More impaired adolescents and adults with CP may have lower bone density even at a young age, presumed to be related to less weight-bearing.24,36 Furthermore, muscle is abnormal in children with CP; specific changes in muscle fat content have been described and could contribute to reduced overall mass.37 These combined factors may contribute to normal BMIs in selected adults with CP, ultimately leading to underestimating cardiovascular risk. For the primary analyses, ordinal (BMI) and linear (WHR) regression models were used to assess associations between meeting USDA guidelines and the outcomes of interest (BMI category and WHR). This could explain the lack of significance we found comparing less favorable nutritional intake with standard, clinically used BMI values.35 Interestingly, calories from saturated fats were found to be inversely associated with WHR, with each percentage point increase in calories from saturated fat associated with a 0.01 decrease in WHR. [Extracted from the article]