Body composition in urban South Asian women; development of a bioelectrical impedance analysis prediction equation
Abstract
BACKGROUND: Assessment of body composition plays a significant role in combating chronic disease among South Asians. Accurate assessment of body composition by bioelectrical impedance analysis (BIA) requires population-specific equations which are currently unavailable for urban South Asian women. AIM: To assess validity of direct BIA assessment and selected equations for prediction of total body water (TBW), against Deuterium ((2)H2O) dilution and develop and validate a population-specific TBW equation for urban South Asian women. SUBJECTS AND METHOD: Data of 80 urban Sri Lankan women (30-45 years) were used for this analysis. Body composition was assessed by (2)H2O dilution (reference) and BIA. Available BIA equations were assessed for validity. A new TBW equation was generated and validated. RESULTS: Direct BIA measurements and other equations did not meet validation criteria in predicting TBW. TBW by the new equation (TBW = 3.443 + 0.342 × (height(2)/impedance) + 0.176 × weight) correlated (p < 0.001) with TBW by reference method. TBW using the new equation was not significantly different (25.30 ± 2.4 kg) from the reference (25.32 ± 2.7 kg). CONCLUSION: Direct use of TBW by instrument and existing equations are less suitable for this population. The new TBW equation is suitable for body composition assessment in urban South Asian women.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
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 · see citing works
Healthy 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 · see citing works
Estimation of total body water by bioelectrical impedance analysis
Kushner, R., & Schoeller, D. (1986) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/44.3.417 · Cited by 772 · see citing works
Sun, S. S., Chumlea, W. C., Heymsfield, S. B., Lukaski, H. C., Schoeller, D., Friedl, K., Kuczmarski, R. J., Flegal, K. M., Johnson, C. L., & Hubbard, V. S. (2003) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.2.331 · Cited by 701 · cited 13× · see citing works
“20 13 Background: Assessment of body composition plays a significant role in combating chronic disease among South Asians.”
BackgroundMethodInfluentialAssessment methods in human body composition
Lee, S. Y., & Gallagher, D. (2008) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e32830b5f23 · Cited by 694 · cited 1× · see citing works
“…and cost precludes these from routine field use, making secondary methods such as bioelectrical impedance analysis (BIA) more widely used (Lee & Gallagher, 2008) due to its simplicity and noninvasive nature, while retaining accuracy and reproducibility (Kushner, 1992; Shaikh et al.,…”
MethodBioelectrical impedance analysis: a review of principles and applications.
Kushner, R. (1992) · Journal of the American College of Nutrition · doi:10.1080/07315724.1992.12098245 · Cited by 666 · see citing works
Single prediction equation for bioelectrical impedance analysis in adults aged 20–94 years
Kyle, U. G., Genton, L., Karsegard, L., Slosman, D. O., & Pichard, C. (2001) · Nutrition · doi:10.1016/s0899-9007(00)00553-0 · Cited by 573 · cited 1× · see citing works
“The accuracy of BIA depends on equations to which BIA measures are applied in the prediction of TBW (Kyle et al., 2001).”
THE SPECIFIC GRAVITY OF HEALTHY MEN
Behnke, A. R., Feen, B. G., & Welham, W. C. (1942) · JAMA · doi:10.1001/jama.1942.02830070001001 · Cited by 481 · see citing works
BMI does not accurately predict overweight in Asian Indians in northern India
Dudeja, V., Misra, A., Pandey, R. M., Devina, G., Kumar, G. S. H., & Vikram, N. K. (2001) · British Journal Of Nutrition · doi:10.1079/bjn2001382 · Cited by 376 · see citing works
Visser, M., Langlois, J. A., Guralnik, J. M., Cauley, J. A., Kronmal, R. A., Robbins, J., Williamson, J. D., & Harris, T. B. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.3.584 · Cited by 328 · see citing works
Prevalence and trends of the diabetes epidemic in South Asia: a systematic review and meta-analysis
Jayawardena, R., Ranasinghe, P., Byrne, N., Soares, M., Katulanda, P., & Hills, A. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-380 · Cited by 287 · see citing works
Assessment of body composition by bioelectrical impedance in a population aged greater than 60 y
Deurenberg, P., van der Kooij, K., Evers, P., & Hulshof, T. G. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/51.1.3 · Cited by 242 · see citing works
Low body mass index but high percent body fat in Taiwanese subjects: implications of obesity cutoffs
Chang, C.-J., Wu, C.-H., Chang, C.-S., Yao, W.-J., Yang, Y.-C., Wu, J.-S., & Lu, F.-H. (2003) · International Journal of Obesity · doi:10.1038/sj.ijo.802197 · Cited by 232 · see citing works
Resting metabolic rate and body composition of healthy Swedish women during pregnancy
Forsum, E., Sadurskis, A., & Wager, J. (1988) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/47.6.942 · Cited by 154 · see citing works
Heymsfield, S., Wang, Z., Visser, M., Gallagher, D., & Pierson, R. (1996) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/64.3.478s · Cited by 143 · see citing works
Prevalence of overweight and obesity in Sri Lankan adults
Katulanda, P., Jayawardena, R., Sheriff, M. H. R., Constantine, G. R., & Matthews, D. R. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00746.x · Cited by 137 · see citing works
Chowdhury, T. A. (2002) · QJM · doi:10.1093/qjmed/95.4.241 · Cited by 130 · see citing works
Body fat in lean and overweight women estimated by six methods
McNeill, G., Fowler, P., Maughan, R. J., McGaw, B. A., Fuller, M. F., Gvozdanovic, D., & Gvozdanovic, S. (1991) · British Journal Of Nutrition · doi:10.1079/bjn19910072 · Cited by 96 · see citing works
Deurenberg, P., Deurenberg-Yap, M., & Schouten, F. (2002) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601303 · Cited by 87 · see citing works
Estimation of total body water by bioelectrical impedance analysis in blacks
Zillikens, M. C., & Conway, J. M. (1991) · American Journal of Human Biology · doi:10.1002/ajhb.1310030106 · Cited by 45 · see citing works
Body composition by dual-energy X-ray absorptiometry-a review of the technology.
