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Adjusting for pubertal status reduces overweight and obesity prevalence in the United States

The Journal of Pediatrics Dec 24, 2020

Bomberg EM, Addo OY, Sarafoglou K, et al. - In the present study, the researchers sought to compare pediatric overweight and obesity prevalence among non-Hispanic White, Mexican American, and non-Hispanic Black before and after adjusting BMI for pubertal status, assessed by Tanner stage, in US youth. Cross-sectional anthropometric and pubertal data were analyzed from NHW, MA, and NHB youth in the National Health and Nutrition Examination Survey (NHANES) III. The prevalence of overweight/obesity in NHW, MA, and NHB youth was decreased by adjusting for pubertal status. This means that adjusting for puberty requires changes that are not otherwise captured by only considering a child's age. When interpreting a youth's weight status and consideration for obesity management, as well as when interpreting pediatric overweight/obesity prevalence data, adjusting BMI for pubertal status may be relevant.

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