1) prevalence of obesity among children and adolescents in the United States increased from 10.6% to 13.9. Obesity can lead to serious adverse consequences such as asthma, obstructive sleep apnea, joint problems, hypertension, hypercholesterolemia, low self-esteem, and depression.
2) nearly 40% of children started kindergarten with a BMI in the top quartile of the growth charts (BMI > 75th percentile). This proportion increased significantly during the elementary school years, and the largest gains were between 1st and 3rd grades but there was no further increase during middle school. Increases in BMI percentiles over time were most notable among Hispanic children and black girls.
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