ArticleBMC pediatrics2022
Novel type of references for BMI aligned for onset of puberty - using the QEPS growth model.
Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Age-specific Contributions to Height in Boys with Klinefelter Syndrome: Analysis of Growth Using the QEPS Model.Journal of the Endocrine Society · 2026Article
- Computerised Algorithms Showed Promise in Identifying Swedish Children With Atypical Growth Patterns.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Data Resource Profile: Paediatric Regional Healthcare Information Platform in Halland, Sweden.International journal of epidemiology · 2025Article
- Analysis of growth and development levels and influencing factors in children aged 3-12 years in a certain region: a cross-sectional study.Frontiers in public health · 2025Article
- Timing of menarche and pubertal growth patterns using the QEPS growth model.Frontiers in pediatrics · 2024Article
- Risk factors of persistent adolescent thinness: findings from the UK Millennium Cohort Study.BMC public health · 2023Article
- Normalization of puberty and adult height in girls with Turner syndrome: results of the Swedish Growth Hormone trials initiating transition into adulthood.Frontiers in endocrinology · 2023Article
- Effect of a Three-Month HOPSports Brain BreaksInternational journal of environmental research and public health · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesDespite inter-individual variations in pubertal timing, growth references are conventionally constructed relative to chronological age (C-age). Thus, they are based on reference populations containing a mix of prepubertal and pubertal individuals, making them of limited use for detecting abnormal growth during adolescence. Recently we developed new types of height and weight references, with growth aligned to age at onset of the pubertal growth spurt (P-age). Here, we aim to develop a corresponding reference for pubertal BMI.
methodsThe QEPS-height and weight models were used to define a corresponding QEPS-BMI model. QEPS-BMI was modified by the same individual, constitutional weight-height-factor (WHF) as computed for QEPS-weight. QEPS-BMI functions were computed with QEPS weight and height functions fitted on longitudinal measurements from 1418 individuals (698 girls) from GrowUp
resultsReferences (median, standard deviation score (SDS)) were generated for total BMI (QEPS-functions), for ongoing prepubertal growth (QE-function) vs C-age, and for total BMI and separated into BMI specific to puberty (P-function) and BMI gain from ongoing basic growth (QES-functions), allowing individual growth to be aligned based on P-age. Growth in basic BMI was greater than average for children categorized as tall and/or with high-BMI at puberty-start. In children categorized as short at puberty-start, P-function-related-BMI was greater than average.
conclusionsUse of these new pubertal BMI references will make it possible for the first time to consider individual variations owing to pubertal timing when evaluating BMI. This will improve the detection of abnormal changes in body composition when used in combination with pubertal height and weight references also abnormal growth. Other benefits in the clinic will include improved growth monitoring during treatment for children who are overweight/obese or underweight. Furthermore, in research settings these new references represent a novel tool for exploring human growth.
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