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Secular Trends in Obesity and Serum Lipid Values among Children in Oita City, Japan, during a 27-Year Period.

J Atheroscler Thromb · 2022 · PMC9879566 · PMID 35095055

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a decreasing trendno p-value reported
also reported a decreasing trend from 2009 to 2011 and that the rates of moderate or severe obesity remained almost stable thereafter in the Setagaya area in Tokyo, a metropolitan area of Japan 21) .

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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.