{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:48:11Z","timestamp":1770374891707,"version":"3.49.0"},"reference-count":36,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institutes of Health (NIH), National Institute for Diabetes, and Digestive, and Kidney Diseases","award":["K01DK124244"],"award-info":[{"award-number":["K01DK124244"]}]},{"name":"National Institutes of Health (NIH), National Institute for Diabetes, and Digestive, and Kidney Diseases","award":["P30DK056336"],"award-info":[{"award-number":["P30DK056336"]}]},{"name":"National Institutes of Health (NIH), National Institute for Diabetes, and Digestive, and Kidney Diseases","award":["3P30DK056336-18S1"],"award-info":[{"award-number":["3P30DK056336-18S1"]}]},{"name":"National Institutes of Health (NIH), National Institute for Diabetes, and Digestive, and Kidney Diseases","award":["P50MD017338-03S1"],"award-info":[{"award-number":["P50MD017338-03S1"]}]},{"name":"National Institutes of Health (NIH), National Institute for Diabetes, and Digestive, and Kidney Diseases","award":["UL1TR002535"],"award-info":[{"award-number":["UL1TR002535"]}]},{"name":"National Institutes of Health (NIH), National Institute for Diabetes, and Digestive, and Kidney Diseases","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}]},{"name":"National Institutes of Health (NIH), National Institute for Diabetes, and Digestive, and Kidney Diseases","award":["T32 AG078114"],"award-info":[{"award-number":["T32 AG078114"]}]},{"name":"University of Alabama at Birmingham (UAB) Nutrition Obesity Research Center","award":["K01DK124244"],"award-info":[{"award-number":["K01DK124244"]}]},{"name":"University of Alabama at Birmingham (UAB) Nutrition Obesity Research Center","award":["P30DK056336"],"award-info":[{"award-number":["P30DK056336"]}]},{"name":"University of Alabama at Birmingham (UAB) Nutrition Obesity Research Center","award":["3P30DK056336-18S1"],"award-info":[{"award-number":["3P30DK056336-18S1"]}]},{"name":"University of Alabama at Birmingham (UAB) Nutrition Obesity Research Center","award":["P50MD017338-03S1"],"award-info":[{"award-number":["P50MD017338-03S1"]}]},{"name":"University of Alabama at Birmingham (UAB) Nutrition Obesity Research Center","award":["UL1TR002535"],"award-info":[{"award-number":["UL1TR002535"]}]},{"name":"University of Alabama at Birmingham (UAB) Nutrition Obesity Research Center","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}]},{"name":"University of Alabama at Birmingham (UAB) Nutrition Obesity Research Center","award":["T32 AG078114"],"award-info":[{"award-number":["T32 AG078114"]}]},{"name":"UAB Nutrition Obesity Research Center\u2014Chronic Disease and Health Disparities Revision","award":["K01DK124244"],"award-info":[{"award-number":["K01DK124244"]}]},{"name":"UAB Nutrition Obesity Research Center\u2014Chronic Disease and Health Disparities Revision","award":["P30DK056336"],"award-info":[{"award-number":["P30DK056336"]}]},{"name":"UAB Nutrition Obesity Research Center\u2014Chronic Disease and Health Disparities Revision","award":["3P30DK056336-18S1"],"award-info":[{"award-number":["3P30DK056336-18S1"]}]},{"name":"UAB Nutrition Obesity Research Center\u2014Chronic Disease and Health Disparities Revision","award":["P50MD017338-03S1"],"award-info":[{"award-number":["P50MD017338-03S1"]}]},{"name":"UAB Nutrition Obesity Research Center\u2014Chronic Disease and Health Disparities Revision","award":["UL1TR002535"],"award-info":[{"award-number":["UL1TR002535"]}]},{"name":"UAB Nutrition Obesity Research Center\u2014Chronic Disease and Health Disparities Revision","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}]},{"name":"UAB Nutrition Obesity Research Center\u2014Chronic Disease and Health Disparities Revision","award":["T32 AG078114"],"award-info":[{"award-number":["T32 AG078114"]}]},{"name":"National Institutes of Minority Health and Health Disparities as part of a competitive revision to the Forge AHEAD Center","award":["K01DK124244"],"award-info":[{"award-number":["K01DK124244"]}]},{"name":"National Institutes of Minority Health and Health Disparities as part of a competitive revision to the Forge AHEAD Center","award":["P30DK056336"],"award-info":[{"award-number":["P30DK056336"]}]},{"name":"National Institutes of Minority Health and Health Disparities as part of a competitive revision to the Forge AHEAD