Cross‐Validation of Fat‐Free Mass Estimated From Body Density Against Bioelectrical Resistance: Effects of Obesity and Gender
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GORAN, MICHAEL I AND M ABU KHALED. Cross‐validation of fat‐free mass estimated from body density against bioelectrical resistance: effects of obesity and gender. Obes Res. The major purpose of this study was to examine whether estimates of body composition from bioelectrical resistance were systematically biased by obesity and/or gender (using hydrodensitometry as a comparison method). We compared fat‐free mass (FFM) by bioelectrical resistance (BR) using 5 equations (Lukaski, Kushner, Rising, Khaled, and Segal) to FFM by hydrodensitometry (HD) in 20 lean men, 30 lean women, 33 obese men and 22 obese women. None of the BR equations was successfully cross‐validated against FFM by HD in all 4 sub‐groups. The Lukaski equation significantly underestimated FFM in all 4 groups by 2.7 to 4.7 kg; the Kushner equation significantly underestimated FFM by 2.0 to 2.9 kg except in obese women; the Rising equation significantly overestimated FFM in obese women (5.3 kg) and men (2.9 kg); the Khaled equation successfully predicted FFM in all groups except obese men; and the Segal equation successfully predicted FFM in all groups except lean men. In some groups, a portion of the discrepancy could be explained by bias originating from body fat. Analysis of our data by forward regression analysis demonstrated that height 2/resistance, body weight, gender and suprailiac skinfold thickness provide the most accurate estimates of FFM (R 2=0.92; SEE = 3.58kg) that are free of bias originating from gender and body fat. We conclude that the estimation of fat‐free mass by BR is significantly influenced by gender and obesity. An alternative equation is proposed for estimating fat‐free mass based on measurement of height 2/resistance, body weight, gender and suprailiac skinfold thickness.
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In a study of normal and overweight adults, the Kushner equation accurately predicted fat-free mass in overweight women but tended to overestimate fat-free mass as fat mass increased.
“In a study of normal and overweight adults (29), the Kushner equation accurately predicted fat-free mass in overweight women, although it also tended to overestimate fat-free mass with increasing fat mass.”
From Comparison of Body Composition Methods in Obese African‐American Women (2006) · cites this paper as [29]
The Results (Table 3) say the Kushner equation cross-validated in obese women, supporting that part of the claim, though the paper calls this group obese rather than overweight. The Results (p. 534) also report overestimation with increasing fat mass, but only in women; the citing sentence leaves that restriction unstated. (LLM, conf=0.84)
Experimental — accuracy not yet measuredIn the same sample, the Lukaski equation significantly underestimated fat-free mass, but its estimates were unaffected by body weight in obese women.
“In this same sample, the Lukaski equation provided estimates that significantly underestimated fat-free mass, but estimates were unaffected by body weight in obese women.”
From Comparison of Body Composition Methods in Obese African‐American Women (2006) · cites this paper as [29]
The Discussion states that the Lukaski equation significantly underestimated fat-free mass, and the Results say it failed to cross-validate in every subgroup, including obese women. The paper reports that its discrepancy was not influenced by obesity and that a trend with fat mass was significant only in the full sample (Results, p. 534); it does not establish that estimates were unaffected by body weight within obese women. (LLM, conf=0.84)
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- Authors
- Goran, M. I., & Khaled, M. A.
- Affiliations
- University of Alabama (US)
- University of Vermont (US)
- Corresponding author
- Goran, Michael I.
- Venue
- Obesity Research
- Publisher
- Wiley
- Published
- 1995-11
- Volume
- 3
- Issue
- 6
- Pages
- 531-539
- ISSN
- 1071-7323 (ISSN-L)
- 1550-8528
- OpenAlex
- W1978893185
- Cited by
- 22
- References
- 22
- Citations by year
- 2025: 1 · 2016: 1 · 2012: 1
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Diabetes Association
- U.S. Department of Agriculture
- National Institutes of Health (RR-109, 5r29hd032668-05, 1r55hd028720-01a1)
- National Center for Research Resources (NIH RR-109)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R29-HD-32668, R55 HD-28720)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- fat-free mass, body composition, obesity, sex differences, hydrodensitometry, cross-validation, fat mass, skinfold thickness
- MeSH terms
- Adult, Analysis of Variance, Body Constitution, Densitometry, Female, Humans, Male, Middle Aged, Models, Theoretical, Obesity, Reference Values, Regression Analysis, Sex Characteristics, Body Mass Index, Electric Impedance
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