Development of bioelectrical impedance analysis-based equations for estimation of body composition in postpartum rural Bangladeshi women
Open accessAbstract
Equations for predicting body composition from bioelectrical impedance analysis (BIA) parameters are age-, sex- and population-specific. Currently there are no equations applicable to women of reproductive age in rural South Asia. Hence, we developed equations for estimating total body water (TBW), fat-free mass (FFM) and fat mass in rural Bangladeshi women using BIA, with 2 H 2 O dilution as the criterion method. Women of reproductive age, participating in a community-based placebo-controlled trial of vitamin A or β-carotene supplementation, were enrolled at 19·7 (sd 9·3) weeks postpartum in a study to measure body composition by 2 H 2 O dilution and impedance at 50 kHz using multi-frequency BIA (n 147), and resistance at 50 kHz using single-frequency BIA (n 82). TBW (kg) by 2 H 2 O dilution was used to derive prediction equations for body composition from BIA measures. The prediction equation was applied to resistance measures obtained at 13 weeks postpartum in a larger population of postpartum women (n 1020). TBW, FFM and fat were 22·6 (sd 2·7), 30·9 (sd 3·7) and 10·2 (sd 3·8) kg by 2 H 2 O dilution. Height 2/impedance or height 2/resistance and weight provided the best estimate of TBW, with adjusted R2 0·78 and 0·76, and with paired absolute differences in TBW of 0·02 (sd 1·33) and 0·00 (sd 1·28) kg, respectively, between BIA and 2 H 2 O. In the larger sample, values for TBW, FFM and fat were 23·8, 32·5 and 10·3 kg, respectively. BIA can be an important tool for assessing body composition in women of reproductive age in rural South Asia where poor maternal nutrition is common.
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Cites
(2004) · The Lancet · doi:10.1016/s0140-6736(03)15268-3 · Cited by 12,717 · see citing works
4 million neonatal deaths: When? Where? Why?
Lawn, J. E., Cousens, S., & Zupan, J. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71048-5 · Cited by 3,670 · see citing works
Bioelectrical impedance analysis?part I: review of principles and methods
KYLE, U. (2004) · Clinical Nutrition · doi:10.1016/j.clnu.2004.06.004 · Cited by 3,200 · see citing works
Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index
Gallagher, D., Heymsfield, S. B., Heo, M., Jebb, S. A., Murgatroyd, P. R., & Sakamoto, Y. (2000) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/72.3.694 · Cited by 2,139 · see citing works
How Useful Is Body Mass Index for Comparison of Body Fatness across Age, Sex, and Ethnic Groups?
Gallagher, D., Visser, M., Sepulveda, D., Pierson, R. N., Harris, T., & Heymsfield, S. B. (1996) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a008733 · Cited by 1,513 · see citing works
Deurenberg, P., Deurenberg‐Yap, M., & Gurrici, S. (2002) · Obesity Reviews · doi:10.1046/j.1467-789x.2002.00065.x · Cited by 1,329 · see citing works
Wang, J., Thornton, J., Russell, M., Burastero, S., Heymsfield, S., & Pierson, R. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/60.1.23 · Cited by 886 · see citing works
The five-level model: a new approach to organizing body-composition research
Wang, Z., Pierson, R., & Heymsfield, S. (1992) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/56.1.19 · Cited by 729 · see citing works
Sun, S. S., Chumlea, W. C., Heymsfield, S. B., Lukaski, H. C., Schoeller, D., Friedl, K., Kuczmarski, R. J., Flegal, K. M., Johnson, C. L., & Hubbard, V. S. (2003) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.2.331 · Cited by 701 · cited 4× · see citing works
“The prediction residuals were obtained by fitting the regression equations with actual TBW as the dependent variable and height(2)/Z50 (or R50) and weight as independent variables for all but one observation sequentially, obtaining the predicted value of the excluded observation, and calculating the prediction residua…”
InfluentialHigh prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India
Misra, A., Pandey, R., Devi, J. R., Sharma, R., Vikram, N. K., & Khanna, N. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801748 · Cited by 421 · see citing works
