This 2012 cross-sectional study evaluated 1,393 adults (63% female, mean age 51.4 years) to compare BMI, percent body fat (via DXA), and leptin levels in assessing obesity. While BMI identified 26% as obese, DXA revealed 64% were obese, indicating BMI underestimated obesity prevalence. Notably, 39% were misclassified as non-obese by
