{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T19:17:52Z","timestamp":1791487072675,"version":"4.3.4"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,10,7]],"date-time":"2021-10-07T00:00:00Z","timestamp":1633564800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004411","name":"Heart and Stroke Foundation of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004411","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009776","name":"McMaster University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009776","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Our study purpose was to determine the prevalence of metabolically healthy obesity (MHO) and examine factors associated with MHO in children with obesity. This cross\u2010sectional study was a secondary, exploratory analysis of data that included 2\u201317\u2009years old with a body mass index (BMI) \u226585th percentile from the CANadian Pediatric Weight management Registry. Children were classified as having MHO or metabolically unhealthy obesity (MUO) using consensus\u2010based criteria. Those with MHO had normal triglycerides, high\u2010density lipoprotein cholesterol, blood pressure, and fasting glucose. Logistic regression was used to examine factors associated with MHO, which included calculating odds ratios (ORs) and 95% confidence intervals (CIs). In total, 945 children were included (mean age: 12.3\u2009years; 51% female). The prevalence of MHO was 31% (<jats:italic>n<\/jats:italic>\u00a0=\u2009297), with lower levels across increasing age categories (2\u20135\u2009years [<jats:italic>n<\/jats:italic>\u00a0=\u200918; 43%], 6\u201311\u2009years [<jats:italic>n<\/jats:italic>\u00a0=\u2009127; 35%], 12\u201317\u2009years [<jats:italic>n<\/jats:italic>\u00a0=\u2009152; 28%]). Children with MHO were younger, weighed less, and had lower BMI <jats:italic>z<\/jats:italic>\u2010scores than their peers with MUO (all <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.01). MHO status was positively associated with physical activity (OR: 1.18; 95% CI: 1.01\u20131.38), skim milk intake (OR: 1.10; 95% CI: 1.01\u20131.19), and fruit intake (OR: 1.12; 95% CI: 1.01\u20131.24) and negatively associated with BMI <jats:italic>z<\/jats:italic>\u2010score (OR: 0.69; 95% CI: 0.60\u20130.79), total screen time in hours (OR: 0.79; 96% CI: 0.68\u20130.92), and intake of fruit flavoured drinks (OR: 0.91; 95% CI: 0.84\u20130.99). These findings may help guide clinical decision\u2010making regarding obesity management by focusing on children with MUO who are at relatively high cardiometabolic risk.<\/jats:p>","DOI":"10.1111\/cob.12490","type":"journal-article","created":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T10:19:59Z","timestamp":1633774799000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Metabolically healthy obesity in children enrolled in the <scp>CANadian<\/scp> Pediatric Weight management Registry (<scp>CANPWR<\/scp>): An exploratory secondary analysis of baseline data"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2005-0481","authenticated-orcid":false,"given":"Samah","family":"Damanhoury","sequence":"first","affiliation":[{"name":"Department of Agricultural, Food, and Nutritional Science, Faculty of Agricultural, Life, and Environmental Sciences University of Alberta  Edmonton Alberta Canada"},{"name":"Department of Clinical Nutrition, Faculty of Applied Medical Sciences Umm Al\u2010Qura University  Makkah Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine M.","family":"Morrison","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Centre for Metabolism, Obesity and Diabetes Research McMaster University  Hamilton Ontario Canada"},{"name":"Population Health Research Institute McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajibul","family":"Mian","sequence":"additional","affiliation":[{"name":"Population Health Research Institute McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick G.","family":"McPhee","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Centre for Metabolism, Obesity and Diabetes Research McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita L.","family":"Kozyrskyj","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda S.","family":"Newton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annick","family":"Buchholz","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Pierre","family":"Chanoine","sequence":"additional","affiliation":[{"name":"Endocrinology and Diabetes Unit British Columbia Children's Hospital and University of British Columbia  Vancouver British Columbia Canada"},{"name":"Department of Pediatrics, Faculty of Medicine University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, The Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne\u2010Marie","family":"Laberge","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Universit\u00e9 de Montr\u00e9al  Montr\u00e9al Quebec Canada"},{"name":"CHU Sainte\u2010Justine  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Legault","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Endocrine Division, Montreal Children's Hospital McGill University  Montr\u00e9al Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lehana","family":"Thabane","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Centre for Metabolism, Obesity and Diabetes Research McMaster University  Hamilton Ontario Canada"},{"name":"Department of Health Research Methods, Evidence, and Impact McMaster University  Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark S.","family":"Tremblay","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute  Ottawa Ontario Canada"},{"name":"Department of Pediatrics University of Ottawa  Ottawa Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Zenlea","sequence":"additional","affiliation":[{"name":"Institute for Better Health, Trillium Health Partners  Mississauga Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9432-3120","authenticated-orcid":false,"given":"Geoff D. 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