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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
Open accessAbstract
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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“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]
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BackgroundWinkert, K., Steinacker, J. M., Machus, K., Dreyhaupt, J., & Treff, G. (2018) · European Journal of Sport Science · doi:10.1080/17461391.2018.1497089 · Cited by 18
“…thatSH,BMandLBMare frequently – or probably always – included in national strategies for early talent identificationanddevelopment (TID) in rowing (Ackland et al., 2012; Hahn, 1989; Kerr et al., 2007; Lawton, Cronin, & McGuigan, 2012; Mikulic & Ruzic, 2008), especially as these variables are…”
BackgroundInfluentialNormative fat-free mass index values for a diverse sample of collegiate female athletes
Blue, M. N. M., Hirsch, K. R., Pihoker, A. A., Trexler, E. T., & Smith‐Ryan, A. E. (2019) · Journal of Sports Sciences · doi:10.1080/02640414.2019.1591575 · Cited by 19
“Gravitational sport athletes who emphasise lighter body mass for performance efficiency (Ackland et al., 2012), may be expected to demonstrate low FFMI.”
BackgroundStrauß, M., Foshag, P., & Leischik, R. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17051590 · Cited by 20
“, The Barn, Philpots Close, Yiewsley, West Drayton, Middlesex, UB7 7RY, UK) [13].”
N-3 PUFA as an ergogenic supplement modulating muscle hypertrophy and strength: a systematic review
López‐Seoane, J., Martínez‐Ferrán, M., Morales, C. R., & Pareja-Galeano, H. (2021) · Critical Reviews in Food Science and Nutrition · doi:10.1080/10408398.2021.1939262 · Cited by 19
The Impact of Low Subcutaneous Fat in Patients with Nontuberculous Mycobacterial Lung Disease
Lee, S. J., Ryu, Y. J., Lee, J. H., Chang, J. H., & Shim, S. S. (2014) · Lung · doi:10.1007/s00408-014-9565-x · Cited by 18
Body weight and subcutaneous fat patterning in elite judokas
Sengeis, M., Müller, W., Störchle, P., & Fürhapter-Rieger, A. (2019) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.13508 · Cited by 18
“Participants were grouped according to the Judo weight category (WC) borders for females (f) and males (m): (1) Extra‐lightweight (f:48 kg; m:60 kg), (2) Half‐lightweight (f:52 kg; m:66 kg), (3) Lightweight (f:57 kg; m:73 kg), (4) Half‐middleweight (f:63 kg; m:81 kg), (5) Middleweight (f:70 kg;m:90 kg), (6) Half‐heavy…”
Self-citationSeasonal Change in Body Composition and Physique of Team Sport Athletes
Walker, E., Aughey, R. J., McLaughlin, P. A., & McAinch, A. J. (2020) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000003474 · Cited by 17
“Measurement of body composition in the high performance environment is common practice (1).”
BackgroundBauer, P., Majisik, A., Mitter, B., Csapo, R., Tschan, H., Hume, P. A., Martínez‐Rodríguez, A., & Makivić, B. (2023) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000004155 · Cited by 17
Physical and Physiological Characteristics of Elite CrossFit Athletes
Sauvé, B., Haugan, M., & Paulsen, G. (2024) · Sports · doi:10.3390/sports12060162 · Cited by 17
Raymond‐Pope, C. J., Dengel, D. R., Fitzgerald, J. S., & Bosch, T. A. (2018) · The Journal of Strength and Conditioning Research · doi:10.1519/jsc.0000000000002688 · Cited by 17
“assessments are used as benchmarks for training to optimize performance, assess return to play, or examine injury risk (4,8,12).”
