health costs and life lost. Recent National Health and Nutrition Examination Survey (NHANES) data of Americans 2003–8 show that nearly 75% of the US population is now overweight [1]. Childhood obesity has increased threeto fourfold since the 1960s [2]. In 1980, no states had obesity rates over 15%; by 2010, every state had an obesity rate greater than 20% [3]. EPIDEMIOLOGY AND PATHOGENESIS Diabetes prevalence has risen sevenfold since 1983. In 2010, diabetes was diagnosed in approximately 25 million…
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