Obesity research & clinical practice最新文献

{"title":"A qualitative exploration of couples' expectations and experiences of adjusting to changes following metabolic and bariatric surgery.","authors":"Katherine Rowell, Lisa Cant, Catherine M Brignell, Katy Sivyer","doi":"10.1016/j.orcp.2025.06.001","DOIUrl":"https://doi.org/10.1016/j.orcp.2025.06.001","url":null,"abstract":"<p><strong>Purpose: </strong>Although metabolic and bariatric surgery (MBS) is an effective weight loss treatment, patients can find it difficult to adjust to changes post-surgery. To-date, there has been limited research into patients' and partners' experiences of managing this journey. This qualitative study explored couples' expectations and experiences of change, where one individual within the couple had undergone MBS.</p><p><strong>Materials and methods: </strong>Potential participants were identified by staff within a National Health Service (NHS) Bariatric Service. Sixteen semi-structured joint interviews were conducted, with patients and partners interviewed together (N = 32). Interviews were transcribed verbatim and analysed using inductive thematic analysis.</p><p><strong>Results: </strong>Five themes were identified around; (1) 'the patients' decision to have MBS', including being determined despite others' concerns; (2) 'the importance of feeling supported', which highlighted that partners felt overlooked; (3) 'learning to eat again', encompassing patients and partners adjusting to physical changes following surgery; (4) 'Improved health and quality of life' and acknowledging the importance of maintaining changes and avoiding complacency; (5) changes to 'confidence and body image', including managing unforeseen disappointments following initial expectations of surgery.</p><p><strong>Conclusion: </strong>Couples discussed how pre-surgery goals often required reappraising after surgery and that partners played a key role in supporting patients in adjusting to necessary physical, social and psychological changes before, during, and after surgery. This suggests that more holistic support is needed to reduce the risk of expectations being misaligned with the changes experienced after MBS, including providing support to important others who can help enhance patient adjustment.</p>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary care giver and children's body-mass-index: A deep neural network model for use in primary paediatric care.","authors":"Diego Montano","doi":"10.1016/j.orcp.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.orcp.2025.06.004","url":null,"abstract":"<p><strong>Introduction: </strong>The familial environment is one of the major determinants of children's development of body weight during infancy and adolescence, in particular the socioeconomic status and anthropometric characteristics of the primary care giver. Thus, the aim of the present study is to utilise information on the familial environment of children and adolescents to identify an optimal prediction algorithm for estimating their expected body-mass-index (BMI) in the course of their development.</p><p><strong>Methods: </strong>Data from Cohort '08 and Cohort '98 of the National Longitudinal Study of Children in Ireland are used (N = 37,960 and 27,499, respectively). The optimal prediction algorithm of children's BMI was identified by means of deep neural network models, with socioeconomic status and anthropometric characteristics of the primary care giver as predictors. Training and validation of the optimal model was performed with 80% and 20% of the total sample, respectively.</p><p><strong>Results: </strong>The optimal deep neural network model yielded substantial improvements in prediction accuracy of children's BMI. The Pearson correlation between observed and predicted values obtained with the deep neural network was r=0.69, representing an improvement of about 50% in comparison to a simple linear model.</p><p><strong>Conclusion: </strong>The predicted values of deep neural network models offer acceptable accuracy to be used as a communication tool in educational prevention programmes targeting families with children at higher risk of overweight and obesity in paediatric settings.</p>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between carotenoids and weight-adjusted waist index a cross-sectional study based on the national health and nutrition examination survey 2017-2018.","authors":"Huirong Shi, Peichao Zhang, Chai Yang, Tao Lv","doi":"10.1016/j.orcp.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.orcp.2025.06.006","url":null,"abstract":"<p><strong>Purpose: </strong>The weight-adjusted waist index (WWI) is a novel method for assessing abdominal obesity, offering greater accuracy than do body mass index and waist circumference in determining lean and fat mass. Carotenoids, known for their antioxidant properties, can effectively neutralize free radicals. We aimed to examine the relationship between serum carotenoid levels and WWI.</p><p><strong>Methods: </strong>Data used in this study were obtained from the National Health and Nutrition Examination Survey between 2017 and 2018. Serum carotenoid levels were assessed via high-performance liquid chromatography. A multiple linear regression model was used to examine the correlation between serum carotenoid levels and WWI. Furthermore, potential nonlinear associations were identified using smooth curve fitting.