Body composition by DXA
Open accessAbstract
Body composition measurements from DXA have been available since DXA technology was developed 30 years ago, but are historically underutilized. Recently, there have been rapid developments in body composition assessment including the analysis and publication of representative data for the US, official usage guidance from the International Society for Clinical Densitometry, and development of regional body composition measures with clinical utility. DXA body composition is much more than whole body percent fat. In this paper celebrating 30 years of DXA for body composition, we will review the principles of DXA soft tissue analysis, practical clinical and research applications, and what to look for in the future.
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Visceral fat from the android region estimated by DXA has a similar relationship to other biomarkers of metabolic health such as visceral fat measured by computed tomography.
“Visceral fat from the android region was estimated in this study, not calculated directly, but has a similar relationship to other biomarkers of metabolic health such as visceral fat measured by computed tomography.”
From Body composition changes during weight reduction with tirzepatide in the <scp>SURMOUNT</scp> ‐1 study of adults with obesity or overweight (2025) · cites this paper as [39]
DXA is limited in the ability to accommodate patients who exceed length, width, and rated load capacity.
“DXA is also limited in the ability to accommodate patients who exceed length, width and rated load capacity”
From Body composition changes during weight reduction with tirzepatide in the <scp>SURMOUNT</scp> ‐1 study of adults with obesity or overweight (2025) · cites this paper as [39]
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Cites
Epidemiology of Sarcopenia among the Elderly in New Mexico
Baumgartner, R. N., Koehler, K. M., Gallagher, D., Romero, L., Heymsfield, S. B., Ross, R. R., Garry, P. J., & Lindeman, R. D. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009520 · Cited by 4,004 · see citing works
Self-citationNewman, A. B., Kupelian, V., Visser, M., Simonsick, E. M., Goodpaster, B. H., Kritchevsky, S. B., Tylavsky, F. A., Rubin, S. M., Harris, T. B., & on Behalf of the Health, A. A. B. C. S. I. (2006) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/61.1.72 · Cited by 1,692 · see citing works
(2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318149f111 · Cited by 1,554 · see citing works
Dual Energy X-Ray Absorptiometry Body Composition Reference Values from NHANES
Kelly, T. L., Wilson, K. E., & Heymsfield, S. B. (2009) · PLoS ONE · doi:10.1371/journal.pone.0007038 · Cited by 1,028 · see citing works
Self-citationSarcopenia as a risk factor for falls in elderly individuals: results from the ilSIRENTE study
Landi, F., Liperoti, R., Russo, A., Giovannini, S., Tosato, M., Capoluongo, E., Bernabei, R., & Onder, G. (2012) · Clinical Nutrition · doi:10.1016/j.clnu.2012.02.007 · Cited by 938 · see citing works
Morley, J. E., Baumgartner, R., Roubenoff, R., Mayer, J., & Nair, K. S. (2001) · Journal of Laboratory and Clinical Medicine · doi:10.1067/mlc.2001.113504 · Cited by 938 · see citing works
Dual‐Energy X‐Ray Absorptiometry for Quantification of Visceral Fat
Kaul, S., Rothney, M. P., Peters, D. M., Wacker, W. K., Davis, C. E., Shapiro, M. D., & Ergun, D. L. (2012) · Obesity · doi:10.1038/oby.2011.393 · Cited by 622 · see citing works
Schousboe, J. T., Shepherd, J., Bilezikian, J. P., & Baim, S. (2013) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2013.08.004 · Cited by 547 · see citing works
Self-citationACSM Position Stand: The Female Athlete Triad
Otis, C. L., Drinkwater, B., Johnson, M., Loucks, A., & Wilmore, J. (1997) · Medicine &amp Science in Sports &amp Exercise · doi:10.1097/00005768-199705000-00037 · Cited by 515 · see citing works
Dual-energy X-ray absorptiometry and body composition
Laskey, M. A. (1996) · Nutrition · doi:10.1016/0899-9007(95)00017-8 · Cited by 411 · see citing works
Joy, E. A., Kussman, A. L., & Nattiv, A. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095735 · Cited by 375 · see citing works
Micklesfield, L. K., Goedecke, J. H., Punyanitya, M., Wilson, K. E., & Kelly, T. L. (2012) · Obesity · doi:10.1038/oby.2011.367 · Cited by 374 · see citing works
Bischoff-Ferrari, H. A., Orav, J. E., Kanis, J. A., Rizzoli, R., Schlögl, M., Staehelin, H. B., Willett, W. C., & Dawson-Hughes, B. (2015) · Osteoporosis International · doi:10.1007/s00198-015-3194-y · Cited by 332 · see citing works
Reference Values for Body Composition and Anthropometric Measurements in Athletes
Santos, D. A., Dawson, J. A., Matias, C. N., Rocha, P. M., Minderico, C. S., Allison, D. B., Sardinha, L. B., & Silva, A. M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0097846 · Cited by 282 · see citing works
