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Decoding Growth Charts with Anna Lutz, RD, MPH

Decoding Growth Charts with Anna Lutz, RD, MPH

FromBurnt Toast by Virginia Sole-Smith


Decoding Growth Charts with Anna Lutz, RD, MPH

FromBurnt Toast by Virginia Sole-Smith

ratings:
Length:
20 minutes
Released:
Jun 17, 2021
Format:
Podcast episode

Description

Welcome to the now-weekly audio newsletter! It’s like a podcast in your email. You can listen to the episode right here and now, or add it to the podcast player of your choice and listen whenever. And just in case you don’t like listening (or that’s not accessible to you), I’m including a transcript (lightly edited for clarity) below.Audio newsletters are now coming out every Thursday. But starting next week, they’ll be for paid subscribers only. If you’d like to be one of those people, click here. If you’re wondering what “paid subscriber” means, read all about it here.VirginiaHello and welcome to another audio version of Burnt Toast! This is a newsletter where we explore questions (and some answers) about fatphobia, diet, culture, parenting and health. I’m Virginia Sole-Smith, a journalist who covers weight stigma and diet culture. And I’m the author of The Eating Instinct and the forthcoming Fat Kid Phobia.Today I’m really pleased to be chatting with Anna Lutz, a dietitian who specializes in eating disorders and family feeding in Raleigh, North Carolina. Anna also blogs at Sunny Side Up Nutrition and co-hosts the Sunny Side Up Nutrition podcast with Elizabeth Davenport and Anna Mackay. Welcome, Anna, it's so good to have you here!AnnaI’m so glad to be talking with you today! Thank you so much.VirginiaI’m bringing you on today to talk about growth charts. I hear from parents of kids who are low on the growth chart and are getting pressured to move them up higher, and of course, I hear from lots of parents whose kids are in the 90/95th percentile and are being told that this is a huge problem.And I think there’s a weird mindset, which I see from both from parents and pediatricians, that somehow our goal is to get everyone into the 50th percentile. So why don’t you tell us a little bit about what growth charts are supposed to do? And what are the misconceptions that you see coming up about them?AnnaThe way I like to explain growth charts is that they are made up of data pulled from thousands and thousands and thousands of children, that gets put into a chart that we can read, as a visual representation. And each time your child goes to their doctor for their well child visit, they’re plotted on this chart. And so if you take your eight-year-old to the doctor, they’re plotted, weight for age, let’s say it’s the 25th percentile. All that means is if you had 100 eight-year-olds in a room together, 75 of them would weigh more than that child and 25 of them would weigh less. So it’s putting them on a bell-shaped curve at that moment.What we know is, over time, most children follow their own curve. So for example, this child, most likely, from age two to 20, will most likely fall somewhere along this 25th percentile. Now, there are exceptions to that, and we can get into that. But I think you hit the nail on the head. Growth charts do not mean that we’re all supposed to be at the 50th percentile. All it does is look at a population of kids, and see where does your child fall? And their point on the growth chart is just information.VirginiaBreaking it down like that, it makes me realize that it also really only tells you this one data point about your kid. And we give this data point a huge amount of weight, right? I mean, we think this says whether they're healthy or not healthy, but the way you’re explaining it, it’s got nothing to do with that.AnnaExactly. And, you know, it’s going to depend on, are they in the middle of a growth spurt? You know, what is happening at that particular moment, when you happen to take them to their well child visit? Did they just have a stomach bug for the last two weeks, and they’ve lost some weight that they’re going to regain pretty easily in the next month or so? Well, that plot point is going to look really different than if you had taken them to their well child visit a month from now. So I really like to help people see it as information that we can interpret. I think there is some value in it.
Released:
Jun 17, 2021
Format:
Podcast episode

Titles in the series (100)

Weekly conversations about how we dismantle diet culture and fatphobia, especially through parenting, health and fashion. (But non-parents like it too!) Hosted by Virginia Sole-Smith, journalist and author of THE EATING INSTINCT. virginiasolesmith.substack.com