</p><p><strong>Principal results: </strong>In this population-based survey, 3829 participants were included. Multivariate linear regression analysis revealed that the highest serum carotenoid tertile was significantly associated with lower WWI values. The effect sizes (β) and 95 % confidence intervals were -0.31 (-0.37, -0.24), -0.37 (-0.43, -0.31), -0.24 (-0.31, -0.18), and -0.28 (-0.34, -0.21) for α-carotene, β-carotene, β-cryptoxanthin, and lutein/zeaxanthin, respectively. Smoothed curve fitting showed that β-carotene, β-cryptoxanthin, and lutein/zeaxanthin exhibited a nonlinear relationship with WWI.</p><p><strong>Major conclusions: </strong>Several serum carotenoids were inversely associated with WWI in the general population of the United States, suggesting a potential protective role against abdominal obesity. However, further large-scale prospective studies are required to confirm these findings.</p>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"De novo anorexia nervosa post-bariatric surgery.","authors":"Romy Chu, Jacob Desman, Hannah Lynch, Isabela Hill, Georgina Devine, Timothy Rice","doi":"10.1016/j.orcp.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.orcp.2025.06.005","url":null,"abstract":"<p><p>Metabolic and bariatric surgery is generally known to decrease rates of eating disorders post-procedure. In the relatively uncommon event that an eating disorder develops de novo or recurs after bariatric surgery, most cases are associated with suboptimal weight loss or further weight gain. This case report presents the history of a 56-year-old woman without a prior eating disorder diagnosis who developed anorexia nervosa restricting type after bariatric surgery, leading to psychiatric hospitalization. Implications for surgical decision-making in tandem with psychiatric screening pre-surgically, follow-up, and management are reviewed and recommendations made.</p>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived self-efficacy and body mass index to identify older adults with and without fall history.","authors":"Roberta C D Bohrer, Alessandra S Bianchi, Emily Balcetis, Benny W C Wong, André L F Rodacki","doi":"10.1016/j.orcp.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.orcp.2025.06.003","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to analyze the relationship between a combined set of variables of several domains to identify older adults with and without a fall history. It was also aimed to identify the contribution of the variables included in the model.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with 191 older adults who performed the Timed-up-and-go Test (TUG), an imaginary TUG (iTUG), and were assessed for physical characteristics. The difference between the actual and imagined performances was calculated to represent perceived self-efficacy (TUG_diff). A decision tree model was applied to indicate the relevant variables to identify fallers and non-fallers, and a logistic regression was also used to determine the contribution of such variables.</p><p><strong>Results: </strong>The decision tree identified body mass index (BMI) and TUG_diff as related to fall risk, with an accuracy of 71.4 %. Individuals with a BMI < 26.4 kg.m^-2 were identified as non-fallers, while those with a BMI > 26.4 kg.m^-2 and a TUG_diff lower than 3.89 s were also identified as non-fallers. The sensitivity of 0.91 and specificity of 0.26 showed good model accuracy in identifying non-fallers. The regression included BMI and TUG_diff as the main explanatory factors, while age, sex, cognition, TUG, and iTUG were not included as covariates because they did not reach the relative importance threshold of 15% in the decision tree analysis.</p><p><strong>Conclusion: </strong>Older adults with decreased BMI were less prone to experience a fall. Older adults with increased BMI may experience a protective benefit of more accurate self-efficacy and become less prone to falls.</p>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of patient perspectives on bariatric surgery using an anonymous online forum.","authors":"Victoria Vought, Rita Vought, Lyndon Zhu, Christopher Diaz, Aziz M Merchant","doi":"10.1016/j.orcp.2025.06.002","DOIUrl":"10.1016/j.orcp.2025.06.002","url":null,"abstract":"<p><strong>Objective: </strong>Bariatric surgery is utilized to treat morbid obesity in the United States. The study objective was to identify and analyze topics of interest on a popular social media platform used by bariatric surgery patients.</p><p><strong>Methods: </strong>Online posts were obtained from the \"r/BariatricSurgery\" subreddit on Reddit.com. Posts were categorized by topic (Care Acquisition, Surgery-Related, Quality of Life Treatment Anxiety/Seeking validation for feelings) and author type. The sentiment analysis package Valence Aware Dictionary for Sentimental Reasoning (VADER) was then used to generate a compound score of the sentiment of each post. Posts with strongly positive sentiment (≥ 0.75) underwent word-frequency analysis.