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Metrics details. The prevalence of overweight and obesity OWOB has stabilized in some countries, but a portion of children with high body mass index BMI may have become heavier. A cross-sectional study involving to year-old adolescents in Oppland, Norway, was undertaken in and The mean BMI increased from The BMI density plots revealed similar shapes at both time points for both sexes, but the distribution for girls shifted to the right from to Contrary to previous knowledge, we found that the increase in OWOB presented a uniform shift in the entire BMI distribution for 15—year-old Norwegian girls and was not due to a larger shift in a specific subpopulation in the upper percentiles.
Peer Review reports. The relationship between body mass index BMI in adolescence and subsequent health in adulthood is well established [ 1 , 2 , 3 ], and both overly low and overly high BMI values are of concern [ 4 ]. The prevalence of adolescent overweight and obesity OWOB has increased over the last decades [ 5 ], and studies have found that this change is primarily due to increasing BMI in subgroups in the upper percentiles of the BMI distribution [ 6 ].
Population changes in BMI distributions over time have been studied in many countries [ 7 , 8 , 9 ], including the US [ 10 ]. However, relatively few European studies have addressed this issue in adolescents, and even fewer are based on data from the last decade when the obesity epidemic is said to have stabilized in some countries [ 11 ].
Adolescents with obesity have a high risk of becoming adults with obesity [ 12 ]. As both the biology of OWOB [ 13 ] and comorbidities due to central fat distribution differ by sex [ 14 ], sex-related trends in adolescent OWOB are important to elucidate for public health reasons.
