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Obesity hypoventilation (HI-po-ven-tih-LA-shun) syndrome (OHS) is a breathing disorder that affects some obese people. In OHS, poor breathing results in too much carbon dioxide (hypoventilation) and too little oxygen in the blood (hypoxemia). OHS sometimes is called Pickwickian syndrome. To understand OHS, it helps to understand how the lungs work.
Although certain medical disorders can cause obesity, less than 1 percent of all obesity is caused by physical problems. Obesity in childhood and adolescence can be related to: poor eating habits; overeating or binging; lack of exercise (i.e., couch potato kids) family history of obesity; medical illnesses (endocrine, neurological problems)