At 5'4" tall and 124 pounds, 11-year-old Lily Grasso is one of the tallest girls in her class, but rarely is she called overweight.
That changed when the Collier County Health Department came to her Naples middle school and conducted a health screening that labeled the girl as overweight.
Her mother Kristen Grasso is confused as to why the county's test labeled her daughter as overweight and what kind of message these results could send to young girls who may already struggle with self-esteem issues.
Now, Lily's story is getting international attention from Yahoo, ABC News, the Daily Mail and more with the general consensus from commenters and bloggers being that Lily appears to be happy and healthy and shouldn't have been labeled overweight.
Kristen told the Sentinel that she never expected so much national interest from her daughter's story, but that her family has received "such wonderful support from so many kind people."
"So many people don't say anything because who wants to be the family with a 'fat' kid. Well we are ready to stand up and say it is not right," Kristen said in an email to the Sentinel.
Kristen received a consent form about the screening, which took place last month, but thought it would only measure vision, hearing, growth and development -- she didn't know weight would be involved, she told WFTX.
After the test, a letter was sent home with Lily informing her mother that she had a Body Mass Index of 22, which classifies her as overweight, according to the results she received.
"Lily is tall, athletic, solid muscle -- by no means is she overweight," Kristen told WFTX.
Kristen believes BMI is a poor indicitator of health when it comes to athletes like Lily who have more muscle than they do fat.
"You want to measure Lily's health and development, then you better be a doctor who spends more than 3 seconds with her. Not a high school student helping administer health screenings," Kristen wrote in an email to the Sentinel.
Luckily, Lily isn't letting the letter's erroneous message affect her self-esteem and she took to ABC News this week to confront the issue.
Her plan from here on out is one all young women should follow:
"Be confident in everything that I do, and never give up," Lily told ABC News.
Kristen agrees wholeheartedly and appreciates her daughter's mature opinion.
"Like Lily said, this letter did not hurt her, don't let anyone define who you are! Be active, be healthy and if you are concerned with your health talk to your parents," Kristen told the Sentinel.
Clarification: There were originally conflicting reports regarding Lily's height. Several TV stations said she was 5'5" tall, whereas the county's form listed her as 5'3", however, Kristen Grasso told the Sentinel that Lily is about 5'4" tall. She also confirmed the spelling of Lily's first name.