Authors´conclusion: overweight or obese children who were also obese as adults had increased risks of type 2 diabetes, hypertension, dyslipidemia, and carotid-artery atherosclerosis. The risks of these outcomes among overweight or obese children who later became non obese by adulthood were similar to those among persons who were never obese.
Reviewers´commentary: obese children who were also obese as adults had an increase of cardiovascular risk factors. A decrease in adiposity, between childhood and adulthood is associated with reductions in these risks. This study has inherent limitations due to its observational design, nonetheless it can be hypothesize that reducing body mass index in children and adolescents who are overweight or obese could reduce their cardiovascular risk.