Childhood Obesity最新文献

{"title":"Impact of COVID-19 Diagnosis on Weight Trajectories of Children in the US National COVID Cohort Collaborative.","authors":"Md Mozaharul Mottalib, Thao-Ly T Phan, Carolyn T Bramante, Christopher G Chute, Lee A Pyles, Rahmatollah Beheshti","doi":"10.1089/chi.2024.0256","DOIUrl":"10.1089/chi.2024.0256","url":null,"abstract":"<p><p><b><i>Background:</i></b> The COVID-19 pandemic has exacerbated the obesity epidemic, with both adults and children demonstrating rapid weight gain during the pandemic. However, the impact of having a COVID-19 diagnosis on this trend is not known. <b><i>Methods:</i></b> Using longitudinal data from January 2019 to June 2023 collected by the US National Institute for Health's National COVID Cohort Collaborative (N3C), children (age 2-18 years) with positive COVID-19 test results {<i>n</i> = 11,474, 53% male, mean [standard deviation (SD)] age 5.57 [±3.29] years, 54% White, mean [SD] 5.2 [±2.9] BMI observations per participant} were matched with COVID-19-negative children with identical demographic characteristics and similar observation window. We compared BMI percentile trajectories between the COVID-19-positive and COVID-19-negative cohorts, with further evaluation performed on COVID-19-positive patients stratified by hospitalization status. <b><i>Results:</i></b> COVID-19-positive patients had a greater increase in <math><mi>%</mi><mi>B</mi><mi>M</mi><mrow><msub><mrow><mi>I</mi></mrow><mrow><mi>p</mi><mn>95</mn></mrow></msub></mrow></math> than COVID-19-negative patients (average increase of 2.34 (±7.73) compared to 1.46 (±6.09), <i>p</i> < 0.0005). COVID-19-positive patients gained more weight after their diagnosis of COVID-19 than before. Nonhospitalized children gained more weight than hospitalized children [average increase in <math><mi>%</mi><mi>B</mi><mi>M</mi><mrow><msub><mrow><mi>I</mi></mrow><mrow><mi>p</mi><mn>95</mn></mrow></msub></mrow></math> of 2.38 (±7.65) compared to 1.87 (±8.54)]. Mixed-effect regression analyses demonstrated that these associations remained even after adjusting for time, demographics, and baseline <math><mi>%</mi><mi>B</mi><mi>M</mi><mrow><msub><mrow><mi>I</mi></mrow><mrow><mi>p</mi><mn>95</mn></mrow></msub></mrow></math>. <b><i>Conclusions:</i></b> Having a COVID-19 diagnosis was associated with more rapid weight gain, especially after diagnosis and early in the pandemic. Future research should explore the reasons for this association and the implications for future health emergencies.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"380-391"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980121","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":"Body Composition, Body Mass, and Cardiovascular Health in Mid-Childhood and Midlife: A Compositional Data Analysis.","authors":"Mengjiao Liu, Dorothea Dumuid, Tim Olds, David Burgner, Susan Ellul, Markus Juonala, Yichao Wang, Sarath Ranganathan, Michael Cheung, Louise Baur, Terry Dwyer, Jessica A Kerr, Kate Lycett, Melissa Wake","doi":"10.1089/chi.2024.0316","DOIUrl":"10.1089/chi.2024.0316","url":null,"abstract":"<p><p><b><i>Background:</i></b> We aimed to quantify associations of cardiovascular (CV) large and small artery measures with body composition and body mass (1) separately and (2) in combination in 11- to 12-year-old children and their parents. <b><i>Methods:</i></b> In the population-based cross-sectional Child Health CheckPoint study (1495 children, mean 12 ± 0.4 years, 49.3% girls; 1496 parents, mean 44.3 ± 5.0 years, 86.7% mothers), we measured weight, height, body composition [truncal fat, non-truncal fat, fat-free mass (FFM)], and CV functional (blood pressure, pulse wave velocity, arterial elasticity) and structural (carotid intima-media thickness, retinal arteriolar/venular caliber) outcomes. Using compositional data analyses, we examined associations of body composition (expressed as log ratios) and body mass (multiplicative total) with CV measures in separate and combined models. <b><i>Results:</i></b> Mean BMI z-score was 0.3 in children [standard deviation (SD) 1.0, 4.5% obese], and mean BMI was 27.9 in parents (SD 6.1, 28.8% obese). In both children and adults, more adverse CV measurements were associated with higher %truncal fat, %non-truncal fat, and body mass and lower %FFM. Compared with normal-weight children, children with obesity had poorer CV measures (e.g., 1 SD faster pulse wave velocity, 0.5 SD lower arterial elasticity), with higher body mass and lower %FFM mainly accounting for these relationships. All relationships were similar, albeit larger, for parents. <b><i>Conclusion:</i></b> Poorer CV health in both generations was associated with higher body mass, lower %FFM, and, to a lesser extent, higher %truncal and non-truncal fat. Trials could test whether weight reduction interventions with vs. without FFM preservation differentially improve CV functional and structural precursors.