Prediction Equations of the Multifrequency Standing and Supine Bioimpedance for Appendicular Skeletal Muscle Mass in Korean Older People
Open accessAbstract
Bioimpedance analysis (BIA) has been demanded for the assessment of appendicular skeletal muscle mass (ASM) in clinical and epidemiological settings. This study aimed to validate BIA equations for predicting ASM in the standing and supine positions; externally to cross-validate the new and published and built-in BIA equations for group and individual predictive accuracy; and to assess the overall agreement between the measured and predicted ASM index as sarcopenia diagnosis. In total, 199 healthy older adults completed the measurements of multifrequency BIA (InBody770 and InBodyS10) and dual-energy X-ray absorptiometry (DXA). Multiple regression analysis was used to validate the new multifrequency bioelectrical impedance analysis (MF-BIA) prediction equations. Each MF-BIA equation in the standing and supine position developed in the entire group included height2/resistance, sex, and reactance as predictors (R2 = 92.7% and 92.8%, SEE = 1.02 kg and 1.01 kg ASM for the standing and supine MF-BIA). The new MF-BIA equations had a specificity positive predictive value and negative predictive value of 85% or more except for a sensitivity of about 60.0%. The new standing and supine MF-BIA prediction equation are useful for epidemiological and field settings as well as a clinical diagnosis of sarcopenia. Future research is needed to improve the sensitivity of diagnosis of sarcopenia using MF-BIA.
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As for segmental technology for elderly, only appendicular LSM is currently possible to be determined using two equations suitable for both sexes.
“As for the segmental technology, only the appendicular LSM is currently possible to be determined using two equations suitable for both sexes [68, 94].”
From High-standard predictive equations for estimating body composition using bioelectrical impedance analysis: a systematic review (2024) · cites this paper as [68]
The Results (section 3.3) describe two standing and supine bioimpedance equations for appendicular skeletal muscle mass, with sex included in the models; the sample included both men and women (section 3.1). The Discussion limits their validation to healthy community-dwelling Koreans over 70. The paper does not establish that appendicular lean soft mass is the only segmental measure currently possible, or that the equations apply to older people generally. (LLM, conf=0.86)
Experimental — accuracy not yet measuredOut of the 26 available equations for elderly, three were developed using segmental technology.
“Out of the 26 available equations, 23 were developed with foot to hand technology [36, 38, 46, 49, 53, 63, 67, 89–93, 95, 97], while three equations were developed using segmental technology [68, 94].”
From High-standard predictive equations for estimating body composition using bioelectrical impedance analysis: a systematic review (2024) · cites this paper as [68]
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“Out of the 26 available equations, 23 were developed with foot to hand technology [36, 38, 46, 49, 53, 63, 67, 89–93, 95, 97], while three equations were developed using segmental technology [68, 94].”
BackgroundMethodTwo-megahertz impedance index prediction equation for appendicular lean mass in Korean older people
Kim, H., Song, K.-H., Ambegaonkar, J. P., Chung, S., Jeon, K., Jiang, F. L., Eom, J. J., & Kim, C.-H. (2022) · BMC Geriatrics · doi:10.1186/s12877-022-02997-6 · Cited by 12 · see citing works
Self-citationChoi, H.-J., Ko, C.-Y., Chang, Y., Kim, G.-S., Choi, K., & Kim, C.-H. (2021) · PeerJ · doi:10.7717/peerj.10970 · Cited by 10 · see citing works
Self-citation
- Authors
- Jeon, K. C., Kim, S.-Y., Jiang, F. L., Chung, S., Ambegaonkar, J. P., Park, J.-H., Kim, Y.-J., & Kim, C.-H.
- Affiliations
- Northwestern State University (US)
- Soonchunhyang University (KR)
- Department of Sports Medicine, Soonchunhyang University, Asan 31438, Korea
- Konkuk University (KR)
- George Mason University (US)
- Korea National Sport University (KR)
- Sungshin Women's University (KR)
- Corresponding author
- Kim, Chul-Hyun
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-08-12
- Volume
- 17
- Issue
- 16
- Pages
- 5847
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7459522
- OpenAlex
- W3048731283
- Cited by
- 38
- References
- 34
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 3 · 2022: 9 · 2021: 11
- FWCI
- 3.46
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Ministry of Trade, Industry and Energy (S2482763)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- multifrequency bioelectrical impedance analysis, appendicular skeletal muscle mass, prediction equations, sarcopenia diagnosis, older adults, standing posture, supine position, dual-energy X-ray absorptiometry, Korean population, diagnostic accuracy
- MeSH terms
- Aged, Aged, 80 and over, Body Composition, Female, Humans, Male, Reproducibility of Results, Absorptiometry, Photon, Body Mass Index, Electric Impedance, Muscle, Skeletal, Republic of Korea
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