{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T05:06:35Z","timestamp":1778043995222,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T00:00:00Z","timestamp":1593993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to examine the relation between change in different BMI metrics and change in adiposity over a 12\u2010month weight management intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Baseline and 12\u2010month weights and heights from 399 children aged 2 to 12 years with BMI\u2009\u2265\u200985th percentile were used to calculate BMI, %BMI<jats:sub>p95<\/jats:sub>, %BMI<jats:sub>p50<\/jats:sub>, BMI <jats:italic>z<\/jats:italic>\u2010score (BMI<jats:italic>z<\/jats:italic>), and modified BMI <jats:italic>z<\/jats:italic>\u2010score (BMIm<jats:italic>z<\/jats:italic>). Changes (\u0394) in these measures were compared with changes in body fat percent (\u0394fat%) from bioelectrical impedance assessment. Correlation and regression models predicting associations between \u0394BMI metrics and \u0394fat% were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 89% of the cohort was Hispanic, and 34% had class 2 or 3 obesity. In models predicting \u0394fat% adjusting for age, sex, and weight category, <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> for \u0394BMI, \u0394BMI<jats:italic>z<\/jats:italic>, BMIm<jats:italic>z<\/jats:italic>, \u0394%BMI<jats:sub>p95<\/jats:sub>, and \u0394%BMI<jats:sub>p50<\/jats:sub> were 0.53, 0.38, 0.45, 0.53, and 0.54, respectively (all <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Only the \u0394BMI<jats:italic>z<\/jats:italic> model had an interaction with weight status. Among the models with the highest <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>, age group and sex interacted with the \u0394%BMI<jats:sub>p95<\/jats:sub> model but not \u0394BMI or \u0394BMI<jats:sub>p50<\/jats:sub> models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Longitudinal analyses demonstrate the utility of several BMI metrics other than <jats:italic>z<\/jats:italic>\u2010score in capturing adiposity change consistently across a range of obesity severity. Characteristics of studied groups and interpretability could influence metric choice.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.22858","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T11:29:39Z","timestamp":1594034979000},"page":"1512-1518","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Evaluation of BMI Metrics to Assess Change in Adiposity in Children with Overweight and Moderate and Severe Obesity"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1672-2126","authenticated-orcid":false,"given":"Sarah E.","family":"Barlow","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Texas Southwestern Medical Center Dallas Texas USA"},{"name":"Children's Health Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meliha","family":"Salahuddin","sequence":"additional","affiliation":[{"name":"Department of Community Health University of Texas Health Science Center at Tyler Austin Texas USA"},{"name":"Population Health Office of Health Affairs University of Texas System Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey","family":"Durand","sequence":"additional","affiliation":[{"name":"Michael &amp; Susan Dell Center for Healthy Living University of Texas Health Science Center at Houston (UTHealth) School of Public Health Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J.","family":"Pont","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Department of Population Health University of Texas at Austin Dell Medical School Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deanna M.","family":"Hoelscher","sequence":"additional","affiliation":[{"name":"Michael &amp; Susan Dell Center for Healthy Living University of Texas Health Science Center at Houston (UTHealth) School of Public Health Austin Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8892-5195","authenticated-orcid":false,"given":"Nancy F.","family":"Butte","sequence":"additional","affiliation":[{"name":"Department of Pediatrics USDA\/ARS Children\u2019s Nutrition Research Center Baylor College of Medicine Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.6361"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-3459"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.2012"},{"key":"e_1_2_10_5_1","first-page":"1","article-title":"2000 CDC growth charts for the United States: methods and development","author":"Kuczmarski RJ","year":"2002","journal-title":"Vital Health Stat 11"},{"key":"e_1_2_10_6_1","first-page":"1","article-title":"Construction of LMS parameters for the Centers for Disease Control and Prevention 2000 growth charts","volume":"63","author":"Flegal KM","year":"2013","journal-title":"Natl Health Stat Report"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.21782"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.2009.28335"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114519002046"},{"key":"e_1_2_10_10_1","unstructured":"Centers for Disease Control and Prevention.Modified z\u2010scores in the CDC growth charts. 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