Additional metabolic risks stratified by age versus obesity class. The pie charts (A) represent the percent of children in age groups and obesity classes who were normal (yellow) or diagnosed with pre-diabetes, HbA1c 5.7% to 6.4% (orange) and diabetes HbA1c ≥6.5% (red). The bar graphs (B) represent the frequency of normal (yellow), pre-hypertension systolic or diastolic BP ≥90th% (orange) or hypertension systolic or diastolic BP ≥95th% (red) in each age group and obesity class. The bar graphs (C) illustrate the percent of children in each obesity class living in metro, adjacent to metro and rural counties. The map of Kentucky (D) shows the counties, metro (dark grey), adjacent (grey) and rural (light grey) and mean obesity class (yellow class I, orange class II and red class III obesity) of subjects from that county. Numbers inside the circles represent the number of patients from that county. Star represents the location of our centre