One study found overweight was associated with the early appearance of cardiovascular disease risk factors among children between the ages of five and ten and also with an increasing incidence of type 2 diabetes (Kaplan, Liverman & Kraak, 2005). Type 2 diabetes, previously considered an adult disease, has increased dramatically among children and adolescents. Diabetes is the sixth reported cause of death in the United States and increases the risk of heart disease and stroke, contributes to hypertension and nervous system diseases, and can cause blindness, kidney disease, peripheral vascular disease (potentially leading to amputation), and dental complications (Sanstad, 2006). One implication of the link between obesity and the early appearance of risk factors for these conditions is that children will live with the burden of disease for considerably longer periods of time than adults who develop these conditions. Researchers have shown that managing diabetes as a sixteen-year-old is quite distinct from managing it as an older person and has implications for self-identity and social status (. Greene, McKiernan and Greene, 2008). Also, heart disease and other conditions take a physical toll that may contribute to comorbidity (Lobstein, 2008) and even reduced life expectancy.