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Comparison of Bioelectrical Impedance Analysis and Dual Energy X-ray Absorptiometry for Total and Segmental Bone Mineral Content with a Three-Compartment Model

Yu-San Liao, Hung-Chou Li, Hsueh-Kuan Lu, Chung-Liang Lai, Yue-Sheng Wang and Kuen-Chang Hsieh
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Yu-San Liao: Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Yunlin 638, Taiwan
Hung-Chou Li: Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chiayi 613, Taiwan
Hsueh-Kuan Lu: General Education Center, National Taiwan University of Sport, Taichung 404, Taiwan
Chung-Liang Lai: Department of Physical Medicine and Rehabilitation, Puzi Hospital, Ministry of Health and Welfare, Chiayi 613, Taiwan
Yue-Sheng Wang: Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chiayi613, Taiwan
Kuen-Chang Hsieh: Fundamental Education Center, National Chin-Yi University of Technology, Taichung 411, Taiwan

IJERPH, 2020, vol. 17, issue 7, 1-13

Abstract: Modern bioelectrical impedance analysis (BIA) provides a wide range of body composition estimates such as fat mass (FM), lean body mass (LBM), and body water, using specific algorithms. Assuming that the fat free mass (FFM) and LBM can be accurately estimated by the 8-electrode BIA analyzer (BIA 8MF ; InBody230, Biospace), the bone mineral content (BMC) may be calculated by subtracting the LBM from the FFM estimates based on the three-compartment (3C) model. In this cross-sectional study, 239 healthy Taiwanese adults (106 male and 133 female) aged 20–45 years were recruited for BIA and dual-energy X-ray absorptiometry (DXA) measurements of the whole body and body segments, with DXA as the reference. The results showed a high correlation between BIA 8MF and DXA in estimating total and segmental LBM, FM and percentage body fat (r = 0.909–0.986, 0.757–0.964, and 0.837–0.936, respectively). For BMC estimates, moderate to high correlations (r = 0.425–0.829) between the two methods were noted. The percentage errors and pure errors for BMC estimates between the methods ranged from 33.9% to 93.0% and from 0.159 kg to 0.969 kg, respectively. This study validated that BIA 8MF can accurately assesses LBM, FM and body fat percentage (BF%). However, the estimation of segmental BMC based on the difference between FFM and LBM in body segments may not be reliable by BIA 8MF .

Keywords: BIA; bone mineral content; DXA; segment; multi-frequency; three-compartment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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