%0 Journal Article %T Do Schools That Screen for Body Mass Index Have Recommended Safeguards in Place? %A Elizabeth A. Lundeen %A Nancy D. Brener %A Sarah A. Sliwa %A Sarah M. Lee %J The Journal of School Nursing %@ 1546-8364 %D 2019 %R 10.1177/1059840518758376 %X The Centers for Disease Control and Prevention recommends that schools adopt 10 safeguards before launching a body mass index (BMI) screening program; however, little is known about schoolsĄŻ safeguard adoption. Authors identified questions from the 2014 School Health Policies and Practices Study that aligned with 4 of the 10 safeguards to estimate safeguard prevalence among schools that screened students for BMI (40.7%, N = 223). Among these schools, 3.1% had all four safeguards and 56.5% had none or one. The most prevalent safeguard was having reliable and accurate equipment (54.1%, 95% confidence interval [CI] = [46.1, 62.1]). Providing staff with appropriate expertise and training was the least prevalent; respondents in 26.4% (95% CI [17.1, 35.6]) of schools received recent training on weight status assessment, weight management, and eating disorder identification. School-based BMI screening is common, but adopting multiple recommended safeguards is not. Absent these safeguards, BMI screening programs may fall short of intended outcomes and potentially incur unintended consequences %K BMI %K health/wellness %K obesity %K screening/risk identification %K policies/procedures %U https://journals.sagepub.com/doi/full/10.1177/1059840518758376