Pediatric Obesity最新文献

{"title":"Associations of Acculturation With Added Sugars Intake and Weight Status Among Mexican American Adolescents in the United States, NHANES, 2009–2018","authors":"Euisun Pyo,&nbsp;Regine Haardörfer,&nbsp;Liliana Aguayo,&nbsp;Miriam Vos,&nbsp;Mary Beth Weber,&nbsp;Jean A. Welsh","doi":"10.1111/ijpo.70063","DOIUrl":"10.1111/ijpo.70063","url":null,"abstract":"<div>\u0000 \u0000 <p>U.S. acculturation is associated with poor diet quality and obesity. This study examined the association of acculturation with added sugars among Mexican American adolescents, and whether added sugars mediate the association between acculturation and overweight/obesity. Data from NHANES 2009–2018 included 1317 Mexican American adolescents aged 12–19 years. Acculturation was measured by language spoken at home (English vs. Spanish) and birthplace of child and caregiver (United States vs. Mexico). Added sugars intake was assessed by 24-h dietary recall and categorised as ‘high’ (≥ 10% total energy intake) versus ‘low’ (&lt; 10%). Multivariable logistic regressions tested associations between acculturation and added sugars, and path analysis evaluated the mediation of added sugars between acculturation and overweight/obesity (≥ 85th BMI percentile). Greater acculturation, indicated by primarily speaking English at home (OR: 1.6; 95% CI: 1.0, 2.5), caregiver being U.S.-born (2.2; 1.1, 4.2), both child and caregiver U.S.-born (2.8; 1.2, 6.5), or both U.S.-born + English at home (2.9; 1.1, 7.5), was associated with higher odds of high added sugars intake. Added sugars did not mediate the effect of acculturation on obesity/overweight status. These findings suggest that while higher acculturation is associated with excess added sugars intake, future research is needed to clarify how acculturation influences obesity risk.</p>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145375476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Memory Performance and Hippocampal Volumes in Healthy Weight Children at High- and Low-Familial Risk for Obesity","authors":"Melanie A. Dratva,&nbsp;Zoe L. Lanman,&nbsp;Amanda Bischoff-Grethe,&nbsp;Dawn M. Eichen,&nbsp;David R. Strong,&nbsp;Christina E. Wierenga,&nbsp;Kerri N. Boutelle","doi":"10.1111/ijpo.70061","DOIUrl":"10.1111/ijpo.70061","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Children with overweight or obesity (OW/OB), relative to healthy weight (HW), have lower cognitive performance and hippocampal volumes. Whether this extends to children with HW at familial risk for future OW/OB is unknown.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To compare memory performance and hippocampal subfield volumes between HW children at high risk (HR) and low risk (LR) for OW/OB.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;HW children (&lt;i&gt;n&lt;/i&gt; = 95, aged 8–11), classified as HR (&lt;i&gt;n&lt;/i&gt; = 43, both parents with OW/OB) or LR (&lt;i&gt;n&lt;/i&gt; = 52, both parents with HW), underwent structural magnetic resonance imaging and memory testing (Verbal List Learning Test-Food-Child Version (VLLT-Food-C) and Child Memory Scale subtests: word pairs, dot locations). Linear models tested group differences in memory scores, hippocampal and subfield (CA1, CA3, dentate gyrus (DG), subiculum) volumes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Groups did not differ on demographics except body mass index (HR &gt; LR, &lt;i&gt;p&lt;/i&gt; = 0.003), despite all children being HW. LR children performed better on VLLT-Food-C short- (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ beta $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; = 0.34, &lt;i&gt;p&lt;/i&gt; &lt; 0.01) and long-delay cued recall (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ beta $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; = 0.21, &lt;i&gt;p&lt;/i&gt; = 0.04) and word pairs delayed recall (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ beta $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; = 0.21, &lt;i&gt;p&lt;/i&gt; = 0.04). Children with HR had smaller bilateral whole hippocampus, CA1, DG and right CA3 volumes (&lt;i&gt;p&lt;/i&gt;s &lt; 0.05); only the right DG remained significant (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mi&gt;β&lt;/mi&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;annotation&gt;$$ beta $$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; = 0.15, &lt;i&gt;p&lt;/i&gt; = 0.04) after intracranial volume adjustment.