External validation of bioelectrical impedance analysis equations for body composition against dual-energy X-ray absorptiometry in Mexican recreational runners
Open accessAbstract
Sports professionals prioritize athlete body composition (BC) due to its relationship to performance. Bioelectrical impedance analysis (BIA) estimates BC using predictive equations, and validating these equations is essential to determine their utility. The aim of this study was to externally validate four bioelectrical impedance equations for predicting body composition in Mexican recreational runners using dual-energy X-ray absorptiometry (DXA) as a reference method. This external validation pilot study followed a comparative, cross-sectional design and included 30 Mexican male recreational runners (aged 38.0 ± 10.7 years). BC was measured using DXA and four BIA equations. A paired t-test was performed to evaluate differences between methods. Equivalent testing, Simple linear regression, and Bland-Altman analysis were carried out to evaluate agreement between methods. Statistical significance was set at p < 0.05. Non-significant differences were found between DXA and predicted values with Macias et al. (2007) and Lukaski and Bolonchuk (1987) equations (p < 0.05). These equations provided equivalence at 5% regions and non-significant bias. In conclusion, Lukaski and Bolonchuk (1987) demonstrate the most accurate equations for the current sample. These equations showed promising results for measuring BC in a cohort of runners; however, caution is advised when applying them to individual tracking.
AI snapshot
Written from the paper’s full text.
TL;DR
This external validation pilot study compared four BIA-based fat-free mass (FFM) equations against DXA in 30 Mexican recreational runners. EQ1 and EQ3 showed better group-level agreement, while EQ2 and EQ4 systematically overestimated FFM.
Key findings
- EQ3 (Lukaski and Bolonchuk, 1986) was the most accurate and consistent equation: it demonstrated equivalence with DXA in males and the whole sample, with no significant systematic or proportional bias.
- EQ1 (Macias et al., 2007) demonstrated equivalence with DXA only in the whole sample, with no significant systematic or proportional bias; it rejected equivalence in sex-specific groups.
- EQ2 and EQ4 significantly overestimated FFM in the whole sample, with systematic biases of -3.52 kg (EQ2) and -3.84 kg (EQ4), and both showed significant proportional bias, meaning overestimation increased at higher FFM values.
- Correlations between DXA FFM and all equations were moderate-to-strong (r = 0.70 to 0.95, p < 0.01); in the whole sample, R² values were 0.77 for EQ1, 0.89 for EQ2, 0.83 for EQ3, and 0.91 for EQ4.
Methods
- External validation pilot study with a comparative, cross-sectional design, including a non-representative convenience sample of 30 healthy Mexican recreational runners (12 men, 18 women), aged 18–50 years, recruited in 2018 in northwest Mexico.
- FFM was measured by DXA (Hologic ASY-05119) as the reference method and predicted using four BIA equations based on BIA and anthropometric variables; BIA was performed with a Quantum II device at 50 kHz.
- Analysis included paired sample t-tests, equivalence testing with a 5% equivalence region, Pearson correlation, simple linear regression (R² and SEE), and Bland-Altman analysis with tests for systematic and proportional bias; significance was set at p < 0.05.
Limitations
- The paper states the main limitation is the relatively small sample size, which may limit generalizability and precision, particularly in subgroup analyses.
- The paper states the sample differed from recreational athlete characteristics reported in other studies, and categorizing athletes is difficult due to lack of standardizing criteria.
- Evident from the text: the study was a pilot with a non-representative convenience sample, and individual agreement was not accomplished because Bland-Altman limits of agreement were wide (ranging from -7.92 kg to 5.96 kg depending on subgroup), so caution is recommended for individual-level use.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
6 of 18 cited sources checked · 2 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Compared with other reference methods, DXA has been reported to overestimate FM.
“Furthermore, compared with other reference methods, DXA has been reported to overestimate FM (Santos et al., 2010).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Santos et al., 2010 source
- Findingown data
Even though sex was not included as a predictive variable in EQ1, R2 differed considerably between sexes.
“Moreover, even though sex was not included as a predictive variable in EQ1, R 2 differed considerably between sexes.”
Quote in the paperSubstantial claim - Findingown data
In the whole sample, EQ2 showed a significant proportional bias (R2 = 0.28, p < 0.05), indicating that disagreement increased at higher FFM values.
“In addition, a significant proportional bias was observed for EQ2 (R 2 = 0.28, p < 0.05), indicating that disagreement increased at higher FFM values.”
Quote in the paperSubstantial claim - Findingown data
EQ1 demonstrated equivalence with DXA only in the whole sample.
“Meanwhile, EQ1 demonstrated equivalence with DXA only in the whole sample.”
Quote in the paperNot a substantial claim - Findingown data
A statistically significant moderate-to-strong relationship was observed between DXA FFM and all equations across all groups (r 0.70 to 0.95; p < 0.01).
“A statistically significant and moderate-tostrong relationship was observed between DXA FFM and all the equations across all groups (r ranging from 0.70 to 0.95; p < 0.01), indicating a good to excellent linear association.”
Quote in the paperSubstantial claim
- Findingown data
A significant proportional bias was observed for both EQ2 and EQ4, indicating that the magnitude of overestimation increased with higher FFM values.
“Additionally, a significant proportional bias was observed in the Bland-Altman analysis for both equations, indicating that the magnitude of overestimation increased with higher FFM values.”
Quote in the paperSubstantial claim - Findingown data
Regression analyses revealed statistically significant intercepts, suggesting systematic disagreement across the measurement range.
“The regression analyses also revealed statistically significant intercepts, suggesting systematic disagreement across the measurement range.”
Quote in the paperSubstantial claim - Findingown data
Non-significant differences were observed in DXA FFM and EQ1 in both male and female groups.
“Non-significant differences were observed in DXA FFM and EQ1 in both male and female groups.”
