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In children, a high amount of body fat can lead to weight-related diseases and other health issues and being underweight can also put one at risk for health issues. A high BMI can be an indicator of high body fatness. BMI does not measure body fat directly, but research has shown that BMI is correlated with more direct measures of body fat, such as skinfold thickness measurements, bioelectrical impedance, densitometry underwater weighing , dual energy x-ray absorptiometry DXA and other methods 1,2,3.

BMI can be considered an alternative to direct measures of body fat. In general, BMI is an inexpensive and easy-to-perform method of screening for weight categories that may lead to health problems. After BMI is calculated for children and teens, it is expressed as a percentile which can be obtained from either a graph or a percentile calculator see links below.

The BMI-for-age percentile growth charts are the most commonly used indicator to measure the size and growth patterns of children and teens in the United States. BMI-for-age weight status categories and the corresponding percentiles were based on expert committee recommendations and are shown in the following table.

The following is an example of how sample BMI numbers would be interpreted for a year-old boy. For children and teens, BMI is not a diagnostic tool and is used to screen for potential weight and health-related issues.

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