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BMJ 2006;332 (13 May), doi:10.1136/bmj.332.7550.0-b
Persistent obesity in adolescents may be established well before the age of 11. Wardle and colleagues (p 1130) recruited more than 5800 pupils aged 11-12 years from 36 London schools and found 25% to be overweight or obese. Over the five years of follow-up, the prevalence of obesity increased at the expense of overweight, but the proportion of pupils with a body mass index within the healthy range stayed the same. Efforts to prevent obesity should therefore be targeted in the early years, say the authors.
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