Remember that the entire family needs physical activity; so don't single out your granddaughter when encouraging exercise. Family-friendly activities like trips to the zoo, the park, mini golfing or museums are great ways to be physically active without really trying.

It is also important to realize that your granddaughter likely knows that she has a weight problem so listen to her if she expresses concerns about her weight. Overweight children need the support, understanding and encouragement of their family members.

And finally, tell your granddaughter that she is loved and is important to you. A child's self perception and self-esteem are strongly influenced by their parental figures feelings about them.