{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T05:15:22Z","timestamp":1792127722560,"version":"4.4.0"},"reference-count":63,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,8,28]],"date-time":"2018-08-28T00:00:00Z","timestamp":1535414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Graduate Studentship from Alberta Innovates"},{"name":"Medical Sciences Graduate Program Scholarship (MSGPS)"},{"name":"New Investigator Awards from the Canadian Institutes of Health Research"},{"name":"Umm AlQura University, Makkah; Kingdom of Saudi Arabia"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Reviews"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>We conducted a scoping review to identify definitions of metabolically healthy obesity (MHO), describe gaps in the literature, and establish a universal definition of MHO in children. We searched electronic databases from January 1980 to June 2017 and grey literature. Experimental, quasi\u2010experimental, or observational studies were eligible for inclusion if they (i) included a definition of MHO that identified risk factors, cut\u2010off values, and the number of criteria used to define MHO, and (ii) classified 2\u201318\u00a0year olds as overweight or obese. Two reviewers independently screened 1,711 papers for relevance and quality; we extracted data from 39 individual reports that met inclusion criteria. Most (31\/39; 79%) definitions of MHO included an absence of cardiometabolic risk factors. Heterogeneity across MHO definitions, obesity criteria, and sample sizes\/characteristics resulted in variable prevalence estimates (3\u201380%). Finally, we convened an international panel of 46 experts to complete a 4\u2010round Delphi process to generate a consensus\u2010based definition of MHO. Based on consensus (\u2265 80% agreement), our definition of MHO included: high density lipoprotein\u2010cholesterol &gt; 40\u00a0mg\/dl (or\u00a0&gt;\u00a01.03\u00a0mmol\/l), triglycerides \u2264 150\u00a0mg\/dl (or\u00a0\u2264\u00a01.7\u00a0mmol\/l), systolic and diastolic blood pressure \u2264 90th percentile, and a measure of glycemia. This definition of MHO holds potential universal value to enable comparisons between studies and inform clinical decision\u2010making for children with obesity.<\/jats:p>","DOI":"10.1111\/obr.12721","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T06:07:31Z","timestamp":1535609251000},"page":"1476-1491","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":130,"title":["Defining metabolically healthy obesity in children: a scoping review"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2005-0481","authenticated-orcid":false,"given":"S.","family":"Damanhoury","sequence":"first","affiliation":[{"name":"Department of Agricultural, Food, and Nutritional Science, Faculty of Agricultural, Life, and Environmental Sciences University of Alberta  Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. S.","family":"Newton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Rashid","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Hartling","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. L. S.","family":"Byrne","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9432-3120","authenticated-orcid":false,"given":"G. D. C.","family":"Ball","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine and Dentistry University of Alberta  Edmonton AB Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2014.06.009"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-012-1867-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1530\/EJE-14-0540"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-1697"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-008-1038-4"},{"key":"e_1_2_9_7_1","first-page":"219","volume-title":"Diabetes Mellitus and Obesity","author":"Sims E","year":"1982"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12198"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2015.05.001"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/984613"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11154-013-9252-x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1262-3636(07)70156-8"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2014.03.001"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2014-2674"},{"issue":"548","key":"e_1_2_9_15_1","first-page":"1","article-title":"Hypertension outcomes in metabolically unhealthy normal\u2010weight and metabolically healthy obese children and adolescents","volume":"9","author":"Ding WQ","year":"2015","journal-title":"J Hum Hypertens"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpem-2015-0395"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kws236"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2014.0112"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.3109\/07853890.2015.1083118"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-015-2587-4"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"issue":"69","key":"e_1_2_9_22_1","first-page":"1","article-title":"Scoping studies: advancing the methodology","volume":"5","author":"Levac D","year":"2010","journal-title":"Implement Sci"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-48"},{"key":"e_1_2_9_24_1","unstructured":"WellsGA SheaB O'ConnellD et al.The Newcastle\u2010Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta\u2010analyses. 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