Total and regional body volumes derived from dual-energy X-ray absorptiometry output
Abstract
Total body volume is an important health metric used to measure body density, shape, and multicompartmental body composition but is currently only available through underwater weighing or air displacement plethysmography (ADP). The objective of this investigation was to derive an accurate body volume from dual-energy X-ray absorptiometry (DXA)-reported measures for advanced body composition models. Volunteers received a whole body DXA scan and an ADP measure at baseline (N = 25) and 6 mo (N = 22). Baseline measures were used to calibrate body volume from the reported DXA masses of fat, lean, and bone mineral content. A second population (N = 385) from the National Health and Nutrition Examination Survey was used to estimate the test-retest precision of regional (arms, legs, head, and trunk) and total body volumes. Overall, we found that DXA-volume was highly correlated to ADP-volume (R² = 0.99). The 6-mo change in total DXA-volume was highly correlated to change in ADP-volume (R² = 0.98). The root mean square percent coefficient of variation precision of DXA-volume measures ranged from 1.1% (total) to 3.2% (head). We conclude that the DXA-volume method can measure body volume accurately and precisely, can be used in body composition models, could be an independent health indicator, and is useful as a prospective or retrospective biomarker of body composition.
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DXA can be used to calculate total body volumes.
“For example, DXA can be used to calculate total body volumes (Wilson et al., 2013), a potentially useful application for examining disease risk associated with certain body phenotypes such as those with a high trunk to leg volume ratios.”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Wilson et al., 2013
High trunk to leg volume has a strong association with diabetes and mortality independent of fat distribution even among those with normal BMI.
“High trunk to leg volume has a strong association with both diabetes and mortality that is independent of fat distribution even among those with a normal BMI (Wilson et al., 2013).”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Wilson et al., 2013
Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965 · see citing works
Beckett, A. H., Rowland, M., & TURNER, P. (1965) · The Lancet · doi:10.1016/s0140-6736(65)91037-8 · Cited by 16,917 · see citing works
DENSITOMETRIC ANALYSIS OF BODY COMPOSITION: REVISION OF SOME QUANTITATIVE ASSUMPTIONS*
Brožek, J., Grande, F., Anderson, J. T., & Keys, A. B. (1963) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1963.tb17079.x · Cited by 2,263 · see citing works
The Gross Composition of the Body
Siri, W. E. (1956) · Advances in biological and medical physics · doi:10.1016/b978-1-4832-3110-5.50011-x · Cited by 1,771 · see citing works
Shen, W., Punyanitya, M., Wang, Z., Gallagher, D., St.-Onge, M.-P., Albu, J., Heymsfield, S. B., & Heshka, S. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00744.2004 · Cited by 1,692 · see citing works
Techniques for Measuring Body Composition
National Research Council (1961) · National Academies Press eBooks · doi:10.17226/21603 · Cited by 1,616 · see citing works
Abdominal Fat: Standardized Technique for Measurement at CT
Yoshizumi, T., Nakamura, T., Yamane, M., Islam, A. H. M. W., Menju, M., Yamasaki, K., Arai, T., Kotani, K., Funahashi, T., Yamashita, S., et al. (1999) · Radiology · doi:10.1148/radiology.211.1.r99ap15283 · Cited by 829 · see citing works
Body-composition assessment via air-displacement plethysmography in adults and children: a review
Fields, D. A., Goran, M. I., & McCrory, M. A. (2002) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/75.3.453 · Cited by 638 · see citing works
THE SPECIFIC GRAVITY OF HEALTHY MEN
Behnke, A. R., Feen, B. G., & Welham, W. C. (1942) · JAMA · doi:10.1001/jama.1942.02830070001001 · Cited by 481 · see citing works
Accurate Measurement of Liver, Kidney, and Spleen Volume and Mass by Computerized Axial Tomography
