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For the purposes of this document, such training occurs within the context of recognized health care professional organizations. While representing such a broad spectrum of perspectives, the members of this committee are all keenly aware of the multitude of barriers to treatment that patients and their families face. Food insecurity is highly associated with poverty, and the cost of fruits and vegetables and fast food have been found to influence consumption in low-income families , and to be positively related to overweight in children. Pediatricians should evaluate weight, height, and BMI by using age- and sex-appropriate charts, assess menstrual status in girls, and recognize the changes in vital signs that may signal the presence of an eating disorder. Retrieved 16 May