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BMI system could 'misclassify' people as overweight or obese, says study

A study of 1,351 adults found 34% of those classified as obese by WHO BMI were overweight by DXA, with overall overweight/obesity prevalence differing between methods.

  • On Friday, March 27, 2026, researchers published a study in the journal Nutrients showing the WHO BMI system misclassifies significant numbers of Italian adults when compared to DXA, the gold standard for measuring body fat.
  • Professor Marwan El Ghoch of the University of Modena and Reggio Emilia explained that BMI fails to capture adiposity, which is essential for determining weight-related health risks, despite remaining widely used in clinical and non-clinical settings.
  • The analysis revealed that 53% of individuals with an overweight BMI were misclassified, while 34% of those labeled obese by the system should actually be categorized as overweight.
  • Study co-author Professor Chiara Milanese of the University of Verona recommends public health guidelines combine BMI with direct body composition measures, such as waist-to-height ratios, for improved accuracy.
  • While the study focused on 1,351 White Caucasian adults in Italy, researchers suggest similar patterns likely exist in other populations, though further research is needed to confirm global applicability across different ethnic groups.
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Medical Xpress broke the news in on Friday, March 27, 2026.
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