Abstract
OBJECTIVE: To determine the accuracy of foot-to-foot bioelectrical impedance analysis (BIA) and anthropometric indices as measures of body composition in children.
DESIGN: Comparison of foot-to-foot BIA and anthropometry to dual-energy X-ray absorptiometry (DEXA)-derived body composition in a multi-ethnic group of children.
SUBJECTS: Eighty-two European, NZ Maori and Pacific Island children aged 4.9–10.9 y.
MEASUREMENTS: DEXA body composition, foot-to-foot bioelectrical impedance, height, weight, hip and waist measurements.
RESULTS: Using a BIA prediction equation derived from our study population we found a high correlation between DEXA and BIA in the estimation of fat-free mass (FFM), fat mass (FM) and percentage body fat (PBF) (r=0.98, 0.98 and 0.94, respectively). BIA-FFM underestimated DEXA-FFM by a mean of 0.75 kg, BIA-FM overestimated DEXA-FM by a mean of 1.02 kg and BIA-PBF overestimated DEXA-PBF by a mean of 2.53%. The correlation between six anthropometric indices (body mass index (BMI), ponderal index, Chinn's weight-for-height index, BMI standard deviation score, weight-for-length index and Cole's weight-for-height index) and DEXA were also examined. The correlation of these indices with PBF was remarkably similar (r=0.85–0.87), more variable with FM (r=0.77–0.94) and poor with FFM (r=0.41–0.75).
CONCLUSIONS: BIA correlated better than anthropometric indices in the estimation of FFM, FM and PBF. Foot-to-foot BIA is an accurate technique in the measurement of body composition.
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References
Goulding A, Gold E, Cannan R, Taylor RW, Williams S, Lewis-Barned NJ . DEXA supports the use of BMI as a measure of fatness in young girls Int J Obes Relat Metab Disord 1996 20: 1014–1021.
Van den Broeck J, Wit J . Anthropometry and body composition in children Horm Res 1997 48 (Suppl 1): 33–42.
Du Rant RH, Linder CW . An evaluation of five indices of relative body weight for use in children J Am Diet Assoc 1981 78: 35–41.
Bandini LG, Vu DM, Must A, Dietz WH . Body fatness and bioelectrical impedance in non-obese pre-menarcheal girls: comparison to anthropometry and evaluation of predictive equations Eur J Clin Nutr 1997 51: 673–677.
Boot AM, Bouquet J, De Riddler MAJ, Krenning EP, De Munick Keizer-Schrama SMPF . Determinants of body composition measured by dual-energy X-ray absortiometry in Dutch children and adolescents Am J Clin Nutr 1997 66: 232–238.
Schaefer F, Georgi M, Zieger A, Scharer K . Usefulness of bioelectrical impedance and skinfold measurements in predicting fat-free mass derived from total body potassium in children Pediatr Res 1994 35: 617–624.
Houtkooper LB, Going SB, Lohman TG, Roche AF, Van Loan M . Bioelectrical impedance estimation of fat-free body mass in children and youth: a cross-validation study J Appl Physiol 1992 72: 366–373.
Suprasongsin C, Kalhan S, Arslanian S . Determination of body composition in children and adolescents: validation of bioelectrical impedance with isotope dilution technique J Pediat Endocrinol Metab 1995 8: 103–109.
Kim HK, Tanaka K, Nakadomo F, Watanabe K . Fat-free mass in Japanese boys predicted from bioelectrical impedance and anthropometric variables Eur J Clin Nutr 1994 48: 482–489.
Kushner RF, Schoeller DA, Fjeld CR, Danford L . Is the impedance index (ht2/R) significant in predicting total body water? Am J Clin Nutr 1992 56: 835–839.
Arpadi SM, Wang J, Cuff PA, Thornton J, Horlick M, Kotler DP, Pierson RN . Application of bioimpedance analysis for estimating body composition in prepubertal children infected with human immunodeficiency virus type 1 J Pediatr 1996 129: 755–757.
Deurenberg P, van der Kooy K, Leenen R, Weststrate JA, Seidell JC . Sex and age specific prediction formulas for estimating body composition from bioelectrical impedance: a cross-validation study Int J Obes 1991 15: 17–25.
Goran MI, Driscoll P, Johnson R, Nagy TR, Hunter G . Cross-calibration of body-composition techniques against dual-energy X-ray absorptiometry in young children Am J Clin Nutr 1996 63: 299–305.
Gutin B, Litaker M, Islam S, Manos T, Smith C, Treiber F . Body-composition measurement in 9–11-y-old children by dual-energy X-ray absorptiometry, skinfold-thickness measurements, and bioimpedance analysis Am J Clin Nutr 1996 63: 287–292.