Quote in the paperSubstantial claim - Findingown data
The bias for EQ2 and EQ4 was particularly evident in participants with FFM above 50 kg.
“This bias was particularly evident in participants with FFM above 50 kg.”
Quote in the paperNot a substantial claim - Findingown data
In the whole sample, Bland-Altman analysis for EQ1 showed no systematic or proportional bias (p > 0.05).
“This was supported by the Bland-Altman analysis, which resulted no systematic or proportional bias (p > 0.05) (Figure 1b).”
Quote in the paperSubstantial claim - Findingown data
No equivalence with DXA was observed in the other equations.
“No equivalence with DXA was observed in the other equations.”
Quote in the paperSubstantial claim - Findingown data
Non-significant differences were observed between EQ1 and EQ3 FFM compared with DXA FFM (p > 0.05).
“Non-significant differences were observed between EQ1 and EQ3 FFM compared with DXA FFM (p > 0.05).”
Quote in the paperSubstantial claim - Findingown data
Our sample showed similarities to the sample included in the development of EQ1, particularly in age, Ht, R, and FFM.
“Our sample showed similarities to the sample included in the development of EQ1, particularly in age, Ht, R, and FFM.”
Quote in the paperSubstantial claim - Findingnone given
Agreement on an individual basis was not accomplished.
“However, agreement on an individual basis was not accomplished.”
Quote in the paperSubstantial claim - Findingown data
Bland-Altman analysis revealed considerably wide limits of agreement, ranging from -7.92 kg to 5.96 kg depending on the subgroup.
“However, it is important to note that the Bland-Altman analysis revealed considerably wide LOAs, ranging from -7.92 kg to 5.96 kg depending on the subgroup.”
Quote in the paperSubstantial claim - Findingnone given
Females in the EQ1 study were smaller than our sample.
“However, females in the EQ1 study were smaller than our sample was.”
Quote in the paperSubstantial claim - Study design and conductnone given
The relatively small sample size may limit the generalizability of the findings and the precision of some estimates, particularly in subgroup analyses.
“The main limitation of the current study is the relatively small sample size, which may limit the generalizability of the findings and the precision of some estimates, particularly in subgroup analyses.”
Quote in the paperSubstantial claim - Interpretationown data
The main finding is the potential suitability of EQ1 and EQ3 in Mexican recreational runners when analyzed collectively.
“The main finding of the current study is the potential suitability of EQ1 and EQ3 in Mexican recreational runners when analyzed collectively.”
Quote in the paperSubstantial claim - Interpretationreasoning
In the female group, differences in DXA FFM and EQ3 predictions may be larger than ±2.03 kg, considered clinically relevant for longitudinal assessment.
“This means that differences in DXA FFM and EQ3 predictions may be larger than ± 2.03 kg for this group, considered clinically relevant for longitudinal assessment.”
Quote in the paperSubstantial claim - Interpretationown data
Among the equations included, EQ3 provides the most accurate prediction of FFM compared with DXA in the male group and the whole sample group.
“Among the equations included, EQ3 provides the most accurate prediction of FFM compared with DXA on the male group and the whole sample group.”
Quote in the paperSubstantial claim - Interpretationreasoning
EQ1 has the capability to predict FFM in a cohort of athletes including both sexes.
“This highlighted the capability of EQ1 to predict FFM in a cohort of athletes, including both sexes.”
Quote in the paperSubstantial claim - Interpretationreasoning
The improvement in EQ1 in the whole sample may be partially explained by the larger variability in FFM values when both sexes are combined, which increases the variance explained by the model.
“This improvement may be partially explained by the larger variability in FFM values when both sexes are combined, which increases the variance explained by the model.”
Quote in the paperNot a substantial claim - Interpretationown data
On an individual basis, even if reasonable R2 and non-significant bias were observed, the use of EQ1 may not be appropriate due to the wider limits of agreement obtained through Bland-Altman analysis.
“On an individual basis, even if reasonable R 2 and non-significant bias were observed, the use of EQ1 may not be appropriate due to the wider LOA obtained through Bland-Altman analysis.”
Quote in the paperSubstantial claim - Premisenone given
The Houtkooper et al. (2001) sample was considerably leaner than the sample included in the EQ3 development.
“Noteworthy, their sample was considerably leaner than the sample included in the EQ3 development.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Houtkooper et al. (2001) source
- Premisecitation
The equation overestimated FM in the Houtkooper et al. (2001) sample by 4.4%.
“The equation overestimated the FM in the Houtkooper et al. (2001) sample by 4.4%.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Houtkooper et al. (2001) source
- Interpretationreasoning
The main reason for the differences in equation predictions and DXA is the overall characteristics of the samples studied.
“Despite these factors, we believe that the main reason for the differences in equation predictions and DXA is the overall characteristics of the samples studied.”
Quote in the paperSubstantial claim- Rests on an assumption: The accuracy of predictive equations is influenced by the characteristics of the subjects evaluated, and it is important that these characteristics closely match those involved in the equation development.
- Interpretationreasoning
These equations exhibit the effectiveness to predict FFM with a notable degree of accuracy when applied to a group of athletes with similar characteristics as the current sample.
“These equations exhibit the effectiveness to predict FFM with a notable degree of accuracy when applied to a group of athletes with similar characteristics as the current sample.”
Quote in the paperSubstantial claim - Interpretationcitation
The use of the hydration factor to estimate FFM from EQ4 could increase bias in different age ranges, as the hydration factor may vary slightly on an individual basis.
“Moreover, the use of the hydration factor to estimate FFM from EQ4 could increase bias in different age ranges, as the hydration factor may vary slightly on the individual basis (Bossingham et al., 2005;Sagayama et al., 2020).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
In a previous study, EQ3 was tested on athletes from various sports and reported an R2 = 0.988 using hydrostatic weighing as the reference method.
