4-Year Checkup: Healthy Kids Series

This parenting information is part of the "Healthy Kids, Healthy Futures" series. These fact sheets may be given out by Group Health at routine checkups.


Healthy Habits


Provide a safe environment for your child.


Healthy Weight

You may wonder if your child is too thin or too heavy. Children come in all shapes and sizes and grow at different rates. There are no ideal weights for children as they grow.

Your doctor or other medical professional can help you decide if your child's weight is healthy. Follow these steps to help your child have a healthy weight.

Physical activity: Encourage active play for 60 minutes or more every day. Plan family activities, such as trips to the park, walks, bike rides, swimming, gardening, and so on.

Limit TV, computer, and video games: Make sure your child spends no more than 1 hour a day watching television, at the computer, or playing video games. Research shows that the more time children spend at these activities, the greater the chance that he or she will be overweight.

Don't allow TV in your child's bedroom, and avoid using TV, the computer, or video games as a babysitter.

Encourage healthy eating habits: Make healthy foods available to all family members, and eat meals together as a family as often as possible.

Help your child feel good about him or herself:


Children start kindergarten between ages 4-1/2 and 6 years old. It can be hard to know exactly when your child is ready for school. Your local elementary school or preschool can help. Most children are ready for kindergarten if they already have these skills:

Behavioral skills:

Muscle skills:

Language and math skills:

Suggested Resources


Suggested reading

Next well-child visit: 5 years

Adapted with permission from Kaiser Permanente.

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Clinical review by Emily Chao, DO
Group Health
Reviewed 04/01/2013