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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Infant. Creases And Folds At The Wrists And Ankles. No Intake Of Breastmilk Or Formula, Not Obese. Normal?

Is it normal for a 1-year-old baby who is not obese to have the same creases and folds at the wrists and ankles that you see on morbidly obese babies and children. If this type of creases and folds in the skin happened in the wrists and ankles of an adult, it would be a clear sign of health problems. I am concerned because this is happening to my grand daughter whose mother weaned her from the breast at 6 months old, but has not been giving her any type of milk since. I have never heard of not giving babies or children milk, and she is rarely drinking water. My son has never had these creases in his skin at any time in his life, and there are no baby pictures showing this in her family either. What is your advice. If this Type of thing is normal for some babies, I am glad that I have not said anything to my daughter-in-law. Your advice would be sincerely appreciated.
Tue, 16 Jul 2013
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Pediatrician 's  Response
Absolutely normal and very few babies are truly morbidly obese, which applies only to older children and adults most of the time. All babies and most toddlers have extra fat layers for a couple of years. Even a baby her age who is not on any milk is still going to have enough calories in their diet to store fat and milk is really not necessary for kids after a years as long as their diet contains other sources of calcium such as other dairy products.
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General & Family Physician Dr. Mushtaque Mastim's  Response
Hi

Thanks for your query to Health Care Magic

Following are the criteria’s for a baby to be diagnosed as obese:
1.     Weight more than 120% of expected weight for height.
2.     Body Mass Index (BMI) more than 30 kg/m2 (BMI = Weight in kg/(Height in meters)2, and
3.     Excessive accumulation of fat in subcutaneous tissue and other organs.

For a baby to be diagnosed as obese all the above 3 criteria’s needs to be fulfilled.

Weaning is gradual introduction of semi-solids and solids in baby’s diet apart from breast milk, to meet their growing demands, usually at 4-6 months. Kindly note weaning is a complementary process and not the discontinuation of breast feeding which should be continued as long as possible. If the mother has some genuine problems with breast feeding only then it should be replaced with top feeds.

As you said baby is not drinking milk at all and rarely drinks water, it is important that she needs to be evaluated for her hydration status by a pediatrician. Pediatrician can also suggest about the diet plans for your granddaughter.

Hope that answers your query

Take Care :)
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Infant. Creases And Folds At The Wrists And Ankles. No Intake Of Breastmilk Or Formula, Not Obese. Normal?

Absolutely normal and very few babies are truly morbidly obese, which applies only to older children and adults most of the time. All babies and most toddlers have extra fat layers for a couple of years. Even a baby her age who is not on any milk is still going to have enough calories in their diet to store fat and milk is really not necessary for kids after a years as long as their diet contains other sources of calcium such as other dairy products.