To the Editor: Elementary and middle school students are found to be increasing in height, but their weight is also increasing, and the prevalence of obesity increases in both elementary and middle school students. In elementary schools, the prevalence of obesity continues to increase: 13% of males and 8.8% of females in 2016, 16.6% of males and 10.6% of females in 2019, and 22.6% of males and 14.6% of females in 2021 reported a steady increase. In middle schools, 15.2% of males and 10.6% of females in 2016, 17.2% of males and 12.5% of females in 2019, and 24.2% of males and 13.7% of females in 2021 reported an increase [
1]. Reports from China, Europe, and the United States indicate that weight gain rates among children and adolescents have increased during the COVID-19 pandemic compared to pre-pandemic levels, a clear result of decreased physical activity, increased screen time, and dietary changes. Systematic, supportive, lifelong care for obese children and adolescents and their families is essential [
2]. …