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"411-421"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391879","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":"Increased BMI Velocity is Associated with Elevated Patient Health Questionnaire-9 Scores in Adolescents with Obesity.","authors":"Elizabeth Atteh, Sarah Armstrong, Asheley Skinner, Charles Wood","doi":"10.1089/chi.2024.0323","DOIUrl":"10.1089/chi.2024.0323","url":null,"abstract":"<p><p>Existing studies that have demonstrated a positive association between obesity and depression have been among adults, did not utilize the Patient Health Questionnaire (PHQ), or were conducted in a homogenous patient population. In this retrospective longitudinal cohort study of patients >11 and <18 years old with obesity in one health system we analyzed associations between change in BMI between two BMI measurements and PHQ-9 scores using chi-square and Kruskal-Wallis tests. We used PHQ-9 scores dichotomized at </≥5 as the outcome in logistic regression models to calculate the adjusted odds of having a higher PHQ-9 score for each increase in BMI per month. One-unit higher BMI change per month was associated with 2.52 times higher odds of PHQ-9 score over 5 (95% CI: 1.57-4.05) after adjusting for sex, baseline BMI, age, race, ethnicity, language, and insurance. BMI changes are associated with an increased risk of higher PHQ-9 scores. Close attention to depression screening in this population may be an important addition to other routine screening in pediatric patients with obesity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"422-425"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802813","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":"Parent and Guardian Opinions on Obesity Medications Use in Adolescents with Obesity and Related Comorbidities.","authors":"Sarah Raatz, Rebecca L Freese, Subin Jang, Alicia Kunin-Batson, Amy C Gross, Megan O Bensignor","doi":"10.1089/chi.2024.0351","DOIUrl":"10.1089/chi.2024.0351","url":null,"abstract":"<p><p><b><i>Background:</i></b> There are now four FDA-approved anti-obesity medications (AOMs) for youth ≥12 years, which can be effective therapies to treat obesity and obesity-related comorbidities. <b><i>Objectives:</i></b> This study describes parent/guardian (caregiver) openness to using AOMs for adolescents with obesity and evaluates factors that may contribute to openness. <b><i>Methods:</i></b> Caregivers of adolescents aged 12-17 years were surveyed. Self-reported height, weight, demographic information, family, and personal history of obesity or obesity-related comorbidities were collected. Participants rated their openness to starting an AOM for their child for obesity alone or obesity-related comorbidities on a 7-point Likert scale. A Likert rating of less than 4 was considered \"less open\" versus 4-7 was considered \"more open.\" <b><i>Results:</i></b> A total of 344 participants completed the survey. Average openness toward AOM use for obesity as the only indication (as opposed to comorbid conditions) was 3.2 ± 1.74. Caregivers who were knowledgeable that the FDA-approved AOM use in adolescents had greater odds of being open to using these medications compared with caregivers who were not knowledgeable (odds ratio: 2.18; 95% confidence interval: 1.25-2.86). <b><i>Conclusions:</i></b> Caregivers reported openness to starting an AOM if they had prior knowledge of these medications, highlighting the need for family education on AOM use and indications.