Hospitals and clinics may well have to gather their own mortality data by telephone and likely will receive this advice as bad news, i. e., as a new expense. Furthermore, some universal standards imported from the US like 18-25 BMI as normal do not account for differences like short LL in the Mexican population. Then obesity can be misinterpreted.

Still, early stunting fits with late obesity. How does the global obesity epidemic fit into this picture? Generally, the appetite of the growth period continues after growth demand stops. Even though this is crystal clear, its recognition warrants special attention. Is malnutritional damage before school age causing shortness, then obesity?

An approach to the Progreso boys could assert that they are more damaged by early malnutricion than the girls, but this is by no means known. Is junk food involved ?