Open research questions in Obesity, Physical Activity, Diet
990 gap statements mined from Obesity, Physical Activity, Diet papers in our 7.9M-paper local library, which holds 6,897 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
School-based obesity prevention research in American Indian communities remains limited. Prior research has not been successful in improving weight status in AIAN youth. There is a need for effective interventions that address the unique needs and context of American Indian communities.
A study protocol for rural tribal school partnerships for the primary prevention of obesity among American Indian youth (P2) · 2026 · DOIFuture studies incorporating individual, household, behavioral, and environmental characteristics are needed to better characterize the factors associated with these trajectories - To examine the mechanisms underlying the observed differences across population groups and contexts.
Cross-sectional estimates do not capture within-child changes in BMI over time. Prior studies have not characterized longitudinal BMI-for-age trajectories among Mexican school-aged children. There is a need to examine the relationship between individual and school-context characteristics and BMI-for-age trajectories.
The applicability of the activity displacement hypothesis may vary across settings. There is a need to understand the relationship between electronic-device use, physical activity, and overweight/obesity in specific populations.
Screen time, physical activity, and overweight/obesity among school-aged children and adolescents in Heilongjiang Province, China: a cross-sectional study · 2026 · DOIAnalyzing trends in BMI and overweight prevalence among children and adolescents is challenging due to the need for longitudinal data. The study faces the challenge of defining overweight and obesity using sex- and age-specific BMI cut-offs.
The lack of unique longitudinal student identifiers, which prevented the identification of repeated observations of the same child across years. The potential for selection bias from incomplete reporting, differential testing participation, or unmeasured composition.
BMI distribution and sex- and grade-specific trends in primary school health surveillance records in Xi’an, China, 2014–2024: a repeated cross-sectional study · 2026 · DOIThe lack of studies examining the association between child-perceived family functioning and screen time.
Associations of Parent-Reported Family Functioning, Screen Time, and Adiposity with Child-Perceived Family Functioning: A Cross-Sectional Study · 2026 · DOIIt highlights the need for more effective intervention models for strengthening the overall health of workers.
Young Workers and Lifestyles in a Mediterranean Cultural Context: What Is the Contribution of Occupational Health Promotion? · 2025 · DOIPrior work has shown that truck drivers are exposed to precarious working conditions, but the specific health risks associated with this lifestyle are not well understood.
Obesity, High Blood Pressure and Monocytosis in Truck Drivers of the Western Border of a State in Southern Brazil: A Cross-Sectional Study · 2025 · DOIThere is a lack of studies investigating the combined influence of maternal sociodemographic, socioeconomic, anthropometric characteristics, and lifestyle factors on the physical and mental health status of preschool-aged children. The study aims to fill this gap by exploring the associations between maternal factors and childhood health outcomes.
Association of Maternal Sociodemographic, Anthropometric, and Lifestyle Factors with Childhood Anthropometric Measures and Anxiety Symptoms: A Nationally Representative Cross-Sectional Study of Preschool-Aged Children in Greece · 2025 · DOIThe research highlights the need to explore the mediation role of recreational physical activity in this relationship.
Mediation Role of Recreational Physical Activity in the Relationship between the Dietary Intake of Live Microbes and the Systemic Immune-Inflammation Index: A Real-World Cross-Sectional Study · 2024 · DOIThe authors note that BMI cut-offs must be reconsidered in populations of varying body build, age, and/or ethnicity. The paper highlights the need for a more comprehensive approach to assessing adult obesity, beyond sole reliance on BMI.
Future research is warranted to examine weight management strategies as an integral part of the primary and secondary prevention of ASCVD.
A retrospective analysis of health care utilization and costs by body mass index category among adults with, or at risk of, cardiovascular disease · 2026 · DOIHowever, the phenotypic characterization of risk heterogeneity across the full body mass index (BMI) spectrum under this framework - and its prognostic implications for mortality and cardiovascular outcomes - remain to be elucidated.
Redefining Obesity and Risk: Extending the 2024 European Association for the Study of Obesity Framework with Morbidity Stratification in the UK Biobank · 2026 · DOIAlthough complementary feeding has been widely studied, the influence of portion size during this stage on subsequent overweight risk remains unclear.
Association Between Food Portions During Complementary Feeding and Later Overweight Risk: Analysis From European Childhood Obesity Project · 2026 · DOIAlthough ACS has been associated with favourable body composition and selected cardiometabolic markers, its association with specific ectopic fat depots remains unclear in paediatric populations.
Differences in Fat Depots, Cardiometabolic Risk Factors, and Insulin Resistance Between Active and Passive School Commuters · 2026 · DOIFuture research should explore causal pathways and broader environmental influences.
Prevalence and Associated Factors of Overweight and Obesity among Adolescent Girls in Isfahan, Iran: A Cross-Sectional Study · 2026 · DOIIt's well known that obesity is a significant risk factor for dyslipidemia in the general population, but research related to individuals with mental disorders remains scarce.