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"365-371"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856032","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":"Differences in Geographical Location and Health Behaviors of Participants in a Family-Based Lifestyle Intervention for Children and Adolescents Living with Obesity.","authors":"Alexandra J Heidl, Madelaine Gierc, Stephanie Saputra, Thumri Waliwitiya, Eli Puterman, Tamara R Cohen","doi":"10.1089/chi.2024.0374","DOIUrl":"10.1089/chi.2024.0374","url":null,"abstract":"<p><p>It is unknown if children and youth who live in rural or \"less rural\" locations who enroll in the provincially funded Generation Health Clinic (British Columbia, Canada), a family-based lifestyle program for weight management, present with different health behaviors at baseline. Thus, we assessed sociodemographic and health behavior (diet, physical activity, and sleep) collected between 2015 and 2019. Data were stratified by age (children: ≤12 years; adolescents: ≥13 years) and geographical location (\"less urban\" and urban) based on Statistics Canada definitions and then analyzed using independent <i>t</i>-tests and chi<i>-</i>square tests. We found that more \"urban\" children consumed more daily family meals (<i>p</i> < 0.001), ate out weekly (<i>p</i> = 0.02), ate \"other\" vegetables (<i>p</i> = 0.002), and had less frequent sports drink consumption (<i>p</i> < 0.001) compared with less urban children. No significant differences in health behaviors were seen in adolescents. These findings suggest that a participant's geographical location should be considered when developing family-based interventions for weight management.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"426-435"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933228","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":"Relationships Between Gonadotropins, Sex Hormones, and Vascular Health in Adolescents with Normal Weight or Obesity.","authors":"William T Juckett, Nicholas G Evanoff, Aaron S Kelly, Eric M Bomberg, Donald R Dengel","doi":"10.1089/chi.2024.0325","DOIUrl":"10.1089/chi.2024.0325","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Relationships between gonadotropins, sex hormones, and vascular structure and function in adolescents of varying weight statuses have not been fully investigated. In the present study, we examined associations among these in female and male adolescents with normal weight or obesity. <b><i>Methods:</i></b> We performed a cross-sectional analysis of adolescents (<i>n</i> = 58; 12-<18 years) grouped according to BMI percentile (BMI%) into normal weight (5th-<85th BMI%; <i>n</i> = 25) and obesity (≥95th BMI%; <i>n</i> = 33) categories. Fasting blood samples were collected to measure follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone, and estradiol. Vascular function was measured via ultrasonography for measures of carotid artery diameter compliance (cDC), incremental elastic modulus (cIEM), and brachial artery flow mediated dilation (FMD). <b><i>Results:</i></b> Females with obesity had a significantly (<i>p</i> = 0.009) greater mean FMD compared with those with normal weight. FSH, LH, testosterone, and estradiol did not differ between normal weight and obesity groups in either sex. After adjusting for age and multiple comparisons, higher testosterone was associated with decreased cDC (<i>R</i>² = 0.189; <i>p</i> = 0.018) and increased cIEM (<i>R</i>² = 0.346; <i>p</i> = 0.002) across all females. In all males, higher estradiol was associated with decreased cDC (<i>R</i>² = 0.404; <i>p</i> = 0.006) and increased cIEM (<i>R</i>² = 0.411; <i>p</i> = 0.003). <b><i>Conclusion:</i></b> We found that testosterone and estradiol were associated with vascular measures in female and male adolescents, respectively. Future studies are needed to confirm these relationships in larger cohorts and among those with BMIs in the overweight (85th-<95th BMI%) and severe obesity (BMI ≥120% of the 95th percentile and/or ≥35 kg/m²) categories.