fun movement be the focus of patient encounters instead of weight conversations.

尽管美国儿科学会在2016年发布了指导方针，建议不要与儿童讨论体重问题，建议家庭聚餐和有趣的运动等行为是与患者会面的重点，而不是聊体重。

Here's what parents can do to promote child health:

以下是家长们提高儿童健康的措施:

Talk about weight inclusivity and body diversity.

谈论体重包容性和身体多样性。

Bodies come in all shapes and sizes. We can’t determine someone’s health by looking at them or by having that person step on a scale. When we learn to appreciate and respect these differences, we’re promoting weight inclusivity and body diversity.

身体有各种形状和大小。我们不能通过观察一个人或者让他站在秤上来判断他的健康状况。当我们学会欣赏和尊重这些差异时，我们就促进了体重包容性和身体多样性。

Use supportive language during normal growth stages.

在正常的成长阶段使用支持性语言。

We can be their advocate when a friend or family member makes a comment about our child’s weight gain during this time. Saying something to the effect of “she’s right on target for normal development and thank you for not discussing weight in our home” can shut down an unwanted discussion in a snap.

当朋友或家人对孩子这段时间的体重增加发表评论时，我们可以成为他们的拥护者。说一些类似于“她正朝着正常发育的目标迈进，感谢你没有在我们家讨论体重”这样的话，可以让一场不受欢迎的讨论戛然而止。

Focus on wellness behaviors , not weight.

关注健康行为，而不是体重。

As much as the diet industry would like us to believe otherwise, weight is not a behavior we can control. We can focus our efforts on behaviors that impact our overall wellness like planning family meals, incorporating joyful movement, getting enough rest and limiting screen time. Gaudiani also uses this approach in her outpatient medical clinic in Denver, which cares for patients of all ages, genders and body sizes from across the United States.

正如饮食行业希望我们相信的那样，体重不是我们可以控制的行为。我们可以把精力集中在影响我们整体健康的行为上，如计划家庭聚餐、参加快乐的运动、充足的休息和限制看屏幕的时间。戈迪亚尼在她位于丹佛的门诊诊所也使用了这种方法，该诊所照顾来自美国各地的所有年龄、性别和体型的病人。

She says that “Overvaluing weight is more likely to stimulate disordered eating behaviors and risks triggering future eating disorders. By contrast, when the focus is not on weight but on emotional support and eating and movement behaviors – favoring balanced, satisfying, regular meals and joyful movement according to the child's interests and abilities – children thrive and learn skills they need for the rest of their lives.”

她说，“过度重视体重，更有可能刺激饮食紊乱，并有引发未来饮食紊乱的风险。”相比之下，如果孩子的注意力不是放在体重上，而是放在情感支持、饮食和运动行为上，比如根据孩子的兴趣和能力选择均衡、令人满意、有规律的饮食和快乐的运动，那么孩子就会茁壮成长，并学习他们余生所需的技能。”