Underestimation of percentage fat mass measured by bioelectrical impedance analysis compared to dual energy X-ray absorptiometry method in obese children
Abstract
Objective The aim of the study was to investigate whether there is a difference between body fat mass percentage measured by BIA and DXA method.Design Transversal study, randomized.Setting Lipid and Obesity Outpatient Clinic, Department of Pediatrics, University of Vienna, Austria.Subjects Twenty-seven children and adolescents from the Lipid and Obesity Outpatient Clinic, Department of Pediatrics, University of Vienna, were included in the study (14 boys and 13 girls between 6 and 18 y; mean age 12.6 and 13.1 y).Methods The body fat percentage was measured with BIA (bioelectrical impedance analyzer BIA 2000-M) and DXA (dual energy X-ray absorptiometry) methods on the same day.Results The mean difference between the body fat mass percentage measured by BIA and DXA was 4.48 with a standard deviation of 2.93. The results measured by BIA were almost always lower than that by DXA by about 12%. The lower and upper limit of the difference in 95% confidence interval was -5.64 and -3.32. By paired t-test, these results were significantly different (P<0.001). The correlation between the two measurements was 0.826. The mean percentage of body fat mass measured by BIA was 34.86+/-7.08% and by DXA 39.75+/-5.63%. The differences were not changed by age and body fat percentage but they were by sex.Conclusions The results of the study show that the body fat percentages measured by BIA and DXA method were significantly different. This is very important because BIA technique is a routine technique for clinical purposes. Adjustments to the formula used for calculating the total fat mass in obese children and adolescence are necessary. Underestimation of body fat percentage measured by bioelectrical impedance analysis compared to dual X-ray absorptiometry method in obese children is three times higher with boys than with girls.
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The Kushner equation has provided accurate estimates in obese populations.
“because the Kushner equation has provided accurate estimates in obese populations (31), including the current one”
From Comparison of Body Composition Methods in Obese African‐American Women (2006) · cites this paper as [31]
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- Authors
- Eisenkölbl, J., Kartasurya, M., & Widhalm, K.
- Affiliations
- University of Vienna (AT)
- Corresponding author
- Widhalm, K
- Venue
- European Journal of Clinical Nutrition
- Published
- 2001-06-01
- Volume
- 55
- Issue
- 6
- Pages
- 423-429
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2046644515
- Cited by
- 115
- References
- 16
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 8 · 2017: 4 · 2016: 3 · 2015: 9 · 2014: 6 · 2013: 9 · 2012: 6
- FWCI
- 2.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Keywords
- bioelectrical impedance analysis, dual-energy X-ray absorptiometry, body fat percentage, childhood obesity, adolescents, obesity screening, sex differences, method comparison
- MeSH terms
- Adolescent, Body Composition, Child, Female, Humans, Male, Obesity, Sex Factors, Reproducibility of Results, Absorptiometry, Photon, Body Mass Index, Electric Impedance
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