</p><p><strong>Results: </strong>In total, 486 posts were evaluated, mainly authored by patients (96.7 %). Most posts discussed Surgery-related topics (77 %), particularly post-operative content, followed by Quality of Life (64.8 %) topics. VADER sentiment analysis found an overall average score of 0.19, with 58.2 % of posts classified as Positive. The lowest sentiment was observed among posts discussing Co-management with Comorbidities (-0.16), while posts with the highest scores discussed Recreation/Occupation (0.88). Of note, Procedure Consideration (0.72) posts also had high sentiment. Frequently utilized words in positive reviews included \"surgery\" (p < 0.01), \"weight\" (p < 0.01), \"week\" (p < 0.01), \"month\" (p = 0.03), \"diet\" (p < 0.01), and \"help\" (p = 0.04).</p><p><strong>Conclusion: </strong>We found an overall positive sentiment, particularly among Quality of Life improvements for bariatric surgery patients. This may suggest an evolving perspective on bariatric surgery, as well as decreased stigma for those considering the procedure. Evaluations of patient perspectives online tangibly identifies areas of strength and room for improvement in bariatric surgery care.</p>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The recruitment of adolescents with obesity to a randomised controlled trial: A Fast Track to Health sub-study","authors":"Eve T. House ,&nbsp;Hamna Ghouri ,&nbsp;Louise A. Baur ,&nbsp;Clare E. Collins ,&nbsp;Megan L. Gow ,&nbsp;Helen Truby ,&nbsp;Hiba Jebeile ,&nbsp;Natalie B. Lister ,&nbsp;on behalf of the Fast Track to Health study team","doi":"10.1016/j.orcp.2025.04.012","DOIUrl":"10.1016/j.orcp.2025.04.012","url":null,"abstract":"<div><h3>Aims</h3><div>Behavioural weight management interventions facilitate short to medium-term weight and cardiometabolic improvements in adolescent obesity. However, recruiting adolescents to trials of such interventions is challenging. This study describes strategies used to recruit adolescents with obesity into the Fast Track to Health (Fast Track) trial, conducted at two tertiary paediatric centres in Australia.</div></div><div><h3>Methods</h3><div>Fast Track (HREC/17/SCHN/164) was a randomised controlled trial that recruited 13–17-year-olds with obesity and ≥ 1 cardiometabolic complication, from December 2017 to March 2022. Families underwent phone screening, followed by in-person screening appointments. Recruitment strategies were grouped and enrolment yield by strategy was calculated.</div></div><div><h3>Results</h3><div>Of 308 inquiries received, 141 (45.8 %) adolescents were recruited. The most successful strategy was referral from specialists at participating centres (21.2 % enrolment yield), followed by referrals from family/friends (6.5 %), other doctors/general practitioners (3.6 %), and social media (3.6 %). Social media was used for 11 months only (enrolment yield - 8.5 %). Recruitment strategies with low yield were study flyers/posters (1.6 %), digital/print media (1.3 %), and the study website (1.0 %). Of 137 adolescents excluded at phone screening, most were due to disinterest in participation or inability to make contact (60.6 %). Of 171 adolescents attending in-person screening, 30 did not meet inclusion criteria (n = 7 of those excluded had no metabolic complications, n = 7 were outside the BMI range).</div></div><div><h3>Conclusion</h3><div>Connecting with medical specialists may be important to support the engagement of treatment-seeking adolescents with obesity in clinical trials. Further research is needed to identify methods of enhancing clinical trial recruitment in primary care, community settings, and online.</div></div>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":"19 3","pages":"Pages 214-222"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity mediate associations between depression and wet overactive bladder: Results from 2005 to 2020 NHANES","authors":"Jiahao Zhang ,&nbsp;Shuqiang Huang ,&nbsp;Chuxian Hu ,&nbsp;Cailing Liao ,&nbsp;Zhicheng Tang ,&nbsp;Nanxi Li ,&nbsp;Yuxin Qian ,&nbsp;Hongcheng Luo ,&nbsp;Fucai Tang ,&nbsp;Zhaohui He","doi":"10.1016/j.orcp.2025.05.002","DOIUrl":"10.1016/j.orcp.2025.05.002","url":null,"abstract":"<div><h3>Background</h3><div>The specific relationship among depression, obesity, and wet-overactive bladder (wet-OAB) lacked comprehensiveness.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 23,154 participants from the 2005–2020 National Health and Nutrition Examination Survey (NHANES). The study outcome was wet-OAB risk. depression levels were the primary exposure and graded to none (0–4), low (5–9), moderate (10–14), and severe (≥ 15) using the Patient Health Questionnaire-9. General and abdominal obesity were assessed based on body mass index (BMI) and waist circumference (WC), respectively. The logistic regression and restricted cubic spline (RCS) analysis were applied to probe their association based on complex multistage sampling designs. Mediation effect analysis was constructed to address the mediating role of obesity.</div></div><div><h3>Results</h3><div>In fully adjusted models, a positive association was suggested between wet-OAB and depression levels with OR(95 %CI) of 2.34(1.98–2.75) in mild, 2.66(2.13–3.31) in moderate, and 3.14(2.34–4.20) in severe depression. General and abdominal obesity were significantly associated with increasing depression levels and wet-OAB risk (<em>P</em> for trend &lt; 0.001). RCS analyses showed Log-shaped non-linear associations between depression levels and wet-OAB, especially in overweight, obesity subgroups, and abdominal obesity. General obesity with BMI and abdominal obesity with WC performed respectively a partially mediated proportion of 5.16 % and 4.25 % between depression levels and wet-OAB (<em>P</em> for indirect effect &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Individuals with elevated depression levels tend to have a higher risk of wet-OAB, especially in obesity. General and abdominal obesity are important partial mediators in the effects of depression levels on wet-OAB. Patients with wet-OAB need to pay attention to mental health interventions and weight control.