The increased emphasis on children's weight across the US has led to various states adopting the initiative to weigh youths and send parents notices of those considered overweight or obese called "fat letters." These notices include calculations of the Body Mass Index (BMI), which has been used for many years to identify a healthy height-to-weight index. Besides informing parents of their children's weight status, the letters encourage them to discuss the weight with healthcare providers. The sending of "fat letters" to parents has been a controversial issue as some