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Evaluation of two foot-to-foot bioelectrical impedance analysers to assess body composition in overweight and obese adolescents

Published online by Cambridge University Press:  09 March 2007

Stefano Lazzer ,
Yves Boirie ,
Martine Meyer  and
Michel Vermorel
Stefano Lazzer
Affiliation:
Protein–Energy Metabolism Research Unit, INRA, University of Auvergne, CRNH, 63001, Clermont-Ferrand, France
Yves Boirie
Affiliation:
Protein–Energy Metabolism Research Unit, INRA, University of Auvergne, CRNH, 63001, Clermont-Ferrand, France
Martine Meyer
Affiliation:
Hôtel-Dieu Paediatric Hospital, 63001 Clermont-Ferrand, France
Michel Vermorel*
Affiliation:
Energy and Lipid Metabolism Research Unit, INRA, Theix, 63122 St Genès Champanelle, France
*
*Corresponding author: Professor Michel Vermorel, fax +33 4 73 62 46 39, e-mail [email protected]
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Abstract

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The objective of the present study was to determine the accuracy of two foot-to-foot (FF) bioelectrical impedance analysers (BIA) to assess body composition in overweight and obese adolescents, compared with dual-energy X-ray absorptiometry (DXA) and hand-to-foot (HF) BIA. Body composition was assessed in fifty-three overweight or obese adolescents (BMI 27·9 (sd 4·1) kg/m2; aged 13–16 years) by DXA (Hologic QDR-4500; Hologic Inc., Bedford, MA, USA) and BIA (HF (BIA 101, RJL System, Detroit, IL, USA) and FF (Body Fat Monitor Scale BF-625, Tanita Corporation of America Inc., Arlington Heights, IL, USA; Téfal Bodymaster Vision, Téfal, Rumilly, France)). Bland–Altman tests showed that, compared with DXA, FF-Tanita and FF-Téfal underestimated (P<0·05) fat mass (FM) less than HF-BIA (−1·7 (sd 3·1), −0·7 (sd 5·8) and −2·3 (sd 2·2) kg respectively, P<0·001). However, the limits of agreement between DXA and FF-Tanita or FF-Téfal were much greater than those obtained with HF-BIA (−7·7 and +4·3, −12·0 and +10·6 v. −2·1 and +6·7kg respectively). The differences between FM assessed using the FF-Tanita or the FF-Téfal analyser and DXA increased with the waist:hip ratio, and were higher in boys than in girls. The major limiting factor of FF-BIA was the inter-individual variability in FM estimates. In conclusion, FF-BIA and DXA are not interchangeable methods. FF-BIA could be acceptable to assess body composition in large groups of overweight or obese adolescents, but cannot be recommended for body composition assessment in obese subjects because of the large errors in individual estimates.

Keywords

ObesityBody compositionFoot-to-foot bioelectrical impedance analysisDual-energy X-ray absorptiometry
Type
Research Article
Information
British Journal of Nutrition , Volume 90 , Issue 5 , November 2003 , pp. 987 - 992
Copyright
Copyright © The Nutrition Society 2003