Center","award":["3P30DK056336-18S1"],"award-info":[{"award-number":["3P30DK056336-18S1"]}]},{"name":"National Institutes of Minority Health and Health Disparities as part of a competitive revision to the Forge AHEAD Center","award":["P50MD017338-03S1"],"award-info":[{"award-number":["P50MD017338-03S1"]}]},{"name":"National Institutes of Minority Health and Health Disparities as part of a competitive revision to the Forge AHEAD Center","award":["UL1TR002535"],"award-info":[{"award-number":["UL1TR002535"]}]},{"name":"National Institutes of Minority Health and Health Disparities as part of a competitive revision to the Forge AHEAD Center","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}]},{"name":"National Institutes of Minority Health and Health Disparities as part of a competitive revision to the Forge AHEAD Center","award":["T32 AG078114"],"award-info":[{"award-number":["T32 AG078114"]}]},{"name":"General Mills Inc.","award":["K01DK124244"],"award-info":[{"award-number":["K01DK124244"]}]},{"name":"General Mills Inc.","award":["P30DK056336"],"award-info":[{"award-number":["P30DK056336"]}]},{"name":"General Mills Inc.","award":["3P30DK056336-18S1"],"award-info":[{"award-number":["3P30DK056336-18S1"]}]},{"name":"General Mills Inc.","award":["P50MD017338-03S1"],"award-info":[{"award-number":["P50MD017338-03S1"]}]},{"name":"General Mills Inc.","award":["UL1TR002535"],"award-info":[{"award-number":["UL1TR002535"]}]},{"name":"General Mills Inc.","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}]},{"name":"General Mills Inc.","award":["T32 AG078114"],"award-info":[{"award-number":["T32 AG078114"]}]},{"name":"Beef Checkoff\/National Cattlemen\u2019s Beef Association and the National Institutes of Health\/National Center for Advancing Translational Sciences (NCATS) Colorado Clinical and Translational Science Award","award":["K01DK124244"],"award-info":[{"award-number":["K01DK124244"]}]},{"name":"Beef Checkoff\/National Cattlemen\u2019s Beef Association and the National Institutes of Health\/National Center for Advancing Translational Sciences (NCATS) Colorado Clinical and Translational Science Award","award":["P30DK056336"],"award-info":[{"award-number":["P30DK056336"]}]},{"name":"Beef Checkoff\/National Cattlemen\u2019s Beef Association and the National Institutes of Health\/National Center for Advancing Translational Sciences (NCATS) Colorado Clinical and Translational Science Award","award":["3P30DK056336-18S1"],"award-info":[{"award-number":["3P30DK056336-18S1"]}]},{"name":"Beef Checkoff\/National Cattlemen\u2019s Beef Association and the National Institutes of Health\/National Center for Advancing Translational Sciences (NCATS) Colorado Clinical and Translational Science Award","award":["P50MD017338-03S1"],"award-info":[{"award-number":["P50MD017338-03S1"]}]},{"name":"Beef Checkoff\/National Cattlemen\u2019s Beef Association and the National Institutes of Health\/National Center for Advancing Translational Sciences (NCATS) Colorado Clinical and Translational Science Award","award":["UL1TR002535"],"award-info":[{"award-number":["UL1TR002535"]}]},{"name":"Beef Checkoff\/National Cattlemen\u2019s Beef Association and the National Institutes of Health\/National Center for Advancing Translational Sciences (NCATS) Colorado Clinical and Translational Science Award","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}]},{"name":"Beef Checkoff\/National Cattlemen\u2019s Beef Association and the National Institutes of Health\/National Center for Advancing Translational Sciences (NCATS) Colorado Clinical and Translational Science Award","award":["T32 AG078114"],"award-info":[{"award-number":["T32 AG078114"]}]},{"name":"Alzheimer\u2019s Disease Research Center","award":["K01DK124244"],"award-info":[{"award-number":["K01DK124244"]}]},{"name":"Alzheimer\u2019s Disease Research Center","award":["P30DK056336"],"award-info":[{"award-number":["P30DK056336"]}]},{"name":"Alzheimer\u2019s Disease Research Center","award":["3P30DK056336-18S1"],"award-info":[{"award-number":["3P30DK056336-18S1"]}]},{"name":"Alzheimer\u2019s Disease Research Center","award":["P50MD017338-03S1"],"award-info":[{"award-number":["P50MD017338-03S1"]}]},{"name":"Alzheimer\u2019s Disease Research Center","award":["UL1TR002535"],"award-info":[{"award-number":["UL1TR002535"]}]},{"name":"Alzheimer\u2019s Disease Research Center","award":["P30 AG072973"],"award-info":[{"award-number":["P30 AG072973"]}]},{"name":"Alzheimer\u2019s