Nevertheless, Satcher argued that the decline in the amount of physical education classes offered in school has created heightened health and academic risks for students. Studies by the National Academy of Medicine (2004) show a correlation between inactivity, overweight and obesity in children and poor school performance. This often puts students at increased risk for low test scores, more absences, depression and withdrawal. Research on the relationship between childhood obesity and the diagnosis of attention deficit hyperactivity disorder (ADHD) detail the academic and emotional problems that many overweight and obese children may experience (Panzer, 2006). To avoid these risks, Satcher suggested that all schools should implement wellness policies that are aligned with the Child Nutrition and Special Supplemental Nutrition Program Reauthorization Act (2004).

He emphasized that good public policies will help to establish an environment that will facilitate healthy individual choices. According to Satcher, one way to achieve this goal is by encouraging school authorities to pressure food service companies to make healthy foods taste good and to reject highly salted, high fat and high calorie foods in favor of healthier alternatives for breakfast and lunch programs.

Satcher underscored the importance of supporting all children to develop good habits and choose healthy foods and activities. He also pointed out that the prevalence of cancers of the breast, colon, and prostate in overweight and obese adults further confirms the need for strong prevention efforts among young people that will reinforce healthy eating and active living habits for life.