{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T11:09:54Z","timestamp":1784632194746,"version":"3.55.0"},"reference-count":21,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"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":["Acta Paediatrica"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Body mass index (BMI) for age charts may bias overweight or obesity assessment in children with advanced or delayed maturation. This study developed skeletal maturity\u2010adjusted BMI for age percentile charts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This secondary analysis included 15\u2009598 children aged 3 to 19\u2009years from a cross\u2010sectional study. Skeletal maturity was assessed using the radius stage based on the Tanner\u2013Whitehouse 3 scoring method. The association between BMI and radius stage, as well as between chronological age and BMI within each radius stage, was examined. Percentile curves for skeletal maturity\u2010adjusted BMI for age were constructed using the Box\u2013Cox power exponential distribution model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A significant association was found between BMI and radius stage. Within most radius stage categories, chronological age was significantly correlated with BMI. The influence of skeletal maturity on BMI was illustrated by overlaying the skeletal maturity\u2010adjusted BMI percentile curves onto the conventional BMI for age growth charts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The skeletal maturity\u2013adjusted BMI for age chart serves as a valuable tool for assessing BMI in children and adolescents with advanced or delayed skeletal maturation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70691","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:51:28Z","timestamp":1784631088000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Skeletal Maturity\u2010Adjusted Body Mass Index for Age Percentile Charts for Chinese Children and Adolescents"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3818-7909","authenticated-orcid":false,"given":"Shao\u2010Yan","family":"Zhang","sequence":"first","affiliation":[{"name":"Hebei Research Institute of Sports Sciences  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Gold Bone Age Technology Co. LTD  Shijiazhuang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"issue":"2","key":"e_1_2_14_2_1","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/S0022-3476(98)70426-3","article-title":"Use of the Body Mass Index (BMI) as a Measure of Overweight in Children and Adolescents","volume":"132","author":"Dietz W. H.","year":"1998","journal-title":"Journal of Pediatrics"},{"issue":"3","key":"e_1_2_14_3_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1515\/jpem-2015-0234","article-title":"Bone Maturation Along the Spectrum From Normal Weight to Obesity: A Complex Interplay of Sex, Growth Factors and Weight Gain","volume":"29","author":"Klein K. O.","year":"2016","journal-title":"Journal of Pediatric Endocrinology & Metabolism"},{"issue":"6","key":"e_1_2_14_4_1","doi-asserted-by":"crossref","first-page":"804","DOI":"10.1542\/peds.99.6.804","article-title":"The Utility of Body Mass Index as a Measure of Body Fatness in Children and Adolescents: Differences by Race and Gender","volume":"99","author":"Daniels S. 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S.","year":"1997","journal-title":"International Journal of Obesity and Related Metabolic Disorders"},{"issue":"4","key":"e_1_2_14_15_1","doi-asserted-by":"crossref","first-page":"642","DOI":"10.2105\/AJPH.91.4.642","article-title":"Maturational Timing and Overweight Prevalence in US Adolescent Girls","volume":"91","author":"Adair L. S.","year":"2001","journal-title":"American Journal of Public Health"},{"issue":"5","key":"e_1_2_14_16_1","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1542\/peds.110.5.903","article-title":"Is Obesity Associated With Early Sexual Maturation? A Comparison of the Association in American Boys Versus Girls","volume":"110","author":"Wang Y.","year":"2002","journal-title":"Pediatrics"},{"issue":"1","key":"e_1_2_14_17_1","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1210\/jc.2009-1478","article-title":"Recent Changes in Pubertal Timing in Healthy Danish Boys: Associations With Body Mass Index","volume":"95","author":"S\u00f8rensen K.","year":"2010","journal-title":"Journal of Clinical Endocrinology and Metabolism"},{"issue":"1","key":"e_1_2_14_18_1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1080\/00207390500434135","article-title":"Association Between Overweight and Early Sexual Maturation in Portuguese Boys and Girls","volume":"33","author":"Ribeiro J.","year":"2006","journal-title":"Annals of Human Biology"},{"issue":"9","key":"e_1_2_14_19_1","doi-asserted-by":"crossref","DOI":"10.1210\/jendso\/bvaa098","article-title":"Development of Tanner Stage\u2010Age Adjusted CDC Height Curves for Research and Clinical Applications","volume":"4","author":"Miller B. 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Y.","year":"2008","journal-title":"Canadian Journal of Community Health Care"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70691","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/apa.70691","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70691","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:51:32Z","timestamp":1784631092000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.70691"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,21]]},"references-count":21,"alternative-id":["10.1111\/apa.70691"],"URL":"https:\/\/doi.org\/10.1111\/apa.70691","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,21]]},"assertion":[{"value":"2024-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"apa.70691"}}