These effects are felt throughout adulthood and sometimes even longer. One of the biggest effects they have is that it significantly decreases the metabolic rate leading in some cases to remaining obese for life. A decrease in metabolic rate can cause a variety of problems for these children in the future and present. These children may develop hyperinsulinemia, which is high levels of insulin throughout the body, hypertension, which is high blood pressure, and dyslipidemia. All of these things combined can cause hardening or blockage of the artery. According to the US Centers for Disease Control and Prevention, obese children are more likely to develop cardiovascular disease. The damage caused by childhood obesity is not limited to physical appearance. It can lead to “poor body image, low self-esteem, social isolation, recurrent anger, early forms of eating disorders, clinical depression and negative attitudes in school and society” (Moglia). All of these things can have such a negative impact on a child's life that there could be repercussions later on.