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Eligibility was defined by a body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>) of \u226598th percentile or &gt;91st centile with weight\u2010related comorbidities. Fasting blood, medical and physical assessments were obtained.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the recruitment period from January 2012 to August 2014, 239 participants, aged 4.8\u201316.8 years, undertook assessment. Average <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> standard deviation score was 3.09 (standard deviation (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>) = 0.60, range 1.52\u20135.34 SD). The majority of participants were of either Maori (<jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content>\u2019s indigenous people (45%)) or <jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content> European (45%) ethnicity; 29% of participants were from the most deprived quintile of household deprivation.<\/jats:p><jats:p>Maori participants were more likely than <jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content> Europeans to have a mother who smoked during pregnancy (52% vs. 28%, <jats:italic>P<\/jats:italic> = 0.001), a family history of type 2 diabetes (66% vs. 53%, <jats:italic>P<\/jats:italic> = 0.04), acanthosis nigricans on examination (58% vs. 20%, <jats:italic>P<\/jats:italic> &lt; 0.0001), a low serum high\u2010density lipoprotein cholesterol (27% vs. 14%, <jats:italic>P<\/jats:italic> = 0.03) or high serum triglyceride (38% vs. 24%, <jats:italic>P<\/jats:italic> = 0.03) concentration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The unique aspect of this study was the ability to recruit high levels of Maori participants and those from most deprived areas, indicating a high level of acceptability for these target groups. Comorbidities were prevalent in this cohort of overweight\/obese school\u2010aged children. While there were some differences in comorbidity prevalence between Maori and <jats:styled-content style=\"fixed-case\">NZ<\/jats:styled-content> Europeans, the overall clinical picture in our cohort, irrespective of ethnicity, was of concern.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13315","type":"journal-article","created":{"date-parts":[[2016,9,16]],"date-time":"2016-09-16T06:19:49Z","timestamp":1474006789000},"page":"1099-1105","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Prevalence of comorbidities in obese New Zealand children and adolescents at enrolment in a community\u2010based obesity programme"],"prefix":"10.1111","volume":"52","author":[{"given":"Yvonne C","family":"Anderson","sequence":"first","affiliation":[{"name":"Department of Paediatrics Taranaki District Health Board  New Plymouth New Zealand"},{"name":"Liggins Institute University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa E","family":"Wynter","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Taranaki District Health Board  New Plymouth New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine F","family":"Treves","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Taranaki District Health Board  New Plymouth New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron C","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"Starship Children's Hospital Auckland District Health Board  Auckland New Zealand"},{"name":"Centre for Longitudinal Research \u2013 He Ara ki Mua University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna M","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tami L","family":"Cave","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cervantee EK","family":"Wild","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 GB","family":"Derraik","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne S","family":"Cutfield","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland  Auckland New Zealand"},{"name":"Starship Children's Hospital Auckland District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul L","family":"Hofman","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland  Auckland New Zealand"},{"name":"Starship Children's Hospital Auckland District Health Board  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9,16]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Interim Report of the Commission on Ending Childhood Obesity","author":"World Health Organization","year":"2015"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60509-8"},{"key":"e_1_2_9_4_1","volume-title":"Report of the Commission on Ending Childhood Obesity","author":"World Health Organization","year":"2016"},{"key":"e_1_2_9_5_1","volume-title":"Obesity Update 2014","author":"Organisation for Economic Co-operation and Development (OECD)","year":"2014"},{"key":"e_1_2_9_6_1","volume-title":"Annual Update of Key Results 2014\/2015: New Zealand Health Survey","author":"Ministry of Health","year":"2015"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.047738"},{"key":"e_1_2_9_8_1","volume-title":"Indigenous Children's Health Report: Health Assessment in Action","author":"Smylie J","year":"2009"},{"key":"e_1_2_9_9_1","volume-title":"Evolving Approach to Combating Child Obesity","author":"Controller and Auditor General","year":"2013"},{"key":"e_1_2_9_10_1","unstructured":"Statistics New Zealand.Census 2013: Ethnic Group by Age Group and Sex. 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