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COMMENTS AND OPINIONS
Progression of the Prevalence of Metabolic Syndrome in Normal-Weight US Subjects—Reply
Rachel P. Wildman, PhD;
Paul Muntner, PhD;
MaryFran R. Sowers, PhD
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In reply
We thank Lesser for his comments and appreciate the opportunity to respond. We agree that BMI has limitations, including the variability in fat and lean tissue per given BMI unit across individuals. However, we have shown previously that BMI and body fat percentage determined by bioimpedance analysis (BIA), the tool for determining body fat that is perhaps affordable enough and simple enough to be integrated into clinical practice, exhibited correlation coefficients of 0.80 in men and 0.86 in women.1 The correlation between total body fat by BIA and BMI was even higher, at 0.87 in men and 0.95 in women.1 Other studies have found similarly high correlations between BMI and body fat percentage or total body fat determined by alternative methods, as well as high sensitivity and specificity associated with BMI cut points in the classification of . . . [Full Text of this Article] AUTHOR INFORMATION
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