PROBLEMS OF BODY COMPOSITION DIAGNOSTICS: BIOIMPEDANCE, CALIPEROMETRY OR ANTHROPOMETRY?



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Introduction: Dual-energy X-ray absorptiometry, bioimpedance (BIA), caliperometry, and anthropometry are used to determine the percentage of body fat mass (PBF). Caliperometry and anthropometry are the most accessible, but less accurate methods of assessing body composition. There was no comparison of the measurement results of various equations for calculating the PBF based on caliperometry and anthropometry with each other, as well as with the BIA data in the Russian population.

Objective: to compare the results of BIA measurements and 15 different methods for estimating PBF, based on measurements of skinfolds thickness (SF), body mass index (BMI), circumference of neck, waist, hips and thigh.

Materials and methods: A cross-sectional study of a consent sample aged 17 to 30 years. The main parameters of the study are: gender, age, weight, height, SF of the triceps, biceps, chest, anterior axillary line, scapular region, iliac crest, abdomen, anterior surface of the thigh, circumference of neck, waist, hips and thigh, BIA on the Accuniq BC720 device, 15 equations for estimating PBF.

Results: PBF (Me [IQR]), depending on the equations used, in women ranged from 17.6% [14.7% - 20.4%] to 41,8% [39,5% - 43,1%], in men – from 7.2% [5.2 – 10.2%] to 29,1% [27,5% - 31,5%]. The closest equation with results comparable to the BIA results, were obtained using the Navy Seal formula for women and the Davidson equation for men. The use of BIA helped to identify people with excess body fat mass even if they had normal BMI, PBF, waist circumference, and waist-hip ratio.

Conclusion: The Navy Seal formula for women and the Davidson equation for men have the highest accuracy in determining PBF, comparable to BIA. It is necessary to conduct further research and develop a formula for calculating PBF, which is typical for the Russian population

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Anna Turusheva

The North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia.

编辑信件的主要联系方式.
Email: anna.turusheva@gmail.com
ORCID iD: 0000-0003-3347-0984
SPIN 代码: 9658-8074
Researcher ID: U-3654-2017

PhD, MD, DSc, Professor of Department of Family Medicine

俄罗斯联邦

Vladimir Evpolov

Kirov Military Medical Academy, St. Petersburg, Russia

Email: evpol2008@mail.ru
ORCID iD: 0009-0006-7834-1421

applicant of Department of Physical and Rehabilitation Medicine

Denis Kovlen

Kirov Military Medical Academy, St. Petersburg, Russia

Email: denis.kovlen@mail.ru
ORCID iD: 0000-0001-6773-9713
SPIN 代码: 6002-2766

MD, DSc, associated professor, Сhief of Department of Physical and Rehabilitation Medicine

Elena Sharanina

The North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia

Email: elenasharan@ya.ru
ORCID iD: 0009-0006-3176-5286

6th year student of the Faculty of Medicine

Ekaterina Vedernikova

The North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia

Email: vedernikova1ekaterina@yandex.ru
ORCID iD: 0009-0009-3778-8683

first year resident Department of Family Medicine

Alexander Polysaev

The North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia.

Email: alexander.polysaev@yandex.ru
ORCID iD: 0009-0008-7136-2232

6th year student of the Faculty of Medicine

Anastasia Dmitrieva

The North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia

Email: anastasia.dmitrieva.0000@gmail.com
ORCID iD: 0009-0003-2945-9288

6th year student of the Faculty of Medicine

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