We know that obese children tend to have more muscle. A recent review by Kindler et al in the recent publication of Current Opinion in Endocrinology concluded that muscle is a strong contributor to bone growth in childhood and adolescence. However, the excess fat that accompanies obesity can be deposited in the muscle thus affecting bone growth erroneously which can then lead to chronic health conditions.
Therefore, lifestyle advice for children should always include exercise and standard healthcare food and nutrition advice.
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