Kathy Magallanes is learning the ropes of motherhood for a second time.
"It's been a long time since I've been responsible for a little bitty baby, and I know things have changed," Magallanes said.
This grandmother is raising her granddaughter. Whenever Macie cries, she said she feeds the baby. "Oh, that baby's hungry. I don't want her to be hungry, and I'll give her a Bottle," Magallanes said.
"If you constantly feed babies when they're young, they actually lose their ability to sense fullness. They may become more likely to be an overeater as they get older," said Russell Rothman, MD, MPP, Assistant Professor in Internal Medicine and Pediatrics, Vanderbilt University Medical Center, Nashville, Tenn.
More than half a million 4-year-olds are obese. Weight in the first two years can be predictive of how much weight they'll gain later.
"The most common vegetable for the toddler is currently the French fry," Rothman said.
Babies don't need juice. If you give it to them, dilute it. For solids: fewer crackers and cookies. Know when the baby is full. She may keep her mouth closed, push the bottle away or start falling asleep.
"Try to recognize what is their hungry cry versus when they're really crying because they're wet or for some other reason," Rothman said.
Babies can exercise. It's called tummy time.
"Learning to push themselves up, learning to crawl and really get more mobile even at a young age," Rothman said.
Magallanes said she wants to change her habits.
"My family, we have a lot of diabetes, and he said, we got to watch that, and we don't want to feed her too much," she said.
Overweight children aren't just a problem in this country. Nearly half of the children in North and South America will be overweight by next year, according to a report in the International Journal of Pediatric Obesity.