To achieve a higher level of overall fitness and to prevent obesity with accompanying comorbidities requires life-long effort starting early in life during the prenatal period. A sufficiently intense, regular, and ongoing physical activity regime and adequate exercise are indispensable, along with monitored diet. Once acquired, a desirable level of body composition and functional capacity can be lost relatively quickly due to regime interruption. Adhering to the optimal regime of diet and activity that not long ago used to be the norm is especially difficult under present life conditions, and new and innovative procedures have to be defined and introduced.

Obesity Management Centre Institute of Endocrinology Prague 1 Czech Republic

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Pařízková J. Body fat and physical fitness. Body composition and lipid metabolism in different regimes of physical activity. The Hague: M.Nijhoff B.V./ Medical Division; 1977

Matiegka J. Somatology of school children. Somatologie školní mládeže. Czechoslovak Academy of Sciences and Arts; Prague, Czechoslovakia: 1927

Seliger V, Čermák V, Handzo P, Horák J, Jirka J, Máček M, Pařízková J. Physical fitness of the Czechoslovak 12- to 15-years population. Acta Ped Scand Suppl. 1971;217:37–41 PubMed

Pařízková J. Adaptation of functional capacity and exercise. : Blaxter K, Waterlow J, Nutritional adaptation in man. London: John Libbey; 1985. p. 127–39

Eveleth P, Tanner J. Worldwide variation in human growth. 2nd ed Cambridge: Cambridge University Press; 1990

Bláha P, Vignerová J. Long term observations of body parameters of Czech children and adolescents. In: Bodszar E, Suzanne C, editors. Physique and body composition, variability and sources of variation. 3rd vol Budapest: Eötvös University Press, Biennal Books of EAA; 2004. p. 157–72

Vignerová J, Humeníkova L, Brabec M, Riedlová J, Bláha P. Long-term changes in body weight, BMI, and adipose rebound among children and adolescents in the Czech Republic. Econ Hum Biol. 2007;5:409–25 PubMed

Kunešová M, Vignerová J, Šteflová A, Pařízková J, Lajka J, Hainer V, Bláha P, Hlavatý P, Kalousková P, et al. Overweight and obesity in Czech children and adolescents: association with parental obesity and socioeconomic factors. J Public Health. 2007;15:163–70

Rolland-Cachera MF. Rate of growth in early life: a predictor of later health? Adv Exp Med Biol. 2005;569:35–9 PubMed

Pařízková J. Nutrition, physical activity and health in early age. 2nd ed Boca Raton (FL): CRC Press, Taylor and Francis Group; 2009

Pařízková J, Heller J. Relationship of dietary intake and work output and physical performance in Czechoslovak adolescents adapted to various work loads. : Shephard RJ, Pařízková J, Human growth, physical fitness and nutrition. Medicine and sport science. 31st vol Basel: Karger; 1991. p.156–67

Pařízková J, Hills PA. Childhood obesity: prevention and treatment. 2nd ed Boca Raton: CRC Press; 2005

Tailor AM, Peeters PH, Norat T, Vineis P, Romaguera D. An update on the prevalence of the metabolic syndrome in children and adolescents. Int J Pediatr Obes. 2010:5:202–13 PubMed

Tomkinson GR, Olds TS. Secular changes in pediatric aerobic fitness test performance. The global picture. Med Sport Sci. 2007;50:46–66 PubMed

Šonka J, Kostiuk P, Hilgertová J, Límanová Z, Drozdová V. Hormonal and metabolic adaptation to a reducing regimen in childhood. Acta Univ Carol [Med] (Praha). 1993;33:39–38 PubMed

Lisková S, Hošek P, Topolcan O. Leptinemia in obese children during health spa therapy [article in Czech]. Sb. Lek. 2000;101:55–8 PubMed

Pařízková J, Hainer V. Exercise therapy in growing and adult obese. : Walsh RP, Shephard RJ, Current therapy in sports medicine. Toronto: Decker; 1989. p. 22–6

Sigmund E, De Ste Croix M, Miklánková L, Frommel K. Physical activity patterns of kindergarten children in comparison to teenagers and young adults. Eur J Public Health. 2007:17;646–51 PubMed

Koch J. Total baby development. New York: Wallaby Pocket Books; 1978

Pařízková J, Maffeis C, Poskitt ME. Management through activity. : Burniat W, Cole T, Lissau I, Poskitt E, Child and adolescent obesity, cause and consequences, prevention and treatment. Cambridge: Cambridge University Press; 2002. p. 307–26

Comenius JA. Schola infantiae (1632). In: School of infancy 1650#x20134. Renewed edition Chapel Hill (NC): University of North Carolina; 1984

Pařízková J. Impact of education on food behavior, body composition and physical fitness in children. Br J Nutr. 2008;99 Suppl 1:S26–32 PubMed