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Percentage of body fat, obtained by labeled water, was plotted on two different body fat percentile reference curves, one derived from a whole body measure (DXA) of body fat and one by skin-fold measure. Differences in weight categories between calculated BMI and body fat percentile curves were reported. RESULTS: The calculated BMI for children with a disability had significant misclassifications as a screening tool for body fat when compared to children without a disability. Misclassifications were increased with the body fat percentile reference curve derived from skin-fold measures and for children who primarily used a wheelchair. CONCLUSION: The current recommendation to use BMI to categorize weight status is not useful for many children with disabilities. Further research to identify an alternative pragmatic strategy is necessary.<\/jats:p>","DOI":"10.3233\/prm-200727","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T12:59:47Z","timestamp":1631883587000},"page":"621-629","source":"Crossref","is-referenced-by-count":2,"title":["Accuracy of body mass index in categorizing weight status in children with intellectual and developmental disabilities"],"prefix":"10.1177","volume":"14","author":[{"given":"Michele","family":"Polfuss","sequence":"first","affiliation":[{"name":"College of Nursing, University of Wisconsin \u2013 Milwaukee, Milwaukee, WI, USA"},{"name":"Department of Nursing Research and Evidence-Based Practice, Children\u2019s Wisconsin, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany","family":"Forseth","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Wisconsin \u2013 Milwaukee, Milwaukee, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale A.","family":"Schoeller","sequence":"additional","affiliation":[{"name":"Biotech Center and Nutritional Sciences, University of Wisconsin \u2013 Madison, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiang-Ching","family":"Huang","sequence":"additional","affiliation":[{"name":"Joseph J. 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