Shepherd, J., Fan, B., Lü, Y., Wu, X. P., Wacker, W. K., Ergun, D. L., & Levine, M. A. (2012) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.1654 · Cited by 219 · see citing works
Self-citationBody composition assessment in the infant
Demerath, E. W., & Fields, D. A. (2014) · American Journal of Human Biology · doi:10.1002/ajhb.22500 · Cited by 200 · see citing works
Body Composition Measured by Dual‐energy X‐ray Absorptiometry Half‐body Scans in Obese Adults
Rothney, M. P., Brychta, R. J., Schaefer, E. V., Chen, K. Y., & Skarulis, M. C. (2009) · Obesity · doi:10.1038/oby.2009.14 · Cited by 195 · see citing works
Osteosarcopenia is more than sarcopenia and osteopenia alone
The FiAT intervention group, Drey, M., Sieber, C. C., Bertsch, T., Bauer, J. M., & Schmidmaier, R. (2015) · Aging Clinical and Experimental Research · doi:10.1007/s40520-015-0494-1 · Cited by 186 · see citing works
Brunton, J. A., Bayley, H. S., & Atkinson, S. A. (1993) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/58.6.839 · Cited by 177 · see citing works
A population-based approach to define body-composition phenotypes
Prado, C. M. M., Siervo, M., Mire, E. F., Heymsfield, S. B., Stephan, B. C. M., Broyles, S. T., Smith, S. R., Wells, J. C. K., & Katzmarzyk, P. T. (2014) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.113.078576 · Cited by 171 · see citing works
Self-citationWhole-body adipose tissue analysis: comparison of MRI, CT and dual energy X-ray absorptiometry
Kullberg, J., Brandberg, J., Angelhed, J. ‐., Frimmel, H., BERGELIN, E., STRID, L., Ahlström, H. K., JOHANSSON, L., & Lönn, L. (2009) · British Journal of Radiology · doi:10.1259/bjr/80083156 · Cited by 164 · see citing works
DXA body composition: theory and practice
Kelly, T. L., Berger, N., & Richardson, T. L. (1998) · Applied Radiation and Isotopes · doi:10.1016/s0969-8043(97)00226-1 · Cited by 155 · see citing works
Blake, G. M., Wahner, H. W., & Fogelman, I. (1999) · Martin Dunitz eBooks · Cited by 154 · see citing works
Jordan, M. J., Aagaard, P., & Herzog, W. (2014) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.12314 · Cited by 150 · see citing works
Leg strength and lean mass symmetry influences kicking performance in Australian football.
Hart, N. H., Nimphius, S., Spiteri, T., & Newton, R. U. (2014) · Europe PMC (PubMed Central) · Cited by 114 · see citing works
Body composition data for individuals 8 years of age and older: U.S. population, 1999-2004.
Borrud, L. G., Flegal, K. M., Looker, A. C., Everhart, J. E., Harris, T. B., & Shepherd, J. (2010) · PubMed · Cited by 112 · see citing works
Self-citationFan, B., Shepherd, J., Levine, M. A., Steinberg, D. M., Wacker, W. K., Barden, H. S., Ergun, D. L., & Wu, X. P. (2013) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2013.08.019 · Cited by 108 · see citing works
Self-citationIlich, J. Z., Inglis, J. E., Kelly, O. J., & McGee, D. L. (2015) · Osteoporosis International · doi:10.1007/s00198-015-3186-y · Cited by 100 · see citing works
Hong, S., Oh, H. J., Choi, H. S., Kim, J. G., Lim, S. K., Kim, E., Pyo, E. Y., Oh, K., Kim, Y. T., Wilson, K. E., et al. (2011) · Journal of Korean Medical Science · doi:10.3346/jkms.2011.26.12.1599 · Cited by 77 · see citing works
Skeletal and body-composition effects of anorexia nervosa
Mazess, R. B., Barden, H., & Ohlrich, E. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/52.3.438 · Cited by 70 · see citing works
Hinton, B. J., Fan, B., Ng, B. K., & Shepherd, J. (2017) · PLoS ONE · doi:10.1371/journal.pone.0174180 · Cited by 63 · see citing works
Self-citationThe use of dual-energy X-ray absorptiometry to estimate the dissected composition of lamb carcasses
Mercier, J., Pomar, C., Marcoux, M., Goulet, F., Thériault, M., & Castonguay, F. W. (2006) · Meat Science · doi:10.1016/j.meatsci.2005.11.024 · Cited by 57 · see citing works
Development of Novel Methods to Define Deficits in Appendicular Lean Mass Relative to Fat Mass
Weber, D. R., Long, J., Leonard, M. B., Zemel, B. S., & Baker, J. F. (2016) · PLoS ONE · doi:10.1371/journal.pone.0164385 · Cited by 53 · see citing works
Shepherd, J., Baim, S., Bilezikian, J. P., & Schousboe, J. T. (2013) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2013.08.005 · Cited by 53 · see citing works
Self-citationSilva, A. M., Heymsfield, S. B., & Sardinha, L. B. (2013) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2013.148 · Cited by 37 · see citing works
Self-citationDunshea, F. R., Suster, D., Eason, P., Warner, R. D., Hopkins, D. L., & Ponnampalam, E. N. (2007) · Australian Journal of Experimental Agriculture · doi:10.1071/ea07039 · Cited by 27 · see citing works
Assessment of regional adipose tissue depots: a DXA and CT comparison in cadavers of elderly persons
Scafoglieri, A., Deklerck, R., Tresignie, J., De Mey, J., Clarys, J. P., & Bautmans, I. (2013) · Experimental Gerontology · doi:10.1016/j.exger.2013.07.005 · Cited by 25 · see citing works
Andres, A., Mitchell, A. D., & Badger, T. M. (2010) · International Journal of Obesity · doi:10.1038/ijo.2009.284 · Cited by 24 · see citing works