Association between BMI and dyslipidemia in patients with severe mental disorders: An electronic health record study · 2026 · DOIThis study provides initial indications that energy intake, in interaction with psychological and physiological factors, may be relevant to understanding BWL and BWLM in pediatric obesity, warranting further investigation.
Predictors of Body Weight Loss and Body Weight Loss Maintenance in Children and Adolescents following Inpatient Multidisciplinary Obesity Treatment · 2025 · DOIPromotion of peer-based interventions could be explored as a strategy to promote healthy weight trajectories.
Social connections with family and friends in adolescence: Shaping body mass index trajectories into adulthood · 2025 · DOIThe study was cross-sectional. The sample size was limited (197 dyads). Psychiatric follow-up was an exclusion criterion. The study did not establish the clinical utility or incremental predictive value of assessing family functioning.
Associations of Parent-Reported Family Functioning, Screen Time, and Adiposity with Child-Perceived Family Functioning: A Cross-Sectional Study · 2026 · DOIHowever, the specific relation between SES and food consumption in toddlers and preschoolers is poorly understood.
Unfavourable food consumption is exacerbated by low socioeconomic status among children aged 1–5 years in Germany · 2025 · DOISelection bias remains possible - Multiple imputation was not undertaken because most excluded records lacked the exposure and the available auxiliary information was insufficient to support reliable extrapolation - Measurement error cannot be ruled…
Screen time, physical activity, and overweight/obesity among school-aged children and adolescents in Heilongjiang Province, China: a cross-sectional study · 2026 · DOIIncorporating dietary intake, - Incorporating micronutrient biomarkers, - Incorporating physical activity, - Incorporating broader household and environmental…
The double burden of anemia and excess weight among schoolchildren in Southern Peru: prevalence, associated factors, and the school food environment · 2026 · DOIThe repeated cross-sectional design estimates changes among annual tested populations, not within-child trajectories or causal effects, - Unique longitudinal student identifiers were unavailable, - Participation and reporting were not independently audited, - The lack of comparable eligible-school and eligible-student denominators prevented estimation of annual coverage, - Selection bias from incomplete reporting…
BMI distribution and sex- and grade-specific trends in primary school health surveillance records in Xi’an, China, 2014–2024: a repeated cross-sectional study · 2026 · DOI
Most-cited papers in Obesity, Physical Activity, Diet
- Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies · The Lancet · 2004 · 9,870 citations
- Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013 · The Lancet · 2014 · 9,272 citations
- Prevalence of Childhood and Adult Obesity in the United States, 2011-2012 · JAMA · 2014 · 6,606 citations
- Development of a WHO growth reference for school-aged children and adolescents · Bulletin of the World Health Organization · 2007 · 6,580 citations
- Health Effects of Overweight and Obesity in 195 Countries over 25 Years · New England Journal of Medicine · 2017 · 6,562 citations
- Prevalence of Overweight and Obesity in the United States, 1999-2004 · JAMA · 2006 · 6,546 citations
- Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults · The Lancet · 2017 · 5,620 citations
- The Physical Activity Guidelines for Americans · JAMA · 2018 · 5,373 citations
- Prevalence and Trends in Obesity Among US Adults, 1999-2008 · JAMA · 2010 · 4,992 citations
- Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants · The Lancet · 2016 · 4,315 citations
Most recent work
- US State-Level Prevalence of Adult Obesity by Race and Ethnicity From 1990 to 2022 and Forecasted to 2035 · JAMA · 2026
- Long-Term Cardiometabolic Outcomes in Children With Metabolically Healthy and Unhealthy Obesity · Archives of Pediatrics and Adolescent Medicine · 2026
- Clinical and Preclinical Obesity in Korean Adults from 2014 to 2023 · Diabetes & Metabolism Journal · 2026
- Beyond BMI : The Impact of the New Lancet Commission Diagnostic Criteria on Prevalence of Obesity in the United States · Obesity · 2026
- Socioeconomic and Structural Barriers to Addressing Obesity in Communities: A Scientific Statement From the American Heart Association · Circulation · 2026
- Development and external validation of an interpretable machine learning-based model for obesity risk prediction in 2–18-year-old children and adolescents in Beijing and Tangshan · Journal of Global Health · 2026
- Prevalence, time trends and associated factors of adult overweight and obesity in 36 countries in the WHO African region from 2003 to 2022: a study of 54 WHO STEPS surveys representing 156 million adults · BMJ Global Health · 2026
- Healthy diets are affordable but often displaced by other foods in Indonesia · Food Policy · 2026
- Reliability of the PREFIT fitness-test battery in Chilean preschoolers · Frontiers in Pediatrics · 2026
- Obesity rise plateaus in developed nations and accelerates in developing nations · Nature · 2026
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