The health consequences of being overweight during childhood are enormous, and there is increased evidence that obesity in childhood can lead to adult obesity and shortened lifespan. Obese children are more likely to have elevated cholesterol, elevated systolic blood pressure, hyperinsulinemia, and are at risk for Blount's disease and other orthopedic problems.

Food offered in elementary and middle schools plays an important role in the development of a child's taste preferences. Many schools offer nonnutritional items from soda machines, snack machines, and a la carte, which make children less likely to choose fruits and vegetables.

Nurse practitioners (NPs) should be aware of school practices in their communities and educate families and children about obesity. Encourage families to support schools in offering appropriate and nutritious foods to prevent and control obesity. By taking an active role, NPs can promote change and awareness of the influx of childhood obesity in their community.

Heather Schultz, FNP, RN, BSN, MSNc

Durham, NC