Nunez C, Gallagher D, Visser M, Pi-Sunyer FX, Wang Z, Heymsfield SB . Bioimpedance analysis: evaluation of leg-to-leg system based on pressure contact foot-pad electrodes Med Sci Sports Exercise 1997 29: 524–531.
Tanner JM . Growth at Adolescence. Blackwell Scientific: Oxford 1962.
Bland JM, Altman DG . Statistical methods for assessing agreement between two methods of clinical measurement Lancet 1986 1: 307–310.
Himes JH, Dietz WH . Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services Am J Clin Nutr 1994 59: 307–316.
Hammer LD, Kraemer HC, Wilson DM, Ritter PL, Dornbusch SM . Standardized percentile curves of body-mass index for children and adolescents Am J Dis Child 1991 145: 259–263.
Reilly JJ, Wilson J, McColl JH, Carmichael M, Durnin JV . Ability of bioelectrical impedance to predict fat free mass in prepubertal children Pediatr Res 1996 39: 176–179.
Rosner B, Prineas R, Loggie J, Daniels SR . Percentiles for body mass index in US children 5 to 17 years of age. [See comments] J Pediatr 1998 132: 211–222.
Pietrobelli A, Faith MS, Allison DB, Gallagher D, Chiumello G, Heymsfield SB . Body mass index as a measure of adiposity among children and adolescents: a validation study J Pediatr 1998 132: 204–210.
Roche AF, Siervogel RM, Chumlea WC, Webb P . Grading of body fatness from limited anthropometric data Am J Clin Nutr 1981 34: 2831–2838.
Ogle GD, Allen JR, Humphries IRJ, Wen Lu P, Briody JN, Morley K, Howman-Giles R, Cowell CT . Body-composition assessment by dual-energy x-ray absorptiometry in subjects aged 4–26 y Am J Clin Nutr 1995 61: 746–753.
Roche AF . Methodological considerations in the assessment of childhood obesity Ann NY Acad Sci 1993 699: 6–17.
Bedogni G, Bollea MR, Severi S, Trunfio O, Manzieri AM, Battistini N . The prediction of total body water and extracellular water from bioelectric impedance in obese children Eur J Clin Nutr 1997 51: 129–133.
Houtkooper LB, Lohman TG, Going SB, Howell WH . Why bioelectrical impedance should be used for estimating adiposity Am J Clin Nutr 1996 64 (Suppl): 436–448.
Reilly JJ, Wilson J, Durnin JVGA . Determination of body composition from skinfold thickness: a validation study Arch Dis Child 1995 73: 305–310.
Harsha DW, Bray GA . Body composition and childhood obesity Endocrinol Metab Clin N Am 1996 25: 871–885.
Ellis KJ, Shypailo RJ, Pratt JA, Pond WG . Accuracy of dual-energy x-ray absorptiometry for body-composition measurements in children Am J Clin Nutr 1994 60: 660–665.
Pintauro SJ, Nagy TR, Duthie CM, Goran MI . Cross Calibration of fat and lean measurements by dual-energy X-ray absortiometry to pig carcass analysis in the pediatric body weight range Am J Clin Nutr 1996 63: 293–298.
Ellis KJ . Body composition of a young, multiethnic, male population Am J Clin Nutr 1997 66: 1323–1331.
Ellis KJ, Abrams AA, Wong WW . Body composition of a young, multiethnic female population Am J Clin Nutr 1997 65: 724–731.
Chinn S, Rona RJ, Gulliford MC, Hammond J . Weight-for-height in children aged 4–12 years. A new index compared to the normalized body mass index Eur J Clin Nutr 1992 46: 489–500.
McLaren DS, Read WWC . Weight/length classification of nutritional status Lancet 1975 2: 219–221.
Cole TJ . A method for assessing age-standardised weight-for-height in children seen cross-sectionally Ann Hum Biol 1979 6: 249–268.
Elowsson P, Forslund AH, Mallmin H, Feuk U, Hansson I, Carlsten J . An evaluation of dual-energy x-ray absorptiometry and underwater weighing to estimate body composition by means of carcass analysis in piglets J Nutr 1998 128: 1543–1549.
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The authors thank the Wilson Sweet Trust for their financial support in providing a research fellowship.
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Tyrrell, V., Richards, G., Hofman, P. et al. Foot-to-foot bioelectrical impedance analysis: a valuable tool for the measurement of body composition in children. Int J Obes 25, 273–278 (2001). https://doi.org/10.1038/sj.ijo.0801531
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DOI: https://doi.org/10.1038/sj.ijo.0801531
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