Well I could say the same thing-- she's not fat but she's not lean. She looks like she's right on the edge in terms of healthy weight, and given that there has been a big jump over one year, I would be concerned too as a mom and a pediatrician. If my 5 y.o. DD were that size I be a bit concerned and keep an eye on things . The OP says she eats big portion sizes and a small amount of "bad" stuff. No harm in cutting out all bad stuff, even if it's minimal to begin with, and maybe keeping track of portion sizes (without making it obvious to DD) for a while just to get a clearer idea exactly how much she is eating. If she's eating within a reasonable intake level, it's probably just how she's built. But it can be easy to underestimate how much food one eats.
Are you saying that you are a pediatrician? If so, I'm curious if this is the advice you'd give if a child built like OP's dd came in.
Yep, when the computer barks at them to give you the fat lecture, they will.
My DD has been off the charts for height and weight since she was born. Now she's almost 5'3" and is around 90 lbs, at 9 years old...which is a precipitous DROP for her her weight, but there was no gasps of horror from the ped this time! Frankly, I'm disgusted that despite the fact that DD went from *off the charts for BMI and weight* which meant that doctors called her fat every year to being underweight, they didn't express concern to me! Especially given the epidemic of eating disorders amongst preteen girls on up! It was really disturbing to me that nothing was said, wheras if she'd been 5 lbs "over" what they wanted, it'd be no problem to talk to me about her risk of obesity in front of her, like she wasn't hearing that info.
It also made a difference over who was taking her to appointments. Whenever DH took her (he is not fat) they never said anything. Whenever I did (I am) they ALWAYS said something, even if it wasn't a well-child visit.
Did I press the issue? No--because DD eats like a teenage boy and was going through a massive growth spurt at the time, I know she'll round out eventually. But now I wish I had made a comment to the doctor about why underweight all of a sudden wasn't a concern yet a 97+ percentile weight combined with 97+ height since birth was worth commenting on, in front of her, EVERY time?
That is really disturbing all the way around -- that they weren't the least bit concerned about 90/5'3" (though I do see why you aren't worried) and that they have different concerns depending on the parent who brings her. Ugh. Makes me wonder if it's because they assume that a fat parent would feed her badly or that she's got fat genes, probably both I guess. Either way, though, horrifying. And I cannot believe they have these conversations with you in front of her! That is just so unbelievable to me. It must be unthinkably terrible for a young girl to be told that she's fat by a professional. OP, did they have the convo with you in front of your dd, too?
My boys are both super short, like 5-7th percentile. My 8 year old has always been very delicately built. I have always worried a little about the possibility of him being under weight, but he has always been around the 40th percentile for BMI, oddly enough. He almost never wants to eat, but when he does eat, it's usually for about three days straight. He loves treats, but he'll eat a half a pack of m&m's and tell me he's had enough. I do my best to stay out of it and let him self-regulate, except that I do make him eat b'fast because he goes to school and doesn't have another chance to eat until lunch. My little one, though, was born a pound heavier and just blew up. He was a big rolly polly baby. He was what I had always thought a healthy baby looked like until I had my first and he was so petite. But I worried about Aug being big just because it was so different from his brother. Then when he was old enough to be walking around he didn't look fat to me at all, but I would say stocky and solid with a belly. It worried me because of all the fear mongering going on in the media now (which I think is SO unfortunate and misguided). And he doesn't self-regulate like Milo. He wants nothing but carbs and if he has something yummy in front of him he'll eat too much of it. So, when I took him in, guess what, he was in the 7th percentile for BMI!!! I don't get it at all. Everyone who looks at my two kids agrees that Milo is petite and delicate and Augie is more stocky. I think it must be as previous poster's are saying -- there was an error in measurement of math or something. Or BMI is truly meaningless.
I think your dd is the picture of health, OP!