scholarly journals Comparison of Bioelectrical Impedance-Based Methods on Body Composition in Young Patients with Obesity

Children ◽  
2021 ◽  
Vol 8 (4) ◽  
pp. 295
Author(s):  
Alexandra Thajer ◽  
Gabriele Skacel ◽  
Katharina Truschner ◽  
Anselm Jorda ◽  
Martin Vasek ◽  
...  

(1) Background: The determination of body composition is an important method to investigate patients with obesity and to evaluate the efficacy of individualized medical interventions. Bioelectrical impedance-based methods are non-invasive and widely applied but need to be validated for their use in young patients with obesity. (2) Methods: We compiled data from three independent studies on children and adolescents with obesity, measuring body composition with two bioelectrical impedance-based devices (TANITA and BIACORPUS). For a small patient group, additional data were collected with air displacement plethysmography (BOD POD) and dual-energy X-ray absorptiometry (DXA). (3) Results: Our combined data on 123 patients (age: 6–18 years, body mass index (BMI): 21–59 kg/m²) and the individual studies showed that TANITA and BIACORPUS yield significantly different results on body composition, TANITA overestimating body fat percentage and fat mass relative to BIACORPUS and underestimating fat-free mass (p < 0.001 for all three parameters). A Bland–Altman plot indicated little agreement between methods, which produce clinically relevant differences for all three parameters. We detected gender-specific differences with both methods, with body fat percentage being lower (p < 0.01) and fat-free mass higher (p < 0.001) in males than females. (4) Conclusions: Both bioelectrical impedance-based methods provide significantly different results on body composition in young patients with obesity and thus cannot be used interchangeably, requiring adherence to a specific device for repetitive measurements to ascertain comparability of data.

Author(s):  
Melissa M. Montgomery ◽  
Risto H. Marttinen ◽  
Andrew J. Galpin

Background: Accurate and accessible methods of body composition are necessary to ensure health and safety of wrestlers during competition. The most valid and reliable instruments are expensive and relatively inaccessible to high school wrestlers; therefore, more practical technology is needed. Objective: To compare body fat percentage (BF%) results from 4 bioelectrical impedance analysis (BIA) devices to those from air displacement plethysmography (ADP) in adolescent wrestlers. Methodology: 134 adolescent male and female wrestlers (1.72±0.9 m, 66.8±14.3 kg, 15.6±1.1 yrs.) were tested for hydration and then completed 4 body composition tests with different BIA devices and one with Bod Pod. Relative and absolute agreement were assessed between each BIA device and ADP on a single day. Results: When compared with ADP, all devices demonstrated excellent reliability (ICC (2,1)) range: 0.88-0.94), but questionable measurement error (SEM range: 2.3-3.6 %BF). Bland-Altman plots revealed that each bioelectrical impedance device we tested over-estimated body fat percent in high school wrestlers (range: 0.8-3.6 %BF) and demonstrated wide 95% limits of agreement (range: 15.0-20.8 %BF) compared to ADP. Conclusions: The devices investigated demonstrated reasonable measurement accuracy. However, wide margins of error of each device were noted. Caution should be taken when assessing adolescent wrestlers with lower amounts of body fat, as it may result in failing to identify those who do not meet the minimum body fat percentage for competition. The governing bodies should use the research data in the decision-making process regarding appropriate devices for use in their weight management programs. 


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Cornelia Wiechers ◽  
Sara Kirchhof ◽  
Christoph Maas ◽  
Christian F. Poets ◽  
Axel R. Franz

Abstract Background There is increasing evidence that intrauterine environment and, consequently, growth in utero have both immediate and far-reaching consequences for health. Neonatal body composition might be a more sensitive marker of intrauterine environment and neonatal adiposity than birth weight and could serve as a predictor for non-communicable diseases later in life. Methods To perform a systematic literature review on neonatal body composition determined by air displacement plethysmography in healthy infants. The systematic review was performed using the search terms “air displacement plethysmography”, “infant” and “newborn” in Pubmed. Data are displayed as mean (Standard deviation). Results Fourteen studies (including n = 6231 infants) using air displacement plethysmography fulfilled inclusion criteria for meta-analysis. In these, weighted mean body fat percentage was 10.0 (4.1) % and weighted mean fat free mass was 2883 (356) g in healthy term infants. Female infants had a higher body fat percentage (11.1 (4.1) % vs. 9.6 (4.0) %) and lower fat free mass (2827 (316) g vs. 2979 (344) g). In the Caucasian subpopulation (n = 2202 infants) mean body fat percentage was 10.8 (4.1), whereas data for reference values of other ethnic groups are still sparse. Conclusions Body composition varies depending on gender and ethnicity. These aggregated data may serve as reference for body composition in healthy, term, singletons at least for the Caucasian subpopulation.


2020 ◽  
Author(s):  
Alexandra Thajer ◽  
Gabriele Skacel ◽  
Katharina Truschner ◽  
Anselm Jorda ◽  
Martin Vasek ◽  
...  