MethodDomingos, C., Matias, C. N., Cyrino, E. S., Sardinha, L. B., & Silva, A. M. (2019) · Revista da Associação Médica Brasileira · doi:10.1590/1806-9282.65.10.1283 · Cited by 17
Overweight in Young Athletes: New Predictive Model of Overfat Condition
Mascherini, G., Petri, C., Ermini, E., Bini, V., Calà, P., Galanti, G., & Modesti, P. A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16245128 · Cited by 17
“The reference methods in this field have some inherent problems, such as the time needed for evaluations, the financial costs involved, or the unnecessary exposure to radiation, in particular with young people [9].”
BackgroundCavedon, V., Brugnoli, C., Sandri, M., Bertinato, L., Giacobbi, L., Bolcevic, F., Zancanaro, C., & Milanese, C. (2022) · PeerJ · doi:10.7717/peerj.14013 · Cited by 15
Armendariz, M. L. P., Adhikari, R., Bawari, B., Varamenti, E., & Pullinger, S. A. (2023) · International Journal of Kinanthropometry · doi:10.34256/ijk23112 · Cited by 17
“Assessing body composition in combat athletes is fundamental for enhancing their athletic performance (Ackland et al., 2012; Malina, 2007).”
BackgroundO'Neill, D. C., Cronin, O., O’Neill, S. B., Woods, T., Keohane, D. M., Molloy, M. J., & Falvey, É. C. (2016) · International Journal of Sports Medicine · doi:10.1055/s-0035-1565168 · Cited by 16
Performance and antrhropometric characteristics of Elite Rugby Players.
Pasin, F., Caroli, B., Spigoni, V., Dei, A., Volpi, R., Galli, C., & Passeri, G. (2017) · Acta bio-medica dell'Ateneo parmense/Acta biomedica · doi:10.23750/abm.v88i2.5221 · Cited by 16
Grigoletto, A., Mauro, M., Oppio, A., Greco, G., Fischetti, F., Cataldi, S., & Toselli, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19127433 · Cited by 16
Changes in collegiate ice hockey player anthropometrics and aerobic fitness over 3 decades
Triplett, A. N., Ebbing, A. C., Green, M. R., Connolly, C. P., Carrier, D. P., & Pivarnik, J. M. (2018) · Applied Physiology Nutrition and Metabolism · doi:10.1139/apnm-2017-0789 · Cited by 16
Ong, J. N., Ducker, K. J., Furzer, B. J., Dymock, M., & Landers, G. J. (2021) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2021.09.192 · Cited by 16
Bioimpedance Patterns and Bioelectrical Impedance Vector Analysis (BIVA) of Body Builders
Petri, C., Micheli, M. L., Izzicupo, P., Timperanza, N., Lastrucci, T., Vanni, D., Gulisano, M., & Mascherini, G. (2023) · Nutrients · doi:10.3390/nu15071606 · Cited by 17
“In this context, monitoring body composition has become fundamental, and in aesthetic sports can provide additional and helpful information [1].”
BackgroundMartini, D., Biasini, B., Rossi, S., Zavaroni, I., Bedogni, G., Musci, M., Pruneti, C. A., Passeri, G., Ventura, M., Galli, D., et al. (2017) · International Journal of Food Sciences and Nutrition · doi:10.1080/09637486.2017.1366433 · Cited by 16
“The array data provided by MRI describe the spatial distribution of physical quantities (Ackland et al. 2012).”
BackgroundMethodLarson‐Meyer, D. E., Schueler, J., Kyle, E., Austin, K. J., Hart, A. M., & Alexander, B. M. (2020) · Journal of Human Lactation · doi:10.1177/0890334420954160 · Cited by 15
“The standard error of the estimate for predicting body fat percentage using the DXA is between 2%–3% (Ackland et al., 2012).”
MethodDimitrijević, M., Paunović, V., Zivkovic, V. I., Bolevich, S., & Jakovljevic, V. L. (2022) · BioMed Research International · doi:10.1155/2022/3456958 · Cited by 15
Body Composition Evaluation Issue among Young Elite Football Players: DXA Assessment
Leão, C., Simões, M., Silva, B., Clemente, F. M., Bezerra, P., & Camões, M. (2017) · Sports · doi:10.3390/sports5010017 · Cited by 16
“Hence, the adherence to the prerequisites for each of the techniques is a key requirement [20].”
