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Abstract BMI and BMI z-scores are widely used to classify adolescent overweight and obesity (OWOB), but they do not distinguish fat from fat-free mass and may misclassify adiposity. This study aimed to examine how BMI and BMI z-scores relate to body composition among Pacific adolescents in Aotearoa New Zealand (A-NZ). Cross-sectional data from an A-NZ Pacific birth cohort were analysed, assessing body size, body composition, and demographics in 871 adolescents (median age 14.2 years).
1. Introduction Maternal nutrition is fundamental to child growth and development during gestation [1,2]. Nutrient supply from the time of conception to the age of two years (i.e., the first 1000 days after conception) lays the foundation for the child’s future health and wellbeing [3], with diet composition impacting fetoplacental growth and metabolic patterns [4].
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