Disease Research Center","award":["T32 AG078114"],"award-info":[{"award-number":["T32 AG078114"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Obesity is commonly aggregated with indices of metabolic health. Proponents of body positivity approaches question whether body size is a determinant of health and well-being. Our objective was to conduct an exploratory factor analysis (EFA) to determine if body size measurements factor load with or independent of metabolic health measures. Methods: The EFA was conducted on n= 249 adults using baseline data from four weight loss trials (Sample 1: n = 40; Sample 2: n = 52; Sample 3: n = 53; Sample 4: n = 104). An EFA of nine items (systolic blood pressure [SBP], diastolic blood pressure [DBP], hemoglobin A1c [HbA1c], HDL-cholesterol [HDL], LDL-cholesterol [LDL], total cholesterol [TC], body mass index [BMI], body fat percent BF%], and waist circumference [WC]) was conducted with oblique rotation. Results: Three factors were retained, which produced a model explaining 87.5% of the variance. Six items loaded strongly (&gt;0.8) under three components and were selected for retention (Factor 1: LDL and TC; Factor 2: BMI and WC; Factor 3: SBP and DBP). Conclusion: Body size measures loaded separately from measures of metabolic health and metabolic health were further split into lipid- and blood pressure-focused factors. These results support weight-neutral interventions to improve overall health and well-being.<\/jats:p>","DOI":"10.3390\/nu16172874","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T11:58:46Z","timestamp":1724759926000},"page":"2874","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Body Size Measurements Grouped Independently of Common Clinical Measures of Metabolic Health: An Exploratory Factor Analysis"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2141-2592","authenticated-orcid":false,"given":"Katie M.","family":"Ellison","sequence":"first","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USA"},{"name":"Department of Family and Community Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aseel","family":"El Zein","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chelsi","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah E.","family":"Ehrlicher","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3655-5644","authenticated-orcid":false,"given":"Julianne G.","family":"Clina","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Kansas Medical Center, Kansas City, MO 66103, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsz-Kiu","family":"Chui","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6519-1704","authenticated-orcid":false,"given":"Kimberly A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4690-2264","authenticated-orcid":false,"given":"James O.","family":"Hill","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly R.","family":"Wyatt","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35233, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9488-7030","authenticated-orcid":false,"given":"R. Drew","family":"Sayer","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Harris, K.M., Majmundar, M.K., and Becker, T. (2021). Cardiometabolic Diseases. High and Rising Mortality Rates among Working-Age Adults, National Academies Press (US).","DOI":"10.17226\/25976"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.2337\/dc10-2415","article-title":"Benefits of modest weight loss in improving cardiovascular risk factors in overweight and obese individuals with type 2 diabetes","volume":"34","author":"Wing","year":"2011","journal-title":"Diabetes Care"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4158\/EP161365.GL","article-title":"American Association of Clinical Endocrinologists and American College of Endocrinology Comprehensive Clinical Practice Guidelines for Medical Care of Patients with Obesity","volume":"22","author":"Garvey","year":"2016","journal-title":"Endocr. Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/s13679-017-0262-y","article-title":"Weight Loss and Improvement in Comorbidity: Differences at 5%, 10%, 15%, and Over","volume":"6","author":"Ryan","year":"2017","journal-title":"Curr. Obes. Rep."},{"key":"ref_5","unstructured":"The Association for Size Diversity and Health (ASDAH) (2024, May 23). Health at Every Size\u00ae. Available online: https:\/\/asdah.org\/haes\/."