Also within 1 month of the initial visit, BP was measured using Dynamap vital sign monitors (model BP 8800; Critikon, Inc). Measurements were taken by trained nurses. Before BP measurement, mid–upper arm circumference was measured and recorded (cm) to determine appropriate cuff size, and all children and adolescents were required to sit and rest for at least 5 minutes before BP measurement was recorded. Two measurements were taken in the right arm after a 5? and 10?minute rest. The mean of site de rencontre pour célibataires professionnels these 2 measurements was considered, but if the 2 measurements differed by ?5 mm Hg, a third measurement was taken. BP was classified according to national guidelines for children and adolescents as normal (systolic BP [SBP] and diastolic BP [DBP] <90th percentile="percentile"> mm Hg to <95th percentile="percentile">95th percentile). 7 If SBP was ?140 or if DBP ?90 but <100 and="and" the="the" child="child" had="had" no="no" symptoms="symptoms">

Weight loss Analysis

Dietary intake was also assessed within 1 month of the initial visit using the Block Kids 2004 food frequency questionnaire (FFQ). Children and adolescents self?reported their dietary intake using the semiquantified FFQ adapted for children. 8 The 75?item questionnaire was administered verbally and verbatim in English by the RDN or trained research assistant to each child, with a serving size visual provided for reference. 8 The RDN was available to clarify any questions posed by the children, and children were encouraged to answer all questions. Both the child and the parent were present during the administration of the FFQ for all children <18 years="years">

Analytical Analyses

Descriptive analyses were performed to summarize child demographic information. Continuous variables were normally distributed, and differences in continuous variables were examined using ANOVA; ? 2 tests were used with categorical variables. We used Pearson correlations to examine associations between continuous variables. Linear regression models were controlled for BMI and age, and all analyses were stratified by race. All analyses were conducted using SPSS statistical software version 24 (IBM Corp). P<0>