Hydration of fat-free body mass: review and critique of a classic body-composition constant
Wang, Z., Deurenberg, P., Wang, W., Pietrobelli, A., Baumgartner, R., & Heymsfield, S. B. (1999) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.5.833 · Cited by 412 · see citing works
Deurenberg, P., Kooy, K. V. D., Leenen, R. C. A., Weststrate, J. A., & Seidell, J. C. (1991) · PubMed · Cited by 347 · see citing works
In Vivo Body Composition Studies
Yasumura, S., Harrison, J. E., McNeill, K. G., Woodhead, A. D., & Dilmanian, F. A. (1990) · Springer eBooks · doi:10.1007/978-1-4613-1473-8 · Cited by 317 · see citing works
Meeuwsen, S., Horgan, G. W., & Elia, M. (2010) · Clinical Nutrition · doi:10.1016/j.clnu.2009.12.011 · Cited by 275 · see citing works
Jiang, T., Christian, P. S., Khatry, S. K., et al. (2005) · Journal of Nutrition · doi:10.1093/jn/135.5.1106 · Cited by 261 · see citing works
Self-citationChristian, P. S., West, K. P., Khatry, S. K., LeClerq, S. C., Pradhan, E. K., Katz, J., Shrestha, S. R., & Sommer, A. H. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.6.1194 · Cited by 197 · see citing works
Self-citationThe Doubly-labelled Water Method for Measuring Energy Expenditure
Lebenthal, E. (1991) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/00005176-199111000-00022 · Cited by 165 · see citing works
Hydration of fat-free body mass: new physiological modeling approach
Wang, Z., Deurenberg, P., Wang, W., Pietrobelli, A., Baumgartner, R. N., & Heymsfield, S. B. (1999) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1999.276.6.e995 · Cited by 158 · see citing works
Pregnancy and Lactation Hinder Growth and Nutritional Status of Adolescent Girls in Rural Bangladesh
Rah, J. H., Christian, P., Shamim, A. A., Arju, U. T., Labrique, A. B., & Rashid, M. (2008) · The Journal of Nutrition · doi:10.1093/jn/138.8.1505 · Cited by 155 · see citing works
Self-citationWest, K. P., Christian, P. S., Labrique, A. B., Rashid, M., Shamim, A. A., Klemm, R. D. W., Massie, A. B., Mehra, S., Schulze, K. J., Ali, H., et al. (2011) · JAMA · doi:10.1001/jama.2011.656 · Cited by 148 · see citing works
Self-citationRonnenberg, A. G., Chen, C., Xu, X., Wang, X., Xing, H., Chen, D., Guang, W., Guang, A., Wang, L., & RYAN, L. M. (2003) · Journal of Nutrition · doi:10.1093/jn/133.11.3449 · Cited by 122 · see citing works
Creatine Supplementation Increases Total Body Water Without Altering Fluid Distribution.
(2003) · PubMed Central · Cited by 106 · see citing works
Use of statistical methods to estimate body composition
Guo, S., Chumlea, W., & Cockram, D. (1996) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/64.3.428s · Cited by 99 · see citing works
Labrique, A. B., Christian, P. S., Klemm, R. D. W., Rashid, M., Shamim, A. A., Massie, A. B., Schulze, K. J., Hackman, A., & West, K. P. (2011) · Trials · doi:10.1186/1745-6215-12-102 · Cited by 88 · see citing works
Self-citationDeurenberg, P., Deurenberg-Yap, M., & Schouten, F. (2002) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601303 · Cited by 87 · see citing works
Deurenberg, P., & Deurenberg‐Yap, M. (2002) · Asia Pacific Journal of Clinical Nutrition · doi:10.1046/j.1440-6047.2002.00258.x · Cited by 76 · see citing works
Deurenberg‐Yap, M., Schmidt, G., van Staveren, W. A., Hautvast, J. G. A. J., & Deurenberg, P. (2001) · British Journal Of Nutrition · doi:10.1079/bjn2000276 · Cited by 75 · see citing works
Rush, E. C., Chandu, V, & Plank, L. D. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803230 · Cited by 65 · cited 1× · see citing works
“age over 30 % among women of Asian descent((12,15,29,30)),”
Hopkinson, J. M., Butte, N., Ellis, K., Wong, W. W., Puyau, M. R., & Smith, E. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/65.2.432 · Cited by 63 · see citing works
Hydration of fat-free body mass: new physiological modeling approach
Watson, W. (2000) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.2000.278.4.e752 · Cited by 57 · see citing works
Validation of expedient methods for measuring body composition in Indian adults.
