A new study published in The Journal of Nutrition, a peer-reviewed journal of the American Society for Nutrition, offers new insights into a decades-old puzzle in childhood obesity. The study found that while body mass index (BMI) starts to rise in early childhood during a stage known as adiposity rebound, when BMI increases after an initial decline, the waist-to-height ratio, a measure that better reflects body fat, continues to drop. This suggests that the BMI increase at this age mainly reflects growth in lean tissues such as muscle and bone, rather than extra body fat.
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