{"id":6080,"date":"2019-10-01T23:05:42","date_gmt":"2019-10-02T03:05:42","guid":{"rendered":"http:\/\/www.daniellebinns.com\/stagingsite\/?p=6080"},"modified":"2019-10-07T17:35:04","modified_gmt":"2019-10-07T21:35:04","slug":"is-your-child-underweight","status":"publish","type":"post","link":"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/","title":{"rendered":"Is your child underweight?"},"content":{"rendered":"<p>My first little girl is one of the biggest reasons I started helping families five years ago.<\/p>\n<p>I experienced motherhood with an underweight child who just wouldn&#8217;t gain weight or grow.<\/p>\n<p>My daughter was 4.5 pounds at birth and every single day for the next few years of her life, her weight consumed me.\u00a0 I chased her around the house with a spoonful of food. I packed snacks with me everywhere I went.\u00a0 I let her eat in front of the iPad and while I distracted her with toys. She was BELOW the 0 percentile on the growth charts and labelled as failure to thrive.<\/p>\n<p>That&#8217;s a term that no parent wants to hear, because I know how it impacted me.\u00a0 I interpreted her<em> failure to thrive<\/em> to mean that I was failing her as a mother and a nutritionist.<\/p>\n<p>Her weight was also the reason I created this long<a href=\"http:\/\/www.daniellebinns.com\/stagingsite\/2016\/08\/high-calorie-foods-kids\/\"> list of 60 High Calorie, High Nutrient Foods for underweight kids<\/a>.<\/p>\n<p><a href=\"http:\/\/www.daniellebinns.com\/stagingsite\/2016\/08\/high-calorie-foods-kids\/\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-2630 size-large\" src=\"http:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/HIGH-CALORIE-Homepage-Banner-1-1024x374.png\" alt=\"\" width=\"1024\" height=\"374\" srcset=\"https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/HIGH-CALORIE-Homepage-Banner-1-1024x374.png 1024w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/HIGH-CALORIE-Homepage-Banner-1-300x110.png 300w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/HIGH-CALORIE-Homepage-Banner-1-768x281.png 768w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/HIGH-CALORIE-Homepage-Banner-1-610x223.png 610w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/HIGH-CALORIE-Homepage-Banner-1-1080x395.png 1080w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/HIGH-CALORIE-Homepage-Banner-1.png 1500w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<p>Having an underweight child makes feeding our children so much harder and much more stressful.\u00a0 You&#8217;re always wondering, &#8216;what if he\/she isn&#8217;t getting enough calories?&#8221;.<\/p>\n<p>Those weigh-ins at the paediatrician&#8217;s office were the WORST memories for me as a mother. I left in tears 80% of the time.<\/p>\n<p>But that was 5 years ago and thankfully, we are in a much better place.\u00a0 My daughter is no longer failing to thrive &#8211; in fact she is thriving in every aspect of her life (except for bedtime &#8211; she hates going to bed that little bugger!).<\/p>\n<p>Here&#8217;s my daughter getting measured at the age of 3.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-6179 aligncenter\" src=\"http:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828-768x1024.jpg\" alt=\"underweight children\" width=\"489\" height=\"652\" srcset=\"https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828-768x1024.jpg 768w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828-225x300.jpg 225w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828-300x400.jpg 300w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828-610x813.jpg 610w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828-1080x1440.jpg 1080w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828.jpg 1536w\" sizes=\"(max-width: 489px) 100vw, 489px\" \/><\/p>\n<p>Here&#8217;s my daughter getting measured this year (at the age of 6!).<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-6178 aligncenter\" src=\"http:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/9WnxtyYfQFSujRfQcOwQg-e1569981616361-768x1024.jpg\" alt=\"\" width=\"494\" height=\"659\" srcset=\"https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/9WnxtyYfQFSujRfQcOwQg-e1569981616361-768x1024.jpg 768w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/9WnxtyYfQFSujRfQcOwQg-e1569981616361-225x300.jpg 225w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/9WnxtyYfQFSujRfQcOwQg-e1569981616361-300x400.jpg 300w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/9WnxtyYfQFSujRfQcOwQg-e1569981616361-610x813.jpg 610w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/9WnxtyYfQFSujRfQcOwQg-e1569981616361-1080x1440.jpg 1080w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/9WnxtyYfQFSujRfQcOwQg-e1569981616361.jpg 1536w\" sizes=\"(max-width: 494px) 100vw, 494px\" \/><\/p>\n<p>As a mom of an underweight child I wanted to touch on this subject, because it&#8217;s near and dear to my heart.