Heymsfield, S. B., FULENWIDER, T., Nordlinger, B., BARLOW, R., SONES, P., & KUTNER, M. (1979) · Annals of Internal Medicine · doi:10.7326/0003-4819-90-2-185 · Cited by 462 · see citing works
Fujimoto, W. Y., Bergstrom, R. W., Boyko, E. J., Chen, K. W., Leonetti, D. L., Newell-Morris, L., Shofer, J. B., & Wahl, P. W. (1999) · Diabetes Care · doi:10.2337/diacare.22.11.1808 · Cited by 296 · see citing works
Nicklas, B. J. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh281 · Cited by 294 · see citing works
Density of Body Fat in Man and Other Mammals
Fidanza, F., Keys, A., & Anderson, J. T. (1953) · Journal of Applied Physiology · doi:10.1152/jappl.1953.6.4.252 · Cited by 270 · see citing works
Schoeller, D. A., Tylavsky, F. A., Baer, D. J., Chumlea, W. C., Earthman, C. P., Fuerst, T., Harris, T. B., Heymsfield, S. B., Horlick, M., Lohman, T. G., et al. (2005) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.5.1018 · Cited by 253 · see citing works
Abdominal Obesity Is an Independent Risk Factor for Chronic Heart Failure in Older People
Nicklas, B. J., Cesari, M., Penninx, B. W. J. H., Kritchevsky, S. B., Ding, J., Newman, A. B., Kitzman, D. W., Kanaya, A. M., Pahor, M., & Harris, T. B. (2006) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.00624.x · Cited by 195 · see citing works
Withers, R. T., Laforgia, J., Pillans, R. K., SHIPP, N. J., Chatterton, B. E., Schultz, C. G., & Leaney, F. W. (1998) · Journal of Applied Physiology · doi:10.1152/jappl.1998.85.1.238 · Cited by 169 · see citing works
Validation of the BOD POD with hydrostatic weighing: Influence of body clothingin
Fields, D., Hunter, G., & Goran, M. I. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801113 · Cited by 150 · see citing works
Wang, J., Gallagher, D., Thornton, J. C., Yu, W. L., Horlick, M. N. B., & Pi-Sunyer, X. (2006) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/83.4.809 · Cited by 137 · see citing works
Rodríguez-Gutiérrez, R., González-Saldivar, G., & González-González, J. G. (2013) · New England Journal of Medicine · doi:10.1056/nejmc1212738 · 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 111 · see citing works
Reproducibility of DXA measurements of bone mineral density and body composition in children
Leonard, C. M., Roza, M. A., Barr, R. D., & Webber, C. E. (2008) · Pediatric Radiology · doi:10.1007/s00247-008-1067-7 · Cited by 63 · see citing works
Dual-energy X-ray absorptiometry–based body volume measurement for 4-compartment body composition
Wilson, J. P., Mulligan, K., Fan, B., Sherman, J., Murphy, E. J., Tai, V., Powers, C., Marquez, L., Ruiz-Barros, V., & Shepherd, J. (2011) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.019273 · Cited by 55 · see citing works
Multicomponent Models in Body Composition Research: Opportunities and Pitfalls
Lohman, T. G., & Going, S. B. (1993) · Springer eBooks · doi:10.1007/978-1-4899-1268-8_10 · Cited by 48 · see citing works
Hispanic and Asian Pubertal Girls Have Higher Android/Gynoid Fat Ratio Than Whites
Novotny, R., Going, S. B., Teegarden, D., Loan, M. V., McCabe, G. P., McCabe, L. D., Daida, Y. G., & Boushey, C. J. (2007) · Obesity · doi:10.1038/oby.2007.185 · Cited by 47 · see citing works
Asian Adolescents Have a Higher Trunk:Peripheral Fat Ratio than Whites
Novotny, R., Daida, Y. G., Grove, J., Marchand, L. L., & Vijayadeva, V. (2006) · Journal of Nutrition · doi:10.1093/jn/136.3.642 · Cited by 43 · see citing works
Hagiwara, S., Lane, N. E., Engelke, K., Sebastián, A., Kirnmel, D. B., & Genant, H. K. (1993) · Bone and Mineral · doi:10.1016/s0169-6009(08)80081-5 · Cited by 41 · see citing works
Reproducibility of Fan-Beam DXA Measurements in Adults and Phantoms
Ellis, K. J., Shypailo, R. J., Steinberg, F. M., Lewis, R. D., Young, R. L., & Wong, W. W. (2004) · Journal of Clinical Densitometry · doi:10.1385/jcd:7:4:413 · Cited by 11 · see citing works
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Correa-de-Araujo, R., Addison, O., Miljkovic, I., Goodpaster, B. H., Bergman, B. C., Clark, R. V., Elena, J. W., Esser, K. A., Ferrucci, L., Harris-Love, M. O., et al. (2020) · Frontiers in Physiology · doi:10.3389/fphys.2020.00963 · Cited by 468 · see citing works
