Body composition analysis by air displacement plethysmography in normal weight to extremely obese adults
Open accessAbstract
Objective: To compare body composition parameters estimated by air displacement plethysmography (ADP) to dual X‐ray absorptiometry (DXA) in body mass index (BMI) classifications that include extremely obese (BMI ≥ 40.0 kg/m 2), and to examine if differences between analyses were influenced by BMI. Methods: Fat‐free mass (FFM, kg), fat mass (FM, kg), and body fat (BF, %) were analyzed with both technologies. Results: All outcome measures of ADP and DXA were highly correlated (r ≥ 0.95, P < 0.001 for FFM, FM, and BF), but Bland–Altman analyses revealed significant bias (P < 0.01 for all). ADP estimated greater FFM and lower FM and BF (P < 0.01 for all). BMI explained 27% of the variance in differences between FFM measurements (P < 0.001), and 37 and 33% of the variances in differences between FM and BF measurements, respectively (P < 0.001 for both). Within normal weight and overweight classifications, ADP estimated greater FFM and lower FM and BF (P < 0.001 for all), but the opposite occurred within the extremely obese classification; ADP estimated lower FFM and greater FM and BF (P < 0.05 for all). Conclusions: Body composition analyses by the two technologies were strongly congruent, but systematically different and influenced by BMI. Caution should be taken when utilizing ADP to estimate body composition parameters over a wide range of BMI classifications that include extremely obese.
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Measurement of fat-free mass in adults using DEXA and ADP was found to have a strong correlation.
“Measurement of fat-free mass in adults using DEXA and ADP was found to have a strong correlation [26].”
From Animal Protein versus Plant Protein in Supporting Lean Mass and Muscle Strength: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2021) · cites this paper as [26]
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- Authors
- Hames, K. C., Anthony, S. J., Thornton, J. C., Gallagher, D., & Goodpaster, B. H.
- Affiliations
- University of Pittsburgh (US)
- St. Luke's-Roosevelt Hospital Center (US)
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2013-12-06
- Volume
- 22
- Issue
- 4
- Pages
- 1078-1084
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- PMC
- PMC3972070
- OpenAlex
- W1904815814
- Cited by
- 24
- References
- 30
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 2 · 2016: 3 · 2015: 3 · 2014: 1
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005, 5p30dk046204-15)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK072507, P30 DK 46204, P30-DK046204)
- National Center for Advancing Translational Sciences
- 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 › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Keywords
- body composition, air displacement plethysmography, dual-energy X-ray absorptiometry, body mass index, fat-free mass, fat mass, body fat percentage, measurement agreement, measurement bias
- MeSH terms
- Adult, Body Composition, Body Weight, Female, Health, Humans, Male, Middle Aged, Obesity, Plethysmography, Retrospective Studies, Severity of Illness Index, Absorptiometry, Photon
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