“In a previous study (Lukaski et al., 1990), EQ3 was tested on athletes from various sports and reported an R 2 = 0.988 using hydrostatic-weighting as the reference method.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lukaski et al., 1990
- Premisereasoning
The development of EQ4 had a sample similar to that of EQ2.
“Similarly, the development of EQ4 had a similar sample.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Notwithstanding the development of EQ1 and EQ3 from the general population, their wide applicability across various populations, including recreational athletes, is evident due to the broad range of values in the variables included in equation development.
“Notwithstanding the development of EQ1 and EQ3 from the general population, their wide applicability across various populations, including recreational athletes, is evident due to the broad range of values in the variables included in equation development.”
Quote in the paperSubstantial claim
- May combine two claims. 39
- Classified as probably not a substantial claim. 13
- The quote only partly states this claim. 1
May combine two claims.
Interpretationown dataUsing EQ1 in a sex-specific participant cohort may reduce the accuracy of FFM estimations, which could be clinically relevant given that a 5% region of equivalence is a rigorous criterion for evaluating agreement between methods.
“This suggests that using EQ1 in a sex-specific participant cohort may reduce the accuracy of FFM estimations, which could be clinically relevant, given that a 5% region of equivalence is set as a rigorous criterion for evaluating agreement between methods (Dixon et al., 2018).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites Dixon et al., 2018 source
In Example 1 (page unavailable), Dixon et al. show that a narrower equivalence region imposes a stricter agreement test, which supports describing 5% as rigorous. But the paper does not set a general 5% equivalence criterion: the General principles and Discussion sections say the region should be chosen for the application and its clinical or practical importance. The EQ1 and FFM inference is the citing authors’ own framing, not a finding attributed to Dixon et al. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationIn other reports, recreational runners were relatively leaner even when considering the same age range; Nikolaidis et al. (2020) reported a mean %FM of 19.6 ± 4.7% for women and 17.7 ± 4.0% for male participants.
“However, in other reports, recreational runners were relatively leaner, even when considering the same age range.This was reported by Nikolaidis et al. (2020), with a mean %FM of 19.6 ± 4.7% for women and 17.7 ± 4.0% for male participants.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Nikolaidis et al. (2020) source
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationIn runners, %FM has been observed to fall within 14.9% to 21.0% in females and 7.29% to 11.4% in males.
“Specifically in runners, the %FM has been observed to fall within the range of 14.9% to 21.0% in females (Piasecki et al., 2018;Carbuhn et al., 2022) and 7.29% to 11.4% in males (Mooses et al., 2013;Carbuhn et al., 2022).”
Quote in the paperNot a substantial claim2 of 3 sources checked- cites Piasecki et al., 2018 source
Table 1 (Characteristics of controls and athletes, lines 508–509) reports 14.9% mean body fat for eumenorrheic female runners, supporting the lower figure. It reports 10.7% for amenorrheic female runners and does not establish 21.0% as the upper end of the stated range. Piasecki et al. is cited for the female figures, not the male figures. (LLM, conf=0.89)
Experimental — accuracy not yet measured - cites Carbuhn et al., 2022 source
- cites Mooses et al., 2013 source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAnother study documented a FM of 16.3 ± 5.6% in male recreational runners with BMI values similar to our sample.
“Another study documented a FM of 16.3 ± 5.6% in male recreational runners with BMI values similar to our sample (Knechtle and Tanda, 2013).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites Knechtle and Tanda, 2013 source
The Abstract (Methods) identifies the participants as recreational male runners, and Subjects and methods (Anthropometric measurements) says their body-fat percentage was estimated and BMI calculated. The available passages do not give a body-fat mean of 16.3 ± 5.6% or BMI values, so they cannot establish the reported figure or the comparison with the citing authors’ sample (searched: 16.3, 5.6, BMI, Table 2). (LLM, conf=0.78)
Experimental — accuracy not yet measured
May combine two claims.
Findingown dataIn the male group, EQ2 and EQ4 showed the highest R2 with DXA FFM (0.91 and 0.90, respectively), and both regression models were statistically significant (p < 0.01).
“In the male group, EQ2 and EQ4 showed the highest R 2 with DXA FFM (R 2 = 0.91 and 0.90, respectively); both regression models were statistically significant (p < 0.01).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the whole sample, EQ2 had a significant linear regression with DXA (R2 = 0.89, p < 0.001) and a significant intercept (p < 0.01), suggesting systematic bias between methods.
“For EQ2, the linear regression was also significant (R 2 = 0.89, p < 0.001), but a significant intercept (p < 0.01) suggests a systematic bias between methods (Fig. 1c).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataA random male participant aged 25 years with BW 63.4 kg and DXA FFM 55.0 kg (13.20% FM) had an EQ3 FFM prediction of 55.40 kg (Δ -0.37 kg).
“A random male participant aged 25 years old with a BW of 63.4 kg and a DXA FFM of 55.0 kg corresponding to 13.20% FM, resulted in the EQ3 FFM predictions of 55.40 kg (Δ -0.37 kg).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataEQ2 and EQ4 values exhibited significant differences when compared with DXA FFM, rejecting equivalence testing, meaning group differences may be larger than ±2.25 kg of FFM.
“In contrast, EQ2 and EQ4 values exhibited significant differences when compared with DXA FFM, thereby rejecting equivalence testing, meaning that group differences may be larger than ±2.25 kg of FFM.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the whole sample, EQ3 presented a significant linear association with DXA (R2 = 0.83, p < 0.001) and a non-significant intercept (p = 0.887), meaning a constant difference between methods across the range.
“EQ3 presented a significant linear association with DXA (R 2 = 0.83, p < 0.001) (Figure 1e) and a non-significant intercept (p = 0.887), meaning a constant difference between methods across the range.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataEQ3 demonstrated equivalence with DXA in the male group and the whole sample, with differences within ±2.66 kg for males and ±2.25 kg for the whole sample.