Modeling the shape and composition of the human body using dual energy X-ray absorptiometry images
Shepherd, J., Ng, B. K., Fan, B., Schwartz, A. V., Cawthon, P. M., Cummings, S. R., Kritchevsky, S. B., Nevitt, M. C., Santanasto, A. J., & Cootes, T. F. (2017) · PLoS ONE · doi:10.1371/journal.pone.0175857 · Cited by 18 · see citing works
Self-citationShepherd, J., Sommer, M. J., Fan, B., Powers, C., Stranix‐Chibanda, L., Zadzilka, A., Basar, M. T., George, K., Mukwasi-Kahari, C., & Siberry, G. K. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.10.040 · Cited by 17 · see citing works
Self-citationEvaluation of Sarcopenia by DXA
Shepherd, J. (2016) · Clinical Reviews in Bone and Mineral Metabolism · doi:10.1007/s12018-016-9206-4 · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
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Cited by
Sorted by citations
Body composition with dual energy X-ray absorptiometry: from basics to new tools
Messina, C., Albano, D., Gitto, S., Tofanelli, L., Bazzocchi, A., Ulivieri, F. M., Guglielmi, G., & Sconfienza, L. M. (2020) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims.2020.03.02 · Cited by 274 · see citing works
Sarcopenia in the Older Adult With Cancer
Williams, G. R., Dunne, R. F., Giri, S., Shachar, S. S., & Caan, B. J. (2021) · Journal of Clinical Oncology · doi:10.1200/jco.21.00102 · Cited by 251 · see citing works
Sarcopenia in cancer: Risking more than muscle loss
Anjanappa, M., Corden, M., Green, A., Roberts, D. L., Hoskin, P., McWilliam, A., & Choudhury, A. (2020) · Technical Innovations & Patient Support in Radiation Oncology · doi:10.1016/j.tipsro.2020.10.001 · Cited by 203 · see citing works
Pathogenesis of MASLD and MASH – role of insulin resistance and lipotoxicity
Bansal, S., & Bansal, M. B. (2024) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.17930 · Cited by 204 · see citing works
Look, M., Dunn, J. P., Kushner, R. F., Cao, D., Harris, C., Gibble, T. H., Stefanski, A., & Griffin, R. (2025) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.16275 · Cited by 181 · see citing works
Impact of diabetes on sarcopenia and mortality in patients undergoing hemodialysis
Mori, K., Nishide, K., Okuno, S., Shoji, T., Emoto, M., Tsuda, A., Nakatani, S., Imanishi, Y., Ishimura, E., Yamakawa, T., et al. (2019) · BMC Nephrology · doi:10.1186/s12882-019-1271-8 · Cited by 143 · see citing works
Liu, D., Wang, S., Liu, S., Wang, Q., Che, X., & Wu, G. (2024) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2024.101270 · Cited by 134 · see citing works
Osteosarcopenic Obesity: Current Knowledge, Revised Identification Criteria and Treatment Principles
Kelly, O. J., Gilman, J. C., Boschiero, D., & Ilich, J. Z. (2019) · Nutrients · doi:10.3390/nu11040747 · Cited by 127 · see citing works
Propensity for Intra-abdominal and Hepatic Adiposity Varies Among Ethnic Groups
Lim, U., Monroe, K. R., Buchthal, S. D., Fan, B., Cheng, I. C., Kristal, B. S., Lampe, J. W., Hullar, M. A. J., Franke, A. A., Stram, D. O., et al. (2018) · Gastroenterology · doi:10.1053/j.gastro.2018.11.021 · Cited by 118 · see citing works
Self-citationTan, A. H., Hew, Y. C., Lim, S., Ramli, N. M., Kamaruzzaman, S. B., Tan, M. P., Grossmann, M., Ang, B. H., Tan, J. Y., Manap, M. A. A. A., et al. (2018) · Parkinsonism & Related Disorders · doi:10.1016/j.parkreldis.2018.06.020 · Cited by 108 · see citing works
Parcha, V., Heindl, B. F., Kalra, R., Li, P., Gower, B. A., Arora, G., & Arora, P. K. (2021) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgab645 · Cited by 100 · see citing works
MRI in the assessment of adipose tissues and muscle composition: how to use it
Huber, F. A., Del Grande, F., Rizzo, S., Guglielmi, G., & Guggenberger, R. (2020) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims.2020.02.06 · Cited by 102 · see citing works
Mori, K. (2021) · Nutrients · doi:10.3390/nu13051538 · Cited by 79 · see citing works
Smartphone camera based assessment of adiposity: a validation study
Majmudar, M. D., Chandra, S., Yakkala, K., Kennedy, S., Agrawal, A., Sippel, M., Ramu, P., Chaudhri, A., Smith, B., Criminisi, A., et al. (2022) · npj Digital Medicine · doi:10.1038/s41746-022-00628-3 · Cited by 75 · see citing works
Self-citationSon, J. W., Han, B., Bennett, J. P., Heymsfield, S., & Lim, S. (2025) · Obesity Reviews · doi:10.1111/obr.13844 · Cited by 74 · see citing works
Self-citationFrailty assessment: from clinical to radiological tools
Bentov, I., Kaplan, S. J., Pham, T. N., & Reed, M. J. (2019) · British Journal of Anaesthesia · doi:10.1016/j.bja.2019.03.034 · Cited by 69 · see citing works
Hind, K., Slater, G., Oldroyd, B., Lees, M. J., Thurlow, S., Barlow, M., & Shepherd, J. (2018) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2018.01.002 · Cited by 67 · see citing works
Self-citationIs dexamethasone-induced muscle atrophy an alternative model for naturally aged sarcopenia model?
