Frequently Asked questions

Understanding Childhood Obesity

Will my child outgrow obesity?

Some kids naturally redistribute their weight as they grow, but most children with obesity continue to struggle into adulthood. Early intervention makes a huge difference! Even small, sustainable changes now can set them up for lifelong health.

Can childhood obesity be genetic?

Yes, but genes aren’t destiny! 🧬 While some kids inherit a higher risk of obesity, lifestyle habits play a huge role in health outcomes. The key? Focus on what can be controlled:
🥗 Nutrition
🏃 Movement
😴 Sleep
🧠 Emotional health

Even with a genetic predisposition, positive changes can make a huge impact.

Is my child overweight?

A doctor uses BMI percentiles to assess a child’s weight, but BMI isn’t perfect—it doesn’t measure muscle, genetics, or overall health. If you’re wondering whether your child’s weight is a concern, talk to a specialist who can look at the whole picture and give individualized guidance. Read more on our blog

How do I calculate my child’s BMI?

Body Mass Index (BMI) is a common tool used to assess a child's weight status. Although BMI is not a perfect measure, it helps healthcare providers understand weight in relation to height.  

Steps to Calculate BMI for Your Child

  1. Use the CDC BMI Calculator

  2. Understand the BMI Percentiles

    • Underweight: Below the 5th percentile

    • Healthy weight: 5th to 84th percentile

    • Overweight: 85th to 94th percentile

    • Obesity: 95th percentile or higher

    • Severe obesity: 120% of the 95th percentile

What are the health risks of childhood obesity?

Carrying excess weight can increase the risk of:
⚡ Type 2 diabetes
⚡ High blood pressure
⚡ Sleep apnea
⚡ Joint pain
⚡ Emotional struggles (anxiety, low self-esteem)

The good news? With early intervention, many of these risks can be reversed!

Emotional and Behavioral Aspects

How do I talk to my child about weight without making them feel bad?

🚨 Rule #1: Avoid the word "diet." Kids need to feel safe, supported, and loved, not criticized. Instead of talking about weight, try:
💬 “Let’s choose foods that give us energy!”
 💬 “How can we move our bodies in a way that’s fun?”
 💬 “Let’s make meals together and try new flavors!”

The focus should be on health, not weight—because kids thrive in a positive, empowering environment.

Want to learn more? Check out our blog

What are signs of emotional eating in kids?

🛑 Eating when not hungry
🛑 Craving sugary, salty, or high-fat foods when stressed
🛑 Hiding food or eating in secret
🛑 Feeling guilty after eating

If emotional eating is a concern, a specialist can help identify triggers and develop healthier coping strategies.

How can I help my child stop overeating?

Try these simple strategies:
🍎 Serve regular balanced meals with protein + fiber + healthy fats. Skipping meals can lead to overeating later in the day.
🛑 No eating in front of screens—focus on mindful eating, taking your time and enjoying your food
🚰 Hydrate first—sometimes thirst feels like hunger
🧘 Check emotional triggers—is it stress, boredom, or true hunger?
⌛ Slow down—it takes 20 minutes for the brain to feel full!

Helping kids listen to their body’s cues takes practice, but it’s worth it!

Weight Loss Programs and Expert Guidance

Is there a weight loss program for children?

Yes! There are specialized pediatric weight management programs designed for kids and teens. These programs focus on nutrition, movement, behavioral health, and—when appropriate—medical treatment. Evora for Kids offers in person visits in St. Louis, Missouri. We also offer virtual consultations throughout Missouri, Minnesota, Illinois, Indiana and Ohio, making expert care accessible from home. We have a board certified pediatric obesity medicine physician, dietitian, personal trainer and child therapist. 🚀

Who can help my child lose weight?

If your child is struggling with weight, you don’t have to figure it out alone! A pediatric obesity specialist (like a doctor trained in obesity medicine) can provide expert guidance. Pediatricians, dietitians, and behavioral therapists can also help. At Evora for Kids, we offer personalized, compassionate care to help children and teens build lifelong healthy habits—without shame or extreme restrictions. 💙

What can I do if my child is overweight?

