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Single prediction equation for bioelectrical impedance analysis in adults aged 20–94 years
Abstract
Existing equations for bioelectrical impedance analysis (BIA) are of limited use when subjects age or become overweight because these equations were developed in young, normal-weight subjects and are not valid in elderly or overweight people. The purpose of this study was to validate a single BIA equation in healthy white subjects aged 22--94 y with a body mass index between 17.0 and 33.8 kg/m(2). Healthy subjects (202 men and 141 women) aged 20--94 y were measured by two methods: fat-free mass (FFM) was measured by dual-energy x-ray absorptiometry (Hologic QDR-4500) and by a bioelectrical impedance analyzer (Xitron 4000B). Validity of BIA was assessed by double cross validation. Because correlations were high (r = 0.986--0.987) and prediction errors low, a single equation was developed using all subjects, as follows: FFM = -4.104 + (0.518 x height(2)/resistance) + (0.231 x weight) + (0.130 x reactance) + (4.229 x sex: men = 1, women = 0). FFM predicted with dual-energy x-ray absorptiometry was 54.0 +/- 10.7 kg. BIA-predicted FFM was 54.0 +/- 10.5 kg (r = 0.986, standard error of the estimate = 1.72 kg, technical error = 1.74 kg). In conclusion, the new Geneva BIA equation was valid for prediction of FFM in healthy adults aged 22--94 y with body mass indexes between 17.0 and 33.8 kg/m(2). Inclusion of reactance in the single prediction equation appeared to be essential for use of BIA equations in populations with large variations in age or body mass.
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“The best BIA equations developed for specific population groups have been properly validated [22-24].”
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“s different variables that correlate with “gold standard” estimations of the FFM to estimate the FFM based on the BIA itself. An example BIA equation for estimating FFM might look like the following: [44]: ���= −4.104+(0.518 ×�2/�)+(0.231 ×����ℎ�)+(0.130 ×�) +(4.229 ×���:���= 1,�����= 0) (6) Thisequationinvolvesanumbe…”
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“FFM was calculated by the formula of Kyle et at 22 .”
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“[22] was used to estimate %BF based on the information obtained from the multifrequency bioimpedance device.”
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“for fat-free mass (FFM) [17].”
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van Lieshout, R., Tick, L. W., Beckers, E. A. M., Biesbroek, W., Dieleman, J. P., Dijkstra, M., Groenesteijn, W., Koene, H. R., Kranenburg, S., van der Lee, D., et al. (2024) · European Journal of Clinical Nutrition · doi:10.1038/s41430-024-01488-8 · Cited by 6
“FFM was estimated with the raw data obtained from BIA using the formula of Kyle et al. [31].”
Iglesias‐Gutiérrez, E., García‐González, Á., Montero-Bravo, A., González-Medina, A., Joglar, J., Tomás‐Zapico, C., Fernández‐Garcia, B., Fernández‐Sanjurjo, M., de Gonzalo‐Calvo, D., Díaz, Á. E., et al. (2021) · Nutrients · doi:10.3390/nu13093033 · Cited by 7
“[46] was used to estimate percent body fat (%BF) based on the information obtained using a multifrequency bioimpedance system (Total Body Scan, Bio-logic Science Instruments España S.”
MethodResultDifferential effects of lung inflammation on insulin resistance in humans and mice
Karlina, R., Flexeder, C., Musiol, S., Bhattacharyya, M., Schneider, E., Altun, I., Gschwendtner, S., Neumann, A. U., Nano, J., Schloter, M., et al. (2022) · Allergy · doi:10.1111/all.15226 · Cited by 6
Zhang, Q., Shen, S., Guan, H., Zhang, J., & Chen, X. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03546-x · Cited by 6
“Subsequently, FFMI was calculated as FFM/height2 [23].”
Horner, K. M., Mullen, B., Quinn, A., Scheufele, P., Gola, S., Gonnelli, F., Bozzato, M., Pratt, J., Sala, W., Mullin, S. M., et al. (2024) · British Journal Of Nutrition · doi:10.1017/s0007114524002125 · Cited by 7
“Appendicular skeletal muscle mass, fat mass and fat-free mass will be estimated using validated equations in older adults (69,70) .”
Schifferli, I., Fernando Carrasco, N., & Inostroza, J. (2011) · Revista médica de Chile · doi:10.4067/s0034-98872011001200002 · Cited by 6
Schulz, H., Teske, D., Penven, D., & Tomczak, J. (2006) · Nutrition · doi:10.1016/j.nut.2006.04.007 · Cited by 6
Dudrick Research Symposium 2015—Lean Tissue and Protein in Health and Disease
Earthman, C. P., Wolfe, R. R., & Heymsfield, S. B. (2015) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607115619599 · Cited by 6
Reliability of body‐weight scalars on the assessment of propofol induction dose in obese patients
Araújo, A., Machado, H. S., Falcão, A. C., et al. (2017) · Acta Anaesthesiologica Scandinavica · doi:10.1111/aas.13039 · Cited by 6
Leite, C., Schieferdecker, M. E. M., Frehner, C., Munhoz, R. P., Ashizawa, T., & Teive, H. A. G. (2018) · Nutritional Neuroscience · doi:10.1080/1028415x.2018.1469282 · Cited by 7
Araújo, A. M., Machado, H. S., Falcão, A. C., et al. (2019) · BMC Anesthesiology · doi:10.1186/s12871-019-0856-x · Cited by 6
“[20] was used in adult patients and the equation proposed by Roubenoff et al.”