Wang, B. Y., Hsiao, A. W., Wong, N., Chen, Y., Lee, C., & Lee, W. (2022) · Journal of Orthopaedic Translation · doi:10.1016/j.jot.2022.11.005 · Cited by 66 · see citing works
Murphy, C. A., & Koehler, K. (2021) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.14075 · Cited by 62 · see citing works
Bone-mineral density: clinical significance, methods of quantification and forensic applications
Kranioti, E. F., Bonicelli, A., & García-Donas, J. G. (2019) · Research and Reports in Forensic Medical Science · doi:10.2147/rrfms.s164933 · Cited by 61 · see citing works
Bennett, J. P., Liu, Y. E., Quon, B. K., Kelly, N. N., Wong, M. C., Kennedy, S. F., Chow, D. C., Garber, A. K., Weiss, E. J., Heymsfield, S. B., et al. (2021) · Clinical Nutrition · doi:10.1016/j.clnu.2021.11.031 · Cited by 59 · see citing works
Self-citationUpdates on Methods for Body Composition Analysis: Implications for Clinical Practice
Thomas, D. M., Crofford, I., Scudder, J., Oletti, B., Deb, A., & Heymsfield, S. (2025) · Current Obesity Reports · doi:10.1007/s13679-024-00593-w · Cited by 52 · see citing works
Self-citationPanizza, C. E., Lim, U., Yonemori, K., Cassel, K., Wilkens, L. R., Harvie, M., Maskarinec, G., Delp, E. J., Lampe, J. W., Shepherd, J., et al. (2019) · Nutrients · doi:10.3390/nu11061386 · Cited by 56 · see citing works
Self-citationImaging of body composition in children
Simoni, P., Guglielmi, R., & Gómez, M. P. A. (2020) · Quantitative Imaging in Medicine and Surgery · doi:10.21037/qims.2020.04.06 · Cited by 52 · see citing works
DXA in Children and Adolescents
Guss, C. E., McAllister, A., & Gordon, C. M. (2020) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2020.01.006 · Cited by 51 · see citing works
Ulmann, G., Kaï, J., Durand, J.-P., Neveux, N., Jouinot, A., Bandt, J. P. D., Goldwasser, F., & Cynober, L. (2020) · Nutrition · doi:10.1016/j.nut.2020.110895 · Cited by 50 · see citing works
Banitalebi, E., Ghahfarrokhi, M. M., & Dehghan, M. (2021) · BMC Geriatrics · doi:10.1186/s12877-021-02374-9 · Cited by 45 · see citing works
Volek, J. S., Kackley, M. L., & Buga, A. (2024) · Current Nutrition Reports · doi:10.1007/s13668-024-00548-6 · Cited by 48 · see citing works
Malnutrition and Sarcopenia in Community-Dwelling Adults in Singapore: Yishun Health Study
Tan, V. M. H., Pang, B. W. J., Lau, L. K., Jabbar, K. B. A., Seah, W. T., Chen, K. K., Ng, T. P., & Wee, S. L. (2020) · The journal of nutrition health & aging · doi:10.1007/s12603-020-1542-x · Cited by 47 · see citing works
Tenuta, M., Gelibter, A. J., Pandozzi, C., Sirgiovanni, G., Campolo, F., Venneri, M. A., Caponnetto, S., Cortesi, E., Marchetti, P., Isidori, A. M., et al. (2021) · Cancers · doi:10.3390/cancers13246355 · Cited by 44 · see citing works
Pflanz, C. P., Tozer, D. J., Harshfield, E. L., Tay, J., Farooqi, I. S., & Markus, H. S. (2022) · International Journal of Obesity · doi:10.1038/s41366-021-00992-2 · Cited by 42 · see citing works
Kirk, B., Hassan, E. B., Brennan-Olsen, S. L., Vogrin, S., Bird, S., Zanker, J., Phu, S., Meerkin, J. D., Heymsfield, S. B., & Duque, G. (2021) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.12712 · Cited by 42 · see citing works
Self-citationBrown, J. C., Sarwer, D. B., Troxel, A. B., Sturgeon, K. M., DeMichele, A. M., Denlinger, C. S., & Schmitz, K. H. (2021) · Breast Cancer Research and Treatment · doi:10.1007/s10549-021-06284-7 · Cited by 43 · see citing works
Bennett, J. P., Liu, Y. E., Kelly, N. N., Quon, B. K., Wong, M. C., McCarthy, C., Heymsfield, S. B., & Shepherd, J. (2022) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqac200 · Cited by 41 · see citing works
Self-citationGao, X., Zhang, H., Guo, X., Li, K., Li, S., & Li, D. (2019) · Nutrients · doi:10.3390/nu11102480 · Cited by 40 · see citing works
Weight-Bearing Physical Activity, Lower-Limb Muscle Mass, and Risk of Knee Osteoarthritis
