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Body composition data show that high BMI centiles overdiagnose obesity in children aged under 6 years.

Charlotte Margaret WrightTim James ColeMary S FewtrellJane E WilliamsSimon EatonJonathan C Wells
Published in: The American journal of clinical nutrition (2022)
Raised fat levels are much less common at younger than older ages, and young children with a high BMI centile have lower FMI than older children with the same BMI centile. Current BMI centile cutoffs thus overdiagnose obesity in younger groups. More stringent cutoffs are required for children aged <6 y, matching the WHO recommendation for 0-5 y.
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