About The Study: In this cohort study of children in the Environmental influences on Child Health Outcomes (ECHO) cohort, analyses identified children on the path to obesity as early as age 3.5 years. Modifiable factors could be targeted for early prevention and intervention programs aimed at reducing childhood obesity.
Corresponding Author: To contact the corresponding author, Chang Liu, PhD, email c.liu@wsu.edu.
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(doi:10.1001/jamanetworkopen.2025.11835)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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