Validity of impedance-based equations for the prediction of total body water as measured by deuterium dilution in African women
Open accessAbstract
Background Little information is available on the validity of simple and indirect body-composition methods in non-Western populations. Equations for predicting body composition are population-specific, and body composition differs between blacks and whites.Objective We tested the hypothesis that the validity of equations for predicting total body water (TBW) from bioelectrical impedance analysis measurements is likely to depend on the racial background of the group from which the equations were derived.Design The hypothesis was tested by comparing, in 36 African women, TBW values measured by deuterium dilution with those predicted by 23 equations developed in white, African American, or African subjects. These cross-validations in our African sample were also compared, whenever possible, with results from other studies in black subjects.Results Errors in predicting TBW showed acceptable values (1.3-1.9 kg) in all cases, whereas a large range of bias (0.2-6.1 kg) was observed independently of the ethnic origin of the sample from which the equations were derived. Three equations (2 from whites and 1 from blacks) showed nonsignificant bias and could be used in Africans. In all other cases, we observed either an overestimation or underestimation of TBW with variable bias values, regardless of racial background, yielding no clear trend for validity as a function of ethnic origin.Conclusions The findings of this cross-validation study emphasize the need for further fundamental research to explore the causes of the poor validity of TBW prediction equations across populations rather than the need to develop new prediction equations for use in Africa.
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Dioum et al. (2005) reviewed the validity of many published BIA equations for total body water prediction in Senegalese women.
“A 2005 review by Dioum et al. examined the validity of a wide variety of published BIA equations for the prediction of total body water in Senegalese women, some derived from all white or all black samples, some from ethnically mixed samples and some from samples of unknown ethnic composition (33).”
From Prediction of fat-free mass using bioelectrical impedance analysis in young adults from five populations of African origin (2013) · cites this paper as [33]
The Discussion says the authors tested the validity of 23 published BIA equations for predicting total body water in African women; the Subjects section identifies the participants as women recruited in Dakar, Senegal. The section on published prediction equations describes source samples with differing or unreported ethnic composition. Calling the paper a “review” is inaccurate: it reports an empirical cross-validation study. (LLM, conf=0.87)
Experimental — accuracy not yet measuredDioum et al. found little accuracy difference among existing equations based on the ethnic makeup of their development samples.
“The authors concluded that there was little difference in the accuracy of existing equations based on the ethnic origins of the development sample i.e., equations developed from wholly or largely African-origin or black participants did not predict total body water better than those from non-African participants (33).”
From Prediction of fat-free mass using bioelectrical impedance analysis in young adults from five populations of African origin (2013) · cites this paper as [33]
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“Other studies have shown poor validity when equations designed and validated in one population have been used to predict FFM in other populations [29].”
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- Authors
- Dioum, A., Gartner, A., Cissé, A. S., Delpeuch, F., Maire, B., Wade, S., & Schutz, Y.
- Affiliations
- Institut de Recherche pour le Développement (BJ)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2005-03
- Volume
- 81
- Issue
- 3
- Pages
- 597-604
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2126022484
- Cited by
- 27
- References
- 41
- Citations by year
- 2023: 1 · 2021: 1 · 2019: 1 · 2018: 2 · 2017: 1 · 2016: 1 · 2013: 2 · 2012: 2
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- 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 › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
- Keywords
- total body water, bioelectrical impedance analysis, deuterium dilution, prediction equations, cross-validation, body composition, African women, racial differences, ethnicity, prediction bias
- MeSH terms
- Adolescent, Adult, Black or African American, Body Composition, Body Water, Deuterium, Ethnicity, Female, Humans, Predictive Value of Tests, Reproducibility of Results, Bias, Electric Impedance, Black People, White People
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