Pediatric Obesity最新文献

{"title":"Household Food Insecurity Is Associated With Higher Adiposity Over Time Among Adolescents in Louisiana","authors":"Ashley Fenton,&nbsp;Amanda E. Staiano,&nbsp;Michael Celestin,&nbsp;Tekeda Ferguson,&nbsp;Candice A. Myers,&nbsp;Tung-Sung Tseng,&nbsp;Stephanie T. Broyles","doi":"10.1111/ijpo.70084","DOIUrl":"10.1111/ijpo.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Few studies have examined how household food insecurity may impact longitudinal changes in adiposity among adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We investigated the link between household food insecurity and 2-year change in adolescent adiposity, with sex as a potential moderator.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Analyses included 222 adolescents living in and around Baton Rouge, Louisiana, who participated in the TIGER Kids study (baseline: June 2016–December 2017; follow-up: January 2018–August 2019). Household food security was measured using a validated two-question parent-reported survey. Adiposity outcomes were collected using anthropometry, dual-energy X-ray absorptiometry and abdominal magnetic resonance imaging (MRI). Multivariable multilevel models assessed associations between household food security and changes in adiposity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At baseline, the participants were 12.9 ± 1.9 years, 50.5% female, 37.4% non-White or Hispanic, 31.5% had obesity, and 11.3% were food insecure. Food-insecure adolescents exhibited significantly greater increases in BMI_p95 (<i>b</i> = 6.0% ± 2.2%, <i>p</i> = 0.0082), waist circumference (<i>b</i> = 4.1 ± 1.7 cm, <i>p</i> = 0.0158), total body fat percentage (b = 3.0% ± 1.3%, <i>p</i> = 0.0194) and visceral adipose tissue mass (<i>b</i> = 0.16 ± 0.06 kg, <i>p</i> = 0.0163), compared to their food-secure peers. The effect of food insecurity on adiposity did not differ between boys and girls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This longitudinal study highlights the deleterious influence of food insecurity on adolescent adiposity. Efforts to alleviate food insecurity may play an important role in preventing obesity in adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123055","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":"Residential Neighbourhood Environments and Health Behaviours Among Children and Adolescents Initiating Obesity Management Care: Secondary Analyses of Data From the CANadian Paediatric Weight Management Registry (CANPWR)","authors":"Yujia Tang,&nbsp;Sonia Semenic,&nbsp;Aurélie Baillot,&nbsp;Mylène Riva,&nbsp;Geoff D. C. Ball,&nbsp;Stasia Hadjiyannakis,&nbsp;Jill Hamilton,&nbsp;Josephine Ho,&nbsp;Laurent Legault,&nbsp;Ian Zenlea,&nbsp;Katherine M. Morrison,&nbsp;Andraea Van Hulst","doi":"10.1111/ijpo.70087","DOIUrl":"10.1111/ijpo.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Examine associations between neighbourhood characteristics and health behaviours (physical activity, screen time, sleep duration) in boys and girls initiating obesity management care across Canada.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed cross-sectional data from the CANadian Paediatric Weight management Registry (2013–2017) for 803 participants (with overweight or obesity; 5–17 years old). Questionnaire-assessed health behaviours included total physical activity (PA), organised PA outside of school, screen time, and sleep duration. Total PA was classified as high vs. low based on current recommendations, organised PA as high vs. low based on average attained levels for Canadian children, and screen time and sleep duration as meeting vs. not meeting recommendations. Neighbourhood characteristics (walkability, greenness, material and social deprivation) were computed for the first three digits of residential postal codes. Covariate-adjusted associations were examined using generalised estimating equations stratified by sex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (50% boys; mean ± SD: age, 11.9 ± 3.1 years; BMI z-score, 3.28 ± 1.06) living in low (vs. high) social deprivation neighbourhoods were more likely to engage in high total PA, particularly among boys (PR = 1.32, 95% CI: 1.01, 1.73). Boys living in neighbourhoods with high (vs. low) walkability (PR = 3.56, 95% CI: 1.97, 6.44) and higher greenness (PR = 1.72, 95% CI: 1.17, 2.64) were more likely to engage in high organised PA. Girls living in neighbourhoods with very low (vs. high) material deprivation were more likely to engage in high organised PA (PR = 4.17, 95% CI: 1.52, 11.45). No associations were found for screen time or sleep duration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study adds to the evidence linking neighbourhood environments to health behaviours in children and adolescents living with obesity and who are initiating obesity management care. Specifically, less social deprivation and greater walkability and greenness were associated with higher PA among boys, while less material deprivation was linked to higher PA among girls.