I worked in a pediatric bariatric unit in houston... I feel your pain. We've started charging parent's with neglect and having CPS follow them to monitor their home diet when we get patients under 12. I've done gastric bypasses on 300 lb 9 year olds!
The BMI just said my 4 year old niece is "overweight" and her doctor said we needed to change her diet. you can see all her vertebrae and her ribs. She is in Gymnastics and bounces off the walls! This kid has some thighs but other than that looks skinnier than all the other kids in her day care class. I'm a pedi nurse and really confused.
While most of the time it is a cultural or family issue, it is also a problem with our school systems and a socioeconomic issue.
My God daughter is in the "Obese" category and was never overweight until she started public schools
. Her mom is on food stamps and cooks every night. She eats really healthy at home. But she is on free lunch at school. In 3rd grade her mom told me the PE teachers did a weight, BMI, and fat % study on the kids and sent the results home. She was obese. I asked to see the school's cafeteria menu. She can't afford to cook her breakfasts and lunches for school days, they scrape by on food stamps and she cooks her dinners and 3 meals on weekends. The cafeteria food made McDonald's look like salad. I ended up using the data for a case study in my public health class.