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We categorized weight gain documentation by location on the problem list, encounter diagnosis, or note text.
We categorized weight status at 4 years according to the International Obesity Task Force (IOTF) definitions (Cole and Lobstein 2012).
We assessed absolute weight change, and we also categorized weight changes between 0 12 and 0 52 weeks as follows: no change (≤3 pounds), weight gain (> +3 pounds), and weight loss (> −3 pounds).
Weight change over time (lbs/year) was calculated for each patient using the following formula: (1) We categorized weight gain greater than 3 lbs/year as rapid weight gain in order to balance capturing significant weight gain (3 pounds approximates half a BMI unit) with a sufficiently low threshold to allow for early detection.
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The 50th and 90th percentiles for weight gain during each time period were used to categorize weight gain (1%–50%, 51%90%%, and >90%).
Additionally, the prevalence of overweight/obese individuals is estimated to be much higher (56% in men and 67% in women) in urban settings if the revised definitions for Asian populations are used to categorize weight [ 3].
Weight change was categorized as weight loss (loss of ≥2 kg), stable (loss or gain of ≤2 kg), or weight gain (gain of ≥2 kg).
Weight changes during the participant's adult lives were obtained by self-report questionnaire, categorized as weight stayed stable (within 10 lb), steady gain in weight, lost weight as an adult and kept it off, and weight has gone up and down again by more than 10 lb.
Based upon work in previous studies [e.g., [ 15]], study participants were also categorized into weight loss groups to compare those individuals that had, at 24 months, maintained at least a 5% weight loss from baseline (30%) versus those that had not (70%).
These variables can be categorized into weight, activity level, and recent health.
When BMI was categorized (normal weight, overweight, obese), this proportion increased to 33.3%%.
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