{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:58:28Z","timestamp":1790319508980,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R21HD054871"],"award-info":[{"award-number":["R21HD054871"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01DK098466"],"award-info":[{"award-number":["R01DK098466"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01DK104863"],"award-info":[{"award-number":["R01DK104863"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Understanding within\u2010treatment weight change patterns may inform strategies to improve long\u2010term outcomes for children with overweight\/obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Latent class modelling was applied to weekly weight change among 294 7\u201311\u2010year\u2010old children with overweight\/obesity in behavioural weight management trials. Class differences in BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score change through 1\u2009year after treatment were examined using strict class assignment among completers (ANCOVA) or accounting for uncertainty in class assignment and missingness (Bolck, Croon and Hagenaars or BCH method).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three classes emerged\u2014\n                      <jats:italic>larger loss to stable weight<\/jats:italic>\n                      (6% of children),\n                      <jats:italic>consistent modest weight loss<\/jats:italic>\n                      (43%) and\n                      <jats:italic>moderate to decreasing weight loss<\/jats:italic>\n                      (51%). During follow\u2010up, the\n                      <jats:italic>consistent modest weight loss<\/jats:italic>\n                      class showed minimal change in BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score whereas the other two classes increased (difference with\n                      <jats:italic>moderate to decreasing weight loss<\/jats:italic>\n                      class in ANCOVA\u2009=\u2009\u22120.096,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.05; difference with\n                      <jats:italic>large loss to stable<\/jats:italic>\n                      class in BCH\u2009=\u2009\u22120.144,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017). The\n                      <jats:italic>consistent modest weight loss<\/jats:italic>\n                      class had the most favourable change from baseline through follow\u2010up, better than the\n                      <jats:italic>larger loss to stable weight<\/jats:italic>\n                      class (ANCOVA difference\u2009=\u2009\u22120.189,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.080; BCH difference\u2009=\u2009\u22120.186,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Three patterns of within\u2010treatment child weight change emerged, with modest consistent weight loss associated with more favourable distal child outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.70156","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T11:22:51Z","timestamp":1790076171000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patterns of Children's Weight Change During Family\u2010Based Weight Management Intervention and Associations With Outcome Through Follow\u2010Up"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6998-6339","authenticated-orcid":false,"given":"Brian E.","family":"Saelens","sequence":"first","affiliation":[{"name":"Seattle Children's Research Institute  Seattle Washington USA"},{"name":"Department of Pediatrics University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8352-1444","authenticated-orcid":false,"given":"Maya 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7969-8496","authenticated-orcid":false,"given":"Susan J.","family":"Melhorn","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1013-0795","authenticated-orcid":false,"given":"Ellen A.","family":"Schur","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Washington School of Medicine  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3037-4057","authenticated-orcid":false,"given":"Christian L.","family":"Roth","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute  Seattle Washington USA"},{"name":"Department of Pediatrics University of Washington School of Medicine  Seattle 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