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Children become overweight and obese for a variety of reasons. The most common causes are genetic factors, lack of physical activity, unhealthy eating patterns, or a combination of these factors. Only in rare cases is being overweight caused by a medical condition such as a hormonal problem. A physical exam and some blood tests can rule out the possibility of a medical condition as the cause for obesity. Although weight problems run in families, not all children with a family history of obesity will be overweight.
This would have been a very good trait hundreds of years ago, when food was hard to find and people were very active. Today, though, this can work against people who have these genes. Genetics is not the only cause of obesity. To become obese, children must also eat more calories than they need for growth and energy.