Body composition in the elderly: Reference values and bioelectrical impedance spectroscopy to predict total body skeletal muscle mass
Abstract
Background & aims To validate the bioelectrical impedance spectroscopy (BIS) model against dual-energy X-ray absorptiometry (DXA), to develop and compare BIS estimates of skeletal muscle mass (SMM) to other prediction equations, and to report BIS reference values of body composition in a population-based sample of 75-year-old Swedes.Methods Body composition was measured by BIS in 574 subjects, and by DXA and BIS in a subset of 98 subjects. Data from the latter group was used to develop BIS prediction equations for total body skeletal muscle mass (TBSMM).Results Average fat free mass (FFM) measured by DXA and BIS was comparable. FFM(BIS) for women and men was 40.6 kg and 55.8 kg, respectively. Average fat free mass index (FFMI) and body fat index (BFI) for women were 15.6 and 11.0. Average FFMI and BFI for men were 18.3 and 8.6. Existing bioelectrical impedance analysis equations to predict SMM were not valid in this cohort. A TBSMM prediction equation developed from this sample had an R(2)(pred) of 0.91, indicating that the equation would explain 91% of the variability in future observations.Conclusions BIS correctly estimated average FFM in healthy elderly Swedes. For prediction of TBSMM, a population specific equation was required.
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One equation for elderly is for assessing SMM.
“There is one equation for estimating BCM [63], four equations for assessing appendicular LSM [46, 67, 92, 93], and one equation for assessing SMM [95] suitable for males and females.”
From High-standard predictive equations for estimating body composition using bioelectrical impedance analysis: a systematic review (2024) · cites this paper as [95]
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- Authors
- Tengvall, M., Ellegård, L., Malmros, V., Bosaeus, N., Lissner, L., & Bosaeus, I.
- Affiliations
- Sahlgrenska University Hospital (SE)
- Corresponding author
- Ellegård, Lars
- Venue
- Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2009-02
- Volume
- 28
- Issue
- 1
- Pages
- 52-58
- ISSN
- 0261-5614 (ISSN-L)
- OpenAlex
- W2026515953
- Cited by
- 87
- References
- 26
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 6 · 2020: 6 · 2019: 2 · 2018: 10 · 2017: 3 · 2016: 7 · 2015: 11 · 2014: 9 · 2013: 8 · 2012: 8
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Chalmers Research (Chalmers University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- body composition, older adults, bioimpedance spectroscopy, skeletal muscle mass, fat-free mass, reference values, prediction equations, dual-energy X-ray absorptiometry, fat-free mass index, body fat index, sarcopenia
- MeSH terms
- Adipose Tissue, Aged, Aging, Algorithms, Body Composition, Body Water, Female, Humans, Male, Predictive Value of Tests, Reference Values, Sensitivity and Specificity, Sweden, Reproducibility of Results, Cohort Studies, Absorptiometry, Photon, Electric Impedance, Muscle, Skeletal
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