I did an interview a while back with a family that had two girls. A one year old and 2.5 year old. They were the heaviest children I have ever seen in real life. The older girl was so heavy she couldn't climb the basement stairs. She got really winded before we got up six stairs and had to stop. Just walking around in my playroom winded them. I cut the interview short because I knew I couldn't accommodate them. They wouldn't fit in my equipment and they wouldn't be able to make it two houses down the sidewalk for our walks. I would have had to hire an assistant for them to adapt my environment to meet their needs.

It was very sad that kids could get that heavy that young.