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Memory and hippocampal volume differences may reflect underlying familial","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145372137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent Perspectives on the 2023 Clinical Practice Guideline for Pediatric Obesity: A Mixed-Methods Study of Acceptance and Concerns","authors":"Brooke E. Wagner,&nbsp;Annika B. Kruse,&nbsp;Sarah C. Armstrong,&nbsp;Asheley C. Skinner,&nbsp;Karen A. Scherr","doi":"10.1111/ijpo.70065","DOIUrl":"10.1111/ijpo.70065","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The 2023 Clinical Practice Guideline for pediatric obesity recommends immediate, intensive treatment, including behavioral therapy, medications, and surgery when indicated. Understanding parental agreement with the guideline is critical for successful implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate parental awareness of and agreement with the guideline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Parents (<i>n</i> = 150; 62.9% female; 75.5% White; <i>M</i>_age = 37.6 ± 7.4 years) completed an online survey assessing guideline awareness and agreement. K-means cluster analysis identified parent subgroups based on agreement patterns. Linear regression examined predictors of agreement (e.g., parent age, BMI). Inductive content analysis explored underlying perspectives.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Few parents (5.3%) were aware of the guideline before the survey. Cluster analysis identified three subgroups: Guideline Skeptics (34%; broadly disagreed), Selective Supporters (28%; mostly agreed but opposed medications and surgery), and Guideline Supporters (38%; broadly agreed). Higher parental BMI predicted lower agreement (<i>β</i> = −0.20, <i>p</i> = 0.018). Qualitative findings added nuance to parents' preference for lifestyle changes, highlighted concerns about mental health and eating disorders, and emphasized parental responsibility in the development and treatment of obesity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parental agreement with the guideline varies widely. While most support behavioral treatment, many express concerns about medications and surgery, and a subset of “Guideline Skeptics” reject core principles such as the use of BMI. Tailored implementation strategies are needed to address these diverse views.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145372155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Communication in the Prevention and Treatment of Child and Adolescent Obesity: A Position Statement of the European Childhood Obesity Group","authors":"Rebecca Puhl,&nbsp;Sandra Hassink,&nbsp;Julia Lischka,&nbsp;Gabriel Torbahn,&nbsp;Susanne Ring-Dimitriou,&nbsp;Caroline Braet,&nbsp;Elpis Vlachopapadopoulou,&nbsp;Teodora Handjieva-Darlenska,&nbsp;Andrea Vania,&nbsp;Edyta Łuszczki,&nbsp;Dénes Attila Molnár,&nbsp;David Thivel,&nbsp;Daniel Weghuber,&nbsp;Paulina Nowicka","doi":"10.1111/ijpo.70052","DOIUrl":"10.1111/ijpo.70052","url":null,"abstract":"<div>\u0000 \u0000 <p>Parental communication plays a critical role in weight-related health of children and adolescents and requires a balanced, thoughtful and supportive approach. The European Childhood Obesity Group (ECOG) convened a panel of experts to discuss the topic of parental communication in the prevention and treatment of child and adolescent obesity, as summarised in this statement. Parental concern about weight is evident, but the lack of parental knowledge about obesity, the impact of weight bias and stigma on their children and adolescents' health behaviours, and the influences of culture, media, and advertising all make communication challenging and problematic for many families. Parents need support and skill building in order to provide a communication environment that is healthy and accepting. Healthcare professionals can model healthy communication styles by focusing on health, building family strengths and supports, asking youth about what words they prefer using to discuss their weight, and acknowledging the multifactorial causes of obesity that reside in the socioecological environment. While parental communication offers a powerful platform for promoting healthy behaviours in youth, it must be handled with care to avoid the harms of stigmatisation and oversimplification of obesity as a reflection of individual lifestyle choices. With appropriate tools, knowledge, skills, and support, parents can be better equipped to engage in supportive dialogue that empowers their children and promotes their health and wellbeing.