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"402-410"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957249","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":"Nonpharmacological Childhood Obesity Management in Denmark Reduces Steatotic Liver Disease and Obesity.","authors":"Rebecca Berg Pedersen, Maria Martens Fraulund, Elizaveta Chabanova, Louise Aas Holm, Torben Hansen, Henrik S Thomsen, Jens-Christian Holm, Cilius Esmann Fonvig","doi":"10.1089/chi.2024.0287","DOIUrl":"10.1089/chi.2024.0287","url":null,"abstract":"<p><p><b><i>Background:</i></b> Steatotic liver disease (SLD) represents a multisystem disease and is a common complication of childhood obesity. We studied fat content at the abdominal level (liver, subcutaneous, and visceral) and the response to childhood obesity management. <b><i>Methods:</i></b> In this retrospective longitudinal study, 8-18-year-olds with a body mass index (BMI) z-score above 1.28 (corresponding to a BMI above the 90th percentile), as a proxy for obesity, were offered person-centered, family-oriented obesity management in a hospital setting and in a magnetic resonance (MR) scan. Liver fat content (LFC) was assessed by MR spectroscopy, whereas subcutaneous adipose tissue and visceral adipose tissue (VAT) were assessed by MR imaging. We conducted nonparametric tests to evaluate baseline-to-follow-up changes and comparisons between participants with and without an MR assessment. Additionally, a logistic regression model examined the association between changes in LFC and BMI z-score. <b><i>Results:</i></b> The study group comprised 1002 children and adolescents (52% females) with an MR assessment at baseline. The median age was 13.0 years, the median BMI was 28.4, and the BMI z-score was 2.90. At baseline, 378 (38%) exhibited SLD defined by an LFC above 1.5%. Among the 322 with a follow-up MR scan, 76% of the patients with SLD reduced their LFC. BMI z-score and VAT (both <i>p</i> < 0.001) were reduced during intervention. <b><i>Conclusions:</i></b> SLD is highly prevalent (38%) in children and adolescents with obesity. A chronic care obesity management model reduced the fat content in the liver, the visceral fat, and the degree of obesity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"392-401"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014565","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":"Household Income Moderates Longitudinal Relations Between Neighborhood Child Opportunity Index and BMI Growth.","authors":"Alexandra Ursache, Brandi Y Rollins","doi":"10.1089/chi.2024.0322","DOIUrl":"10.1089/chi.2024.0322","url":null,"abstract":"<p><p><b><i>Background:</i></b> To examine longitudinal associations of early neighborhood Child Opportunity Index 2.0 (COI) with children's BMI trajectories and identify whether household economic resources moderate relations of COI in infancy/toddlerhood and the preschool years to longitudinal BMI growth between 2 and 12 years. <b><i>Methods:</i></b> Family data (<i>n</i> = 1091) were drawn from the Family Life Project, a longitudinal study of families residing in rural high-poverty areas. Neighborhood COI was obtained for each developmental period: infancy/toddlerhood (2-15 months) and the preschool years (2-5 years). BMIs were created from anthropometrics collected at six time points. <b><i>Results:</i></b> Higher neighborhood COIs during the infancy/toddlerhood (<i>β</i> = -0.0130, <i>p</i> < 0.01) and preschool years (<i>β</i> = -0.0093, <i>p</i> < 0.05) were associated with lower BMI at 5 years of age; although the latter became nonsignificant after adjusting for infancy/toddlerhood COI. Both household income and time spent in poverty moderated associations of infancy/toddlerhood exposure to neighborhood COI with BMI change. Among children residing in not poor households, higher neighborhood level child opportunity was associated with a slower increase in BMI from 2 to 12 years (<i>β</i> = -0.0369, <i>p</i> < 0.05), and a lower BMI at 12 years (<i>β</i> = -0.0395, <i>p</i> < 0.05). <b><i>Conclusions:</i></b> Neighborhood COI during the infant and toddler years is longitudinally associated with child growth, and long-term associations are evident among children residing in not poor households. Future work is needed to better understand how family and neighborhood-level resources interact to influence obesity risk, particularly for those at high risk.