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Experts Urge Changes to Weight Assessment Guidelines Professor El Ghoch, who led the study, says: "Our main finding highlights the fact that a large proportion of individuals, exceeding one-third of adults among the Italian general population, is misclassified and placed in an incorrect weight status category, when relying on the traditional WHO BMI classification resulting in an overestimation of the prevalence of underweight, overweight, and obesity when compared to the classification based on body fat percentage as measured by the gold standard technique of dual-energy X-ray absorptiometry (DXA)." Co-author Professor Chiara Milanese of the University of Verona adds: "Another key finding of our study is that, even though both systems identify a similar overall prevalence of overweight and obesity, we are talking in some cases about different people -- or in other words the individuals identified by DXA are not all the same as those from BMI classification