References

Bell, NA, McClure, PD, Hill, RJ & Davies, PS (1998) Assessment of foot-to-foot bioelectrical impedance analysis for the prediction of total body water. Eur J Clin Nutr. 52, 856–859.CrossRefGoogle ScholarPubMed
Bland, JM & Altman, DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1, 307–310.CrossRefGoogle ScholarPubMed
Boileau, RA, Lohman, TG, Slaughter, MH, Ball, TE, Going, SB & Hendrix, MK (1984) Hydration of the fat-free body in children during maturation. Hum Biol 56, 651–666.Google ScholarPubMed
Boot, AM, Bouquet, J, de Ridder, MA, Krenning, EP & de Muinck Keizer-Schrama, SM (1997) Determinants of body composition measured by dual-energy X-ray absorptiometry in Dutch children and adolescents. Am J Clin Nutr 66, 232–238.CrossRefGoogle ScholarPubMed
Deurenberg, P (1996) Limitations of the bioelectrical impedance method for the assessment of body fat in severe obesity. Am J Clin Nutr 64, 449S–452S.CrossRefGoogle ScholarPubMed
Deurenberg, P, Andreoli, A, Borg, P et al. (2001) The validity of predicted body fat percentage from body mass index and from impedance in samples of five European populations. Eur J Clin Nutr 55, 973–979.CrossRefGoogle ScholarPubMed
Dezenberg, CV, Nagy, TR, Gower, BA, Johnson, R & Goran, MI (1999) Predicting body composition from anthropometry in pre-adolescent children. Int J Obes Relat Metab Disord 23, 253–259.CrossRefGoogle ScholarPubMed
Eisenkolbl, J, Kartasurya, M & Widhalm, K (2001) Underestimation of percentage fat mass measured by bioelectrical impedance analysis compared to dual energy X-ray absorptiometry method in obese children. Eur J Clin Nutr 55, 423–429.CrossRefGoogle ScholarPubMed
Ellis, KJ (1996) Measuring body fatness in children and young adults: comparison of bioelectric impedance analysis, total body electrical conductivity, and dual-energy X-ray absorptiometry. Int J Obes Relat Metab Disord 20, 866–873.Google Scholar
Ellis, KJ, Shypailo, RJ, Pratt, JA & Pond, WG (1994) Accuracy of dual-energy x-ray absorptiometry for body-composition measurements in children. Am J Clin Nutr 60, 660–665.CrossRefGoogle ScholarPubMed
Ellis, KJ, Shypailo, RJ & Wong, WW (1999) Measurement of body water by multifrequency bioelectrical impedance spectroscopy in a multiethnic pediatric population. Am J Clin Nutr 70, 847–853.CrossRefGoogle Scholar
Foster, KR & Lukaski, HC (1996) Whole-body impedance – what does it measure? Am J Clin Nutr 64, 388S–396S.CrossRefGoogle ScholarPubMed
Fusch, C, Slotboom, J, Fuehrer, U et al. (1999) Neonatal body composition: dual-energy X-ray absorptiometry, magnetic resonance imaging, and three-dimensional chemical shift imaging versus chemical analysis in piglets. Pediatr Res 46, 465–473.CrossRefGoogle ScholarPubMed
Goran, MI, Driscoll, P, Johnson, R, Nagy, TR & Hunter, G (1996) Cross-calibration of body-composition techniques against dual-energy X-ray absorptiometry in young children. Am J Clin Nutr 63, 299–305.CrossRefGoogle ScholarPubMed
Jebb, SA, Cole, TJ, Doman, D, Murgatroyd, PR & Prentice, AM (2000) Evaluation of the novel Tanita body-fat analyser to measure body composition by comparison with a four-compartment model. Br J Nutr 83, 115–122.CrossRefGoogle ScholarPubMed
Jensen, MD, Kanaley, JA, Reed, JE & Sheedy, PF (1995) Measurement of abdominal and visceral fat with computed tomography and dual-energy x-ray absorptiometry. Am J Clin Nutr 61, 274–278.CrossRefGoogle ScholarPubMed
Lukaski, HC (1996) Biological indexes considered in the derivation of the bioelectrical impedance analysis. Am J Clin Nutr 64, 397S–404S.CrossRefGoogle ScholarPubMed
Mazess, RB, Barden, HS, Bisek, JP & Hanson, J (1990) Dual-energy x-ray absorptiometry for total-body and regional bone-mineral and soft-tissue composition. Am J Clin Nutr 51, 1106–1112.CrossRefGoogle ScholarPubMed
Mitchell, AD, Conway, JM & Scholz, AM (1996) Incremental changes in total and regional body composition of growing pigs measured by dual-energy x-ray absorptiometry. Growth Dev Aging 60, 95–105.Google ScholarPubMed