WU, Y., Boer, C. G., Hofman, A., Schiphof, D., van Middelkoop, M., Szilagyi, I. A., Sedaghati-khayat, B., Bierma‐Zeinstra, S., Voortman, T., & van Meurs, J. B. J. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.8968 · Cited by 39 · see citing works
Jung, M., Raghu, V. K., Reisert, M., Rieder, H., Rospleszcz, S., Pischon, T., Niendorf, T., Kauczor, H.-U., Völzke, H., Bülow, R., et al. (2024) · EBioMedicine · doi:10.1016/j.ebiom.2024.105467 · Cited by 39 · see citing works
Buga, A., Kackley, M. L., Crabtree, C. D., Sapper, T. N., Mccabe, L., Fell, B., LaFountain, R. A., Hyde, P. N., Martini, E. R., Bowman, J., et al. (2021) · Frontiers in Nutrition · doi:10.3389/fnut.2021.618520 · Cited by 33 · see citing works
Sylivris, A., Mesinovic, J., Scott, D., & Jansons, P. (2022) · Obesity Reviews · doi:10.1111/obr.13442 · Cited by 39 · see citing works
Muscle parameters in fragility fracture risk prediction in older adults: A scoping review
Vendrami, C., Shevroja, E., Rodríguez, E. G., Gatineau, G., Elmers, J., Reginster, J., Harvey, N. C., Lamy, O., & Hans, D. B. (2024) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.13418 · Cited by 38 · see citing works
Cancer Risk in Normal Weight Individuals with Metabolic Obesity: A Narrative Review
Liu, B., Giffney, H. E., Arthur, R., Rohan, T. E., & Dannenberg, A. J. (2021) · Cancer Prevention Research · doi:10.1158/1940-6207.capr-20-0633 · Cited by 41 · see citing works
Body composition in individuals with cystic fibrosis
Soltman, S., Hicks, R. A., Khan, F. N., & Kelly, A. T. (2021) · Journal of Clinical & Translational Endocrinology · doi:10.1016/j.jcte.2021.100272 · Cited by 38 · see citing works
Milić, J., Renzetti, S., Ferrari, D., Barbieri, S., Menozzi, M., Carli, F., Dolci, G., Ciusa, G., Mussini, C., Calza, S., et al. (2022) · AIDS · doi:10.1097/qad.0000000000003289 · Cited by 39 · see citing works
Frenzel, A., Binder, H., Walter, N., Wirkner, K., Loeffler, M., & Loeffler‐Wirth, H. (2020) · npj Aging and Mechanisms of Disease · doi:10.1038/s41514-020-0043-9 · Cited by 37 · see citing works
Lee, I., Kazamel, M., McPherson, T., McAdam, J. S., Bamman, M. M., Amara, A. W., Smith, D. L., & King, P. H. (2021) · PLoS ONE · doi:10.1371/journal.pone.0251087 · Cited by 37 · see citing works
Dhakal, S., McCormack, L. A., & Dey, M. (2020) · Microorganisms · doi:10.3390/microorganisms8081246 · Cited by 36 · see citing works
Subcutaneous and visceral fat assessment by DXA and MRI in older adults and children
Maskarinec, G., Shvetsov, Y. B., Wong, M. C., Garber, A. K., Monroe, K. R., Ernst, T., Buchthal, S. D., Lim, U., Marchand, L. L., Heymsfield, S. B., et al. (2022) · Obesity · doi:10.1002/oby.23381 · Cited by 35 · see citing works
Self-citationThe influence of growth hormone on pediatric body composition: A systematic review
Ferruzzi, A., Vrech, M., Pietrobelli, A., Cavarzere, P., Zerman, N., Guzzo, A., Flodmark, C., PIACENTINI, G. L., & Antoniazzi, F. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1093691 · Cited by 34 · see citing works
Age‐ and sex‐specific changes in visceral fat mass throughout the life‐span
Falkentoft, R. B. B., Jensen, M. R., Hansen, O. M., Haddock, B., Prescott, E., Hovind, P. H., Simonsen, L., Bülow, J., & Suetta, C. (2023) · Obesity · doi:10.1002/oby.23779 · Cited by 34 · see citing works
Ofenheimer, A., Breyer‐Kohansal, R., Hartl, S., Burghuber, O. C., Krach, F., Schrott, A., Franssen, F. M. E., Wouters, E. F. �., & Breyer, M. (2020) · Pediatric Obesity · doi:10.1111/ijpo.12695 · Cited by 34 · see citing works
CpGPT: a Foundation Model for DNA MethylationPreprint
Camillo, L. P. D. L., Sehgal, R., Armstrong, J., Melnikas, M., Miller, H. E., Ding, J., Ferrucci, L., Lasky-Su, J. A., Higgins‐Chen, A., Horvath, S., et al. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.10.24.619766 · Cited by 37 · see citing works
Banack, H. R., Stokes, A. C., Fox, M. P., Hovey, K. M. O., Feliciano, E. M. C., LeBlanc, E. S., Bird, C. E., Caan, B. J., Kroenke, C. H., Allison, M., et al. (2018) · Epidemiology · doi:10.1097/ede.0000000000000863 · Cited by 33 · see citing works