Step one: Don’t panic! ❤️ The most important thing is to create a supportive, shame-free environment where your child feels loved and encouraged. Here’s what you can do:
🔹 Check in with a specialist—get a professional perspective
🔹 Focus on health, not weight—build habits, not restrictions
🔹 Make small, realistic changes—one step at a time
🔹 Be a role model—kids learn by example!

If you’re unsure where to start, Evora for Kids can help!

Diet and Nutrition

What is the healthiest diet for an overweight child?

The goal isn’t a “diet” but a nourishing, balanced way of eating! 🥑🥕 Here’s what helps:
✔ Protein-rich meals to keep them full (chicken, eggs, Greek yogurt)
✔ High-fiber foods for gut health (fruits, veggies, whole grains)
✔ Healthy fats for brain development (avocado, nuts, olive oil)
✔ Minimizing ultra-processed foods and sugary drinks
✔ Regular meals & snacks to prevent overeating later

No strict rules—just real, balanced food.

Can kids do intermittent fasting?

❌ Nope! Kids are still growing, and they need steady fuel throughout the day. Instead of skipping meals, focus on:
➡️ Structured mealtimes to prevent constant snacking
➡️ Protein-rich breakfasts to avoid mid-morning crashes
➡️ Reducing late-night eating for better sleep and metabolism

If a child tends to overeat at night, a specialist can help adjust their nutrition plan.

Is the Keto Diet Safe for Kids? 🤔🥑🥩

The ketogenic (keto) diet has gained popularity for weight loss, but is it a good idea for kids? The short answer: for most children, no. ❌

🔹 The keto diet is extremely restrictive, focusing on high fats, very low carbs, and moderate protein.
🔹 While it can be medically necessary for kids with epilepsy, it isn’t recommended for general weight loss in children.
🔹 Why? Kids are still growing, and carbs are essential for brain development, energy, and overall health.

Potential Risks of Keto for Kids 🚨

❌ Nutrient deficiencies (lack of fiber, vitamins, and minerals)
❌ Low energy levels (kids need carbs for play, sports, and school!)
❌ Digestive issues (constipation from lack of fiber)
❌ Difficult to maintain (can lead to unhealthy food relationships)

Are There Better Options than Keto? ✅

Instead of keto, a more balanced approach works best for kids:
✔ Prioritizing whole foods (lean proteins, healthy fats, fiber-rich carbs)
✔ Reducing ultra-processed foods & added sugars
 ✔ Encouraging movement, sleep, and emotional well-being

If you’re considering a low-carb approach for your child’s health, talk to a pediatric obesity specialist to find a safe, sustainable plan. 💙

Evora for Kids specializes in evidence-based, personalized weight management—no extreme diets required! 🚀 Let’s build habits that last a lifetime.

Exercise and Physical Activity

How much exercise does an overweight child need?

Kids need 60+ minutes of movement daily, but it doesn’t have to be the gym! 💃🏀 Encourage:
✔ Play-based movement (tag, swimming, dancing)
✔ Outdoor adventures (hiking, biking)
✔ Strength-based activities (climbing, martial arts)

The goal? Make it fun so they want to keep moving!

Weight Loss Medications and Treatments

What medicines can kids take for weight loss?

There are several FDA-approved medications for children and teens with obesity. Medications are considered when:
➡️ Lifestyle changes alone aren’t enough
 ➡️ A child has obesity or weight related health conditions
 ➡️ They’re monitored by a specialist

Weight loss meds are not a magic fix, but they can be a helpful tool when used as part of a complete treatment plan.

Learn more on our blog, Understanding Pediatric Weight Loss Medications: A Guide for Parents

Are weight loss medications safe for kids?

Certain medications are approved for children & teens, but they’re only used when medically necessary and under expert supervision. If your child has struggled with weight despite lifestyle changes, talk to a pediatric obesity specialist to see if medication could be an option.