“EQ3 demonstrated equivalence with DXA in the male group and the whole sample meaning that differences between these methods may be within ±2.66 kg for males and ±2.25 kg for the whole sample.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDXA FFM consistently differed significantly from EQ2 and EQ4 values in both sexes and the whole sample, with EQ2 and EQ4 predicting higher FFM values.
“DXA FFM consistently differed significantly from the EQ2 and EQ4 values in both sexes and the whole sample, which predictions resulted in higher FFM values.”
Quote in the paperSubstantial claimThe quote only partly states this claim.
Findingown dataIn the female group, the paired sample t-test showed no differences in mean DXA FFM and EQ3.
“Even though the paired sample t-test showed no differences in mean DXA FFM in the female group, equivalence testing was rejected.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataBoth EQ2 and EQ4 exhibited significant systematic bias, with an average overestimation of 3.52 kg (EQ2) and 3.84 kg (EQ4) across the whole sample.
“Both equations also exhibited significant systematic bias, with an average overestimation of 3.52 kg (EQ2) and 3.84 kg (EQ4) across the whole sample.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the male group, BW, Ht, Ht2/R, and DXA FFM were significantly greater, while R and DXA percentage FM were greater in the female group (p < 0.05).
“Independent sample t-tests revealed significantly greater values in BW, Ht, Ht 2 /R, and DXA FFM in the male group, while R and DXA percentage FM (%FM) were greater in the female group (p < 0.05).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the whole sample, EQ1 showed a significant linear association with DXA (R2 = 0.77, p < 0.001) and a non-significant intercept (p = 0.718), indicating consistent differences across the FFM range.
“Regarding the whole sample analysis (Fig. 1), EQ1 showed a significant linear association with DXA (R 2 = 0.77, p < 0.001) (Fig. 1a), with a non-significant intercept (p = 0.718), indicating consistent differences across the FFM range.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe whole sample improved EQ3 accuracy metrics, with bias slightly reduced.
“Interestingly, the whole sample improved EQ3 accuracy metrics, given that bias was slightly reduced.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn the whole sample, Bland-Altman analysis for EQ4 confirmed a systematic bias of -3.84 kg (p < 0.05) and a significant proportional bias (R2 = 0.32, p < 0.001), indicating overestimation increased with higher FFM values.
“Bland-Altman analysis confirmed a systematic bias of -3.84 kg (p < 0.05), and a significant proportional bias (R 2 = 0.32, p < 0.001), indicating overestimation increased with higher FFM values (Fig 1h).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the female group, EQ2 and EQ4 showed the highest R2 with DXA FFM, and systematic bias for these equations was statistically significant (p < 0.05).
“A similar behavior was observed in the female group, where EQ2 and EQ4 showed the highest R 2 with DXA FFM, resulting in statistically significant (p < 0.01).Systematic bias for these equations also resulted statistically significant (p < 0.05).”
Quote in the paperSubstantial claimMay combine two claims.
FindingcitationDifferences between EQ3 and DXA may not be small in all participants, with differences up to 5.55 kg observed in other participants.
“However, these differences may not be that small in all participants as differences of up to 5.55 kg were observed, in other participants considered clinically relevant as the %FM increased from 25.10% to 33.48%, thereby resulting in his category shifting from overfat to obese category (Gallagher et al., 2000).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gallagher et al., 2000 source
May combine two claims.
Findingown dataIn the whole sample, EQ4 showed a significant association with DXA (R2 = 0.91, p < 0.001) and a significant intercept (p < 0.05), suggesting non-constant discrepancies.
“Lastly, EQ4 showed a significant association (R 2 = 0.91, p < 0.001) (Fig. 1g), but with a significant intercept (p < 0.05), suggesting non-constant discrepancies.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the whole sample, Bland-Altman analysis for EQ2 confirmed a significant systematic bias of -3.52 kg (p < 0.05), resulting in overestimation of FFM.
“Bland-Altman, confirmed this with a significant systematic bias of -3.52 kg (p < 0.05) (Fig. 1d), which resulted in an overestimation of FFM.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn the whole sample, Bland-Altman results for EQ3 showed no significant systematic or proportional bias.
“This was consistent with Bland-Altman results, which showed no significant systematic or proportional bias.(Fig. 1f ).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataEQ1 rejected equivalence testing for each sex group, although the whole sample improved this result.
“However, considering a more specific analysis, EQ1 rejected the equivalence testing for each sex group, although the whole sample improved this result.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningEQ1 showed improved R2 and lower bias values in the whole sample compared to the subgroups.
“On the other hand, EQ1 showed improved R 2 and lower bias values in the whole sample compared to the subgroups.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataEQ1 and EQ3 exhibited lower R2 than EQ2 and EQ4, but no significant systematic bias with DXA was observed in either males or females (p > 0.05).
“On the other hand, although EQ1 and EQ3 exhibited lower R 2 than EQ2 and EQ4, no significant systematic bias with DXA was observed in either males or females (p > 0.05).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn males, Bland-Altman bias for EQ2 and EQ4 was -4.33 kg and -5.11 kg, respectively, both statistically different from zero, indicating systematic bias (p < 0.01).
“However, the bias observed by the Bland-Altman plot for these equations was -4.33 kg for EQ2 and -5.11 kg for EQ4, both of which resulted statistically different from zero, indicating a systematic bias (p < 0.01).”
Quote in the paperSubstantial claimMay combine two claims.
Findingnone givenParticipants in the current study presented similarities with findings from previous reports on Ht, BW and BMI, even though recreational athletes may differ from higher-level athletes.
“Even though, recreational athletes may differ from a higher level athletes, participants in the current study presented similarities with findings from previous reports on Ht, BW and BMI.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Findingnone givenOur sample differed from recreational athlete characteristics according to other studies.
