{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T08:59:03Z","timestamp":1790413143446,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000041","name":"American Diabetes Association","doi-asserted-by":"publisher","award":["7\u201022\u2010JDFN\u201003"],"award-info":[{"award-number":["7\u201022\u2010JDFN\u201003"]}],"id":[{"id":"10.13039\/100000041","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000938","name":"Robert E. Leet and Clara Guthrie Patterson Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000938","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study assessed variation in BMI change by neighborhood characteristics of participants in Bright Bodies, a family\u2010based intensive health behavior and lifestyle treatment for pediatric obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      For first\u2010time participants (2008\u20132018) with initial BMI\u2009\u2265\u200985th percentile, we geocoded addresses and assigned Child Opportunity Index (COI) and COI\u2010Healthy Environment (COI\u2010HE) scores (Low\/Moderate\/High). Using multivariable mixed effect linear regression, we assessed monthly change in BMI percent of the 95th percentile (%BMIp95) and extended BMI\n                      <jats:italic>z<\/jats:italic>\n                      score by COI and COI\u2010HE.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 391 youth (mean\u2009\u00b1\u2009SD age 11.7\u2009\u00b1\u20092.8\u2009years, 60.1% female), 80.8% resided in Low COI and 66.5% in Low COI\u2010HE neighborhoods. Monthly %BMIp95 change differed by COI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.039 for interaction) and COI\u2010HE (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). Mean %BMIp95 decreased in all subgroups; greatest reductions were in High COI (\u22121.86 [95% CI: \u22122.40, \u22121.33]) and High COI\u2010HE groups (\u22122.32 [\u22122.78, \u22121.85]) and lowest in Moderate COI (\u22121.17 [\u22121.59, \u22120.75]) and Low COI\u2010HE groups (\u22121.53 [\u22121.75, \u22121.32]). Change in extended BMI\n                      <jats:italic>z<\/jats:italic>\n                      score differed significantly between COI\u2010HE subgroups only (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Bright Bodies participation was associated with BMI reduction among all COI\/COI\u2010HE subgroups, but the highest COI\/COI\u2010HE groups had the greatest reductions. Modifications to intensive health behavior and lifestyle treatments should address inequities in access to built environments that facilitate healthy, active living.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.70292","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:49:15Z","timestamp":1789696155000},"page":"1936-1944","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Neighborhood\u2010Level Variation in the Effectiveness of Intensive Health Behavior and Lifestyle Treatment for Pediatric Obesity"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6200-4590","authenticated-orcid":false,"given":"Grace","family":"Wang","sequence":"first","affiliation":[{"name":"Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Samuels","sequence":"additional","affiliation":[{"name":"Section of Pediatric Endocrinology &amp; Diabetes, Department of Pediatrics Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6387-582X","authenticated-orcid":false,"given":"Kaitlin R.","family":"Maciejewski","sequence":"additional","affiliation":[{"name":"Yale Center for Analytical Sciences Yale School of Public Health  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Hu","sequence":"additional","affiliation":[{"name":"Section of Pediatric Endocrinology &amp; Diabetes, Department of Pediatrics Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Savoye","sequence":"additional","affiliation":[{"name":"Section of Pediatric Endocrinology &amp; Diabetes, Department of Pediatrics Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1632-7038","authenticated-orcid":false,"given":"Mona","family":"Sharifi","sequence":"additional","affiliation":[{"name":"Yale Center for Analytical Sciences Yale School of Public Health  New Haven Connecticut USA"},{"name":"Section of General Pediatrics, Department of Pediatrics Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.27676"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6706a3"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.5158"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-060640"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.11146"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.1978"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2021.29014"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.24.2697"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-0697"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23627"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12495"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2014.0139"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1307704"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-023-01514-1"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.07.009"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.70032"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302986"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2023-007383"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2024.05.009"},{"key":"e_1_2_10_21_1","unstructured":"Institute for Equity in Child Opportunity & Healthy Development at Boston University School of Social Work \u201cChild Opportunity Index 3.0\u20142023 Census Tract Data \u201dpublished July 24 2025 www.diversitydatakids.org\/research\u2010library\/child\u2010opportunity\u2010index\/child\u2010opportunity\u2010index\u201030\u20102023\u2010census\u2010tract\u2010data."},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.47957"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2024.0299"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-1571"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22196"},{"key":"e_1_2_10_26_1","unstructured":"US Centers for Disease Control and Prevention National Center for Health Statistics \u201cCDC Growth Charts \u201dlast modified September 2 2024 www.cdc.gov\/growthcharts\/cdc\u2010growth\u2010charts.htm."},{"key":"e_1_2_10_27_1","unstructured":"US Centers for Disease Control and Prevention. 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