</p>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a Home-Based Obesity Prevention Intervention on Children's and Parents' BMI: Findings From the Guelph Family Health Study Randomised Controlled Trial","authors":"Raphaëlle Jacob,&nbsp;Andrea C. Buchholz,&nbsp;Gerarda Darlington,&nbsp;Alison M. Duncan,&nbsp;Lori Ann Vallis,&nbsp;Jean-Philippe Chaput,&nbsp;Angela Annis,&nbsp;Madeline Nixon,&nbsp;Jennifer D. Irwin,&nbsp;Don Morrow,&nbsp;David W. L. Ma,&nbsp;Jess Haines","doi":"10.1111/ijpo.70062","DOIUrl":"10.1111/ijpo.70062","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To prevent the development of obesity and related comorbidities, interventions must begin early in life. This study aimed to assess the impact of a home-based obesity prevention intervention on children's and parents' body mass index (BMI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The Guelph Family Health Study is a randomised controlled trial of a 6-month obesity prevention intervention aimed at establishing healthful household routines regarding family meals, children's screen time, physical activity and sleep among 285 families with preschool-aged children. The control group received 6 emails on child health behaviours. The analytic sample included 376 children (3.6 ± 1.3 years old, 20.2% at risk for overweight, 8.2% with overweight/obesity) and 481 parents (58.2% with overweight/obesity).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared to controls, the intervention had no significant impact on children's or parents' BMI at post-intervention and 1 year after the intervention. Children in both the intervention and control groups had a non-significant decrease in BMI from baseline to post-intervention [intervention; −0.23 kg/m² (95% CI, −0.46, 0.002); control; −0.17 kg/m² (95% CI, −0.40, 0.06)] and from baseline to 1-year follow-up [intervention, −0.29 kg/m² (95% CI, −0.67, 0.08); control, −0.06 kg/m² (95% CI, −0.42, 0.30)].</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Compared to controls, this home-based obesity prevention intervention had no significant impact on children's or parents' BMI immediately after the intervention or after 1 year of follow-up, indicating that the intervention had no additional effect compared to the control group on children's or parents' BMI over time. Future data collection phases will allow for the examination of the intervention effect on BMI as children age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>This study is registered at clinicaltrial.gov identifier: NCT02939261</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijpo.70062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Sleep Duration and Timing on Paediatric BMI Across Childhood and Adolescence: Do Both Matter?","authors":"Yundan Zhang,&nbsp;Joyce M. Lee,&nbsp;Karen E. Peterson,&nbsp;Jonathan A. Mitchell,&nbsp;Erica C. Jansen","doi":"10.1111/ijpo.70064","DOIUrl":"10.1111/ijpo.70064","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adequate sleep duration is a prevention factor for paediatric obesity, but the role of timing is still unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate associations of sleep duration and timing with BMI in a large paediatric database.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Medical chart and survey data were collected from 29 409 children aged 2–18 years who attended well-child visits between Jan 2019 and Dec 2023 (repeated-measures cross-sectional design). Logistic and linear mixed effects regression models accounting for repeated measures estimated odds of overweight/obesity and continuous BMI-for-age CDC-based percentiles for each additional/later hour of sleep duration, midpoint (median of bedtime and wake time), and bedtime, adjusted for potential confounders and stratified by age groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among young children (2–5 years), shorter sleep duration but not sleep timing was related to higher odds of overweight/obesity (21% higher odds with 95% CI: 3% to 36%). In mid-childhood (6–12 years), shorter sleep duration and later midpoint were associated with higher odds of overweight/obesity (18%, 95% CI = 9%, 26%; 32%, 95% CI = 17%, 49%). Among adolescents (13–18 years), each hour of later sleep midpoint equated to 12% higher odds of living with overweight/obesity (95% CI: 1% to 23%). Linear models were similar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Shorter sleep duration at younger ages and later sleep timing in adolescence were associated with higher BMI.