Core Viewpoint - The article discusses the rising trend of overweight and obesity among children and adolescents in China, highlighting the shift from past concerns of malnutrition to current issues of excessive weight gain and its implications for health [3][4][7]. Group 1: Trends in Child and Adolescent Weight - From 1992 to 2020, the average height and weight of children aged 6-17 in China have increased, with boys gaining an average of 1.4 kg and 1.6 cm in height from 2010-2013 to 2015-2017, while girls gained 0.6 kg and 1 cm [4]. - The obesity rates among boys aged 6-17 reached 10% from 2015-2017, which is 4.4 percentage points higher than that of girls [7][12]. - The prevalence of overweight and obesity in children aged 6-17 was reported at 11.1% and 7.9%, respectively, compared to 6.8% and 3.6% in children under 6 [7][12]. Group 2: Regional Disparities in Overweight Rates - Hunan, Hong Kong, and Macau have the highest rates of overweight preschool children, with Hunan's rate increasing from 27.8% in 2000 to 32.8% in 2019, and predictions suggest it could reach 40.6% by 2030 [13][17]. - The article notes that dietary habits, particularly the preference for rich and oily foods in Hunan, may contribute to the rising overweight rates [17][22]. Group 3: Influencing Factors - Parental attitudes towards weight, where having a bit of extra weight is often seen as a sign of health, contribute to the normalization of overweight among children [12][23]. - The article emphasizes that children born to overweight parents are more than three times likely to be overweight themselves, indicating a genetic and environmental influence on weight [23][29]. Group 4: Health Implications - Overweight children face significantly higher risks of developing chronic diseases, with studies indicating that obese children are 26.1 times more likely to suffer from non-alcoholic fatty liver disease compared to their normal-weight peers [29][32]. - The article highlights the long-term consequences of childhood obesity, suggesting that early weight issues can lead to lifelong health challenges [32].