Modlesky, CM, Lewis, RD, Yetman, KA et al. (1996) Comparison of body composition and bone mineral measurements from two DXA instruments in young men. Am J Clin Nutr 64, 669–676.CrossRefGoogle ScholarPubMed
National Institutes of Health Technology (1996) Bioelectrical impedance analysis in body composition measurement: National Institutes of Health Technology Assessment Conference Statement. Am J Clin Nutr 64, 524S–532S.CrossRefGoogle Scholar
Nunez, C, Gallagher, D, Visser, M, Pi-Sunyer, FX, Wang, Z & Heymsfield, SB (1997) Bioimpedance analysis: evaluation of leg-to-leg system based on pressure contact footpad electrodes. Med Sci Sports Exerc 29, 524–531.Google ScholarPubMed
Pietrobelli, A, Wang, Z, Formica, C & Heymsfield, SB (1998) Dual-energy X-ray absorptiometry: fat estimation errors due to variation in soft tissue hydration. Am J Physiol 274, E808–E816.Google ScholarPubMed
Pintauro, SJ, Nagy, TR, Duthie, CM & Goran, MI (1996) Cross-calibration of fat and lean measurements by dual-energy X-ray absorptiometry to pig carcass analysis in the pediatric body weight range. Am J Clin Nutr 63, 293–298.CrossRefGoogle ScholarPubMed
Pritchard, JE, Nowson, CA, Strauss, BJ, Carlson, JS, Kaymakci, B & Wark, JD (1993) Evaluation of dual energy X-ray absorptiometry as a method of measurement of body fat. Eur J Clin Nutr 47, 216–228.Google ScholarPubMed
Rolland-Cachera, MF, Cole, TJ, Sempe, M, Tichet, J, Rossignol, C & Charraud, A (1991) Body mass index variations: centiles from birth to 87 years. Eur J Clin Nutr 45, 13–21.Google ScholarPubMed
Sempé, M, Pedron, G & Roy-Pernot, M-P (1979) Auxologie méthode et sequences (Auxology, method and sequences) Paris: Laboratoire Théraplix.Google Scholar
Sung, RY, Lau, P, Yu, CW, Lam, PK & Nelson, EA (2001) Measurement of body fat using leg to leg bioimpedance. Arch Dis Child 85, 263–267.CrossRefGoogle ScholarPubMed
Svendsen, OL, Haarbo, J, Hassager, C & Christiansen, C (1993) Accuracy of measurements of body composition by dual-energy x-ray absorptiometry in vivo. Am J Clin Nutr 57, 605–608.CrossRefGoogle ScholarPubMed
Swartz, AM, Evans, MJ, King, GA & Thompson, DL (2002) Evaluation of a foot-to-foot bioelectrical impedance analyser in highly active, moderately active and less active young men. Br J Nutr 88, 205–210.CrossRefGoogle ScholarPubMed
Tanner, JM (1961) Growth at Adolescence. Oxford: Blackwell Scientific.Google Scholar
Tataranni, PA & Ravussin, E (1995) Use of dual-energy X-ray absorptiometry in obese individuals. Am J Clin Nutr 62, 730–734.CrossRefGoogle ScholarPubMed
Taylor, RW, Jones, IE, Williams, SM & Goulding, A (2002) Body fat percentages measured by dual-energy X-ray absorptiometry corresponding to recently recommended body mass index cutoffs for overweight and obesity in children and adolescents aged 3–18y. Am JClin Nutr 76, 1416–1421.CrossRefGoogle Scholar
Tyrrell, VJ, Richards, G, Hofman, P, Gillies, GF, Robinson, E & Cutfield, WS (2001) Foot-to-foot bioelectrical impedance analysis: a valuable tool for the measurement of body composition in children. Int J Obes Relat Metab Disord 25, 273–278.CrossRefGoogle ScholarPubMed
Utter, AC, Nieman, DC, Ward, AN & Butterworth, DE (1999) Use of the leg-to-leg bioelectrical impedance method in assessing body-composition change in obese women. Am J Clin Nutr 69, 603–607.CrossRefGoogle ScholarPubMed
Waki, M, Kral, JG, Mazariegos, M, Wang, J, Pierson, RN Jr & Heymsfield, SB (1991) Relative expansion of extracellular fluid in obese vs. nonobese women. Am J Physiol 261, E199–E203.Google ScholarPubMed
Wells, JC, Fuller, NJ, Dewit, O, Fewtrell, MS, Elia, M & Cole, TJ (1999) Four-component model of body composition in children: density and hydration of fat-free mass and comparison with simpler models. Am J, Clin Nutr 69, 904–912.CrossRefGoogle ScholarPubMed
Wong, WW, Hergenroeder, AC, Stuff, JE, Butte, NF, Smith, EO & Ellis, KJ (2002) Evaluating body fat in girls and female adolescents: advantages and disadvantages of dual-energy X-ray absorptiometry. Am J Clin Nutr 76, 384–389.CrossRefGoogle ScholarPubMed