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First 1000 Days Strategies to Prevent Childhood Obesity: A Narrative Review and Recommendations From the EndObesity Consortium","authors":"Mireille C. Schipper,&nbsp;Anna Manshanden,&nbsp;Kaat Philippe,&nbsp;Natàlia Ferré,&nbsp;Veronica Luque,&nbsp;Marion Lecorguillé,&nbsp;Adrien M. Aubert,&nbsp;Kathrin Guerlich,&nbsp;Camille Le Gal,&nbsp;Shweta Feher,&nbsp;Ester Parada-Ricart,&nbsp;Joaquin Escribano,&nbsp;Veit Grote,&nbsp;Berthold Koletzko,&nbsp;Teresa Primavesi-Poggio,&nbsp;Katharina Reiss,&nbsp;Jaap C. Seidell,&nbsp;Sandrine Lioret,&nbsp;Catherine M. Phillips,&nbsp;Barbara Heude,&nbsp;Romy Gaillard","doi":"10.1111/ijpo.70060","DOIUrl":"10.1111/ijpo.70060","url":null,"abstract":"<p>Childhood obesity remains a major global public health challenge, leading to significant short- and long-term adverse health outcomes and imposing substantial societal costs. Recognising the critical importance of early intervention, the Horizon2020 EU-funded JPI Consortium EndObesity has prioritised the first 1000 days of life, from preconception to 2 years of age, as a key window for obesity prevention strategies. This narrative review synthesises findings from the EndObesity Consortium, summarising evidence from large multi-cohort studies on the influence of family-based health behaviours in the first 1000 days on offspring obesity risk, the potential of childhood obesity prediction models in the first 1000 days, and strategies to enhance prenatal and postnatal interventions to prevent childhood obesity development. Finally, we present recommendations for research, practice, and policy to address the complex, multifaceted challenges of childhood obesity prevention in the first 1000 days.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijpo.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145306578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relative Fat Mass as an Estimator of Abdominal Adiposity in Youth Across the BMI Spectrum from Normal Weight to Obesity","authors":"Wonhee Cho,&nbsp;Joon Young Kim,&nbsp;Silva Arslanian","doi":"10.1111/ijpo.70059","DOIUrl":"10.1111/ijpo.70059","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Relative fat mass (RFM) has been used to estimate whole-body fat percentage (%BF). However, whether RFM can mirror abdominal adiposity is unknown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>In youth, we examined if RFM reflects abdominal adiposity, if there are age/race/sex differences in the relationships between RFM and abdominal adiposity, and if our present-youth-cohort-derived RFM (RFM-Y) improves the prediction of %BF and abdominal adiposity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In 358 youth (aged 10–19 years; 168 black/198 white) with normal weight and overweight/obesity (without secondary or syndromic obesity), visceral (VAT), subcutaneous (SAT) and total abdominal adipose tissue (TAT) were assessed by MRI/CT and %BF with DXA. RFM was calculated for ages 10–14 years as [74 − (22 × height/waist circumference [WC]) + (5 × sex)] and 15–19 years as [64 − (20 × height/WC) + (12 × sex)]; sex = 0 for boys, 1 for girls. To develop and validate RFM-Y, linear regression, concordance correlation coefficient, Bland–Altman plots and intraclass correlation coefficient were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>RFM associated with VAT, SAT and TAT (<i>r</i> = 0.66, 0.79, 0.79, respectively; all <i>p</i> &lt; 0.001). The slope was significantly greater in (a) younger versus older youth for VAT, SAT and TAT; (b) whites versus blacks for VAT; and (c) girls versus boys for SAT and TAT. RFM-Y versus traditional RFM showed improved predictive ability for %BF (<i>R</i>\u0000 ² = 0.83 vs. 0.77) and abdominal adiposity (<i>R</i>\u0000 ² ranging from 0.51 to 0.80 vs. 0.37 to 0.63).