\u00a0 And many parents I work with are worried because they are in my former shoes.\u00a0 With a child who who doesn&#8217;t gain enough weight.<\/p>\n<p>We know that children come in different shapes and sizes and grow at different rates.\u00a0 A child at some points during their growth may be taller, shorter, heavier or lighter than other children their age and that is usually a-okay!<\/p>\n<p>Keeping track of a child&#8217;s growth is important because it can tell us a lot about their health.\u00a0 If a child is growing too fast or too slow, this may be a sign that there is something going on with their health and\/or nutrition.<\/p>\n<p>But please don&#8217;t become obsessive about it or even do it at home.\u00a0 That should be the responsibility of your child healthcare provider.<\/p>\n<h2><span style=\"color: #33cccc;\">Understanding the Terminology:<\/span><\/h2>\n<p>There are so many different terms that are used for a child that is underweight such as failure to thrive, malnourished, SGA, smaller than normal. We know it can easily get overwhelming and so I wanted to take the time to simplify it all.<\/p>\n<h3>Underweight:<\/h3>\n<p>According to the <a href=\"https:\/\/health.clevelandclinic.org\/dietitians-best-advice-child-underweight\/\">Cleveland Clinic,<\/a> a child who is considered to be <strong>underweight<\/strong> is a child who is in the <strong>bottom 5th percentile<\/strong> for weight compared to their height.<\/p>\n<h3>Failure to Thrive:<\/h3>\n<p>A child is considered to be <strong>failure to thrive<\/strong> (FTT) according to <a href=\"https:\/\/www.healthlinkbc.ca\/health-topics\/tm4932\">HealthLink BC<\/a> if they seem to be <strong>growing in height and weight at a slower pace<\/strong> compared to other children of his or her age and sex.\u00a0 However it&#8217;s the other symptoms that can suggest a child is FTT:<\/p>\n<ul>\n<li>Not enough weight gain for age<\/li>\n<li>Low height (or length, if a baby) for age<\/li>\n<li>Irritability<\/li>\n<li>Tiredness<\/li>\n<li>More sleepiness than normal<\/li>\n<li>Lack of age-appropriate social response, such as smiling<\/li>\n<li>No vocal sounds<\/li>\n<li>Delayed physical movement changes (motor development)<\/li>\n<li>Learning and behavior problems in older children<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>According to Stanford&#8217;s Children&#8217;s Hospital:<\/p>\n<blockquote><p>A baby or child with an ongoing (chronic) health condition may also need more calories and nutrients than normal.\u00a0 This may be the case with congenital heart disease or a genetic syndrome. &#8211; Source<\/p><\/blockquote>\n<p>Our daughter had both factors that contributed to her FTT diagnosis &#8211; <a href=\"http:\/\/www.daniellebinns.com\/stagingsite\/2015\/07\/russell-silver-syndrome\/\">Russel Silver Syndrome<\/a> (genetic condition) and a VSD (Congenital Heart Disease).<\/p>\n<p>&nbsp;<\/p>\n<h3>IUGR: Intrauterine Growth Restriction (IUGR)<\/h3>\n<p>Another term you may have heard for <strong>IUGR<\/strong> is f<strong>etal growth restriction<\/strong>. <a href=\"https:\/\/www.stanfordchildrens.org\/en\/topic\/default?id=intrauterine-growth-restriction-iugr-90-P02462\">IUGR<\/a> is a condition where the fetus is smaller than anticipated for the number of weeks of pregnancy. According to the Standford Children&#8217;s Health, a child with IUGR is usually seen to weigh <strong>less than 90 percent compared to all other fetuses<\/strong> at the same gestational age. This is not to say that all fetus&#8217; with IUGR are born prematurely, some can be born at term as well (after 37 weeks of pregnancy).<\/p>\n<p>&nbsp;<\/p>\n<h3>Small for Gestational Age:<\/h3>\n<p><a href=\"https:\/\/www.stanfordchildrens.org\/en\/topic\/default?id=small-for-gestational-age-90-P02411\">Small for Gestational Age (SGA)<\/a>, is a term used when describing an infant who is considered <strong>smaller than usual<\/strong> for the number of weeks the mother is pregnant. A baby who is SGA is usually seen to have a <strong>birth weight lower than the 10th percentile<\/strong> for babies who are of the same gestational age.<\/p>\n<p>What&#8217;s interesting is that an infant with SGA can seem physically and neurologically mature however they are always seen to be smaller compared to other babies of the same age.<\/p>\n<p>Our daughter was also considered SGA.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\" wp-image-516 aligncenter\" src=\"http:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/BUBBLE11.png\" alt=\"Children feeding and growth challenges\" width=\"297\" height=\"297\" srcset=\"https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/BUBBLE11.png 250w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2015\/03\/BUBBLE11-150x150.png 150w\" sizes=\"(max-width: 297px) 100vw, 297px\" \/><\/p>\n<h2><\/h2>\n<h2><span style=\"color: #33cccc;\">Understanding Growth Charts<\/span><\/h2>\n<p>I have a love \/ hate relationship with growth charts because they make many parents feel inadequate and are a significant source of stress.