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Childhood Obesity and Its Associated Factors among School Children in Udupi, Karnataka, India.

J Lifestyle Med · 2019 · PMC6425906 · PMID 30918831

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an increasing trendno p-value reported
Strong evidence of an increasing trend for childhood obesity in low-and-middle income countries has been reported [ 9 ], although obesity was once considered a problem exclusive to high-income countries.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.