{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T22:22:47Z","timestamp":1794262967816,"version":"4.9.0"},"reference-count":55,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016915","name":"Inventiva Pharma","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016915","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Research Foundation Flanders","doi-asserted-by":"publisher","award":["1227824N"],"award-info":[{"award-number":["1227824N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Research Foundation Flanders","doi-asserted-by":"publisher","award":["TBM T000926N"],"award-info":[{"award-number":["TBM T000926N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003130","name":"Research Foundation Flanders","doi-asserted-by":"publisher","award":["1843824N"],"award-info":[{"award-number":["1843824N"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jhep-reports.eu","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JHEP Reports"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.jhepr.2026.102059","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:03:08Z","timestamp":1791270188000},"page":"102059","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sex differences in MASLD and fitness improvement during a weight loss intervention for adolescents living with obesity"],"prefix":"10.1016","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4165-5009","authenticated-orcid":false,"given":"Maarten","family":"Buytaert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1481-0878","authenticated-orcid":false,"given":"Kristof","family":"Vandekerckhove","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilse","family":"Coomans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxine","family":"Vangampelaere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8806-3943","authenticated-orcid":false,"given":"Ellen","family":"Dupont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Stalpaert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Caen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sander","family":"Lefere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5623-3300","authenticated-orcid":false,"given":"Ruth","family":"De Bruyne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib1","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1002\/jpn3.12399","article-title":"FISPGHAN statement on the global public health impact of metabolic dysfunction-associated steatotic liver disease","volume":"80","author":"Mitsinikos","year":"2024","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib2","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1038\/nrgastro.2017.109","article-title":"Global burden of NAFLD and NASH: trends, predictions, risk factors and prevention","volume":"15","author":"Younossi","year":"2018","journal-title":"Nat Rev Gastroenterol Hepatol"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib3","doi-asserted-by":"crossref","DOI":"10.1016\/j.aohep.2023.101133","article-title":"A multisociety Delphi consensus statement on new fatty liver disease nomenclature","volume":"29","author":"Rinella","year":"2024","journal-title":"Ann Hepatol"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib4","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.jhep.2024.04.031","article-title":"EASL\u2013EASD\u2013EASO Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD)","volume":"81","author":"Tacke","year":"2024","journal-title":"J Hepatol"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib5","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1097\/HEP.0000000000001357","article-title":"Long-term mortality and extrahepatic outcomes in 1096 children with MASLD: a retrospective cohort study","volume":"83","author":"Schwimmer","year":"2025","journal-title":"Hepatology"},{"issue":"7","key":"10.1016\/j.jhepr.2026.102059_bib6","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1136\/gutjnl-2020-322786","article-title":"Mortality in biopsy-confirmed nonalcoholic fatty liver disease: results from a nationwide cohort","volume":"70","author":"Simon","year":"2021","journal-title":"Gut"},{"issue":"6","key":"10.1016\/j.jhepr.2026.102059_bib7","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/j.jhep.2026.02.016","article-title":"Updates in clinical medicine: MASLD in children and adolescents","volume":"84","author":"Lefere","year":"2026","journal-title":"J Hepatol"},{"issue":"5","key":"10.1016\/j.jhepr.2026.102059_bib8","doi-asserted-by":"crossref","DOI":"10.1111\/ijpo.70003","article-title":"Recent prevalence and trends of obesity and metabolic dysfunction-associated steatotic liver disease (MASLD) among US adolescents: 1999 to 2020","volume":"20","author":"Sun","year":"2025","journal-title":"Pediatr Obes"},{"issue":"Suppl","key":"10.1016\/j.jhepr.2026.102059_bib9","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.3350\/cmh.2024.0431","article-title":"Epidemiology of metabolic dysfunction-associated steatotic liver disease","volume":"31","author":"Younossi","year":"2025","journal-title":"Clin Mol Hepatol"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib10","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1002\/jpn3.70490","article-title":"European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) position paper on screening, diagnosis and investigation of paediatric metabolic dysfunction-associated steatotic liver