INS and obesity due to melanocortin 4 receptor deficiency: An association between the presence of obesity in childhood and obesity in adulthood has been reported in longitudinal studies.8-10 Furthermore, childhood obesity is related to adult levels of lipids, lipoproteins, blood pressure, and insulin and to morbidity from coronary heart disease.11 Therefore, recent trends in risk factors for cardiovascular disease in children are important predictors of subsequent trends in adults.