“Our sample differed from recreational athlete characteristics according to other studies.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataNeither EQ2 nor EQ4 are appropriate for accurately estimating FFM in samples similar to ours.
“These findings suggest that neither EQ2 nor EQ4 are appropriate for accurately estimating FFM in samples similar to ours.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningSince gender is included in EQ2 and EQ4, differences in body composition between males and females may contribute to prediction error.
“Since gender is a variable included in EQ2 and EQ4, differences in BC in males and females may contribute to prediction error, as numerous equations have included this variable.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataDXA scans were performed by a trained technician.
“Scans were performed by a trained technician.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenDXA equipment was calibrated according to the manufacturer's instructions every assessment day.
“DXA equipment was calibrated according to the instructions provided by the manufacturer every assessment day.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationDifferences of up to 5.55 kg between EQ3 and DXA were considered clinically relevant because %FM increased from 25.10% to 33.48%, shifting a participant's category from overfat to obese.
“However, these differences may not be that small in all participants as differences of up to 5.55 kg were observed, in other participants considered clinically relevant as the %FM increased from 25.10% to 33.48%, thereby resulting in his category shifting from overfat to obese category (Gallagher et al., 2000).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Gallagher et al., 2000 source
Classified as probably not a substantial claim.
PremisecitationSystematic bias could be found in body composition across different methodologies and populations.
“Systematic bias could be found in BC across different methodologies and populations (Lohman and Chen, 2005).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lohman and Chen, 2005 source
May combine two claims.
PremisecitationIn other studies, a weak relationship between DXA and EQ3 predictions has been reported, particularly among female athletes; Houtkooper et al. (2001) reported an R2 = 0.10 for %FM when comparing DXA using EQ3 in nineteen heptathletes.
“In other studies, a weak relationship between DXA and EQ3 predictions has been reported, particularly among female athletes.Houtkooper et al. (2001) reported an R 2 = 0.10 for a %FM when comparing DXA using EQ3 in a group of nineteen heptathletes.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Houtkooper et al. (2001) source
May combine two claims.
InterpretationreasoningDisparities between DXA and EQ1 values may be attributed to differences in BW and %FM, as our sample was leaner than the EQ1 sample, mainly in the female group.
“Disparities between the DXA and EQ1 values may be attributed to differences in BW and %FM as our sample was leaner than the sample from EQ1 study, mainly in the female group.”
Quote in the paperSubstantial claim- Rests on an assumption: The accuracy of predictive equations is influenced by the characteristics of the subjects evaluated, and it is important that these characteristics closely match those involved in the equation development.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationA particularly low FM of 10.31% was reported by Mooses et al. (2013) in recreational athletes, although these authors did not provide explicit criteria for athlete classification.
“Notably, a particularly low FM of 10.31% was reported by Mooses et al. (2013) in the case of recreational athletes although these authors did not provide explicit criteria for athlete classification.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mooses et al. (2013) source
Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.
Interpretationown dataThe results show the importance of identifying pertinent predictive equations to track and evaluate body composition accurately, and the potential of equations to be used in recreational athletes who may not suit the standard athletic body.
“Nevertheless, these results show the importance of identifying pertinent predictive equations to track and evaluate accurately BC, and the potential of equations to be used in recreational athletes who may not suit the standard athletic body.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataIndividual agreement between DXA FFM and predicted values cannot be confirmed, and such discrepancies may be substantial in practice, particularly when body composition estimates are used for personalized training or nutritional decision-making.
“Given these results, individual agreement between DXA FFM and the predicted values cannot be confirmed, and such discrepancies may be substantial in practice-particularly when BC estimates are used for personalized training or nutritional decision-making.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningDifferences in sample characteristics could explain the lack of agreement between DXA and predictions of both EQ2 and EQ4, in addition to differences in methods employed for the use of a 4C model in EQ2.
“Differences in sample characteristics could explain the lack of agreement between DXA and predictions of both equations, in addition to differences in methods employed for the use of a 4C model in EQ2.”
Quote in the paperSubstantial claim- Rests on an assumption: The accuracy of predictive equations is influenced by the characteristics of the subjects evaluated, and it is important that these characteristics closely match those involved in the equation development.
May combine two claims.
Interpretationown dataEQ1 and EQ3 are viable options for predicting FFM in a group of recreational runners, despite the wide 95% limits of agreement that may be considered for individual predictions.
“We find EQ1 and EQ3 to be viable options for predicting FFM in a group of recreational runners, despite the wide 95% LOA that may be considered for individual predictions.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningConsidering these results and the findings of the current study, EQ3 may be more suitable for subjects with higher FFM, as both the original sample and the athlete validation sample included individuals who were heavier in terms of FFM than our participants.
“Considering these results and the findings of the current study, it is likely that EQ3 may be more suitable for subjects with higher FFM, as both the original sample and the athlete validation sample included individuals who were heavier in terms of FFM than our participants.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataEquations one and three demonstrated a greater level of accuracy in predicting body composition within the current sample, and Equation three was more consistent between groups of data.
“Equations one and three demonstrated a greater level of accuracy in predicting BC within the current sample, and Equation three was more consistent between groups of data.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThere is limited information available regarding the EQ3 development sample; its subjects ranged in age from 19 to 50 years and had a mean FFM of 60.2 kg, notably higher than our sample.
“There is limited information available regarding EQ3 development sample.The subjects ranged in age from 19 to 50 years, and the mean FFM was 60.2 kg, which was notably higher than our sample (Lukaski et al., 1986).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lukaski et al., 1986 source
May combine two claims.
Premisenone givenThe EQ2 development sample was different from ours: its subjects were considerably younger, larger, and leaner.
“In the case of EQ2, the sample used in its development was different from ours.These subjects were considerably younger, larger, and leaner.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataCompared with DXA, EQ3 demonstrated to be the most consistent equation with fair accuracy, given that most metrics were adequate in males and the whole sample analysis.