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RFM reflects abdominal adiposity besides %BF and could be used in longitudinal/interventional youth trials, obviating the need for expensive imaging to assess changes in total and abdominal adiposity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"20 12","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijpo.70059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priority Populations in Early Childhood Obesity Prevention Interventions: A Scoping Review","authors":"Talia Palacios,&nbsp;Kylie E. Hunter,&nbsp;Brittany J. Johnson,&nbsp;Sol Libesman,&nbsp;Nipun Shrestha,&nbsp;H. Shonna Yin,&nbsp;Jonathan G. Williams,&nbsp;Anna Lene Seidler","doi":"10.1111/ijpo.70058","DOIUrl":"10.1111/ijpo.70058","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Childhood obesity disproportionately affects priority populations, including racial and ethnic minority groups and those with lower socio-economic backgrounds. These groups often encounter barriers to accessing public health services and may benefit from targeted interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This scoping review aimed to identify the characteristics of populations involved in interventions to prevent early childhood obesity and to understand whether and how existing interventions targeted and reached priority populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Databases and trial registries were systematically searched until 4 October 2024, for planned, ongoing, and completed randomised controlled trials evaluating parent-focussed, behavioural interventions for childhood obesity prevention, starting within the first year of life. Two reviewers independently extracted data using a customised tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 11 960 articles identified, 82 trials were eligible. Most trials (87%) were conducted (or planned) in high-income countries, 11% in upper middle-income countries, and 2% in lower middle-income countries. Priority populations included parent–child dyads from specific ethnic or racial groups facing psychological, social, and/or economic disadvantages. Among the completed trials, 54% targeted priority populations, yet only 33% exclusively enrolled participants from these groups. Additionally, less than a quarter of the trials involved priority populations in the design of interventions (17%) and developed tailored interventions for these groups (21%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Current interventions do not sufficiently target, reach and engage priority populations. To achieve health equity in early childhood obesity prevention, it is essential to include underserved and at-risk populations in research and intervention design.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145297869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the Association Between Emotional Eating and Psychosocial Health in Spanish Adolescents: The EHDLA Study","authors":"Lina América Sánchez-Charcopa,&nbsp;Caroline Brand,&nbsp;Camila Felin Fochesatto,&nbsp;Rodrigo Yáñez-Sepúlveda,&nbsp;Hector Gutiérrez-Espinoza,&nbsp;Jorge Olivares-Arancibia,&nbsp;Josefa María Panisello Royo,&nbsp;Brendon Stubbs,&nbsp;Lee Smith,&nbsp;José Francisco López-Gil","doi":"10.1111/ijpo.70056","DOIUrl":"10.1111/ijpo.70056","url":null,"abstract":"<div>\u0000 \u0000 <p>Emotional eating has been associated with several adverse health outcomes, yet research examining its relationship with psychosocial health among adolescents remains limited. The objective of the study was to investigate the association between emotional eating and psychosocial health in Spanish adolescents. Cross-sectional data were collected from 633 participants (56.9% female) aged 12–17 years from all three secondary schools in the <i>Valle de Ricote</i> (Spain), as part of the Eating Healthy and Daily Life Activities (EHDLA) study. Emotional eating was assessed using the Emotional Eating Scale Adapted for Use in Children and Adolescents (EES-C), while psychosocial health was measured using the Strengths and Difficulties Questionnaire (SDQ). To explore the relationship between emotional eating and psychosocial health, generalised linear models (GLMs) were applied. Results revealed significant associations between higher levels of overall emotional eating (unstandardized beta coefficient [<i>B</i>] = 0.04, 95% confidence interval [CI] 0.02–0.07, <i>p</i> = 0.001) and elevated SDQ scores. Specifically, these associations were evident in response to anger (<i>B</i> = 0.16, 95% CI 0.07–0.25, <i>p</i> = 0.001), anxiety (<i>B</i> = 0.13, 95% CI 0.05–0.21, <i>p</i> = 0.001), restlessness (<i>B</i> = 0.17, 95% CI 0.06–0.29, <i>p</i> = 0.004), and helplessness (<i>B</i> = 0.25, 95% CI 0.06–0.45, <i>p</i> = 0.011). These findings suggest that adolescents who engage in emotional eating may experience greater psychosocial challenges. This study underscores the importance of considering adolescent dietary habits as a crucial aspect in psychosocial health.</p>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"20 12","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}