disease","volume":"83","author":"Mann","year":"2026","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"5","key":"10.1016\/j.jhepr.2026.102059_bib11","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1053\/j.gastro.2020.07.034","article-title":"Progression of fatty liver disease in children receiving standard of care lifestyle Advice","volume":"159","author":"Xanthakos","year":"2020","journal-title":"Gastroenterology"},{"issue":"2","key":"10.1016\/j.jhepr.2026.102059_bib12","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1002\/hep.22376","article-title":"Accuracy and reproducibility of transient elastography for the diagnosis of fibrosis in pediatric nonalcoholic steatohepatitis","volume":"48","author":"Nobili","year":"2008","journal-title":"Hepatology"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib13","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/MPG.0b013e31826f2760","article-title":"Transient elastography is a useful noninvasive tool for the evaluation of fibrosis in paediatric chronic liver disease","volume":"56","author":"Fitzpatrick","year":"2013","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib14","doi-asserted-by":"crossref","DOI":"10.1186\/s12887-019-1485-8","article-title":"Quick assessment with controlled attenuation parameter for hepatic steatosis in children based on MRI-PDFF as the gold standard","volume":"19","author":"Shin","year":"2019","journal-title":"BMC Pediatr"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib15","doi-asserted-by":"crossref","DOI":"10.1111\/ijpo.70080","article-title":"Starting age for screening metabolic dysfunction-associated steatotic liver disease in children using controlled attenuation parameter on transient elastography","volume":"21","author":"Lee","year":"2026","journal-title":"Pediatr Obes"},{"issue":"6","key":"10.1016\/j.jhepr.2026.102059_bib16","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1055\/a-2191-0518","article-title":"Practical Aspects of cardiopulmonary exercise testing in children","volume":"45","author":"Takken","year":"2024","journal-title":"Int J Sports Med"},{"issue":"4","key":"10.1016\/j.jhepr.2026.102059_bib17","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/00008483-198704000-00014","article-title":"Principles of exercise testing and interpretation","volume":"7","author":"Wasserman","year":"1987","journal-title":"J Cardiopulmonary Rehabil Prev"},{"issue":"6","key":"10.1016\/j.jhepr.2026.102059_bib18","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1097\/HJR.0b013e328304fed4","article-title":"Methodological approach to the first and second lactate threshold in incremental cardiopulmonary exercise testing","volume":"15","author":"Binder","year":"2008","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"issue":"10","key":"10.1016\/j.jhepr.2026.102059_bib19","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.1249\/mss.0b013e31812e52b3","article-title":"Oxygen-uptake efficiency slope as a determinant of fitness in overweight adolescents","volume":"39","author":"Drinkard","year":"2007","journal-title":"Med Sci Sports Exerc"},{"issue":"2","key":"10.1016\/j.jhepr.2026.102059_bib20","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1177\/2047487318810872","article-title":"Oxygen uptake efficiency slope in children: its role in exercise testing","volume":"26","author":"Ten Harkel","year":"2019","journal-title":"Eur J Prev Cardiol"},{"issue":"8","key":"10.1016\/j.jhepr.2026.102059_bib21","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1177\/2047487315611769","article-title":"Response profiles of oxygen uptake efficiency during exercise in healthy children","volume":"23","author":"Bongers","year":"2016","journal-title":"Eur J Prev Cardiol"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib22","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1123\/pes.2016-0248","article-title":"Assessment of the 5-minute oxygen uptake efficiency slope in children with obesity","volume":"29","author":"Dias","year":"2017","journal-title":"Pediatr Exerc Sci"},{"issue":"11","key":"10.1016\/j.jhepr.2026.102059_bib23","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1111\/obr.12202","article-title":"Exercise tolerance in obese vs. lean adolescents: a systematic review and meta-analysis","volume":"15","author":"Hansen","year":"2014","journal-title":"Obes Rev"},{"issue":"22","key":"10.1016\/j.jhepr.2026.102059_bib24","first-page":"7989","article-title":"Normative values for cardiopulmonary exercise testing in the pediatric population \u2013 an updated systematic review","volume":"14","author":"Kasiak","year":"2026","journal-title":"Eur J Prev Cardiol"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib25","doi-asserted-by":"crossref","first-page":"345","DOI":"10.5604\/01.3001.0011.7380","article-title":"Non-alcoholic fatty liver disease in children and adolescents: lifestyle change - a systematic review and meta-analysis","volume":"17","author":"Utz-Melere","year":"2018","journal-title":"Ann Hepatol"},{"issue":"2","key":"10.1016\/j.jhepr.2026.102059_bib26","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.pcad.2018.01.013","article-title":"Evidence-based exercise recommendations to Reduce hepatic fat content in youth- a systematic review and meta-analysis","volume":"61","author":"Medrano","year":"2018","journal-title":"Prog Cardiovasc Dis"},{"issue":"10","key":"10.1016\/j.jhepr.2026.102059_bib27","doi-asserted-by":"crossref","first-page":"2317","DOI":"10.1016\/j.cgh.2021.11.039","article-title":"Intensive