After checking the weight of preschoolers in the San Fernando valley, registered dietitian Lauren Schmitt is tasked with contacting the families of children who have already begun losing the battle of the bulge.
"We look at growth charts and percentiles. And when a child is at 95 per cent of their...We can look at weight for age or weight for height...That child would be considered obese," Schmitt told KNX News.
There is no shortage of kids in the Los Angeles area whose parents end up receiving a "fat letters" as they have been dubbed by kids.
"We let the parents know in a gentle fashion, but we also send out a tonne of handouts to try to help that family," Schmitt said.
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California is not the only state to send "fat letters" to parents. Similar obesity information is sent in 19 other states.
"It shouldn't be a stigma. It's not a way to categorise someone. It's just showing that this child has increased risk to be obese as an adult, which then could lead to quite a few chronic diseases," Schmitt was quoted by the New York Daily News as saying.