{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T23:46:18Z","timestamp":1782517578010,"version":"3.54.5"},"reference-count":45,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluated changes in weight status and cardiometabolic parameters following bariatric surgery (BS) among adolescents with obesity using population\u2010based real\u2010world data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study used electronic health records from Clalit Health Services, Israel. Adolescents aged 12\u201320\u2009years who underwent BS between 2010 and 2024 were included. Demographic characteristics, socioeconomic position (SEP), anthropometry, blood pressure, and laboratory parameters were extracted. Longitudinal changes in BMI and cardiometabolic outcomes were analyzed using mixed\u2010effects models adjusted for sex, ethnicity, SEP, age at BS, and baseline BMI. Median follow\u2010up was 5.8\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort included 1035 adolescents (69.7% female; median age at surgery ~18.6\u2009years), with sleeve gastrectomy as the predominant procedure. BMI declined significantly over time (\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>time<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009&lt;\u20090.001), with maximal reduction at 1\u20133\u2009years and sustained improvement thereafter. Males experienced greater BMI reduction than females (\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>time<\/jats:italic>\n                        \u00d7sex\n                      <\/jats:sub>\n                      \u2009&lt;\u20090.001). BMI trajectories were similar across SEP and ethnic groups, while individuals with higher baseline BMI maintained higher BMI throughout follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      <jats:sub>\n                        <jats:italic>group<\/jats:italic>\n                      <\/jats:sub>\n                      \u2009&lt;\u20090.001). Blood pressure and multiple metabolic parameters improved substantially, with durable long\u2010term benefits and some sex\u2010specific differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adolescent BS was associated with sustained improvements in BMI and cardiometabolic risk factors in a large real\u2010world cohort, supporting its long\u2010term effectiveness across population subgroups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70227","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T05:31:10Z","timestamp":1780723870000},"page":"1477-1492","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bariatric Surgery in Adolescents With Obesity: Weight and Cardiometabolic Outcomes\u2014Real\u2010World Data"],"prefix":"10.1002","volume":"34","author":[{"given":"Shlomit","family":"Shalitin","sequence":"first","affiliation":[{"name":"The Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel  Petah Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moshe","family":"Phillip","sequence":"additional","affiliation":[{"name":"The Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel  Petah Tikva Israel"},{"name":"Faculty of Medical and Health Sciences Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Yackobovitch\u2010Gavan","sequence":"additional","affiliation":[{"name":"The Jesse Z. and Sara Lea Shafer Institute of Endocrinology and Diabetes National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel  Petah Tikva Israel"},{"name":"Department of Epidemiology and Preventive Medicine, School of Public Health, Faculty of Medicine Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(22)00047-X"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.7570\/jomes21063"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13809"},{"issue":"6","key":"e_1_2_9_5_1","article-title":"Diet, Physical Activity and Behavioral Interventions for the Treatment of Overweight or Obese Adolescents Aged 12 to 17\u2009Years","volume":"6","author":"Al\u2010Khudairy L.","year":"2017","journal-title":"Cochrane Database of Systematic 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