“Compared with DXA, EQ3 demonstrated to be the most consistent equation with a fair accuracy, given that most of the metrics were adequate in males and the whole sample analysis.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone givenElite athletes, particularly in endurance sports, are generally expected to be leaner than recreational athletes.
“It is worth highlighting that elite athletes, particularly in endurance sports, are generally expected to be leaner than recreational athletes.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Interpretationnone givenThe assessment method used by these authors was anthropometry, which may add differences in the results.
“It is important to note, that the assessment method used by these authors was anthropometry which may add differences in the results.”
Quote in the paperNot a substantial claim
The authors state this as an assumption.
Some characteristics of the EQ3 development sample were comparable to those of the present sample.
“Nevertheless, due to the fair agreement observed between the DXA and EQ3 values in the present study, we assumed that some of the characteristics in their sample were comparable to ours.”
The paper relies on this without support.
The accuracy of predictive equations is influenced by the characteristics of the subjects evaluated, and it is important that these characteristics closely match those involved in the equation development.
“Accuracy of predictive equations is influenced by the characteristics of the subjects evaluated, and it is considered important that these characteristics closely match those involved in the equation development.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Height is labeled in centimetres but used at metre-scale values
MinorTable 2 lists male height as 1.69 cm. Its reported Ht2/R value of 56.4 cannot result from 1.69 cm and the reported resistance of 512.9 Ω; it is approximately the value obtained using 169 cm. The height values therefore conflict with their stated unit.
“| Ht (cm) | 1.69 ± 0.1 | 1.62 ± 0.0 ** | 1.7 ± 0.1 |”
“| R (Ω) | 512.9 ± 53.2 | 602.8 ± 77.7 ** | 566.9 ± 81.4 | | Xc (Ω) | 64.8 ± 7.7 | 68.3 ± 11.1 | 66.9 ± 9.9 | | Ht 2 /R (Ω) | 56.4 ± 6.5 | 44.6± 6.6 *** | 49.3 ±8 .7 |”
EQ3 is labeled as predicting fat mass, but validated as predicting fat-free mass
MinorTable 1 defines EQ3's output as FM (fat mass), while Table 3 reports its predictions in the FFM (fat-free mass) column. These are different body-composition measures, so the equation label conflicts with the reported validation.
“| EQ3 | FM (kg) = (0.734 × [Ht 2 / R]) + (0.116 × BW) + (0.096 × Xc) + (0.876 × Sex) -4.03 |”
“| | FFM | Bias (95% IC) | ET | r | R 2 | SEE | 95% LOA | | --- | --- | --- | --- | --- | --- | --- | --- | | Male (n=12) | | | | | | | | | DXA | 53.3±5.8 | - | - | | - | - | - | | EQ1 | 51.8±6.8 | 1.52 (-0.65, 3.69) | No | 0.86 ** | 0.75 ** | 3.07 | -5.19, 8.23 | | EQ2 | 57.6±7.6 † | -4.33 (-6.02, -2.63) * | No | 0.95 ** | 0.91 ** | 1.85 | -9.56, 0.91 | | EQ3 | 52.4±5.3”
Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965 · see citing works
Correlation Coefficients: Appropriate Use and Interpretation
Schober, P., Boer, C., & Schwarte, L. A. (2018) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000002864 · Cited by 10,986 · see citing works
Measuring agreement in method comparison studies
Bland, J. M., & Altman, D. G. (1999) · Statistical Methods in Medical Research · doi:10.1177/096228029900800204 · Cited by 9,619 · cited 1× · see citing works
“To evaluate the agreement between methods, Bland-Altman analysis was performed with a one sample t -test comparing the difference between methods against a null hypothesis equals to zero to identify systematic bias (Bland and Altman, 1986; 1999).”
Statistical methods for assessing agreement between two methods of clinical measurement
Bland, J. M., & Altman, D. G. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2009.10.001 · Cited by 5,220 · see citing works
Understanding bland altman analysis
Giavarina, D. (2015) · Biochemia Medica · doi:10.11613/bm.2015.015 · Cited by 4,022 · cited 1× · see citing works
“Therefore, caution should be exercised when using these equations at the individual level, as various authors emphasize that agreement between methods is primarily determined by LOA (At-kinson and Nevill, 1998; Giavarina, 2015).”
Atkinson, G., & Nevill, A. M. (1998) · Sports Medicine · doi:10.2165/00007256-199826040-00002 · Cited by 3,817 · 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 · cited 4× · see citing works
“Additionally, FFM was predicted by applying the equations proposed by Macias et al. (2007) Lukaski and Bolonchuk (1986) (EQ3) and Matias et al. (2016) (EQ4), which are based on BIA and basic anthropometric variables and enable the prediction of FFM or TBW (Table 1).”
InfluentialHealthy 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 · cited 1× · see citing works
“…differences may not be that small in all participants as differences of up to 5.55 kg were observed, in other participants considered clinically relevant as the %FM increased from 25.10% to 33.48%, thereby resulting in his category shifting from overfat to obese category (Gallagher et al. , 2000).”
InfluentialThe Importance of Muscular Strength in Athletic Performance
Suchomel, T. J., Nimphius, S., & Stone, M. H. (2016) · Sports Medicine · doi:10.1007/s40279-016-0486-0 · Cited by 1,586 · cited 1× · see citing works
“Professionals in sports science are interested in assessing body composition (BC) of athletes due to the close relationship with sports performance (Suchomel et al ., 2016; Campa et al ., 2019; Cholewa et al ., 2019; Ferland et al ., 2020).”
