Treatment must be designed to appropriately treat the problem of weight regain acutely and chronically. The acute stage can be defined as rapid weight gain with comorbidities emerging or increasing in severity. The chronic stage is when weight and health are stable within manageable parameters. Levels of physical activity among children have declined in the past 20 years. Physical fitness has taken the back burner at most schools.
Safety is another concern for parents who want their children inside where they are safe.