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Outcomes were explored by race\/ethnicity, sex, age, insurance type, visit year, and rurality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study sample included 38\u00a0275 participants (M age = 8.9 years, SD = 5.3; 48.7% female; 45.4% non-Hispanic Black [NHB]). Half of NHB females aged 12 through 19 were either overweight (19.0 %), obese (15.9%), or severely obese (14.9%). Age was positively associated with BMI z-score (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Nearly 40% of all participants with a blood pressure (BP) reading had a measure consistent with elevated BP (17.1%) or hypertension (22.1%). NHB males with severe obesity had the highest prevalence of stage II hypertension (12.3%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The distribution of mean zBMI values greater than zero indicated that this pediatric population contained a larger proportion of individuals with obesity than the age- and sex-matched reference population. Intervention in NHB females aged 2 through 9 with severe obesity may present the best opportunity for the prevention of severe obesity and hypertension.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171251370666","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T23:31:31Z","timestamp":1756337491000},"page":"157-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Obesity and Cardiometabolic Risk Factors Among Pediatric Patients at a Mississippi Academic Medical Center"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4449-2118","authenticated-orcid":false,"given":"Kisa K.","family":"Harris","sequence":"first","affiliation":[{"name":"Tougaloo College"},{"name":"University of Mississippi Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian D.","family":"Christman","sequence":"additional","affiliation":[{"name":"University of Mississippi Medical Center"},{"name":"University of Mississippi Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William B.","family":"Hillegass","sequence":"additional","affiliation":[{"name":"University of Mississippi Medical Center"},{"name":"University of Mississippi Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Crystal S.","family":"Lim","sequence":"additional","affiliation":[{"name":"University of Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7772-6235","authenticated-orcid":false,"given":"E. 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