Validation of tetrapolar bioelectrical impedance method to assess human body composition
Lukaski, H. C., Bolonchuk, W. W., Hall, C. B., & Siders, W. A. (1986) · Journal of Applied Physiology · doi:10.1152/jappl.1986.60.4.1327 · Cited by 1,376 · cited 1× · see citing works
“The subjects ranged in age from 19 to 50 years, and the mean FFM was 60.2 kg, which was notably higher than our sample (Lukaski et al. , 1986).”
InfluentialAnthropometric measurement error and the assessment of nutritional status
Ulijaszek, S. J., & Kerr, D. A. (1999) · British Journal Of Nutrition · doi:10.1017/s0007114599001348 · Cited by 1,159 · cited 1× · see citing works
“However, this method may be time-consuming, and the reliability of anthropometric measurements often depends on the experience of the anthropometrist (Gavan, 1950; Ulijaszek and Kerr, 1999).”
Bland-Altman analysis: A paradigm to understand correlation and agreement
Doğan, N. Ö. (2018) · Turkish Journal of Emergency Medicine · doi:10.1016/j.tjem.2018.09.001 · Cited by 371 · cited 1× · see citing works
“Additionally, a simple linear regression analysis between method differences and method means was used to evaluate proportional bias; bias and 95% limits of agreement were reported (Doğan, 2018).”
Campa, F., Toselli, S., Mazzilli, M., Gobbo, L. A., & Coratella, G. (2021) · Nutrients · doi:10.3390/nu13051620 · Cited by 315 · cited 1× · see citing works
“Therefore, biased results can be obtained when applying these equations to athletes, as the FFM and fluid compartments often differ significantly from the general population (Campa et al. , 2021; Coratella et al. , 2021).”
A Primer on the Use of Equivalence Testing for Evaluating Measurement Agreement
DIXON, P. M., SAINT-MAURICE, P. F., KIM, Y., HIBBING, P., BAI, Y., & WELK, G. J. (2018) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000001481 · Cited by 227 · cited 2× · see citing works
“This suggests that using EQ1 in a sex-specific participant cohort may reduce the accuracy of FFM estimations, which could be clinically relevant, given that a 5% region of equivalence is set as a rigorous criterion for evaluating agreement between methods (Dixon et al. , 2018).”
Dual-Energy X-Ray Absorptiometry
Lohman, T. G., & Chen, Z. (2005) · Human Body Composition · doi:10.5040/9781492596950.ch-005 · Cited by 219 · see citing works
Bioimpedance basics and phase angle fundamentals
Ward, L. C., & Brantlov, S. (2023) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-022-09780-3 · Cited by 205 · cited 1× · see citing works
“These properties vary according to the body component distribution and proportion, mainly fat mass (FM) and total body water (TBW) (Kyle et al. , 2004; Ward and Brantlov, 2023).”
Water balance, hydration status, and fat-free mass hydration in younger and older adults
Bossingham, M. J., Carnell, N. S., & Campbell, W. W. (2005) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.6.1342 · Cited by 125 · cited 1× · see citing works
“Moreover, the use of the hydration factor to estimate FFM from EQ4 could increase bias in different age ranges, as the hydration factor may vary slightly on the individual basis (Bossingham et al ., 2005; Sagayama et al ., 2020).”
Campa, F., Gobbo, L. A., Stagi, S., Cyrino, L. T., Toselli, S., Marini, E., & Coratella, G. (2022) · European Journal of Applied Physiology · doi:10.1007/s00421-021-04879-y · Cited by 115 · cited 1× · see citing works
“Recent reports highlighted that some equations developed for general populations could be applied to athletes (Campa et al. , 2022).”
Matias, C. N., Santos, D. A., Júdice, P. B., Magalhães, J. P., Minderico, C. S., Fields, D. A., Lukaski, H. C., Sardinha, L. B., & Silva, A. M. (2016) · Clinical Nutrition · doi:10.1016/j.clnu.2015.03.013 · Cited by 108 · cited 1× · see citing works
“Additionally, FFM was predicted by applying the equations proposed by Macias et al. (2007) Lukaski and Bolonchuk (1986) (EQ3) and Matias et al. (2016) (EQ4), which are based on BIA and basic anthropometric variables and enable the prediction of FFM or TBW (Table 1).”
Santos, D. A., Silva, A. M., Matias, C. N., Fields, D. A., Heymsfield, S. B., & Sardinha, L. B. (2010) · Nutrition & Metabolism · doi:10.1186/1743-7075-7-22 · Cited by 91 · cited 1× · see citing works
“Furthermore, compared with other reference methods, DXA has been reported to overestimate FM (Santos et al. , 2010).”
Anthropometry, Physical and Movement Features, and Repeated-sprint Ability in Soccer Players
Campa, F., Semprini, G., Júdice, P., Messina, G., & Toselli, S. (2018) · International Journal of Sports Medicine · doi:10.1055/a-0781-2473 · Cited by 77 · cited 1× · see citing works
“Professionals in sports science are interested in assessing body composition (BC) of athletes due to the close relationship with sports performance (Suchomel et al ., 2016; Campa et al ., 2019; Cholewa et al ., 2019; Ferland et al ., 2020).”
Matias, C. N., Campa, F., Santos, D. A., Lukaski, H., Sardinha, L. B., & Silva, A. M. (2021) · International Journal of Sports Medicine · doi:10.1055/a-1179-6236 · Cited by 54 · see citing works
(1990) · PubMed · Cited by 47 · see citing works
Macias, N., Alemán-Mateo, H., Esparza-Romero, J., & Valencia, M. E. (2007) · Nutrition Journal · doi:10.1186/1475-2891-6-18 · Cited by 46 · cited 1× · see citing works
“Additionally, FFM was predicted by applying the equations proposed by Macias et al. (2007) Lukaski and Bolonchuk (1986) (EQ3) and Matias et al. (2016) (EQ4), which are based on BIA and basic anthropometric variables and enable the prediction of FFM or TBW (Table 1).”
