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Children become overweight and obese for a variety of reasons. The most common causes are genetic factors, lack of physical activity, unhealthy eating patterns, or a combination of these factors. Only in rare cases is being overweight caused by a medical condition such as a hormonal problem. A physical exam and some blood tests can rule out the possibility of a medical condition as the cause for obesity. Although weight problems run in families, not all children with a family history of obesity will be overweight.
1 Overweight parents â a familyâs eating patterns can have a major influence on whether a child maintains a healthy weight. Some overweight parents may be less concerned about their children also being overweight than parents who have a healthy weight.  Genetics â some rare gene disorders cause severe childhood obesity. In many other people, particular genes acting together probably make some children more susceptible to obesity. If there is a family tendency to become overweight, parents need to be even more aware of making healthy food choices for the whole family.