Nord, R. H., & Payne, R. K. (1995) · PubMed · Cited by 35 · see citing works
Sohlström, A., & Forsum, E. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.6.1315 · Cited by 33 · see citing works
Analysis of Body Composition Methods in a Community Sample of African American Women
Lopez, Y., O’Connor, D. P., Ledoux, T. A., & Lee, R. E. (2011) · Women & Health · doi:10.1080/03630242.2011.623222 · Cited by 14 · see citing works
Gurrici, S., Hartriyanti, Y., HAUTVAST, J. G. A. J., & Deurenberg, P. (1999) · Asia Pacific Journal of Clinical Nutrition · doi:10.1046/j.1440-6047.1999.00088.x · Cited by 13 · see citing works
Shaikh, S., Schulze, K. J., Kurpad, A., Ali, H., Shamim, A. A., Mehra, S., Wu, L. S.-F., Rashid, M., Labrique, A. B., Christian, P., et al. (2013) · British Journal of Nutrition · doi:10.1017/s0007114512001687 · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- de Lanerolle-Dias M, 2012, Int J Body Compos Res, 10, 29
- Nord RH, 1995, Asia Pacific J Clin Nutr, 4, 167
Cited by
Sorted by citations
Chen, W., Jiang, H., Yang, J., Yang, H., Liu, J., Zhen, X.-Y., Feng, L.-J., & Yu, J. (2017) · Food and Nutrition Bulletin · doi:10.1177/0379572117697534 · Cited by 19 · see citing works
“For instance, it was reported that direct BIA measurements and using established equations did not meet validation criteria required for predicting TBW among South Asian women.(20) Enormous attempts have been made to obtain an accurate measurement of muscle mass.”
MethodA field tool for prediction of body fat in Sri Lankan women: skinfold thickness equation
Waidyatilaka, I., de Silva, A., de Lanerolle-Dias, M., et al. (2016) · Journal of Health Population and Nutrition · doi:10.1186/s41043-016-0069-6 · Cited by 7 · see citing works
“5 h post administration, allowing equilibration with body water and mean enrichment was used for further calculations [17].”
MethodSelf-citationJayawardena, R., Wijetunga, W. M. U. A., Ranasinghe, P., Wanninayake, L., & Wickramasinghe, V. P. (2020) · European Journal of Clinical Nutrition · doi:10.1038/s41430-019-0521-y · Cited by 5 · see citing works
Kampo, D., Závodná, E., & Vondra, V. (. (2025) · Physiological Research · doi:10.33549/physiolres.935758 · Cited by 5 · see citing works
Development of a New Equation for the Prediction of Resting Metabolic Rate in Sri Lankan Adults
Fairoosa, P., Lanerolle, P., de Lanerolle-Dias, M., Wickramasinghe, P., & Waidyatilaka, I. (2021) · International Journal of Endocrinology · doi:10.1155/2021/4170137 · Cited by 4 · see citing works
“-e best model was cross-validated in an independent sample [21, 24].”
BackgroundSelf-citation
- Authors
- Waidyatilaka, I., Lanerolle, P., de Lanerolle-Dias, M., Atukorala, S., & de Silva, A.
- Affiliations
- University of Colombo (LK)
- Venue
- Annals of Human Biology
- Publisher
- Informa UK Limited
- Published
- 2013-06-27
- Volume
- 40
- Issue
- 4
- Pages
- 360-367
- ISSN
- 0301-4460 (ISSN-L)
- 1464-5033
- OpenAlex
- W2025975869
- Semantic Scholar
- 47c9e6709cd4c4b0b0532ff6f8ea691409665724
- Cited by
- 5
- References
- 25
- Citations by year
- 2025: 1 · 2021: 1 · 2019: 1 · 2017: 1 · 2016: 1
- FWCI
- 0.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Human Biology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrical and Bioimpedance Tomography
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- body composition, bioelectrical impedance analysis, total body water, prediction equations, deuterium dilution, Sri Lankan women, equation validation
- MeSH terms
- Adult, Body Composition, Body Water, Deuterium, Female, Humans, Indicator Dilution Techniques, Middle Aged, Models, Biological
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.
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
