Why has the prevalence changed so drastically?
Childhood obesity is a societal issue with many socioeconomic and developmental factors playing into its increase in prevalence over the past 30 years. Access to healthy food has diminished greatly with many urban areas sprawling and separated from healthy eating establishments. Diets are fattier and larger, families eat out more often, and healthy food has risen in price while unhealthy food prices have dropped. Safety concerns have prevented children from playing in the streets or walking to school. Budgets have been cut and with them, compulsory physical education, recess, and healthy foods in schools.
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