RT Journal A1 Pan L, Blanck HM, Sherry B, Dalenius K, Grummer-Strawn LM T1 TRends in the prevalence of extreme obesity among us preschool-aged children living in low-income families, 1998-2010 JF JAMA JO JAMA YR 2012 FD December 26 VO 308 IS 24 SP 2563 OP 2565 DO 10.1001/jama.2012.108099 UL http://dx.doi.org/10.1001/jama.2012.108099 AB To the Editor: Obesity and extreme obesity in childhood, which are more prevalent among minority and low-income families, have been associated with other cardiovascular risk factors, increased health care costs, and premature death.1- 2 Obesity and extreme obesity during early childhood are likely to continue into adulthood.3 Understanding trends in extreme obesity is important because the prevalence of cardiovascular risk factors increases with severity of childhood obesity.2 However, national trends in extreme obesity among young children living in low-income families are unknown.