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Dietician Suggests Child Obesity Starts in the Womb

By Dave Colby

A well-publicized study by the National Institute of Medicine suggests child obesity is the result of a myriad of factors, including too much TV, too many videogames, a lack of physical activity in preschool and child care, and unhealthy sleeping practices.

Karen Astrachan would like to add something else. "I think we need to target the pregnant mom," says Astrachan, a registered dietician with the Palo Alto Medical Foundation. "The reality of it is that if a child is born at the 85th or 95th percentile (of acceptable weight compared to height), to try to get them less than that is really telling the parent they have to limit portions and control that child's weight, and that's not realistic. The child was born that way because of what happened with the mom during pregnancy."

The IOM study found 10 percent of infants and toddlers in the United States carry excess weight for their body size, and more than 20 percent of children between the ages of two and five are already overweight or obese.

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