Weight fluctuation and change in body composition with growth is a normal part of development. Apart from the first year of life, teenage years experience the most rapid increase in growth and development. Your health-care provider will consider your child’s weight status as part of a holistic assessment considering age, sex, and stage of growth .

Not all children with high weight will have health consequences . However, as children get older excess body fat may have health complications including sleep apnoea (where breathing stops and starts during sleep), bone or joint problems, liver disease, high blood pressure or cholesterol, or insulin resistance (pre-diabetes). If you notice changes in your child or adolescent’s health – such as dark patches around the neck or under arms (which indicate insulin resistance ), headaches, trouble sleeping or joint pain – speak with your GP.

What will your GP do? Your GP can investigate if there is a health impact related to excess weight. They may check blood pressure, and do a blood test to check liver health, cholesterol levels and blood sugar levels. High weight is often related to mental health issues such as depression, anxiety, or eating disorders.

Your GP can help assess and manage these conditions. A GP with experience in weight management can provide appropriate support and referrals to local support depending on your area. An accredited practising dietitian experienced in paediatric health, for example, can help develop.