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Ulian, M.D., Benatti, F.B., de Campos-Ferraz, P.L., Roble, O.J., Unsain, R.F., de Morais Sato, P., Brito, B.C., Murakawa, K.A., Modesto, B.T., and Aburad, L. (2015). The Effects of a \u201cHealth at Every Size\u00ae\u201d-Based Approach in Obese Women: A Pilot-Trial of the \u201cHealth and Wellness in Obesity\u201d Study. Front. Nutr., 2.","DOI":"10.3389\/fnut.2015.00034"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1475-2891-10-9","article-title":"Weight science: Evaluating the evidence for a paradigm shift","volume":"10","author":"Bacon","year":"2011","journal-title":"Nutr. J."},{"key":"ref_8","first-page":"277","article-title":"Health at Every Size Principles: Clinician Perspectives to Limit Weight Stigma in Medical Care","volume":"122","author":"Hagen","year":"2023","journal-title":"WMJ"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e38","DOI":"10.2105\/AJPH.2015.302552","article-title":"The Health at Every Size paradigm and obesity: Missing empirical evidence may help push the reframing obesity debate forward","volume":"105","author":"Penney","year":"2015","journal-title":"Am. J. Public Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e00521","DOI":"10.34172\/jrhs.2021.63","article-title":"Diet Therapeutics Interventions for Obesity: A Systematic Review and Network Meta-Analysis","volume":"21","author":"Morsali","year":"2021","journal-title":"J. Res. Health Sci."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1002\/oby.22189","article-title":"Metabolic Adaptations to Weight Loss","volume":"26","author":"Hall","year":"2018","journal-title":"Obesity"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/s12986-021-00587-8","article-title":"Metabolic adaptation is associated with less weight and fat mass loss in response to low-energy diets","volume":"18","author":"Martins","year":"2021","journal-title":"Nutr. Metab."},{"key":"ref_13","unstructured":"Hales, C.M., Fryar, C.D., and Ogden, C.L. (2020). Prevalence of Obesity and Severe Obesity among Adults: United States, 2017\u20132018."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1002\/oby.23815","article-title":"High- and normal-protein diets improve body composition and glucose control in adults with type 2 diabetes: A randomized trial","volume":"31","author":"Clina","year":"2023","journal-title":"Obesity"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/0004563213482890","article-title":"A combined laboratory and field evaluation of the Cholestech LDX and CardioChek PA point-of-care testing lipid and glucose analysers","volume":"51","author":"Whitehead","year":"2014","journal-title":"Ann. Clin. Biochem."},{"key":"ref_16","first-page":"561","article-title":"Comparative performance of two point-of-care analysers for lipid testing","volume":"53","author":"Shephard","year":"2007","journal-title":"Clin. Lab."},{"key":"ref_17","first-page":"112","article-title":"Performance of the CardioChek PA and Cholestech LDX point-of-care analysers compared to clinical diagnostic laboratory methods for the measurement of lipids","volume":"16","author":"Panz","year":"2005","journal-title":"Cardiovasc. J. S. Afr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1177\/1932296819831292","article-title":"Accuracy and Precision of a Point-of-Care HbA1c Test","volume":"14","author":"Arnold","year":"2020","journal-title":"J. Diabetes Sci. Technol."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"D\u2019Hondt, J., Waterplas, J., Chapelle, L., Clarys, P., and D\u2019Hondt, E. (2022). A Comparative and Sex-Specific Study of Bio-Electrical Impedance Analysis and Dual Energy X-ray Absorptiometry for Estimating Whole-Body and Segmental Body Composition in Healthy Young Adults. Appl. Sci., 12.","DOI":"10.3390\/app12157686"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1093\/ajcn\/nqy158","article-title":"Validation of rapid 4-component body composition assessment with the use of dual-energy X-ray absorptiometry and bioelectrical impedance analysis","volume":"108","author":"Ng","year":"2018","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1249\/01.mss.0000517580.04693.66","article-title":"Validity of Whole and Regional Body Composition Testing Devices: 986 Board #165 May 31 3: 30 PM\u20135: 00 PM","volume":"49","author":"Suida","year":"2017","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e744","DOI":"10.1002\/osp4.744","article-title":"Fat and fat-free mass measurement agreement by dual-energy X-ray absorptiometry versus bioelectrical impedance analysis: Effects of posture and waist circumference","volume":"10","author":"Ellison","year":"2024","journal-title":"Obes. Sci. Pract."