How should pediatric obesity and overweight be diagnosed and treated?

Patient's question:

Boy, 5 years old. In the recent few weeks, I've noticed that my child's weight is much higher than other children, and he eats more food than average kids, plus he doesn't like to exercise. I would like to ask: What should be the appropriate diagnosis and treatment for a child who is overweight or obese?

Doctor's answer:

Childhood obesity can be addressed by first setting appropriate exercise levels and modifying the diet. You can start by teaching the child to swim, as water resistance during swimming is far greater than air resistance during land-based exercises, leading to faster fat burning. Additionally, incorporate more vegetables into their diet, such as tomatoes and cucumbers. Avoid fried foods and dried fruits, as these are high in empty calories and fat. Also, discourage the child from sleeping immediately after meals or lounging on the sofa while eating snacks. During the treatment period, parents should closely monitor the child's condition. If the situation is severe, seek medical guidance for treatment rather than resorting to treatment.

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