Choi, L. S., Jo, I. G., Kang, K. S., Im, J. H., Kim, J., Kim, J., Chung, J. W., & Yoo, S. (2020) · International Journal of Obesity · doi:10.1038/s41366-020-00686-1 · Cited by 33 · see citing works
Assessment of body composition by whole-body densitometry: what radiologists should know
Chaves, L. G. C. D. M., Gonçalves, T. J. M., Bitencourt, A. G. V., Rstom, R. A., Pereira, T. R., & Velludo, S. F. (2022) · Radiologia Brasileira · doi:10.1590/0100-3984.2021.0155-en · Cited by 44 · see citing works
Lei, L., Li, J., Wang, W., Yu, Y., Pu, B., Peng, Y., Zhang, L., & Zhao, Z. (2024) · Obesity · doi:10.1002/oby.23986 · Cited by 32 · see citing works
Renzo, L. D., Itani, L., Gualtieri, P., Pellegrini, M., Ghoch, M. E., & LORENZO, A. D. (2022) · Nutrients · doi:10.3390/nu14224848 · Cited by 33 · see citing works
Research progress on sarcopenia in the musculoskeletal system
Mao, X., Lv, K., Qi, W., Cheng, W., Li, T., Sun, Y., Jin, H., Pan, H., & Wang, D. (2025) · Bone Research · doi:10.1038/s41413-025-00455-8 · Cited by 37 · see citing works
Hajj‐Boutros, G., Sonjak, V., Faust, A., Hedge, E. T., Mastrandrea, C. J., Lagacé, J., St‐Martin, P., Divsalar, D. N., Sadeghian, F., Chevalier, S., et al. (2023) · Gerontology · doi:10.1159/000534063 · Cited by 31 · see citing works
Baglietto, N., Vaquero‐Cristóbal, R., Albaladejo-Saura, M., Mecherques-Carini, M., & Esparza-Ros, F. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1445892 · Cited by 37 · see citing works
Nana, A., Staynor, J. M. D., Arlai, S., El-Sallam, A. A., Dhungel, N., & Smith, M. K. (2022) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2021.12.006 · Cited by 32 · see citing works
Wong, M. C., Bennett, J. P., Leong, L. T., Tian, I. Y., Liu, Y. E., Kelly, N. N., McCarthy, C., Wong, J. M., Ebbeling, C. B., Ludwig, D. S., et al. (2023) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2023.02.006 · Cited by 31 · see citing works
Self-citationBrady, S. R. E., Urquhart, D. M., Hussain, S. M., Teichtahl, A. J., Wang, Y., Wluka, A. E., & Cicuttini, F. (2019) · Arthritis Research & Therapy · doi:10.1186/s13075-019-1953-4 · Cited by 30 · see citing works
Tinsley, G. M. (2021) · British Journal of Nutrition · doi:10.1017/s0007114520003578 · Cited by 29 · see citing works
Screening Accuracy of BMI for Adiposity Among 8- to 19-Year-Olds
Freedman, D. S., Zemel, B. S., Dietz, W. H., & Daymont, C. B. (2024) · PEDIATRICS · doi:10.1542/peds.2024-065960 · Cited by 32 · see citing works
Moore, M. L., Benavides, M. L., Dellinger, J. R., Adamson, B. T., & Tinsley, G. M. (2019) · Clinical Nutrition · doi:10.1016/j.clnu.2019.12.009 · Cited by 32 · see citing works
Genome‐Wide Association Study of Liver Fat: The Multiethnic Cohort Adiposity Phenotype Study
Park, S., Li, Y., Sheng, X., Hom, V., Xia, L. Y., Zhao, K., Pooler, L., Setiawan, V. W., Lim, U., Monroe, K. R., et al. (2020) · Hepatology Communications · doi:10.1002/hep4.1533 · Cited by 29 · see citing works
Self-citationCoëffier, M., El Machkouri, M., L'Huillier, C., Folope, V., Lelandais, H., Grigioni, S., Déchelotte, P., & Achamrah, N. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.07.032 · Cited by 28 · see citing works
Buso, G., Favre, L., Vionnet, N., Rodríguez, E. G., Hans, D. B., Puder, J. J., Dubath, C., Eap, C. B., Raffoul, W., Collet, T., et al. (2022) · Obesity Facts · doi:10.1159/000527138 · Cited by 28 · see citing works
Early detection and assessment of intensive care unit-acquired weakness: a comprehensive review
Elkalawy, H., Sekhar, P., & Abosena, W. (2023) · Acute and Critical Care · doi:10.4266/acc.2023.00703 · Cited by 30 · see citing works
O’Brien, E., Zou, R. H., Hyre, N., Leader, J. K., Fuhrman, C. R., Sciurba, F. C., Nouraie, M. S., & Bon, J. M. (2021) · Thorax · doi:10.1136/thoraxjnl-2021-217710 · Cited by 28 · see citing works