BackgroundMethodInfluentialOptimizing Field Body Fat Percentage Assessment in Professional Soccer Players
Martinez-Ferran, M., Rafei, E., Romero-Morales, C., Pérez-Ruiz, M., Lam-Meléndez, A., Munguia-Izquierdo, D., & Pareja-Galeano, H. (2022) · Applied Sciences · doi:10.3390/app12020727 · Cited by 14
Jesus, F., Sousa, M., Nunes, C. L., Francisco, R., Rocha, P. M., Minderico, C. S., Sardinha, L. B., & Silva, A. M. (2022) · International Journal of Sport Nutrition and Exercise Metabolism · doi:10.1123/ijsnem.2022-0039 · Cited by 14
Multicomponent body composition of university club sport athletes
Wagner, D. R., Heath, E. M., Harper, S. A., Cafferty, E. A., Teramoto, M., Evans, A., Burch, T., McBride, J., Spencer, S. B., & Vakula, M. N. (2024) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2024.2446575 · Cited by 13
Trabelsi, K., Ammar, A., Boukhris, O. F., Glenn, J. M., Bott, N., Stannard, S. R., Engel, F. A., Sperlich, B., Garbarino, S., Bragazzi, N. L., et al. (2020) · Nutrients · doi:10.3390/nu12061574 · Cited by 15
Germano, M. L., Gomes, C. D. S., Azevedo, I. G., Fernandes, J., Freitas, R. V. D. M., & Guerra, R. O. (2021) · Experimental Gerontology · doi:10.1016/j.exger.2021.111466 · Cited by 16
Giro, R., Matias, C. N., Campa, F., Santos, D. A., Cavaca, M. L., Duque, P., de Oliveira, M. A., Matos, N., Vicente, F., Pereira, P. M. D. C. C., et al. (2022) · Nutrients · doi:10.3390/nu14214514 · Cited by 16
“Despite their limitations relating to accuracy, anthropometric measurements have proven to generate reliable data when procedures are conducted according to the standards of the International Society for the Advancement of Kinanthropometry (ISAK), by an accredited anthropometrist, and using high-quality, well-calibrat…”
BackgroundMethodInfluentialAssessment of subcutaneous adipose tissue using ultrasound in highly trained junior rowers
Kelso, A., Trájer, E., Machus, K., Treff, G., Müller, W., & Steinacker, J. M. (2017) · European Journal of Sport Science · doi:10.1080/17461391.2016.1277788 · Cited by 14
“Many equations from skinfolds were acquired with a lack of standardisation in the measurement technique, for example, in the site marking, and from different populations, which suggests caution in their use (Ackland et al., 2012; Mulholland & Rolland, 2012).”
BackgroundMethodInfluentialSelf-citationAutomated body volume acquisitions from 3D structured-light scanning
Chiu, C., Pease, D. L., Fawkner, S. G., & Sanders, R. H. (2018) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2018.07.016 · Cited by 14
Kelso, A., Vogel, K., & Steinacker, J. M. (2019) · Acta Paediatrica · doi:10.1111/apa.14496 · Cited by 13
Functional Body Composition: Need for a New Agenda
Sardinha, L. B. (2012) · Archives of Exercise in Health and Disease · doi:10.5628/aehd.v3.i3.147 · Cited by 13
Giovanelli, L., Biganzoli, G., Spataro, A., Malacarne, M., Bernardelli, G., Spada, R., Pagani, M., Biganzoli, E. M., & Lucini, D. (2023) · Acta Diabetologica · doi:10.1007/s00592-023-02203-y · Cited by 15
Metadata
- 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
- green
- hdl.handle.net
- 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 (medical) › 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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