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12873556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117176","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":"Associations of Maternal Prenatal Inflammation With Child Adiposity: The Healthy Start Study","authors":"Makayla Moran,&nbsp;Kyle Salmon,&nbsp;Satvinder K. Dhaliwal,&nbsp;Dana Dabelea,&nbsp;Wei Perng","doi":"10.1111/ijpo.70088","DOIUrl":"10.1111/ijpo.70088","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>While inflammation is a normal physiological process of pregnancy, exposure to excess inflammation in utero may have unfavourable consequences for the offspring's health. This analysis investigated associations of prenatal inflammation with offspring adiposity in early childhood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Among 555 mother–offspring pairs in the Healthy Start Study, we measured three inflammation biomarkers—C-reactive protein, interleukin-6 and tumour necrosis factor-α—at ~28 gestational weeks. We internally standardised each biomarker and took its average as an indicator of overall exposure to prenatal inflammation. When offspring were 4–6 years old, we measured weight and height for body mass index (BMI) <i>z</i>-score calculation; waist circumference; and % fat mass (%FM) using air displacement plethysmography. In the analysis, we used linear regression to examine associations of the prenatal inflammation <i>z</i>-score with offspring outcomes. As an exploratory analysis, we conducted stratified analysis by maternal race/ethnicity, which is known to modify associations in maternal–child health studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After adjusting for offspring age and sex, each increment in the prenatal inflammation z-score corresponded with 0.31 (95% CI: 0.14, 0.48) higher BMI <i>z</i>-score, 1.43 (0.61, 2.25) cm higher waist circumference and 1.47 (0.43, 2.51) higher %FM in offspring. Further adjustment for maternal pre-pregnancy BMI attenuated estimates to the null for BMI <i>z</i>-score and waist circumference, but less for %FM (0.77 [−0.39, 1.94]; <i>p</i> = 0.19). These associations were driven by Hispanic mother–offspring pairs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Prenatal inflammation may predispose offspring to greater adiposity during early childhood. This association is partially explained by maternal BMI and driven by participants of Hispanic ethnicity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>NCT #002273297</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 2","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146099661","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":"Early Determinants of Overweight and Obesity in Children Aged Under 2 Years in Mexico","authors":"Lucía Hernández-Barrera,&nbsp;Belem Trejo-Valdivia,&nbsp;Danilo Castro-Sifuentes,&nbsp;Velia Margarita Cárdenas-Villarreal","doi":"10.1111/ijpo.70085","DOIUrl":"10.1111/ijpo.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Obesity in infants is a growing problem in Mexico, affecting children's well-being and increasing long-term health risks. Evidence of the multilevel determinants during the first 1000 days is limited. This study aimed to examine the relationship between individual, maternal, household and the prevalence of overweight and obesity in children under 2 years of age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A secondary analysis of the 2021 National Health and Nutrition Survey was conducted with a sample of 185 mother-infant binomials. To assess the combined prevalence of overweight and obesity (ow_ob) in infants, body mass index <i>Z</i>-scores were calculated by age and sex. By age group, multiple logistic regression models were adjusted to evaluate the association between childhood ow_ob and individual, maternal, household and place of residence variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A combined prevalence of overweight and obesity of 29.7% was found. In infants aged 0–11 months, the highest probability of ow_ob (<i>pr_ob</i> = 0.87) was amongst infants of overweight mothers who worked outside the home. In infants aged 12–23 months, the highest likelihood of ow_ob (<i>pr_ob</i> = 0.885) was for children whose mothers had lower levels of education, were married, had a diagnosis of depression and experienced moderate or severe food insecurity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study is one of the first in Mexico to analyse multiple risk factors simultaneously at the national level, as it had a representative sample of children under 2 years old. The findings underscore the importance of early intervention and a comprehensive approach considering family and socioeconomic factors in childhood obesity prevention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146007936","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":"Socioeconomic Vulnerability and Its Associations With Dietary Patterns and Obesity Degree Among Children in Families Across Six European Countries: The Feel4Diabetes-Study","authors":"Lubna Mahmood,&nbsp;Luis A. Moreno,&nbsp;Peter Schwarz,&nbsp;Lieven Annemans,&nbsp;Greet Cardon,&nbsp;Soukaina Hilal,&nbsp;Imre Rurik,&nbsp;Violeta Iotova,&nbsp;Natalya Usheva,&nbsp;Tsvetalina Tankova,&nbsp;Costas Anastasiou,&nbsp;Yannis Manios,&nbsp;Esther M. Gonzalez-Gil,&nbsp;the Feel4Diabetes-Study Group","doi":"10.1111/ijpo.70072","DOIUrl":"10.1111/ijpo.70072","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Previous studies suggest that children from lower socioeconomic status may be at higher risk of unhealthy eating. This study aims to examine the cumulative socioeconomic vulnerabilities and their association with dietary patterns and obesity levels in European children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 9664 parent-child dyads (79% mothers; 