Osteosarcopenia—The Role of Dual-Energy X-ray Absorptiometry (DXA) in Diagnostics
Gonera, A., Bolanowski, M., & Jędrzejuk, D. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11092522 · Cited by 29 · see citing works
Indocyanine green lymphography as novel tool to assess lymphatics in patients with lipedema
Buso, G., Favre, L., Maufus, M., Honorati, M., Lessert, C., Depairon, M., Raffoul, W., Tomson, D., & Mazzolai, L. (2021) · Microvascular Research · doi:10.1016/j.mvr.2021.104298 · Cited by 27 · see citing works
AlKhatib, A. H., & Obita, G. (2024) · Nutrients · doi:10.3390/nu16111730 · Cited by 30 · see citing works
Kanazashi, M., Iida, T., Nakanishi, R., Tanaka, M., Ikeda, H., Takamiya, N., Maeshige, N., Kondo, H., Nishigami, T., Harada, T., et al. (2023) · Nutrients · doi:10.3390/nu15020364 · Cited by 26 · see citing works
Prado, C. M. M., Gonzalez, M. C., Norman, K., Orsso, C. E., Barazzoni, R., Cederholm, T., Compher, C. W., Jensen, G. L., Abe, T., Barbosa-Silva, T. G., et al. (2026) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2026.101283 · Cited by 28 · see citing works
Self-citationEsco, M. R., Fedewa, M. V., Freeborn, T. J., Moon, J. R., Wingo, J. E., Cicone, Z. S., Holmes, C. J., Hornikel, B., & Welborn, B. A. (2019) · Clinical Physiology and Functional Imaging · doi:10.1111/cpf.12585 · Cited by 26 · see citing works
Liu, C., Liu, T., Ruan, G., Ge, Y., Song, M., Xie, H., Lin, S., Li, D., Zhang, H., Zhang, Q., et al. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1114963 · Cited by 26 · see citing works
Precision of Dual-Energy X-Ray Absorptiometry Reflection Scans in Muscular Athletes
Tinsley, G. M., Moore, M. L., & Graybeal, A. J. (2018) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2018.09.005 · Cited by 24 · see citing works
Latzer, I. T., Kidron-Levy, H., Stein, D. J., Levy, A. E., Yosef, G., Ziv‐Baran, T., & Dubnov‐Raz, G. (2018) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2018.10.008 · Cited by 24 · see citing works
Sudeep, H. V., & Prasad, K. S. (2021) · SAGE Open Medicine · doi:10.1177/20503121211002590 · Cited by 24 · see citing works
Increased resting metabolism in neurofibromatosis type 1
de Souza, M. L. R., Jansen, A. K., Rodrigues, L. O. C., Vilela, D. L. D. S., Kakehasi, A. M., Martins, A. S., de Souza, J. F., & de Rezende, N. A. (2019) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2019.05.006 · Cited by 24 · see citing works
Lu, Y.-C., Lin, Y. C., Yen, A. M., & Chan, W. P. (2019) · Scientific Reports · doi:10.1038/s41598-019-53557-9 · Cited by 24 · see citing works
Yang, J., Zeng, Y. H., & Yu, W. (2025) · EClinicalMedicine · doi:10.1016/j.eclinm.2025.103244 · Cited by 23 · see citing works
The Risk of Sarcopenia among Adults with Normal-Weight Obesity in a Nutritional Management Setting
LORENZO, A. D., Pellegrini, M., Gualtieri, P., Itani, L., Ghoch, M. E., & Renzo, L. D. (2022) · Nutrients · doi:10.3390/nu14245295 · Cited by 22 · see citing works
James, J. J., Leach, O. K., Young, A. M., Newman, A. N., Mpongo, K., Quirante, J., Wardell, D., Ahmadi, M., & Gifford, J. R. (2022) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00416.2022 · Cited by 22 · see citing works
Upper back pain in postmenopausal women and associated physical characteristics
Spencer, L., McKenna, L. J., Fary, R. E., Jacques, A., & Briffa, K. (2019) · PLoS ONE · doi:10.1371/journal.pone.0220452 · Cited by 22 · see citing works
Effect of Incretin-Based and Nonpharmacologic Weight Loss on Body Composition
Batsis, J. A., Gavras, A., Gross, D. C., Cheever, C. R., da Silva, B. R., Filho, L. F. M., Jones, E. P., Batchek, D. J., Khandpekar, S. G., Patel, R., et al. (2026) · Annals of Internal Medicine · doi:10.7326/annals-25-00478 · Cited by 26 · see citing works
Kramer, A. M., Martins, J. B., de Oliveira, P. C., Lehnen, A. M., & Waclawovsky, G. (2023) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2023.09.002 · Cited by 21 · see citing works
