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Small and achievable weight loss goals should be set to avoid discouragement and to allow for the normal growth process of the child.
The child should have a food record to monitor his or her daily intake. The food diary should include not only the type and quantity of food eaten, but also where it was eaten, the time of day and who else was present...
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The diary will be inaccurate in figuring total calories consumed but will be useful in pointing out problem foods and eating patterns. Parents should be given a guideline, keeping in mind that 3,500 calories must be eliminated by diet and exercise to lose 1 lb. It is necessary to provide parents with a specific calorie-per-day recommendation that follows guidelines for percentages of fat, protein and carbohydrates...
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