50.8% girls) from six European countries participated in the study. Families provided baseline information on energy balance-related behaviours and socioeconomic factors through questionnaires. Children's dietary habits were evaluated using semi-quantitative food frequency questionnaires, and anthropometric data were collected. Vulnerabilities were quantified through a composition of variables based on household income, parental education and employment. Multivariable and logistic regression analyses were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found significant associations between socioeconomic vulnerability and children's dietary habits and body mass index. Higher vulnerability was linked to a lower probability of fruit and vegetable intake, and a higher probability of consuming red meat, and energy-dense snacks. Children with the highest vulnerability had nearly four times higher odds of overweight/obesity (OR = 3.82, 95% CI: 3.05–4.76).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings of this study indicate that European children from families with a high socioeconomic vulnerability tend to have an unhealthy dietary profile and a higher degree of obesity. Therefore, public health programs should prioritise families facing high socioeconomic vulnerabilities promoting healthy eating to prevent childhood obesity at early stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>Clinical trials registry http://clinicaltrials.gov: NCT02393872</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146007926","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":"Correction to ‘30-Day Morbidity and Mortality of Bariatric Metabolic Surgery in Adolescence During the COVID-19 Pandemic—The GENEVA Study’","authors":"","doi":"10.1111/ijpo.70086","DOIUrl":"10.1111/ijpo.70086","url":null,"abstract":"<p>R. Singhal, T. Wiggins, J. Super, et al., “30-Day Morbidity and Mortality of Bariatric Metabolic Surgery in Adolescence During the COVID-19 Pandemic—The GENEVA Study,” <i>Pediatric Obesity</i> 16, no. 12 (2021): e12832. https://doi.org/10.1111/ijpo.12832.</p><p>The first name of one of the collaborative authors was mistakenly misspelled. The correct full name of the author is ‘Ahmet Bozdag’.</p><p>We apologise for this error.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijpo.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145987490","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":"Longer Breastfeeding Is Associated With Healthier Body Mass Index Trajectories and Lower Risk of Overweight and Obesity in Youth Aged 9–12 Years","authors":"Jonatan Ottino González,&nbsp;Miguel Angel Rivas Fernández,&nbsp;Sevan Esaian,&nbsp;Michael I. Goran,&nbsp;Shana Adise","doi":"10.1111/ijpo.70082","DOIUrl":"10.1111/ijpo.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The association between breastfeeding and adolescent obesity remains unclear because most previous studies included youth with obesity. We explored these associations from ages 9 to 12 amongst initially healthy weight youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The analytic sample included 4161 youth (10 586 observations across three assessments; all healthy weight at baseline; 50.7% female; 52% breastfed more than 6 months) from the Adolescent Brain Cognitive Development (ABCD) Study. Linear mixed-effects models examined breastfeeding × age × sex and breastfeeding × puberty × sex interactions on BMI trajectories (kg/m²). Logistic regression estimated the risk of unhealthy weight (BMI ≥ 85th percentile) by ages 11–12. All analyses were stratified by sex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three-way interactions were not significant. Significant breastfeeding × age interactions (<i>β</i> = −0.005, <i>p</i> &lt; 0.001) indicated that breastfed youth exhibited lower BMI trajectories, particularly when breastfed for more than 6 months (<i>β</i> = −0.006, <i>p</i> &lt; 0.001). Significant breastfeeding × puberty interactions showed lower BMI trajectories across pubertal stages amongst breastfed youth (<i>β</i> = −0.06, <i>p</i> = 0.017), observed only in boys and especially in those breastfed beyond 6 months (<i>β</i> = −0.11, <i>p</i> = 0.005). Breastfeeding was associated with a reduced unhealthy weight risk at ages 11–12 (RR = 0.78, <i>p</i> = 0.002), exclusively in boys and amongst those breastfed more than 6 months (RR = 0.52, <i>p</i> &lt; 0.001). No associations were found in girls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Amongst initially healthy weight youth, breastfeeding, especially beyond 6 months, was associated with healthier BMI trajectories and lower unhealthy weight risk in boys. Although these sex-specific patterns warrant further research, our findings suggest that the associations between breastfeeding and body weight development extend into adolescence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12779591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916211","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":"Correction to ‘The Appetitive Responses to a Meal Are Not Affected by Its Carbohydrate Content in Adolescents With Obesity: A Pilot Study’","authors":"","doi":"10.1111/ijpo.70081","DOIUrl":"10.1111/ijpo.70081","url":null,"abstract":"<p>Z. Ghamdi, H. Moore, J. Siroux, et al., “The Appetitive Responses to a Meal Are Not Affected by Its Carbohydrate Content in Adolescents With Obesity: A Pilot Study,” <i>Pediatric Obesity</i> 21, no. 1 (2026): e70077, https://doi.org/10.1111/ijpo.70077.