Cited by 183Body Composition Measurement TechniquesElectrical and Bioimpedance TomographyObesity, Physical Activity, Diet

Body composition during growth in children: limitations and perspectives of bioelectrical impedance analysis.

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Kyle, U G, Earthman, C P, Pichard, C, Coss-Bu, J A·2015·European Journal of Clinical Nutrition

Abstract

There are a number of differences between the body composition of children and adults. Body composition measurements in children are inherently challenging, because of the rapid growth-related changes in height, weight, fat-free mass (FFM) and fat mass (FM), but they are fundamental for the quality of the clinical follow-up. All body composition measurements for clinical use are 'indirect' methods based on assumptions that do not hold true in all situations or subjects. The clinician must primarily rely on two-compartment models (that is, FM and FFM) for routine determination of body composition of children. Bioelectrical impedance analysis (BIA) is promising as a bedside method, because of its low cost and ease of use. This paper gives an overview of the differences in body composition between adults and children in order to understand and appreciate the difference in body composition during growth. It further discusses the use and limitations of BIA/bioelectrical spectroscopy (BIA/BIS) in children. Single-frequency and multi-frequency BIA equations must be refined to better reflect the body composition of children of specific ethnicities and ages but will require development and cross-validation. In conclusion, recent studies suggest that BIA-derived body composition and phase angle measurements are valuable to assess nutritional status and growth in children, and may be useful to determine baseline measurements at hospital admission, and to monitor progress of nutrition treatment or change in nutritional status during hospitalization.

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Crossref · 10.1038/ejcn.2015.86

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Authors
Kyle, U. G., Earthman, C. P., Pichard, C., & Coss-Bu, J. A.
Affiliations
  • Baylor College of Medicine (US)
  • University of Minnesota (US)
  • University Hospital of Geneva (CH)
Venue
European Journal of Clinical Nutrition
Published
2015-06-03
Volume
69
Issue
12
Pages
1298-1305
ISSN
  • 0954-3007 (ISSN-L)
  • 1476-5640
OpenAlex
W1805774390
Cited by
183
References
102
Citations by year
2026: 13 · 2025: 10 · 2024: 14 · 2023: 24 · 2022: 18 · 2021: 28 · 2020: 23 · 2019: 18 · 2018: 16 · 2017: 9 · 2016: 8 · 2015: 1
FWCI
1.39
Type
journal article
Language
en
Open access
Locations
  • European Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
  • Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrical and Bioimpedance Tomography
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
body composition, children, bioelectrical impedance analysis, fat-free mass, fat mass, growth, phase angle, nutritional status, two-compartment model, ethnic differences, clinical follow-up
MeSH terms
Adult, Body Composition, Body Height, Body Weight, Child, Child Development, Humans, Nutritional Status, Electric Impedance

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