\u00a0 But on the flip side, they are a necessary tool for health professionals to assess a child&#8217;s health and growth.<\/p>\n<p>There are two sources of growth charts. Let&#8217;s take a peek at both&#8230;<\/p>\n<h3>World Health Organization (WHO):<\/h3>\n<p>The <a href=\"https:\/\/www.who.int\/childgrowth\/standards\/en\/\">World Health Organization<\/a> has created its own set of <strong>standards<\/strong> and<strong> growth charts<\/strong> to determine if a child is underweight.<\/p>\n<p>The indicators that they have developed include the following:<\/p>\n<ul>\n<li>Length\/height-for-age<\/li>\n<li>Weight-for-age<\/li>\n<li>Weight-for-length\/height<\/li>\n<li>Body mass index-for-age (BMI-for-age)<\/li>\n<li>Head circumference -for-age<\/li>\n<li>Arm circumference-for-age<\/li>\n<li>Subscapular skinfold-for-age<\/li>\n<li>Triceps skinfold-for-age<\/li>\n<li>Motor Development milestones<\/li>\n<\/ul>\n<p>The <strong>WHO growth chart<\/strong> should be used for infants and children between the ages of 0 and 2 for the following reasons:<\/p>\n<ol>\n<li>They establish the growth of the breastfed infant as the norm for growth<\/li>\n<li>They consider physiological growth in infancy<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<h2>Center for Disease Control and Prevention:<\/h2>\n<p>The <a href=\"https:\/\/www.cdc.gov\/growthcharts\/index.htm\">Center for Disease Control and Prevention Standards<\/a> (CDC), has also created clinical growth charts. These growth charts are best used for children and adolescents between the ages of 2 and 20. These growth charts include details such as:<\/p>\n<ul>\n<li>Stature-for-age<\/li>\n<li>Weight-for-age<\/li>\n<li>BMI-for-age<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #33cccc;\">So why isn&#8217;t your child growing?<\/span><\/h2>\n<p>There could be a few reasons why your child is underweight. Here are some of the most common ones:<\/p>\n<h3>1. Low Calorie\/Fat intake<\/h3>\n<p>Our little ones grow up so fast, that sometimes it&#8217;s hard to keep up!\u00a0 One way to ensure their calorie intake is high enough is by serving lots of healthy fats (avocados, olive oil, coconut, etc). <strong>Kids need a lot of fuel<\/strong>. They are bouncing balls of energy!<\/p>\n<p><a href=\"http:\/\/www.daniellebinns.com\/stagingsite\/highcalorie \"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-2099 aligncenter\" src=\"http:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2016\/08\/3.jpg\" alt=\"Nutrient dense foods for underweight kids\" width=\"503\" height=\"422\" srcset=\"https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2016\/08\/3.jpg 940w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2016\/08\/3-300x251.jpg 300w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2016\/08\/3-768x644.jpg 768w, https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2016\/08\/3-610x511.jpg 610w\" sizes=\"(max-width: 503px) 100vw, 503px\" \/><\/a><\/p>\n<h3>2. Poor Digestion<\/h3>\n<p>A child with digestive issues will have more <strong>stomach aches, indigestion and lower absorption of nutrients<\/strong> from their foods. If your little one is uncomfortable after most meals and is also underweight, digestion may be the cause. Who wants to eat when their tummy hurts?!<\/p>\n<p>One of my most recent clients has a two year old boy who had ate very little and wasn&#8217;t gaining weight.\u00a0 After removing gluten from his diet he gained 3 pounds in just a few weeks!\u00a0\u00a0Hence, it&#8217;s worth looking into the foods they are consuming and identifying any food sensitivities or allergies could be driving this.<\/p>\n<p>&nbsp;<\/p>\n<h3>3. Bowel Disorders<\/h3>\n<p>Some children who are underweight may suffer from <strong>bowel disorders or digestive diseases<\/strong> such as gastroesophageal disease or inflammatory bowel disease.\u00a0 These conditions can lead to weight concerns because they are not able to eat effectively, and if they do, it immediately is expelled from their bodies.<\/p>\n<h3>4. Oral Motor or Sensory Processing Issues<\/h3>\n<p>If you&#8217;ve seen my <a href=\"http:\/\/www.daniellebinns.com\/stagingsite\/webinar\">Free Webinar (10 Proven Picky Eating Strategies),<\/a> you know that eating is one of the most difficult tasks we do as humans. It&#8217;s more difficult than walking or talking!\u00a0 It uses all 8 senses and multiple muscles and nerves.\u00a0 So if a child has trouble processing the sensory inputs from food (i.e the smell is too strong) or they can&#8217;t manage chewing foods due to low muscle tone or poor chewing mechanics (the tongue is a muscle!) then they may avoid eating to avoid discomfort\/anxiety.<\/p>\n<p>Knowing the reason why your child is struggling with weight gain can help you get to a solution faster.