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Various studies have shown that approximately 10% of prepubertal and 15% of adolescent age groups are obese. Parents often blame obesity in children on their diet but endocrine or metabolic causes must be readily differentiated from exogenous obesity by a simple physical examination and an assessment of the linear growth. Children with exogenous obesity tend to have an accelarated linear growth whereas children with secondary causes are usually short. Some congenital or inherited disorders associated with obesity which must be kept in mind include Prader- Willi syndrome, Laurence Moon Biedl syndrome and Beckwith Wiedemann syndrome. Endocrine disorders in children taht rarely cause obesity include hypothyoidism, Cushing's syndrome, insulinomas and Frohlich's syndrome.
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