MethodWearable ring bioelectrical impedance analyzer for estimation and monitoring of body fat
Usman, M., Gupta, A. K., & Xue, W. (2022) · Smart Health · doi:10.1016/j.smhl.2022.100275 · Cited by 7
Pereira, J. P. D. C., Gomes, A. C. B., Júnior, J. R. A. D. Q., do Nascimento, T. G., da Luz, M. C. L., Albuquerque, M. N. D. L., & Cabral, P. C. (2023) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2023.02.003 · Cited by 6
Diniz, K. G. D., Vieira, D. A., Colosimo, E. A., Coelho, M. P. P., Bering, T., Teixeira, R., Correia, M. I. T. D., Rocha, G. A., & Silva, L. D. (2020) · Clinical Nutrition · doi:10.1016/j.clnu.2020.08.011 · Cited by 6
Ward, L. C. (2022) · European Journal of Clinical Nutrition · doi:10.1038/s41430-022-01167-6 · Cited by 7
Waidyatilaka, I., Lanerolle, P., de Lanerolle-Dias, M., Atukorala, S., & de Silva, A. (2013) · Annals of Human Biology · doi:10.3109/03014460.2013.787120 · Cited by 5
“The accuracy of BIA depends on equations to which BIA measures are applied in the prediction of TBW (Kyle et al., 2001).”
Masset, K. V. D. S. B., Silva, A. M., Ferrari, G., Cabral, B. G. D. A. T., Dantas, P. M. S., & da Costa, R. F. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2025.1499752 · Cited by 5
Kampo, D., Závodná, E., & Vondra, V. (. (2025) · Physiological Research · doi:10.33549/physiolres.935758 · Cited by 5
“The method typically involves collection of saliva, urine, or blood samples after an equilibration period, followed by analysis using mass spectrometry or infrared spectroscopy [16,22].”
Alterations in Weight and Body Composition during Neoadjuvant Chemotherapy Treatment
Bouh, A., Mehdad, S., Boutayeb, S., et al. (2024) · Journal of Medical Sciences and Interdisciplinary Research · doi:10.51847/fygddlr6av · Cited by 5
New Issues in the Management of Osteoporosis
Sirola, J. P., Díaz Curiel, M., Honkanen, R., & Iwamoto, J. (2011) · Journal of Osteoporosis · doi:10.4061/2011/582789 · Cited by 5
Katkov, A., Sinuani, I., Azar, A., Shapiro, G., Efrati, S., & Beberashvili, I. (2018) · European Journal of Clinical Nutrition · doi:10.1038/s41430-018-0087-0 · Cited by 5
“[26], standardized by squared height (m(2)), and expressed in kg/m(2) as fat free mass index (FFMI).”
MethodPredicting visceral adipose tissue in older adults: A pilot clinical study
Perna, S., Faragli, A., Spadaccini, D., Peroni, G., Gasparri, C., Al-Mannai, M. A., Casali, P. M., Porta, E. L., Kelle, S., Alogna, A., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.02.008 · Cited by 6
Ostolin, T. L. V. D. P., Gonze, B. D. B., Sperandio, E. F., Arantes, R. L., Romiti, M., & Dourado, V. Z. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159377 · Cited by 7
“We calculated lean and fat body masses based on the regression equation developed for healthy subjects [30].”
MethodJockusch, J., Hahnel, S., & Nitschke, I. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-03452-2 · Cited by 5
Dou, Y., Li, A., Liu, G., Wang, P., & Zhang, B. (2023) · Renal Failure · doi:10.1080/0886022x.2023.2182131 · Cited by 5
Metadata
- Authors
- Kyle, U. G., Genton, L., Karsegard, L., Slosman, D. O., & Pichard, C.
- Affiliations
- University Hospital of Geneva (CH)
- Venue
- Nutrition
- Publisher
- Elsevier BV
- Published
- 2001-03
- Volume
- 17
- Issue
- 3
- Pages
- 248-253
- ISSN
- 0899-9007 (ISSN-L)
- OpenAlex
- W2041793073
- Cited by
- 575
- References
- 42
- Citations by year
- 2026: 13 · 2025: 19 · 2024: 26 · 2023: 24 · 2022: 28 · 2021: 39 · 2020: 27 · 2019: 31 · 2018: 34 · 2017: 35 · 2016: 32 · 2015: 35 · 2014: 35 · 2013: 26 · 2012: 33
- FWCI
- 7.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion)
- Funders
- Hôpitaux Universitaires de Genève
- Topics
- Health Sciences › Medicine › Physiology (medical) › Body Composition Measurement Techniques
- Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrical and Bioimpedance Tomography
- Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
- Keywords
- bioelectrical impedance analysis, fat-free mass, prediction equations, dual-energy X-ray absorptiometry, reactance, resistance, body mass index, older adults, overweight, validation, healthy adults
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Body Composition, Female, Humans, Male, Middle Aged, Reference Values, Regression Analysis, Reproducibility of Results, Absorptiometry, Photon, Body Mass Index, Electric Impedance
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