<\/p>\n<h2><span style=\"color: #33cccc;\">Concerns with being underweight<\/span><\/h2>\n<p>Helping your child through nutrition will be key in helping them overcome weight concerns. Here are some great techniques to use during mealtimes to ensure your child is eating enough of the right foods:<\/p>\n<ol>\n<li><strong>Incorporate healthy fat sources<\/strong> at every eating opportunity (<a href=\"http:\/\/calorie\">here are some ideas<\/a>)<\/li>\n<li><strong>Opt for quality proteins which are critical for growth.\u00a0 <\/strong>Especially<a href=\"http:\/\/www.daniellebinns.com\/stagingsite\/2019\/01\/better-beef-for-families\/\">\u00a0grass-fed meat products<\/a> and\/or <a href=\"http:\/\/www.daniellebinns.com\/stagingsite\/2019\/09\/wild-farmed-organic-fish\/\">wild fish<\/a> and\/or free-range eggs which are cleaner sources and contain more nutrition.\u00a0 Every bite counts for our little ones.<\/li>\n<li><strong>Include fiber<\/strong> at every eating opportunity. Foods like sweet potatoes, squash, carrots, beets, parsnips are wonderful nutrient and more calorically-dense carbohydrates that will give your child the energy they need.<\/li>\n<li><strong>Avoid grazing.<\/strong>\u00a0 Research shows that toddlers consume 50% less calories when they graze (in comparison to their peers with structured mealtimes).<\/li>\n<li><strong>Try a gentle elimination diet<\/strong> with the help of a healthy professional to determine if there are any food intolerances at play.<\/li>\n<li><strong>Hire a health practitioner<\/strong> to give you a clear plan to help improve your child&#8217;s weight.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Is your child underweight?<\/p>\n<p>Tell me more in the comments.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>My first little girl is one of the biggest reasons I started helping families five years ago. I experienced motherhood with an underweight child who just wouldn&#8217;t gain weight or grow. My daughter was 4.5 pounds at birth and every single day for the next few years of her life, her weight consumed me.\u00a0 I [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6179,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"wprm-recipe-roundup-name":"","wprm-recipe-roundup-description":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[48,426],"tags":[707,708,706,93,319],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Is your child underweight?<\/title>\n<meta name=\"description\" content=\"What to do when you have an underweight child and how to know what classifies a child as being failure to thrive, small for gestational age, and underweight\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Is your child underweight?\" \/>\n<meta property=\"og:description\" content=\"What to do when you have an underweight child and how to know what classifies a child as being failure to thrive, small for gestational age, and underweight\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/\" \/>\n<meta property=\"og:site_name\" content=\"Danielle Binns (CNP, BA)\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/DanielleBinnsNutrition\/\" \/>\n<meta property=\"article:author\" content=\"www.facebook.com\/daniellebinnsnutrition\" \/>\n<meta property=\"article:published_time\" content=\"2019-10-02T03:05:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-10-07T21:35:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.daniellebinns.com\/stagingsite\/wp-content\/uploads\/2019\/08\/IMG_3905-e1569982072828.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1536\" \/>\n\t<meta property=\"og:image:height\" content=\"2048\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"DanielleBinns\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"DanielleBinns\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/\",\"url\":\"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/\",\"name\":\"Is your child underweight?\",\"isPartOf\":{\"@id\":\"https:\/\/www.daniellebinns.com\/stagingsite\/#website\"},\"datePublished\":\"2019-10-02T03:05:42+00:00\",\"dateModified\":\"2019-10-07T21:35:04+00:00\",\"author\":{\"@id\":\"https:\/\/www.daniellebinns.com\/stagingsite\/#\/schema\/person\/6925a448365f65c3aaf5e6e0169e442c\"},\"description\":\"What to do when you have an underweight child and how to know what classifies a child as being failure to thrive, small for gestational age, and underweight\",\"breadcrumb\":{\"@id\":\"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/#breadcrumb\"},\"inLanguage\":\"en\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.daniellebinns.com\/stagingsite\/2019\/10\/is-your-child-underweight\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.daniellebinns.com\/stagingsite\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Is your child underweight?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.daniellebinns.com\/stagingsite\/#website\",\"url\":\"https:\/\/www.daniellebinns.com\/stagingsite\/\",\"name\":\"Danielle Binns (CNP, BA)\",\"description\":\"Nutrition &amp; 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