},{"key":"ref_23","unstructured":"Office of Public Health and Science, Health and Human Services Department (2000). The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1007\/s11165-016-9602-2","article-title":"The Use of Cronbach\u2019s Alpha When Developing and Reporting Research Instruments in Science Education","volume":"48","author":"Taber","year":"2018","journal-title":"Res. Sci. Educ."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1177\/0013164417728358","article-title":"Item-Score Reliability in Empirical-Data Sets and Its Relationship With Other Item Indices","volume":"78","author":"Zijlmans","year":"2018","journal-title":"Educ. Psychol. Meas."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1111\/j.1742-1241.2007.01336.x","article-title":"The relationship of body mass index to diabetes mellitus, hypertension and dyslipidaemia: Comparison of data from two national surveys","volume":"61","author":"Bays","year":"2007","journal-title":"Int. J. Clin. Pract."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"bnaa004","DOI":"10.1210\/endrev\/bnaa004","article-title":"Metabolically Healthy Obesity","volume":"41","year":"2020","journal-title":"Endocr. Rev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1042\/CS20140553","article-title":"Normal weight individuals who develop type 2 diabetes: The personal fat threshold","volume":"128","author":"Taylor","year":"2015","journal-title":"Clin. Sci."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1592","DOI":"10.1016\/j.amjcard.2013.07.014","article-title":"Normal weight obesity and mortality in United States subjects \u2265 60 years of age (from the Third National Health and Nutrition Examination Survey)","volume":"112","author":"Batsis","year":"2013","journal-title":"Am. J. Cardiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1093\/eurheartj\/ehp487","article-title":"Normal weight obesity: A risk factor for cardiometabolic dysregulation and cardiovascular mortality","volume":"31","author":"Somers","year":"2010","journal-title":"Eur. Heart J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1016\/j.cmet.2017.07.008","article-title":"Causes, Characteristics, and Consequences of Metabolically Unhealthy Normal Weight in Humans","volume":"26","author":"Stefan","year":"2017","journal-title":"Cell Metab."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"826","DOI":"10.3945\/ajcn.110.006593","article-title":"Physical activity and gain in abdominal adiposity and body weight: Prospective cohort study in 288,498 men and women","volume":"93","author":"Ekelund","year":"2011","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1111\/j.1749-6632.2012.06785.x","article-title":"Physical activity in obesity and metabolic syndrome","volume":"1281","author":"Strasser","year":"2013","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e13019","DOI":"10.1111\/obr.13019","article-title":"Insights into the multifactorial causation of obesity by integrated genetic and epigenetic analysis","volume":"21","author":"Diels","year":"2020","journal-title":"Obes. Rev."},{"key":"ref_35","first-page":"1","article-title":"Best practices in explor actices in exploratory factor analysis: Four or analysis: Four recommendations for getting the most from your analysis","volume":"10","author":"Anna","year":"2005","journal-title":"Pract. Assess. Res. Eval."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"101649","DOI":"10.1016\/j.cdnut.2023.101649","article-title":"PTFS04-06-23 An Exploratory Factor Analysis of Common Cardiometabolic Measures in People With Obesity for Building a Parsimonious Health Assessment","volume":"7","author":"Ellison","year":"2023","journal-title":"Curr. Dev. Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2874\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:43:48Z","timestamp":1760111028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2874"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,27]]},"references-count":36,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["nu16172874"],"URL":"https:\/\/doi.org\/10.3390\/nu16172874","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,27]]}}}