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@lady grey: This came up for my friend (he was high for both height and weight), and someone suggested calculating a BMI for your kid. I didn't realize that was possible! But maybe it's worth looking into...

My LO isn't that high % for her weight but her pedi said to switch to 2% or 1% because they don't need all that fat in their diet after 2.

It's common to suggest the switch at the 2year. Especially because your LO is 90% for weight I would probably switch him too.

My Little Dude is 90+% for height and weight, and pretty much always has been. Our pediatrician never suggested we change his diet, because he has more or less stuck to his growth curve since birth. If your son has always been in/near those percentages, doesn't overdose on full-fat cheese/milk, and gets plenty of activity? I'd say relax and go with your instincts and stick with his current diet. People grow and develop differently; if his body type is consistent with himself over time and with his family, he's probably fine.

Agree totally with @kgbee.

My son is 90%+ in weight and has been since birth. His height has been anywhere from 50% to 90%. He'll be three in September and still drinks whole milk. The pediatrician never suggested I switch. 90% sounds big but it totally depends on body shape and size. He's never been a "big chubby" kid. He is solid.

Go with your instinct!

i would consult with a registered dietitian over your ped if you are truly concerned. But then, I would not be concerned and I certainly would not introduce diet products to a child. Children are born as intuitive eaters and he will eat what his body needs. I wouldn't mess with that.

My son has always been in the 90+ percentile for both height and weight and the pediatrician hasn't been concerned. She always just says to keep doing what we're doing because it's obviously working. She did say we could switch to 2% at age 2 if we wanted but we chose to keep him on whole milk. The calories are not all that different and we like that whole milk is less processed.

I would switch to 1 or 2% but I would not do skim milk for any children. They do need some fats in their diet for brain development and milk is one place they can get it consistently.

I am pretty picky about pediatricians and I would not have loved that he recommended skim milk for a 2 year old and didn't even ask you about his milk intake or what his regular diet is. It is not one size fits all. So, if I were you I'd probably keep shopping around but I am always shopping around for the perfect pediatrician that has all the AAP guidelines memorized

I agree with @kgbee: and @Mamasig: . E will be 3 in August, has always been in the 90th or above for both height and weight, and is just very solid. He still drinks WCM, and we've never been told otherwise.

@lady grey: I'd switch to 1 or 2%. We have opposite problem my son must have a hollow leg because he eats like crazy but is thin as can be.

Didn't see the skim part; I wouldn't do skim either.

Also 1 & 2% is supposed to be better for heart health. That's the primary reason why we switched our daughter at 2. We have a history of heart problems on both sides. But DD1 is on soy so it's a moot point for us anyway now!

I definitely wouldn't do skim! I'd probably do 2% but like you said if she doesn't drink much milk I don't think it will make a huge difference. I would actually be pretty offended at that suggestion. It's like he's suggesting to put your 2 year old on a diet. No thanks!!

The whole idea that fat makes you fat has been disproven. Low fat milks have more sugar in them- I'd keep your child on whole milk. http://www.npr.org/sections/thesalt/2014/02/12/275376259/the-full-fat-paradox-whole-milk-may-keep-us-lean

So E was 80th for weight and 60th for height at her 2 year appt and her ped said not to switch from whole milk to skim. He said skim its altered more - and actually has more sugar. He said the fat is fine but it's the carby meals and snacks which add up on their little bodies. It's hard because E was a very picky eater...she would only eat toast for breakfast, crackers, cheese and berries for a snack and some type of sandwich and pasta for dinner. Luckily, she outgrew some of that pickiness. I just started offering her more fruit for snacks instead of cheddar bunnies. She loves veggies now which helps. Also, between 2-3, she started moving more - she wouldn't fall so often and wasn't as cautious as she was when she was 1, so now she runs all over the place.

Her weight and height are now even at the 65th percentile.

My older DS has been 90%+ in weight. Before he was two he weighed 37 lbs, more than a lot of school age kids. I'm on the small side and DH is average so we were a little worried but our ped was totally unfazed and didn't think it was anything to be concerned about. If you want to switch to 1-2% milk because that's what you and DH drink, do it. If you don't want to, don't worry about it. I don't think that will matter much since he barely drinks any. I would say don't stress about it even though I know that's hard.

@blackbird: Food log is a great idea. I know I sometimes mindlessly give LO some crackers or a pouch when we're out and about to keep her quiet and I forget later when I'm thinking about what she ate that day.

Another pediatrician here. I totally agree with @sproutbee. The concern is the discrepancy between height and weight percentiles and the association with high BMI as a toddler with obesity at a later age. I would try not to take offence. It's good to know about the potential concern so you can keep an eye on his percentiles and emphasize healthy eating, exercise, and low screen time. If you're already doing all those things that's great and there is a better chance of his percentiles evening out down the road.