The consistency of anthropometric measurements
Gavan, J. A. (1950) · American Journal of Physical Anthropology · doi:10.1002/ajpa.1330080414 · Cited by 46 · cited 1× · see citing works
“However, this method may be time-consuming, and the reliability of anthropometric measurements often depends on the experience of the anthropometrist (Gavan, 1950; Ulijaszek and Kerr, 1999).”
Generalized bioelectric impedance‐based equations underestimate body fluids in athletes
Coratella, G., Campa, F., Matias, C. N., Toselli, S., Koury, J. C., Andreoli, A., Sardinha, L. B., & Silva, A. M. (2021) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.14033 · Cited by 45 · cited 1× · see citing works
“Therefore, biased results can be obtained when applying these equations to athletes, as the FFM and fluid compartments often differ significantly from the general population (Campa et al. , 2021; Coratella et al. , 2021).”
Knechtle, B., & Tanda, G. (2013) · Open Access Journal of Sports Medicine · doi:10.2147/oajsm.s44945 · Cited by 44 · cited 1× · see citing works
“Another study documented a FM of 16.3 ± 5.6% in male recreational runners with BMI values similar to our sample (Knechtle and Tanda, 2013).”
InfluentialBody Composition Profiles of Elite American Heptathletes
Houtkooper, L. B., Mullins, V. A., Going, S. B., Brown, C. H., & Lohman, T. G. (2001) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.11.2.162 · Cited by 37 · cited 2× · see citing works
“The equation over-estimated the FM in the Houtkooper et al. (2001) sample by 4.4%.”
InfluentialEvaluation of fat-free mass hydration in athletes and non-athletes
Sagayama, H., Yamada, Y., Ichikawa, M., Kondo, E., Yasukata, J., Tanabe, Y., Higaki, Y., & Takahashi, H. (2020) · European Journal of Applied Physiology · doi:10.1007/s00421-020-04356-y · Cited by 24 · cited 1× · see citing works
“Moreover, the use of the hydration factor to estimate FFM from EQ4 could increase bias in different age ranges, as the hydration factor may vary slightly on the individual basis (Bossingham et al ., 2005; Sagayama et al ., 2020).”
Piasecki, J., Ireland, A., Piasecki, M., Cameron, J., McPhee, J. S., & Degens, H. (2018) · Scandinavian Journal of Medicine & Science in Sports · doi:10.1111/sms.13062 · Cited by 21 · cited 1× · see citing works
“Specifically in runners, the %FM has been observed to fall within the range of 14.9% to 21.0% in females (Piasecki et al. , 2018; Carbuhn et al. , 2022) and 7.29% to 11.4% in males (Mooses et al. , 2013; Carbuhn et al. , 2022).”
InfluentialRelationships Between Anthropometry and Maximal Strength in Male Classic Powerlifters
Ferland, P.-M., Laurier, A., & Comtois, A. S. (2020) · International journal of exercise science · doi:10.70252/wktf5547 · Cited by 18 · cited 1× · see citing works
“Professionals in sports science are interested in assessing body composition (BC) of athletes due to the close relationship with sports performance (Suchomel et al ., 2016; Campa et al ., 2019; Cholewa et al ., 2019; Ferland et al ., 2020).”
Carbuhn, A. F., Yu, D., Magee, L. M., McCulloch, P. C., & Lambert, B. S. (2022) · Orthopaedic Journal of Sports Medicine · doi:10.1177/23259671211070308 · Cited by 17 · cited 1× · see citing works
“Specifically in runners, the %FM has been observed to fall within the range of 14.9% to 21.0% in females (Piasecki et al. , 2018; Carbuhn et al. , 2022) and 7.29% to 11.4% in males (Mooses et al. , 2013; Carbuhn et al. , 2022).”
InfluentialRunning economy and body composition between competitive and recreational level distance runners
Mooses, M., Jürimäe, J., Mäestu, J., Mooses, K., Purge, P., & Jürimäe, T. (2013) · Acta Physiologica Hungarica · doi:10.1556/aphysiol.100.2013.3.10 · Cited by 16 · cited 2× · see citing works
“Notably, a particularly low FM of 10.31% was repor-ted by Mooses et al. (2013) in the case of recreational athletes although these authors did not provide explicit criteria for athlete classification.”
InfluentialSkinfold Thickness Distribution in Recreational Marathon Runners
Nikolaidis, P. T., Rosemann, T., & Knechtle, B. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17092978 · Cited by 16 · cited 1× · see citing works
“This was reported by Nikolaidis et al. (2020), with a mean %FM of 19.6 ± 4.7% for women and 17.7 ± 4.0% for male participants.”
Influential
Flagged first, then by citations
Research works printed but not linked: 1
- Cholewa, J.M. et al. 2019. Anthropometrical Determinants of deadlift Variant Performance. Journal of Sports Science and Medicine, 18(August): 448–453.
- Authors
- Vázquez-Bautista, M. A., Robles-Sardin, A. E., Reséndiz-Sandoval, M., Navarro-Ibarra, M. J., Hernández López, J., & Caire-Juvera, G.
- Affiliations
- Universidad Autónoma de Baja California (MX)
- ORCID
- Venue
- BIOtecnia
- Publisher
- Universidad de Sonora
- Published
- 2025-10-15
- Volume
- 27
- Pages
- e2512
- ISSN
- 1665-1456 (ISSN-L)
- OpenAlex
- W4415219360
- Semantic Scholar
- a4bbaaa434ef53735445b0a1b6c59a57faf8abf7
- Cited by
- 0
- References
- 29
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- BIOtecnia (publishedVersion, cc-by-nc-sa)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Physical Education and Training Studies
- Keywords
- bioelectrical impedance analysis, body composition, external validation, prediction equations, dual-energy X-ray absorptiometry, recreational runners, measurement agreement, Mexican athletes
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-07.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-07.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review