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However, it remains unclear whether such adjustments are warranted in Asian children and adolescents. We aimed to determine whether lower\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      percentile cutoffs should be considered for overweight and obesity among Asian children and adolescents in the United States.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analysed nationally representative data from U.S. children and adolescents from\n                      <jats:styled-content style=\"fixed-case\">NHANES<\/jats:styled-content>\n                      , 2012\u20132020. Metabolic parameters\u2014including truncal fat percentage, glycemic markers, lipid profiles and liver disease markers\u2014were compared between Asian and non\u2010Asian participants within the 85\u201395th percentile and \u2265\u200995th percentile ranges. Metabolic parameter\u2010based matching analyses identified corresponding\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      percentiles between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Asian children had more pronounced metabolic abnormalities than non\u2010Asians in the overweight and obesity groups. After matching for metabolic parameters, Asians had the same levels of metabolic dysfunction at lower\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      percentiles than non\u2010Asians, with averaged differences of approximately 3\u20139\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      percentiles across various\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      percentile ranges.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Asian children and adolescents experience elevated metabolic risks at currently defined\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      percentiles. Lower\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      cutoffs targeting the 80th percentile for overweight and 90th percentile for obesity may improve early detection of metabolic risks in the Asian paediatric population.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.70075","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T08:34:38Z","timestamp":1765355678000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["<scp>BMI<\/scp>\n                    Percentile Cutoffs for Overweight and Obesity Are Set Too High in Terms of Adiposity and Metabolic Markers for Asian Children and Adolescents"],"prefix":"10.1111","volume":"21","author":[{"given":"Suk\u2010Jin","family":"Hong","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of California  La Jolla California USA"},{"name":"Department of Pediatrics, School of Medicine Daegu Catholic University  Daegu Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinlian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Bioinformatics, Herbert Wertheim School of Public Health and Human Longevity Science University of California San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3658-3335","authenticated-orcid":false,"given":"Phillipp","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of California  La Jolla California USA"},{"name":"Division of Gastroenterology, Hepatology &amp; Nutrition, Rady Children's Hospital San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Bureau USC. 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