{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T03:23:37Z","timestamp":1787369017022,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"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>Understanding how children move between Body Mass Index (BMI) categories may improve early detection of those at risk of persistent obesity. This study explored transitions between BMI categories during childhood and their association with the probability of obesity at Age 13.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Routine BMI measurements at Ages 2, 4, 6, 8, and 13\u2009years were obtained retrospectively from child health records. The International Obesity Task Force cut\u2010offs were used to define overweight and obesity and to calculate BMI\u2010for\u2010age\n                      <jats:italic>z<\/jats:italic>\n                      \u2010scores. Logistic regression models were used to estimate the probability of obesity at Age 13, depending on combinations of BMI categories at earlier ages (4, 6, and 8\u2009years).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 360\u2009957 height and weight observations from 124\u2009470 children were included. The predicted probability of obesity at Age 13 was 8%\u201310% among children with overweight at Ages 4, 6, or 8\u2009years, and 38%\u201351% among those with obesity in earlier ages. Probabilities were stable across ages and only marginally influenced by prior transitions between BMI categories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early childhood obesity was strongly associated with adolescent obesity, whereas overweight was associated with a substantially lower risk of progression, even among children whose BMI had recently increased from normal weight.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70715","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T02:55:00Z","timestamp":1787367300000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Body Mass Index Category Transitions in Childhood and Probability of Obesity at Age 13"],"prefix":"10.1111","author":[{"given":"R.","family":"\u00d8deg\u00e5rd","sequence":"first","affiliation":[{"name":"Department of Surgery, Obesity Research Centre St. Olav Hospital HF, Trondheim University Hospital  Trondheim Norway"},{"name":"Department of Clinical and Molecular Medicine Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2329-1739","authenticated-orcid":false,"given":"C. H.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing Norwegian University of Science and Technology  Trondheim Norway"},{"name":"Department of Child and Adolescent Health Promotion Services, Division for Public Health and Prevention Norwegian Institute of Public Health  Levanger Norway"},{"name":"Division of Mental Health Care St. Olav Hospital HF, Trondheim University Hospital  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Halsteinli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Obesity Research Centre St. Olav Hospital HF, Trondheim University Hospital  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. N.","family":"Bj\u00f8rnsen","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Health Promotion Services, Division for Public Health and Prevention Norwegian Institute of Public Health  Levanger Norway"},{"name":"Trondheim Municipality, Trondheim, Norway  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Pettersen","sequence":"additional","affiliation":[{"name":"Trondheim Municipality, Trondheim, Norway  Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. 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