lifestyle management improves steatosis and fibrosis in pediatric nonalcoholic fatty liver disease","volume":"20","author":"Lefere","year":"2022","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"8","key":"10.1016\/j.jhepr.2026.102059_bib28","doi-asserted-by":"crossref","DOI":"10.1111\/ijpo.13147","article-title":"The effectiveness of multidisciplinary weight loss interventions is associated with initial cardiorespiratory fitness in adolescents with obesity","volume":"19","author":"Allali","year":"2024","journal-title":"Pediatr Obes"},{"issue":"4","key":"10.1016\/j.jhepr.2026.102059_bib29","first-page":"250","article-title":"Physical determinants of weight loss during a residential rehabilitation program for adolescents with obesity","volume":"22","author":"Mets","year":"2020","journal-title":"Belgian J Pediatr"},{"key":"10.1016\/j.jhepr.2026.102059_bib30","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1007\/BF00280883","article-title":"Homeostasis model assessment: insulin resistance and \u03b2-cell function from fasting plasma glucose and insulin concentrations in man","volume":"28","author":"Matthews","year":"1985","journal-title":"diabetologia"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib31","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S2468-1253(19)30419-4","article-title":"Prevalence of steatosis and fibrosis in young adults in the UK: a population-based study","volume":"5","author":"Abeysekera","year":"2020","journal-title":"Lancet Gastroenterol Hepatol"},{"issue":"6","key":"10.1016\/j.jhepr.2026.102059_bib32","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1053\/j.gastro.2019.01.042","article-title":"Accuracy of FibroScan controlled attenuation parameter and liver stiffness measurement in assessing steatosis and fibrosis in patients with nonalcoholic fatty liver disease","volume":"156","author":"Eddowes","year":"2019","journal-title":"Gastroenterology"},{"key":"10.1016\/j.jhepr.2026.102059_bib33","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.jpeds.2016.03.021","article-title":"Comparison of controlled attenuation parameter and liver biopsy to assess hepatic steatosis in pediatric patients","volume":"173","author":"Desai","year":"2016","journal-title":"J Pediatr"},{"issue":"12","key":"10.1016\/j.jhepr.2026.102059_bib34","doi-asserted-by":"crossref","first-page":"2463","DOI":"10.1007\/s40279-023-01903-3","article-title":"Data Processing strategies to determine Maximum oxygen uptake: a systematic Scoping review and Experimental comparison with Guidelines for reporting","volume":"53","author":"Nolte","year":"2023","journal-title":"Sports Med"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib35","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.jadohealth.2017.01.018","article-title":"Prevalence of metabolically healthy but overweight\/obese phenotype and its association with sedentary time, physical activity, and fitness","volume":"61","author":"Cadenas-Sanchez","year":"2017","journal-title":"J Adolesc Health"},{"issue":"5","key":"10.1016\/j.jhepr.2026.102059_bib36","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1136\/bjsports-2024-108748","article-title":"Cardiorespiratory fitness, body mass index and mortality: a systematic review and meta-analysis","volume":"59","author":"Weeldreyer","year":"2025","journal-title":"Br J Sports Med"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib37","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1001\/jama.2024.6586","article-title":"Is weight loss\u2013induced muscle mass loss clinically Relevant?","volume":"332","author":"Conte","year":"2024","journal-title":"JAMA"},{"issue":"8","key":"10.1016\/j.jhepr.2026.102059_bib38","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1111\/apt.15427","article-title":"Improvement of non-invasive markers of NAFLD from an individualised, web-based exercise program","volume":"50","author":"Huber","year":"2019","journal-title":"Aliment Pharmacol Ther"},{"issue":"5","key":"10.1016\/j.jhepr.2026.102059_bib39","doi-asserted-by":"crossref","DOI":"10.1002\/ejsc.12282","article-title":"Sex differences in upper- and lower-Limb muscle Strength in children and adolescents: a meta-analysis","volume":"25","author":"Nuzzo","year":"2025","journal-title":"Eur J Sport Sci"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib40","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jhep.2025.08.007","article-title":"Sex-related variations in liver homeostasis and disease: from zonation dynamics to clinical implications","volume":"84","author":"Matz-Soja","year":"2026","journal-title":"J Hepatol"},{"key":"10.1016\/j.jhepr.2026.102059_bib41","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2024.1304451","article-title":"Sex differences in cardiometabolic risk factors and in response to lifestyle intervention in prepubertal and pubertal subjects with obesity","volume":"12","author":"Gilardini","year":"2024","journal-title":"Front Pediatr"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib42","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1089\/chi.2023.0201","article-title":"Percent body fat and weight status of youth participating in pediatric weight management programs in the pediatric obesity weight evaluation Registry","volume":"21","author":"Quadri","year":"2024","journal-title":"Child