Kuriyan, R., Petracchi, C., Ferro-Luzzi, A., Shetty, P. S., & Kurpad, A. V. (1998) · PubMed · Cited by 56 · see citing works
Self-citationRelation between Maternal Body Composition and Birth Weight
Aguirre, L. H. S., Reza‐López, S. A., & Levario‐Carrillo, M. (2004) · Neonatology · doi:10.1159/000077586 · Cited by 51 · see citing works
Bioelectrical impedance vector in pre- and postmenarcheal females
Buffa, R., Floris, G., & Marini, E. (2002) · Nutrition · doi:10.1016/s0899-9007(02)00755-4 · Cited by 34 · see citing works
Maternal lean body mass may be the major determinant of birth weight: a study from India
Kulkarni, B., Shatrugna, V., & Balakrishna, N. (2006) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602461 · Cited by 32 · see citing works
Changes in fat-free mass and fat mass in postpartum women: a comparison of body composition models
Butte, N., Hopkinson, J. M., Ellis, K., Wong, W. W., & Smith, E. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800482 · Cited by 25 · see citing works
Bioelectrical Impedance among Rural Bangladeshi Women during Pregnancy and in the Postpartum Period
Shaikh, S., Schulze, K. J., Ali, H., et al. (2011) · Journal of Health Population and Nutrition · doi:10.3329/jhpn.v29i3.7871 · Cited by 23 · see citing works
Self-citationKulkarni, B., Shatrugna, V., Balakrishna, N., et al. (2011) · Journal of the American College of Nutrition · doi:10.1080/07315724.2011.10719944 · Cited by 16 · see citing works
Kulkarni, B., Shatrugna, V., Balakrishna, N., et al. (2010) · Annals of Nutrition and Metabolism · doi:10.1159/000276597 · Cited by 13 · see citing works
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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 · see citing works
- Authors
- Shaikh, S., Schulze, K. J., Kurpad, A., Ali, H., Shamim, A. A., Mehra, S., Wu, L. S.-F., Rashid, M., Labrique, A. B., Christian, P., & West, K. P.
- Affiliations
- Johns Hopkins University (US)
- St. John's National Academy of Health Sciences (IN)
- Corresponding author
- Schulze, Kerry J.
- ORCID
- Venue
- British Journal of Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2012-05-04
- Volume
- 109
- Issue
- 4
- Pages
- 639-647
- ISSN
- 0007-1145 (ISSN-L)
- 1475-2662
- OpenAlex
- W2322711995
- Cited by
- 10
- References
- 38
- Citations by year
- 2025: 3 · 2023: 1 · 2018: 1 · 2016: 1 · 2014: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal Of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Funders
- United States Agency for International Development (GHS-A-00-03-00019-00)
- Bill and Melinda Gates Foundation (GHS-A-00-03-00019-00)
- Johns Hopkins University
- International Atomic Energy Agency
- Ministry of Health and Family Welfare
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrical and Bioimpedance Tomography
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Keywords
- bioelectrical impedance analysis, body composition, postpartum women, total body water, fat-free mass, fat mass, prediction equations, deuterium dilution, resistance, women of reproductive age, rural South Asia, maternal nutrition
- MeSH terms
- Adult, Anthropometry, Bangladesh, Body Composition, Body Height, Body Water, Body Weight, Female, Humans, Rural Population, Vitamin A, Randomized Controlled Trials as Topic, Electric Impedance, beta Carotene, Dietary Supplements, Postpartum Period, Young Adult
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