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Body habitus considerations in US anatomical body donation programs-Perspectives and practices from program
Soph Myers-Kelley1,2, Jenna Hagerty3, Heidi Reis1,2
1Laupus Health Sciences Library, East Carolina University, Greenville, North Carolina, USA.
Anatomical Sciences Education
|November 4, 2025
Summary
Many US body donation programs restrict donations by body size, impacting diversity in anatomical research. Most programs have weight restrictions, potentially excluding average-sized adults and raising concerns about weight bias.
Area of Science:
- Anatomy
- Medical Education
- Sociology
Background:
- United States body donation programs (USBDP) often have body size restrictions.
- Publicly available information on these criteria is limited.
- Understanding these restrictions is crucial for equitable access to donation programs.
Purpose of the Study:
- To examine body habitus criteria, including weight, height, and proportion, used by USBDP.
- To analyze the nature of these restrictions (numeric vs. descriptive).
- To assess the potential impact on donor pool representativeness.
Main Methods:
- Review of 127 publicly available USBDP websites.
- Analysis of stated body habitus criteria, focusing on weight and body mass index (BMI).
- Categorization of restrictions into numeric, descriptive, or combined formats.
Main Results:
- 90.6% of programs had weight-related restrictions.
- 55.1% used descriptive terms, and 11% used only numeric terms for restrictions.
- A common BMI cutoff of 30 kg/m² could disqualify many U.S. adults.
Conclusions:
- Body size restrictions in USBDP may limit the diversity of donated bodies for anatomical research and education.
- Descriptive and numeric criteria, particularly weight/BMI cutoffs, can disproportionately affect certain populations.
- Further research is needed on the implications for anatomical education and potential weight bias.
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