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Validation of Bioelectric Impedance Analysis against Dual-Energy X-ray Absorptiometry for assessment of body composition in Indian children aged 5 to 18 years

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Abstract

Objective

To validate body composition measurements by Bioelectric Impedance Analysis (BIA) against Dual-Energy X-ray Absorptiometry (DXA) as the reference method in healthy children and adolescents.

Design

Cross-sectional

Setting

Schools in and around Pune city, India.

Participants

A random sample of 210 (114 boys, 96 girls) apparently healthy Indian children and adolescents (5–18 y).

Methods

Weight, height, Tanner stage (TS) were recorded. Body composition measures: fat-free mass (FFM), fat mass (FM), lean mass (LM), bone mineral content (BMC) and body fat percentage (%BF) were assessed by BIA and DXA on a single day. Agreement between the methods was estimated by Pearson’s correlation, and Bland and Altman analysis.

Main outcome measures

%BF, FM, FFM, LM, BMC.

Results

BIA underestimated %BF by 6.7 (3.7)% as compared to DXA. Mean FFM, BMC and LM by BIA were significantly higher than by DXA (P<0.001). These differences remained similar after adjusting for age, BMI and TS. Mean differences between FFM (−2.32 (1.39) kg), BMC (−0.18 (0.15) kg), and LM (−2.15 (1.34) kg) by DXA and BIA were significant (P<0.01). Correlations between BIA and DXA were 0.92 for %BF, 0.96 for LM and 0.98 for FFM and BMC. Both the methods were similar in identifying normal and overfat children as per their respective cut-offs.

Conclusion

BIA and DXA techniques are not interchangeable for assessment of body composition. However, BIA may be used in the field/clinical setting preferably with ethnicity specific references.

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Authors and Affiliations

  1. Hirabai Cowasji Jehangir Medical Research Institute, Old Building Basement, Jehangir Hospital, 32, Sassoon Road, Pune, Maharashtra, 411 001, India

    Shashi Chiplonkar, Neha Kajale, Veena Ekbote, Rubina Mandlik, Lavanya Parthasarathy, Vaman Khadilkar & Anuradha Khadilkar

Authors
  1. Shashi Chiplonkar
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  2. Neha Kajale
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  3. Veena Ekbote
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  4. Rubina Mandlik
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  5. Lavanya Parthasarathy
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  6. Vaman Khadilkar
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  7. Anuradha Khadilkar
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Correspondence to Anuradha Khadilkar.

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Chiplonkar, S., Kajale, N., Ekbote, V. et al. Validation of Bioelectric Impedance Analysis against Dual-Energy X-ray Absorptiometry for assessment of body composition in Indian children aged 5 to 18 years. Indian Pediatr 54, 919–924 (2017). https://doi.org/10.1007/s13312-017-1182-3

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  • DOI: https://doi.org/10.1007/s13312-017-1182-3

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