This document discusses obesity among children with special needs. It notes that obesity rates are higher for children with special needs compared to others. It recommends providing exercise programs, promoting healthy eating, and informing neighborhoods to help promote physical activity for these children. The document discusses genetic and environmental factors that contribute to obesity, and notes that excessive weight gain is usually due to higher food intake and lower energy output. It also discusses models for identifying health variables and the role of parental behaviors in contributing to children's weight issues.