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Information on participants' weight status, disordered eating behaviors, body image and weight concerns, depressive symptoms, and pubertal timing, as well as and maternal weight status, were included in the latent class analyses, which were stratified by sex. Mixed\u2010effects regression was used to examine associations of the obesity phenotypes with adult weight gain, between age 20 and 35\u2009years, independent of weight at beginning of follow\u2010up and duration of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the girls, four obesity phenotypes were identified: 1) \u201cearly puberty\u201d; 2) \u201cmothers with obesity\u201d; 3) \u201chigh weight concerns\u201d; and 4) \u201cmixed.\u201d Only three phenotypes were identified among the boys: 1) \u201chigh weight concerns\u201d; 2) \u201cmothers with obesity\u201d; and 3) \u201cmixed.\u201d Participants who had overweight or obesity in childhood or adolescence gained more weight in young adulthood than their leaner peers, but the patterns of weight gain in young adulthood varied by phenotype of obesity in childhood and adolescence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results support examining risk factors for and treatment outcomes by obesity phenotypes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23893","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T18:32:03Z","timestamp":1700677923000},"page":"3016-3024","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Phenotyping children and adolescents with obesity using behavioral, psychological, and familial data"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0989-981X","authenticated-orcid":false,"given":"Ruth G.","family":"St Fleur","sequence":"first","affiliation":[{"name":"Department of Epidemiology Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3871-2233","authenticated-orcid":false,"given":"Marian","family":"Tanofsky\u2010Kraff","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology Uniformed Services University of The Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8542-1637","authenticated-orcid":false,"given":"Jack A.","family":"Yanovski","sequence":"additional","affiliation":[{"name":"Section on Growth and Obesity, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas J.","family":"Horton","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics, Amherst College  Amherst Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel N.","family":"Hirschhorn","sequence":"additional","affiliation":[{"name":"Program in Medical and Population Genetics, The Broad Institute of MIT and Harvard  Cambridge Massachusetts USA"},{"name":"Department of Pediatrics, Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Genetics, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison E.","family":"Field","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.732"},{"key":"e_1_2_10_3_1","unstructured":"FryarCD CarrollMD OgdenCL.Prevalence of Overweight Obesity and Severe Obesity among Children and Adolescents Aged 2\u201319\u2009Years: United States 1963\u20131965 Through 2015\u20132016. 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