{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:45:24Z","timestamp":1777527924501,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>The impact of the COVID-19 pandemic on pediatric obesity and comorbidities was investigated via a retrospective analysis of new patient visits at a pediatric weight management clinic. Prepandemic (N = 1590, January 1, 2017, to March 20, 2020) and postpandemic (N = 1040, April 1, 2020, to June 8, 2023), patients ages 2\u201321\u2009years with overweight or obesity were studied. Results revealed significant increase in obesity severity during the postpandemic period (OR = 1.70 [1.45, 1.99]), with more comorbidities (OR = 1.28 [1.22, 1.34]). Prediabetes (OR = 1.62 [1.07, 2.47]), eating disorder\/hyperphagia (OR = 1.77 [1.26, 2.50]), and attention deficit hyperactivity disorder (OR = 1.36 [1.09, 1.69]) diagnoses were more prevalent postpandemic. Patients aged 10 to &lt;14\u2009years (OR = 2.39 [1.51, 3.79]) and non-Hispanic patients (OR = 1.44 [1.07, 1.94]) had higher odds of mood\/mental health disorder diagnoses postpandemic. In conclusion, the COVID-19 pandemic is associated with worsening pediatric obesity severity and higher prevalence of obesity-related comorbidities in new patients presenting for treatment.<\/jats:p>","DOI":"10.1177\/00099228251396033","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T13:07:09Z","timestamp":1764853629000},"page":"418-428","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of COVID-19 on BMI Status and Comorbidities in New Patients Presenting to a Pediatric Weight Management Clinic: A Retrospective Study From January 2017 to June 2023"],"prefix":"10.1177","volume":"65","author":[{"given":"Sarah Margaret","family":"Hansler","sequence":"first","affiliation":[{"name":"George Washington University School of Medicine and Health Sciences, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pallavi","family":"Dwivedi","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4163-7310","authenticated-orcid":false,"given":"Nazrat","family":"Mirza","sequence":"additional","affiliation":[{"name":"Children\u2019s National Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13550"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19137603"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13103668"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22813"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-21888-0.]"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7037a3"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23643"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101026"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.15036"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20311-4"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/00099228231204481"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.12958"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23645"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12334"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.22378"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1260269"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12579"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23728"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/WNO.0000000000001480"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-023-04259-9"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-060640"},{"key":"e_1_3_3_23_2","first-page":"1","article-title":"2000 CDC Growth Charts for the United States: methods and development","volume":"246","author":"Kuczmarski RJ","year":"2002","unstructured":"Kuczmarski RJ, Ogden CL, Guo SS, et al 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11. 2002;246:1-190.","journal-title":"Vital Health Stat 11"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-S002"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2107C"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001482"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1904"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.2313"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-19486-7"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2024.0027"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu15092055"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.4116"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106823"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-023-01448-5"},{"key":"e_1_3_3_35_2","unstructured":"Coleman-Jensen A Rabbit MP Gregory CA Singh A. Household food security in the United States in 2021. Accessed May 12 2025. https:\/\/ers.usda.gov\/sites\/default\/files\/_laserfiche\/publications\/104656\/ERR-309.pdf?v=90532."},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1089\/chi.2022.0085"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgac209"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1111\/1753-0407.13301"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu16152568"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.6065\/apem.2244214.107"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23704"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2025.108190"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.1177\/10870547231158750"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2024.2335625"},{"key":"e_1_3_3_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/10870547231171726"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.70003"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-024-03334-x"},{"key":"e_1_3_3_48_2","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14947"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijpvm.ijpvm_78_23"},{"key":"e_1_3_3_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2024.06.012"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2023.0846"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251396033","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228251396033","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228251396033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:34:34Z","timestamp":1777394074000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228251396033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,4]]},"references-count":50,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/00099228251396033"],"URL":"https:\/\/doi.org\/10.1177\/00099228251396033","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,4]]}}}