Obes"},{"issue":"6","key":"10.1016\/j.jhepr.2026.102059_bib43","article-title":"Sex as a moderator of body composition following a randomized controlled lifestyle intervention among Latino youth with obesity","volume":"15","author":"Vander","year":"2020","journal-title":"Pediatr Obes"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib44","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1002\/oby.23663","article-title":"Sex differences in response to lifestyle intervention among children and adolescents: systematic review and meta-analysis","volume":"31","author":"Mast","year":"2023","journal-title":"Obesity (Silver Spring)"},{"issue":"1","key":"10.1016\/j.jhepr.2026.102059_bib45","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1007\/s40615-023-01880-3","article-title":"Sex differences in Diet and physical activity behaviors among Racial\/Ethnic Minority adolescents with high metabolic risk","volume":"12","author":"Li","year":"2025","journal-title":"J Racial Ethnic Health Disparities"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib46","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1542\/peds.2012-2994","article-title":"Gender differences in Physiologic markers and health behaviors associated with childhood obesity","volume":"132","author":"Govindan","year":"2013","journal-title":"Pediatrics"},{"issue":"3","key":"10.1016\/j.jhepr.2026.102059_bib47","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1089\/chi.2020.0296","article-title":"Behavioral weight loss intervention Preferences of adolescents with overweight\/obesity","volume":"17","author":"Lee","year":"2021","journal-title":"Child Obes"},{"key":"10.1016\/j.jhepr.2026.102059_bib48","doi-asserted-by":"crossref","DOI":"10.3389\/fphys.2023.1193223","article-title":"Effects of different exercise modalities and intensities on body composition in overweight and obese children and adolescents: a systematic review and network meta-analysis","volume":"14","author":"Huang","year":"2023","journal-title":"Front Physiol"},{"issue":"5","key":"10.1016\/j.jhepr.2026.102059_bib49","doi-asserted-by":"crossref","DOI":"10.1111\/ijpo.13201","article-title":"The use of submaximal parameters in the assessment of exercise capacity in children with obesity","volume":"20","author":"Peled","year":"2025","journal-title":"Pediatr Obes"},{"issue":"15","key":"10.1016\/j.jhepr.2026.102059_bib50","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1080\/02640414.2021.1898093","article-title":"Influence of grade of obesity on the achievement of VO2max using an incremental treadmill test in youths","volume":"39","author":"Toulouse","year":"2021","journal-title":"J Sports Sci"},{"issue":"2","key":"10.1016\/j.jhepr.2026.102059_bib51","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jshs.2021.01.010","article-title":"Chronotropic incompetence is more frequent in obese adolescents and relates to systemic inflammation and exercise intolerance","volume":"12","author":"Franssen","year":"2023","journal-title":"J Sport Health Sci"},{"key":"10.1016\/j.jhepr.2026.102059_bib52","series-title":"The ECOG's eBook on child and adolescent obesity","article-title":"Cardiorespiratory fitness evaluation in obese youth","author":"Thivel","year":"2015"},{"issue":"12","key":"10.1016\/j.jhepr.2026.102059_bib53","doi-asserted-by":"crossref","first-page":"1687","DOI":"10.23736\/S0022-4707.16.06607-X","article-title":"Altered gas-exchange at peak exercise in obese adolescents: implications for verification of effort during cardiopulmonary exercise testing","volume":"57","author":"Marinus","year":"2017","journal-title":"J Sports Med Phys Fitness"},{"issue":"6","key":"10.1016\/j.jhepr.2026.102059_bib54","doi-asserted-by":"crossref","first-page":"2389","DOI":"10.1007\/s00431-022-04434-7","article-title":"Comparison of two methods of cardiopulmonary exercise testing for assessing physical fitness in children and adolescents with extreme obesity","volume":"181","author":"Kalski","year":"2022","journal-title":"Eur J Pediatr"},{"issue":"8","key":"10.1016\/j.jhepr.2026.102059_bib55","doi-asserted-by":"crossref","first-page":"1665","DOI":"10.1111\/apa.15163","article-title":"Reference values and secular trends for cardiorespiratory fitness in children and adolescents with obesity","volume":"109","author":"Johansson","year":"2020","journal-title":"Acta Paediatr"}],"container-title":["JHEP Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589555926003307?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2589555926003307?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T22:04:38Z","timestamp":1794261878000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2589555926003307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":55,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["S2589555926003307"],"URL":"https:\/\/doi.org\/10.1016\/j.jhepr.2026.102059","relation":{},"ISSN":["2589-5559"],"issn-type":[{"value":"2589-5559","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Sex differences in MASLD and fitness improvement during a weight loss intervention for adolescents living with obesity","name":"articletitle","label":"Article Title"},{"value":"JHEP Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jhepr.2026.102059","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V. on behalf of European Association for the Study of the Liver (EASL).","name":"copyright","label":"Copyright"}],"article-number":"102059"}}