{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:17:56Z","timestamp":1787761076687,"version":"build-2784847793"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100013362","name":"Swiss Cancer Research Foundation","doi-asserted-by":"publisher","award":["KFS\u20106351\u201002\u20102025\u2010R"],"award-info":[{"award-number":["KFS\u20106351\u201002\u20102025\u2010R"]}],"id":[{"id":"10.13039\/501100013362","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013362","name":"Swiss Cancer Research Foundation","doi-asserted-by":"publisher","award":["KFS\u20106069\u201002\u20102024"],"award-info":[{"award-number":["KFS\u20106069\u201002\u20102024"]}],"id":[{"id":"10.13039\/501100013362","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["10.007.011"],"award-info":[{"award-number":["10.007.011"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Misperception of body weight can negatively impact the weight management efforts of childhood cancer survivors (CCSs). Both being overweight or underweight are associated with chronic health conditions commonly observed in CCS; therefore, accurate weight perception is critical for reducing long\u2010term health risks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the agreement between objectively measured body mass index (BMI) and self\u2010perceived body weight in adult CCS, and to identify predictors of BMI underestimation and overestimation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this prospective, multicenter cohort study, we invited CCS aged \u226518 years, diagnosed &lt;20 years, who had survived \u22655 years post\u2010diagnosis. Participants were treated between 1976 and 2018 with chemotherapy and\/or heart\u2010related radiotherapy (RT). Trained medical staff measured height and weight and assessed body weight perception using pictorial images. We evaluated agreement between actual BMI and perceived weight status using Cohen's Kappa (\n                      <jats:italic>\u0138<\/jats:italic>\n                      ) and analyzed predictors of misperception with multivariable multinomial logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included 492 CCS (median age: 32 years, interquartile range [IQR]: 25\u201239). Median BMI was 23.8\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (IQR: 21.6\u201227.1); 4% were underweight, 30% overweight, and 10% obese 25 years after diagnosis. BMI and weight perception agreement was moderate (\n                      <jats:italic>\u0138<\/jats:italic>\n                      \u00a0=\u00a00.46,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Among overweight CCS, 37% underestimated their weight. Among both under and overweight CCS, 25% overestimated their weight. Overestimation was more likely among former smokers (odd ratio [OR]\u00a0=\u00a02.52, 95%CI\u00a0=\u00a01.31; 4.88), those with multiple chronic health conditions (2.49, 1.13; 5.46), and those who received cranial radiation (2.06, 1.10; 3.83).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Identifying and addressing weight misperception, especially in CCS with chronic health conditions and after cranial radiation, could improve weight management strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70535","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:51:29Z","timestamp":1785480689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Misperception of Body Weight After Childhood Cancer"],"prefix":"10.1002","volume":"73","author":[{"given":"Fabi\u00ebn N.","family":"Belle","sequence":"first","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1\u0161","family":"Sl\u00e1ma","sequence":"additional","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Haegler\u2010Laube","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of Cardiology Cantonal Hospital Baden  Baden Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6273-0880","authenticated-orcid":false,"given":"Reto D.","family":"Kurmann","sequence":"additional","affiliation":[{"name":"Division of Cardiology Heart Center Luzerner Kantonsspital  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8209-4631","authenticated-orcid":false,"given":"Gabriela M.","family":"Kuster","sequence":"additional","affiliation":[{"name":"Division of Cardiology University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Saner","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Pediatric Endocrinology Diabetology and Metabolism University Children`s Hospital Bern, Inselspital  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0674-7561","authenticated-orcid":false,"given":"Eva","family":"Scheler","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Division of Cardiology Hospital of St. Gallen  St. Gallen Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5331-4535","authenticated-orcid":false,"given":"Yara","family":"Shoman","sequence":"additional","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Schindera","sequence":"additional","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"},{"name":"Division of Pediatric Oncology\/Hematology University Children's Hospital Basel University of Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.31080"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29614"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2022.846124"},{"key":"e_1_2_13_5_1","unstructured":"Children's Oncology Group (COG) Long\u2010Term Follow\u2010Up Guidelines for Survivors of Childhood Adolescent and Young Adult Cancers Version 6.0 (October 2023).http:\/\/www.survivorshipguidelines.org\/."},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000495698"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab039"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-025-03106-4"},{"key":"e_1_2_13_9_1","first-page":"51s","volume-title":"Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults\u2014The Evidence Report","author":"National Institutes of Health"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.115.008946"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)02471-0"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-8-20"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40608-016-0102-8"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40608-017-0152-6"},{"issue":"35","key":"e_1_2_13_15_1","first-page":"502","article-title":"The Swiss Childhood Cancer Registry: Rationale, Organisation and Results for the Years 2001\u20132005","volume":"137","author":"Michel G.","year":"2007","journal-title":"Swiss Medical Weekly: Official Journal of the Swiss Society of Infectious Diseases, the Swiss Society of Internal Medicine, the Swiss Society of Pneumology"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20910"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.2196\/17724"},{"key":"e_1_2_13_18_1","unstructured":"E.HarrisonandD.Rose ESeC Colchester UK: Institute for Social and Economic Research(University of Essex 2006).https:\/\/www.iser.essex.ac.uk\/archives\/esec\/user\u2010guide."},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy339"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0000000000003593"},{"key":"e_1_2_13_21_1","unstructured":"World Health Organization Waist Circumference and Waist\u2010Hip Ratio: Report of a WHO Expert Consultation Geneva 8\u201311 December 2008(World Health Organization 2011)."},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0803704"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2006.00695.x"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs14050378"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980020003262"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2015.143"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwt053"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2022.02.010"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.29958"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-017-0627-7"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14224765"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31610-0"}],"container-title":["Pediatric Blood &amp; Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/1545-5017.70535","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/1545-5017.70535","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/1545-5017.70535","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:18:33Z","timestamp":1787757513000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/1545-5017.70535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":32,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/1545-5017.70535"],"URL":"https:\/\/doi.org\/10.1002\/1545-5017.70535","archive":["Portico"],"relation":{},"ISSN":["1545-5009","1545-5017"],"issn-type":[{"value":"1545-5009","type":"print"},{"value":"1545-5017","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"assertion":[{"value":"2026-05-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70535"}}