Abstract BackgroundThe determination of body composition is an important method to investigate obese patients and to evaluate the efficacy of medical interventions. Bioelectrical impedance-based methods are convenient, non-invasive and widely applied for this purpose, but need to be validated for their use in young obese patients.MethodsWe compiled data from three independent studies on different aspects of obesity in children and adolescents, measuring body composition with two bioelectrical impedance-based devices (TANITA and BIA). Further, for a small patient group additional data were collected with air displacement plethysmography (BOD POD) and DXA.ResultsBoth, the combined data of the entire study population of 123 patients (age: 6-18 years, BMI: 21-59 kg/m²) and the data of each individual study, showed that TANITA and BIA yield significantly different results on body composition, with TANITA overestimating body fat percentage and fat mass relative to BIA and underestimating fat-free mass (p < 0.001 for all three parameters). A Bland-Altman plot revealed that both methods show little agreement and produce clinically relevant differences for all three parameters. In addition, we detected gender-specific differences with both methods, body fat percentage being significantly lower (p < 0.01) and fat-free mass significantly higher (p < 0.001) in males than females. A comparison of bioelectrical impedance-based methods with BOD POD and DXA on a small patient group indicated no significant difference between methods.ConclusionsBoth bioelectrical impedance-based methods provide significantly different results on body composition in young obese patients and the data thus cannot be used interchangeably. Routine clinical practice may nonetheless use these devices but must adhere to a specific device for repetitive measurements to ascertain comparability of data.Trial registration: Study#2, Children`s KNEEs study, ClinicalTrials NCT02545764. Registered 10 September 2015, https://clinicaltrials.gov/ct2/show/results/NCT02545764


GYMNASIUM ◽  
2019 ◽  
Vol XIX (2) ◽  
pp. 64
Author(s):  
Pavol Čech ◽  
Pavel Ružbarský ◽  
Ľubomír Paučír ◽  
Dalibor Dzugas

The aim of the presented study was to assess changes in body composition and intersexual differences among children at pre-pubertal and early-pubertal age. The research was designed as a non-randomized cross-section study. The screened sample consisted of 136 girls and 212 boys assigned into three groups according to their age. Body composition was measured using a direct segmental multi-frequency bioelectrical impedance analysis (DSM-BIA). To examine the association between obesity and selected health-related parameters, Kruskal-Wallis ANOVA and Eta2 were used. For evaluation of intersexual differences, Mann-Whitney U-test was used. The presented article is the part of VEGA 1/0840/17 project. From the perspective of age, neither in the group of girls nor boys we recorded any differences in indicators of body composition, namely in body fat mass index, body fat percentage and, in addition, in the group of girls in the waist to hip ratio parameter.


Author(s):  
Katie M. Heinrich ◽  
Konstantin G. Gurevich ◽  
Anna N. Arkhangelskaia ◽  
Oleg P. Karazhelyaskov ◽  
Walker S. C. Poston

In some countries, obesity rates among police officers are higher than the general public, despite physically demanding jobs. Obesity rates based on body mass index (BMI) may lack accuracy as BMI does not directly address body composition. Since data are lacking for obesity rates among Russian police officers, this study documented and compared officer obesity rates to the adult Russian population and compared the accuracy of body mass index (BMI) for obesity classification to two direct measures of body composition. Moscow region police officers (N = 182, 84% men) underwent height, weight, waist circumference (WC), and body fat percentage (BF%) bioelectrical impedance measurements during annual medical examinations. BMI-defined obesity rates were 4.6% for men and 17.2% for women, which were >3 and >1.8 times lower than Russian adults, respectively. WC-defined obesity rates were similar to BMI (3.3% for men and 10.3% for women), but BF%-defined obesity rates were much higher (22.2% for men and 55.2% for women). Although obesity rates were lower than those found among police officers in other countries, BMI alone was not a particularly accurate method for classifying weight status among Russian police officers.


Author(s):  
Darko Stojanović ◽  
Nataša Branković

With the aim to investigate the association between body composition of adolescents and cardiorespiratory fitness, this research was carried out on a sample of seventh grade primary school students (38 female and 44 male students). The sample of measuring instruments for body composition assessment were: body mass index, triceps, subscapularis and suprailiac subcutaneous adipose tissue, body fat percentage, muscle mass percentage and fat-free mass. The “Beep” test was used for the assessment of cardiorespiratory fitness. At the multivariate level the results have shown that body composition, as a system predictor, explained 51% (p= .000) of variance of cardiorespiratory fitness of the total sample of students, 29% (p= .021) of the girls and 51% (p= .000) of the boys. At the univariate level of the total sample it was noticed that the sum of three skinfolds (t= -4.91; p= .000) and fat-free mass (t= 4.54; p= .000) had a high influence on system prediction. The sum of three skinfolds in the total sample, sample of girls and sample of boys had a negative impact on cardiorespiratory fitness. For the girls, body fat percentage had a positive impact on cardiorespiratory fitness, while in the total sample and sample of boys, fat-free mass had a positive impact on cardiorespiratory fitness. It could be concluded that the association between body composition components and VO2max was clearly demonstrated in adolescents.


Reports ◽  
2020 ◽  
Vol 3 (4) ◽  
pp. 32
Author(s):  
Kristin Stackpole ◽  
Philip Khoury ◽  
Robert Siegel ◽  
Amanda Gier

The high rates and long-term medical consequences of childhood obesity make it a public health crisis requiring effective diagnosis, treatment, and prevention. Although BMI is an adequate screening tool for obesity, monitoring BMI change is not always the best measure of success in treating patients in a pediatric weight management program. Our retrospective study evaluated the proportion of patients that achieved favorable changes in body composition by bioelectrical impedance analysis in the absence of improvements in BMI, BMI percentile, or percent of the 95th percentile for BMI. It was found that 30% of patients whose BMI increased by 1.0 kg/m2 or more, 31.6% of patients with stable or increasing BMI percentiles, and 28% with stable or increasing percent of the 95th percentile for BMI demonstrated an improvement in body composition (skeletal muscle mass and body fat percentage). Body composition is an important measure of success for a subset of patients who otherwise may believe that their efforts in lifestyle change have not been effective. Our results suggest that including body fat percentage as a measure of success in evaluating the progress of patients participating in a pediatric weight management program is appropriate and may more accurately track success than change in BMI or BMI percentile alone.


Sign in / Sign up

Export Citation Format

Share Document