Cited by 599Body Composition Measurement TechniquesSports Performance and TrainingPhysical Education and Training Studies

Current Status of Body Composition Assessment in Sport: Review and Position Statement on Behalf of the Ad Hoc Research Working Group on Body Composition Health and Performance, Under the Auspices of the I.O.C. Medical Commission

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Ackland, Timothy R., Lohman, Timothy G., Sundgot-Borgen, Jorunn, Maughan, Ronald J., Meyer, Nanna L., Stewart, Arthur D., Müller, Wolfram·2012·Sports Medicine

Abstract

Quantifying human body composition has played an important role in monitoring all athlete performance and training regimens, but especially so in gravitational, weight class and aesthetic sports wherein the tissue composition of the body profoundly affects performance or adjudication. Over the past century, a myriad of techniques and equations have been proposed, but all have some inherent problems, whether in measurement methodology or in the assumptions they make. To date, there is no universally applicable criterion or 'gold standard' methodology for body composition assessment. Having considered issues of accuracy, repeatability and utility, the multi-component model might be employed as a performance or selection criterion, provided the selected model accounts for variability in the density of fat-free mass in its computation. However, when profiling change in interventions, single methods whose raw data are surrogates for body composition (with the notable exception of the body mass index) remain useful.

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  • DXA is a reliable method for assessing BMD and estimating fat and lean masses, provided standard test protocols are used.

    “Though costlier, DXA is a reliable method for assessing BMD and estimating fat and lean masses, provided standard test protocols are used.[138][139][140]”

    From 2023 international olympic committee's (IOC) consensus statement on relative energy deficiency in sport (REDs) (2023) · cites this paper as [138]

    The DXA discussion (section ‘Insert Table II near here’; page unavailable) describes bone-mineral assessment and estimates of fat and fat-free soft tissue, and calls DXA a reasonably precise whole-body method. But it explicitly says DXA is not reliable for accurate fat estimates in lean athletes; the cited passages do not establish that following standard test protocols removes this limitation. (LLM, conf=0.88)

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2 of the 88 references couldn’t be matched to a known paper.

Research works printed but not linked: 7

  1. Hawse MR, Martin AD. Human body composition. In: Eston R, Reilly T, editors. Kinanthropometry and exercise physiological laboratory manual: tests, procedures and data, 2nd ed. London: Routledge, 2001: 7-43
  2. Withers RT, Laforgia J, Heymsfield SB. Critical appraisal of the estimation of body composition via two-, three-, and four-compartment models. Am J Hum Biol 1999 11 (2): 175-85
  3. Peeters M, Claessens A. Effect of deviating clothing schemes on the accuracy of body composition measurements by air-displacement plethysmography. Inte J Body Comp Res 2009 7 (4): 123-9
  4. Institute of Medicine. Dietary reference intakes for water, sodium, chloride, potassium and sulphate. Washington DC: National Academic Press, 2005: 73-185
  5. Marfell-Jones MJ. The value of the skinfold -background assumptions, cautions, and recommendations on taking and interpreting skinfold measurements. In: KAHPERD, Proceedings of the 2001 Seoul International Sport Science Congress, Seoul, Korea. 2001: 313-23
  6. Stewart AD. Anthropometric fat patterning in male and female subjects. In: Reilly T, Marfell-Jones M, editors. Kinanthropometry VIII: Proceedings of the 8th International Society for the Advancement of Kinanthropometry Conference. London: Routledge 2003: 195-238.
  7. Stewart AD. Unpublished PhD thesis entitled Body composition in athletes assessed by DXA and other methods. University of Edinburgh, 1999

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Authors
Ackland, T. R., Lohman, T. G., Sundgot-Borgen, J., Maughan, R. J., Meyer, N. L., Stewart, A. D., & Müller, W.
Affiliations
  • University of Arizona (US)
  • Loughborough University (GB)
  • United States Olympic & Paralympic Committee (US)
  • Robert Gordon University (GB)
  • University of Graz (AT)
Venue
Sports Medicine
Published
2012-03
Volume
42
Issue
3
Pages
227-249
ISSN
0112-1642 (ISSN-L)
OpenAlex
W1969968719
Cited by
599
References
88
Citations by year
2026: 40 · 2025: 51 · 2024: 50 · 2023: 59 · 2022: 64 · 2021: 55 · 2020: 58 · 2019: 42 · 2018: 41 · 2017: 44 · 2016: 25 · 2015: 23 · 2014: 23 · 2013: 18 · 2012: 5
FWCI
14.77
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
Funders
International Olympic Committee
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
body composition assessment, athletes, multicomponent model, weight-class sports, aesthetic sports, athlete performance monitoring, body mass index, measurement accuracy and repeatability, selection criteria
MeSH terms
Adolescent, Adult, Anthropometry, Body Composition, Body Weights and Measures, Female, Health Status, Humans, Male, Sensitivity and Specificity, Sports, Sports Medicine, Western Australia, Absorptiometry, Photon, Body Mass Index, Electric Impedance, Guidelines as Topic, Ultrasonography, Doppler, Imaging, Three-Dimensional, Body Fat Distribution, Athletic Performance, Young Adult

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