</p><p>In the author list, the first names and family names of the authors were inadvertently reversed. The correct author list is provided below:</p><p>‘Zainab Ghamdi, Halim Moore, Julie Siroux, Duane Beraud, Shaea Alkahtani, Abdullah F. Alghannam, Bruno Pereira, Julie Masurier, Graham Finlayson, Valérie Julian, Laurie Isacco, David Thivel’</p><p>The online version of the article has also been updated.</p><p>We apologise for this error.</p>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijpo.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145848480","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":"Starting Age for Screening Metabolic Dysfunction-Associated Steatotic Liver Disease in Children Using Controlled Attenuation Parameter on Transient Elastography","authors":"Li-Wen Lee,&nbsp;Jrhau Lung,&nbsp;Ju-Bei Yen,&nbsp;Chao-Yu Chen,&nbsp;Yu-San Liao","doi":"10.1111/ijpo.70080","DOIUrl":"10.1111/ijpo.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Rising sedentary behaviour and consumption of sugar-sweetened beverages and ultra-processed foods have increased the risk and earlier onset of obesity in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To define controlled attenuation parameter (CAP) cut-off values in healthy children, assess the prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) in children with overweight and obesity, and establish an appropriate starting age for MASLD screening in our population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Healthy primary school children were recruited. Hepatic steatosis was assessed using CAP, and body composition data were collected during two periods: August 2020–March 2021 and February 2023–May 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 1653 participants (mean age 9.5 ± 1.7 years), 976 children with normal weight were used to establish reference intervals. Hepatic steatosis was defined as a CAP above 247 dB/m (97.5th percentile). The prevalences of MASLD in children with overweight and obesity were 0% and 16%, respectively, in school grade 1, which increased to 19% and 75% in school grade 6 (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Screening for hepatic steatosis associated with obesity should begin as early as school grade 1, while screening for children with overweight may be more appropriate by school grade 6. These findings emphasise the need for age- and weight-specific screening strategies for children with overweight and obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijpo.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809170","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":"Acute Exercise-Induced Energy Expenditure and Substrate Oxidation Rates Might Not Be Associated With Subsequent Appetitive Responses in Adolescents Living With Obesity","authors":"David Thivel,&nbsp;Duane Beraud,&nbsp;Julie Siroux,&nbsp;Halim Moore,&nbsp;Camille Marcantei,&nbsp;Baptiste Tarrit,&nbsp;Graham Finlayson,&nbsp;Marie-Eve Mathieu,&nbsp;Masashi Miyashita,&nbsp;Valérie Julian,&nbsp;Martine Duclos,&nbsp;Yves Boirie,&nbsp;Bruno Pereira,&nbsp;Laurie Isacco","doi":"10.1111/ijpo.70073","DOIUrl":"https://doi.org/10.1111/ijpo.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>While acute exercise has been shown to alter subsequent energy intake in adolescents with obesity, the role of the exercise-induced energy expenditure and substrate oxidation remains unknown. The present study investigates the effect of energy expenditure and substrate oxidation rates during an acute walking exercise on subsequent appetitive responses in adolescents with obesity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Body composition and maximal aerobic capacities were assessed in 25 adolescents [8 males, 12–16 years] with obesity. They then realized a control condition without exercise [CON] and an exercise session [EX, 40-min walking at 4 km h⁻¹] in a randomized order. Energy expenditure and substrate use were assessed at rest and during exercise using indirect calorimetry. Subsequent ad libitum energy intake, appetite sensations and food reward were assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Post-exercise energy intake was reduced on EX compared with CON [1083 ± 253 vs. 950 ± 226 kcal; <i>p</i> = 0.041], with reduced absolute protein intake [<i>p</i> = 0.011]. None of the appetite sensations differed between conditions. Pre-lunch explicit liking for fat decreased on EX compared with CON [<i>p</i> = 0.045], the implicit and explicit wanting for fat [<i>p</i> = 0.047 and <i>p</i> = 0.025 respectively] and explicit wanting for taste [<i>p</i> = 0.012] decreased from pre to post lunch after exercise. Energy Expenditure, fat and carbohydrate oxidation rates during exercise were not associated with subsequent appetitive measurements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Exercise-induced energy expenditure and substrate might not be associated with the short-term control of appetite and energy intake in adolescents with obesity, which remains to be confirmed by further studies evaluating the effect of various exercises inducing specific predominant fuel sources.</p>\u0000 </section>\u0000 </div>","PeriodicalId":217,"journal":{"name":"Pediatric Obesity","volume":"21 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145739838","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}