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Correlation and Bland\u2013Altman analyses were conducted to compare both methods.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    DXA was feasible in all athletes, while the sums of 4, 7, and 8 skinfolds were obtained in 88%, 73%, and 73% of the athletes, respectively. Median DXA-derived body-fat percentage was 16.3% (13.4%\u201320.5%) in males\u00a0and 27.8% (21.1%\u201333.4%) in females. Strong correlations were found between DXA-derived body-fat percentage and the sum of 4 (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009.85), 7 (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009.83), and 8 (\n                    <jats:italic>r<\/jats:italic>\n                    \u2009=\u2009.83) skinfolds. However, skinfold-based prediction equations for estimating body-fat percentage were associated with substantial negative bias (\u22122.0% to \u22127.9%) and large individual error compared with DXA.\n                    <jats:italic>\n                      <jats:bold>Conclusion<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    DXA is a feasible method for assessing body composition in Paralympic athletes, while ISAK skinfold measurements face some challenges due to disability-related landmarking issues. Despite these limitations, skinfold thickness remains strongly associated with DXA-derived body fat. It is recommended to measure all skinfolds that can be reliably obtained according to ISAK standards and interpret them as a cumulative \u201csum of feasible sites,\u201d rather than enforcing a universal skinfold metric across all Paralympic athletes.\n                  <\/jats:p>","DOI":"10.1123\/ijspp.2025-0284","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T18:15:14Z","timestamp":1765822514000},"page":"241-251","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Accuracy of Body-Fat Assessment Using Standardized Skinfold-Thickness Assessment Versus Dual-Energy X-Ray Absorptiometry in Paralympic Athletes"],"prefix":"10.1123","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2714-9309","authenticated-orcid":true,"given":"Nick","family":"van Schijndel","sequence":"first","affiliation":[{"name":"School of Sport and Exercise, HAN University of Applied Sciences, Nijmegen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0460-4955","authenticated-orcid":true,"given":"Vera","family":"Weijer","sequence":"additional","affiliation":[{"name":"School of Sport and Exercise, HAN University of Applied Sciences, Nijmegen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6768-9231","authenticated-orcid":true,"given":"Luc J.C.","family":"van Loon","sequence":"additional","affiliation":[{"name":"Department of Human Biology, NUTRIM, Maastricht University Medical Center+, Maastricht, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9674-1505","authenticated-orcid":true,"given":"Jan-Willem","family":"van Dijk","sequence":"additional","affiliation":[{"name":"School of Sport and Exercise, HAN University of Applied Sciences, Nijmegen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"3","key":"r1","series-title":"J Acad Nutr Diet","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/j.jand.2015.12.006","article-title":"Position of the academy of nutrition and dietetics, dietitians of canada, and the american college of sports medicine: nutrition and athletic performance","volume":"116","author":"Thomas DT","year":"2016","unstructured":"Thomas DT, Erdman KA, Burke LM. 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