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Body mass index (BMI) can be used to screen patients because the test is simple, correlates to fatness, and applies to both men and women. The BMI may not apply to some individuals with more than normal muscle mass and acceptable levels of body fat. In some ethnic groups, such as Pacific Islanders, BMI overestimates fatness and risk. For children and the elderly, BMI may be misleading since the muscle and bone to height relationship is changing.
BMI can be used with body composition to assess fat free mass:
ACSM (2001). ACSM's Resource Manual for Guidelines for Exercise Testing and Prescription, 4th ed., pg 7.
World Health Organization (1997). Obesity: preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva.
Welborn TA, Dhaliwal SS, & Bennett SA (2003). Waist–hip ratio is the dominant risk factor predicting cardiovascular death in Australia. The Medical Journal of Australia; 179 (11/12): 580-585.
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