Imaging in osteogenesis imperfecta: Where we are and where we are going
Gazzotti, S., Sassi, R., Gómez, M. P. A., Moroni, A., Brizola, E., Miceli, M., & Bazzocchi, A. (2024) · European Journal of Medical Genetics · doi:10.1016/j.ejmg.2024.104926 · Cited by 20 · see citing works
Nejabat, A., Emamat, H., Afrashteh, S., Jamshidi, A., Jamali, Z., Farhadi, A., Talkhabi, Z., Nabipour, I., Larijani, B. A., & Spitz, J. (2024) · Scientific Reports · doi:10.1038/s41598-024-68773-1 · Cited by 21 · see citing works
Total Dietary Antioxidant Capacity and Longitudinal Trajectories of Body Composition
van der Schaft, N., Trajanoska, K., Rivadeneira, F., Ikram, M. A., Schoufour, J. D., & Voortman, T. (2020) · Antioxidants · doi:10.3390/antiox9080728 · Cited by 20 · see citing works
Antimicrobial Dosing in Specific Populations and Novel Clinical Methodologies: Obesity
Pai, M. P. (2021) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.2181 · Cited by 20 · see citing works
Krakauer, N. Y., & Krakauer, J. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18157927 · Cited by 20 · see citing works
Obesity, Weight Gain, and Fluid Overload in Peritoneal Dialysis
Ng, J. K., Than, W. H., & Szeto, C. (2022) · Frontiers in Nephrology · doi:10.3389/fneph.2022.880097 · Cited by 20 · see citing works
Montes‐de‐Oca‐García, A., Pérez‐Bey, A., Corral‐Pérez, J., Velázquez‐Díaz, D., Opazo‐Díaz, E., Fernández‐Santos, J. R., Rebollo‐Ramos, M., Amaro‐Gahete, F. J., Cuenca‐García, M., & Ponce‐González, J. G. (2020) · European Journal of Sport Science · doi:10.1080/17461391.2020.1788650 · Cited by 20 · see citing works
Body composition in patients with Fontan physiology: a systematic review
van den Berg, R. J., Pos, J. N., Scheffers, L. E., van den Berg, L. E. M., & Helbing, W. A. (2023) · European Journal of Pediatrics · doi:10.1007/s00431-023-05100-2 · Cited by 19 · see citing works
Tinsley, G. M., Moore, M. L., Rafi, Z., Griffiths, N., Harty, P. S., Stratton, M. T., Benavides, M. L., Dellinger, J. R., & Adamson, B. T. (2020) · Journal of Clinical Densitometry · doi:10.1016/j.jocd.2020.05.003 · Cited by 19 · see citing works
Bland, K. A., Kouw, I. W. K., van Loon, L. J. C., Zopf, E. M., & Fairman, C. M. (2022) · Sports Medicine · doi:10.1007/s40279-021-01638-z · Cited by 19 · see citing works
Maeda, S. S., Peters, B. S. E., Martini, L. A., Antunes, H. K. M., González, M. C., Arantes, H. P., Prado, C. M. M., Pinto, C. L., de Araújo, I. M., de Paula, F. J. A., et al. (2022) · Revista Brasileira de Reumatologia · doi:10.1186/s42358-022-00241-8 · Cited by 21 · see citing works
Skeletal Muscle Aging Atrophy: Assessment and Exercise-Based Treatment
Marzuca-Nassr, G. N., SanMartín-Calísto, Y., Guerra-Vega, P., Artigas-Arias, M., Alegría, A., & Curi, R. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-42667-5_6 · Cited by 19 · see citing works
- Authors
- Shepherd, J. A., Ng, B. K., Sommer, M. J., & Heymsfield, S. B.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Shepherd, John A.
- Venue
- Bone
- Publisher
- Elsevier BV
- Published
- 2017-11
- Volume
- 104
- Pages
- 101-105
- ISSN
- 1873-2763 (ISSN-L)
- 8756-3282
- PMC
- PMC5659281
- OpenAlex
- W2626344501
- Semantic Scholar
- 240b0b4a4fee0c01cf45aeb4f4dca05e5732d9d3
- Cited by
- 460
- References
- 42
- Citations by year
- 2026: 44 · 2025: 78 · 2024: 73 · 2023: 64 · 2022: 64 · 2021: 67 · 2020: 34 · 2019: 20 · 2018: 11 · 2017: 2 · 2016: 1 · 2012: 1
- FWCI
- 13.55
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Bone (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK111698, R01DK109008, P30DK098722)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Keywords
- body composition, dual-energy X-ray absorptiometry, regional body composition, soft tissue analysis, clinical application, research applications
- MeSH terms
- Body Composition, Humans, Osteoporosis, Absorptiometry, Photon, Bariatrics, Body Size
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