Heymsfield, S. B., Ebbeling, C. B., Zheng, J., Pietrobelli, A., Strauss, B. J., Silva, A. M., & Ludwig, D. S. (2015) · Obesity Reviews · doi:10.1111/obr.12261 · Cited by 111 · see citing works
Smith‐Ryan, A. E., Mock, M. G., Ryan, E. D., Gerstner, G. R., Trexler, E. T., & Hirsch, K. R. (2016) · Clinical Nutrition · doi:10.1016/j.clnu.2016.05.006 · Cited by 104 · see citing works
Ng, B. K., Liu, Y. E., Wang, W., Kelly, T. L., Wilson, K. E., Schoeller, D. A., Heymsfield, S. B., & Shepherd, J. A. (2018) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqy158 · Cited by 73 · see citing works
Self-citationBrewer, G. J., Blue, M. N. M., Hirsch, K. R., Cabre, H. E., Gould, L. M., Nelson, A. G., & Smith‐Ryan, A. E. (2021) · Clinical Physiology and Functional Imaging · doi:10.1111/cpf.12700 · Cited by 70 · see citing works
Wilson, J. P., Strauss, B. J., Fan, B., Duewer, F. W., & Shepherd, J. (2013) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.048074 · Cited by 55 · see citing works
Tissue Composition Changes and Secondary Lymphedema
Dylke, E. S., Ward, L. C., Meerkin, J. D., Nery, L. R., & Kilbreath, S. L. (2013) · Lymphatic Research and Biology · doi:10.1089/lrb.2013.0018 · Cited by 54 · see citing works
Tinsley, G. M., Moore, M. L., Dellinger, J. R., Adamson, B. T., & Benavides, M. L. (2019) · European Journal of Clinical Nutrition · doi:10.1038/s41430-019-0526-6 · Cited by 50 · see citing works
Ratio of Trunk to Leg Volume as a New Body Shape Metric for Diabetes and Mortality
Wilson, J. P., Kanaya, A. M., Fan, B., & Shepherd, J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0068716 · Cited by 46 · see citing works
Shiel, F., Persson, C., Furness, J. W., Simas, V., Pope, R., Climstein, M., Hing, W. A., & Schram, B. L. (2018) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2018.03.005 · Cited by 38 · see citing works
Body composition variables as predictors of NAFLD by ultrasound in obese children and adolescents
Monteiro, P. A., Antunes, B. M., Silveira, L. S., Christófaro, D. G. D., Fernandes, R. A., & Júnior, I. F. F. (2014) · BMC Pediatrics · doi:10.1186/1471-2431-14-25 · Cited by 38 · see citing works
Tinsley, G. M. (2021) · British Journal of Nutrition · doi:10.1017/s0007114520003578 · Cited by 29 · see citing works
Tinsley, G. M. (2017) · Journal of Sports Sciences · doi:10.1080/02640414.2017.1369556 · Cited by 28 · see citing works
Blue, M. N. M., Hirsch, K. R., Trexler, E. T., & Smith‐Ryan, A. E. (2018) · Applied Physiology Nutrition and Metabolism · doi:10.1139/apnm-2017-0804 · Cited by 24 · see citing works
The relative accuracy of skinfolds compared to four-compartment estimates of body composition
Nickerson, B. S., Fedewa, M. V., Cicone, Z. S., & Esco, M. R. (2019) · Clinical Nutrition · doi:10.1016/j.clnu.2019.04.018 · Cited by 22 · see citing works
Fat-free mass characteristics vary based on sex, race, and weight status in US adults
Tinsley, G. M., Smith‐Ryan, A. E., Kim, Y., Blue, M. N. M., Nickerson, B. S., Stratton, M. T., & Harty, P. S. (2020) · Nutrition Research · doi:10.1016/j.nutres.2020.07.002 · Cited by 21 · see citing works
Validity of Field and Laboratory Three-Compartment Models in Healthy Adults
Nickerson, B. S., Tinsley, G. M., & Esco, M. R. (2018) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001876 · Cited by 21 · see citing works
Heymsfield, S. B., Smith, B., Wong, M. C., Bennett, J. P., Ebbeling, C. B., Wong, J. M., Strauss, B. J., & Shepherd, J. (2021) · Obesity Reviews · doi:10.1111/obr.13274 · Cited by 20 · see citing works
Xu, F., Greene, G. W., Earp, J. E., Adami, A., Delmonico, M. J., Lofgren, I. E., & Greaney, M. L. (2020) · Obesity · doi:10.1002/oby.23018 · Cited by 18 · see citing works
Digital anthropometric volumes: Toward the development and validation of a universal software
Sobhiyeh, S., Dunkel, A., Dechenaud, M. E., Mehrnezhad, A., Kennedy, S., Shepherd, J., Wolenski, P. R., & Heymsfield, S. B. (2021) · Medical Physics · doi:10.1002/mp.14829 · Cited by 18 · 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
Townsend, J. R., Hart, T. L., Haynes, J. T., Woods, C. A., Toy, A. M., Pihera, B. C., Aziz, M. A., Zimmerman, G. A., Jones, M. D., Vantrease, W. C., et al. (2021) · Journal of Dietary Supplements · doi:10.1080/19390211.2021.1900482 · Cited by 17 · see citing works
