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Volume 350:2414-2416 June 3, 2004 Number 23
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The Changing Face and Implications of Childhood Obesity

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 by Dietz, W. H.
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 by Bhargava, S. K.
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To the Editor: Bhargava et al. (Feb. 26 issue)1 report that in their study in India, low birth size (expressed as the ponderal index) was associated with early adiposity rebound and impaired glucose tolerance. We have described type 2 diabetes in Asian teenagers in the United Kingdom,2 but it is unclear how that finding relates to birth size. Studying a multiethnic cohort of 5000 children from Birmingham, United Kingdom,3 our group found that birth weight and the ponderal index in 1571 South Asian infants were significantly lower than those in 2204 white infants (birth weight, 3.10 kg vs. 3.31 kg; . . . [Full Text of this Article]




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