</div></div>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":"19 3","pages":"Pages 239-246"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of obesity on function, pain, and complications after rotator cuff repair: An updated systematic review and meta-analysis","authors":"Rafael Llombart-Blanco ,&nbsp;Gonzalo Mariscal ,&nbsp;Carlos Barrios ,&nbsp;Jose Enrique de la Rubia Ortí ,&nbsp;Rafael Llombart-Ais","doi":"10.1016/j.orcp.2025.04.010","DOIUrl":"10.1016/j.orcp.2025.04.010","url":null,"abstract":"<div><div>This meta-analysis aimed to determine the impact of obesity on function, pain, complication and patient-reported outcome measure following rotator cuff repair. This meta-analysis compares patients with obesity and without obesity undergoing rotator cuff repair surgery in terms of effectiveness, safety, and patient-reported measures. Four major databases were searched. Odds ratios, mean differences, and standard mean differences with 95 % confidence intervals (CIs) were calculated. The meta-analysis was performed using Review Manager version 5.4. Sixteen studies (n = 139,638 patients) were included. At the final follow-up, patients with obesity had significantly higher visual analogue scale (VAS) pain (SMD 0.16, 95 % CI 0.03–0.29). Patients with obesity had lower American Shoulder and Elbow Surgeons Shoulder Score (ASES) scores (MD −4.70, 95 % CI −7.57 to −1.82). No differences were observed in range of motion (ROM). Patients with obesity had a higher overall complication risk (OR 1.64, 95 % CI 1.38–1.95; I2 = 19 %) driven by obesity (OR 1.66, 95 % CI 1.29–2.13) and severely subgroups with obesity (OR 1.84, 95 %CI 1.43–2.37). Patients with obesity had significantly higher risks of thrombosis, myocardial infarction, cardiac arrest and renal complications. They also showed significantly higher reoperation (OR 1.31, 95 % CI 1.21–1.43) and readmission rates (OR 1.37, 95 % CI 1.31–1.44). Obesity is associated with worse pain and function and higher complication rates after rotator cuff repair. These findings have implications for perioperative counseling and management in this population.</div></div>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":"19 3","pages":"Pages 193-201"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the association of longitudinal body mass index patterns in children and their parents: A data-driven study from the TARGet Kids! cohort","authors":"Paraskevi Massara ,&nbsp;Charles D.G. Keown-Stoneman ,&nbsp;Jonathon L. Maguire ,&nbsp;Robert Bandsma ,&nbsp;Elena M. Comelli ,&nbsp;Catherine S. Birken","doi":"10.1016/j.orcp.2025.04.011","DOIUrl":"10.1016/j.orcp.2025.04.011","url":null,"abstract":"<div><h3>Background</h3><div>Obesity remains a persistent global health issue across generations. Targeting family-level factors may help improve child and adolescent body mass index (BMI) outcomes. While associations between parental and offspring BMI are well-documented, the temporal patterns and risk factors driving these relationships remain unclear. This study aimed to identify longitudinal family-level BMI patterns incorporating child, maternal, and paternal BMI and apply interpretable machine learning (ML) methods to uncover key predictors.</div></div><div><h3>Methods</h3><div>This longitudinal study included 6092 children and their parents from the TARGet Kids! cohort, with BMI measurements collected from birth to 150 months. Group-based multi-trajectory modeling identified joint trajectories of child BMI-for-age Z-scores (zBMI) and parental BMI. Five ML classifiers predicted group membership using 78 predictors spanning sociodemographic, dietary, parental health, and child lifestyle variables. To explore the modifying effect of parental overweight/obesity (OW/OB) on the relationship between child age and BMI, Bayesian generalized additive mixed models (GAMMs) with smoothed term interactions were applied.</div></div><div><h3>Results</h3><div>Five distinct joint trajectory groups were identified. Children in the highest BMI trajectory group typically had both parents following similar high BMI trajectories. Parental OW/OB status emerged as the strongest predictor of child OW/OB (37 % classification probability), followed by breastfeeding duration (17 %) and child physical activity (15 %). The influence of parental OW/OB was particularly pronounced in early childhood (0–60 months). Bayesian GAMMs confirmed the robust, longitudinal association between child and parental BMI trajectories.</div></div><div><h3>Conclusions</h3><div>Parental BMI patterns strongly influence child BMI development, with age-dependent effects. These findings highlight the importance of early family-based interventions.</div></div>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":"19 3","pages":"Pages 223-231"},"PeriodicalIF":2.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}