Walker, D. K., Thaden, J. J., & Deutz, N. E. P. (2015) · Journal of Mass Spectrometry · doi:10.1002/jms.3593 · Cited by 8 · see citing works
Evaluation of a Rapid Four-Compartment Model and Stand-Alone Methods in Hispanic Adults
Nickerson, B. S., Tinsley, G. M., Park, K.-S., Nassar, B., & Czerwinski, S. A. (2023) · Journal of Nutrition · doi:10.1016/j.tjnut.2023.06.041 · Cited by 8 · see citing works
McLester, C. N., Nickerson, B. S., Kliszczewicz, B. M., Hicks, C. S., Williamson, C. M., Bechke, E. E., & McLester, J. R. (2018) · PLoS ONE · doi:10.1371/journal.pone.0206866 · Cited by 8 · see citing works
Nickerson, B. S., Fedewa, M. V., McLester, C. N., McLester, J. R., & Esco, M. R. (2020) · British Journal Of Nutrition · doi:10.1017/s0007114520000598 · Cited by 7 · see citing works
Santin, L., & Ward, L. C. (2014) · Lymphatic Research and Biology · doi:10.1089/lrb.2014.0011 · Cited by 6 · see citing works
Bennett, J. P., Wong, M. C., Liu, Y. E., Quon, B. K., Kelly, N. N., Garber, A. K., Heymsfield, S. B., & Shepherd, J. (2024) · Clinical Nutrition · doi:10.1016/j.clnu.2024.09.028 · Cited by 5 · see citing works
Silva, T. R., Jesus, F., Poínhos, R., Sardinha, L. B., Teixeira, V. H., Heymsfield, S. B., & Silva, A. M. (2025) · European Journal of Clinical Nutrition · doi:10.1038/s41430-025-01594-1 · Cited by 4 · see citing works
D efying geometric similarity: S hape centralization in male UK offshore workers
Stewart, A. D., Ledingham, R. J., Furnace, G., Williams, H., & Nevill, A. M. (2016) · American Journal of Human Biology · doi:10.1002/ajhb.22935 · Cited by 4 · see citing works
Dual X-ray absorptiometry-derived total and regional body volume
Czeck, M. A., Roelofs, E. J., Juckett, W. T., & Dengel, D. R. (2022) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2022.10.011 · Cited by 3 · see citing works
Influence of Dietary Supplements on Body Composition
Friedl, K. E. (2017) · CRC Press eBooks · doi:10.1201/9781351260008-16 · Cited by 3 · see citing works
Rapid Four‐Compartment Models in Athletes Using Alternative Solutions for Body Volume and Water
Silva, T. R., Poínhos, R., Sardinha, L. B., Teixeira, V. H., & Silva, A. M. (2025) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.70062 · Cited by 2 · see citing works
Total and regional dual X-ray absorptiometry derived four-compartment model
Czeck, M. A., Juckett, W. T., Roelofs, E. J., & Dengel, D. R. (2023) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2023.03.014 · Cited by 2 · see citing works
Ferguson, B. K., & Wilson, P. B. (2023) · Archives of Osteoporosis · doi:10.1007/s11657-023-01328-5 · Cited by 2 · see citing works
Bennett, J. P., Wong, M. C., Liu, Y. E., Kelly, N. N., Quon, B. K., & Shepherd, J. (2026) · Obesity · doi:10.1002/oby.70200 · Cited by 1 · see citing works
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Friedl, K. E. (2017) · CRC Press eBooks · doi:10.1201/9781351260008-21
Wynne, J. L., & Wilson, P. B. (2022) · Obesity Medicine · doi:10.1016/j.obmed.2022.100467
Cataldi, D., Bennett, J. P., Wong, M. C., Quon, B. K., Liu, Y. E., Kelly, N. N., Kelly, T. L., Schoeller, D. A., Heymsfield, S. B., & Shepherd, J. (2023) · medRxiv · doi:10.1101/2023.05.30.23290630
- Authors
- Wilson, J. P., Fan, B., & Shepherd, J. A.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Shepherd, John A.
- Venue
- Journal of Clinical Densitometry
- Publisher
- Elsevier BV
- Published
- 2013-07
- Volume
- 16
- Issue
- 3
- Pages
- 368-373
- ISSN
- 1094-6950 (ISSN-L)
- OpenAlex
- W2143239817
- Cited by
- 39
- References
- 28
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 3
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Densitometry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation Graduate Research Fellowship
- 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 volume, dual-energy X-ray absorptiometry, air displacement plethysmography, body composition, body density, body shape, biomarkers, NHANES
- MeSH terms
- Adult, Body Composition, Female, Humans, Male, Obesity, Plethysmography, Impedance, Retrospective Studies, Absorptiometry, Photon, Bone Density
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