When we think of malnutrition, we often picture a child who is thin or underweight. But malnutrition can sometimes look very different. An overweight child can also be malnourished.A child may consume enough—or even too many—calories and still not get the nutrients needed for healthy growth. Diets high in processed foods, sugary drinks and refined carbohydrates can lead to excess weight while being poor in iron, calcium, vitamin D, vitamin B12, protein and other essential nutrients.This is particularly important today, when childhood overweight and obesity are increasing alongside micronutrient deficiencies. A child’s weight alone therefore cannot tell us whether the child is adequately nourished.Parents need to look at the overall picture—growth pattern, height and BMI for age, dietary habits, physical activity and, when required, blood tests for specific deficiencies.Parents should also remember that “eating more” does not always mean “eating better”. A balanced diet containing adequate protein, vegetables, fruits, whole grains and other nutrient-rich foods is essential.The goal should not simply be a healthy weight, but a healthy, well-nourished child.Dr. Ashish Gautam, Principal Director, Robotic Surgery, Laparoscopic & Minimal Access Surgery, Max Hospital, Patparganj