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"372-379"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873230","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":"Evaluating Parental Perception and Confidence Managing Obesity-Related Behaviors Among Children with Severe Early-Onset Obesity in a Tertiary Care Clinic.","authors":"Julia M Morales, Mayver Gonzalez, Citrine Elatrash, Daphne Medina, Farah Ladha, Claudia Soler Alfonso, Stephanie Sisley","doi":"10.1089/chi.2025.0016","DOIUrl":"https://doi.org/10.1089/chi.2025.0016","url":null,"abstract":"<p><p><b><i>Background:</i></b> Children with severe early-onset obesity (defined as a body mass index >120% of the 95th percentile before age 5) are a high-risk population often displaying disruptive food-related behaviors. This study assessed: (i) caregivers' confidence addressing obesity-related behaviors in children with severe early-onset obesity and (ii) differences in behavior perceptions between children with and without impaired satiety. <b><i>Methods:</i></b> Caregivers from a specialized pediatric obesity clinic completed the Lifestyle Behavior Checklist (LBC), a 25-question tool, evaluating their perceptions and confidence managing obesity-related behaviors. Impaired satiety diagnoses were based on clinical ascertainment of at least three abnormal eating behaviors across multiple settings. Data were analyzed using appropriate statistical tests. <b><i>Results:</i></b> A total of 89 caregivers completed the LBC. Parents felt least confident managing four of the top five perceived most problematic behaviors: excessive eating, requesting extra portions, unhealthy snacking, and eating too quickly. Parents of children with impaired satiety rated 16 behaviors as significantly more problematic (<i>Q</i>-value <0.05) and reported lower overall confidence in managing these behaviors compared with parents of children without impaired satiety (<i>Q</i>-value = 0.04). Despite these differences, both groups identified excessive eating as the most problematic behavior and the one they were least confident in managing. <b><i>Conclusion:</i></b> Parents of children with severe, early-onset obesity, reported difficulty managing food-related behaviors. Children with severe, early-onset obesity and impaired satiety displayed similar, but more pronounced, problematic lifestyle-related behaviors compared with those without satiety impairments. Future research should determine if behavior-specific counseling would be helpful to parents of children with severe, early-onset obesity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038572","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":"Resting Energy Expenditure Profiles in Pediatric Patients with Obesity Undergoing Sleeve Gastrectomy.","authors":"Linda Koh, Patil Kavarian, Yann Le Guen, Matias Bruzoni, Janey S A Pratt, Marwa Abu El Haija","doi":"10.1089/chi.2024.0419","DOIUrl":"https://doi.org/10.1089/chi.2024.0419","url":null,"abstract":"<p><p><b><i>Background:</i></b> Obesity is a prevalent medical condition among the pediatric population. Metabolic and bariatric surgery is recommended to treat severe obesity. Resting energy expenditure (REE) plays a vital role in weight homeostasis. This study aims to assess the impact of sleeve gastrectomy (SG) on REE in pediatric patients with severe obesity while comparing REE values with body composition. <b><i>Methods:</i></b> Participants were recruited from the Pediatric Weight Management Clinic and Bariatric Surgery Clinic at Lucile Packard Children's Hospital. REE was measured using indirect calorimetry. Body composition was assessed using dual energy X-ray absorptiometry scans. Data were collected prospectively and analyzed using a generalized linear model and correlation analyses. <b><i>Results:</i></b> Thirty-six participants with severe obesity were included. Correlation analyses showed significant differences in baseline REE/kg between age groups, with higher REE/kg in participants <16 years. No significant correlations were observed between pre-SG REE/kg and degree of weight loss post-SG. Pre-SG %lean body mass positively correlated with REE/kg. There was no significant change in REE/kg following SG with weight loss. <b><i>Conclusions:</i></b> SG remains an effective intervention for managing severe obesity. This study found no significant changes in REE after SG. Future research should focus on larger longitudinal studies to enhance understanding of the metabolic effects of SG in pediatric patients while optimizing strategies for improved health outcomes.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051403","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}