Validation of body composition measured by skinfold thickness technique and bioelectrical impedance analysis versus dual-energy X-ray absorptiometry among elderly with sarcopenia

M. Hasnan, Suzana Shahar, M. Y. Zaitun, Z. Ahmad Ali

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: An accurate measurement of body composition among the elderly is important to diagnose various clinical conditions associated with muscle loss (e.g. sarcopenia and cachexia).

Methods: 55 men and 23 women (mean age, 66.9 years) were included in this validation study. The skinfold thickness technique (SKF) and bioelectrical impedance analysis (BIA) were validated against dualenergy X-ray absorptiometry (DEXA) in terms of fat mass percentage (%FM) and fat-free mass (FFM) among lean and obese sarcopenic elderly. Three different machines were used for BIA: Omron HBF-510, Tanita BC-418, and Maltron-916.

Results. Agreement between DEXA and the Maltron-916 was the best, with mean bias in %FM being 2.8% and 0.6%, and in FFM being -1.7 kg and -1.2 kg for the lean and obese sarcopenics, respectively. Respectively for Tanita BC-418, Omron-HBF-510, and SKF, the mean biases in %FM were 3.4%, 5.2%, and 6.4% among lean sarcopenics, and 1.8%, 8.3%, and 9.1% among obese sarcopenics, whereas the mean biases in FFM were -2.2 kg, -3.4 kg, and -3.9 kg among the former, and -2.1 kg, -6.8 kg, and -7.4 kg among the latter. Accuracy in assessing %FM and FFM was higher in the obese than lean sarcopenics.

Conclusions: Maltron-916 agreed with DEXA the most in measuring body composition, compared with the other BIA machines and SKF. Nonetheless, caution should be exercised when assessing lean sarcopenic elderly people.

Original languageEnglish
Pages (from-to)85-92
Number of pages8
JournalAsian Journal of Gerontology and Geriatrics
Volume9
Issue number2
Publication statusPublished - 1 Dec 2014

Fingerprint

Sarcopenia
Skinfold Thickness
Photon Absorptiometry
Body Composition
Electric Impedance
Fats
Cachexia
Validation Studies
Muscles

Keywords

  • Absorptiometry
  • Aging
  • Body composition
  • Electrical impedance
  • Photon
  • Sarcopenia
  • Skinfold thickness

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

@article{cdb11b09bbd343359eac505913fd2c14,
title = "Validation of body composition measured by skinfold thickness technique and bioelectrical impedance analysis versus dual-energy X-ray absorptiometry among elderly with sarcopenia",
abstract = "Background: An accurate measurement of body composition among the elderly is important to diagnose various clinical conditions associated with muscle loss (e.g. sarcopenia and cachexia).Methods: 55 men and 23 women (mean age, 66.9 years) were included in this validation study. The skinfold thickness technique (SKF) and bioelectrical impedance analysis (BIA) were validated against dualenergy X-ray absorptiometry (DEXA) in terms of fat mass percentage ({\%}FM) and fat-free mass (FFM) among lean and obese sarcopenic elderly. Three different machines were used for BIA: Omron HBF-510, Tanita BC-418, and Maltron-916.Results. Agreement between DEXA and the Maltron-916 was the best, with mean bias in {\%}FM being 2.8{\%} and 0.6{\%}, and in FFM being -1.7 kg and -1.2 kg for the lean and obese sarcopenics, respectively. Respectively for Tanita BC-418, Omron-HBF-510, and SKF, the mean biases in {\%}FM were 3.4{\%}, 5.2{\%}, and 6.4{\%} among lean sarcopenics, and 1.8{\%}, 8.3{\%}, and 9.1{\%} among obese sarcopenics, whereas the mean biases in FFM were -2.2 kg, -3.4 kg, and -3.9 kg among the former, and -2.1 kg, -6.8 kg, and -7.4 kg among the latter. Accuracy in assessing {\%}FM and FFM was higher in the obese than lean sarcopenics.Conclusions: Maltron-916 agreed with DEXA the most in measuring body composition, compared with the other BIA machines and SKF. Nonetheless, caution should be exercised when assessing lean sarcopenic elderly people.",
keywords = "Absorptiometry, Aging, Body composition, Electrical impedance, Photon, Sarcopenia, Skinfold thickness",
author = "M. Hasnan and Suzana Shahar and Zaitun, {M. Y.} and {Ahmad Ali}, Z.",
year = "2014",
month = "12",
day = "1",
language = "English",
volume = "9",
pages = "85--92",
journal = "Asian Journal of Gerontology and Geriatrics",
issn = "1819-1576",
publisher = "Hong Kong Geriatrics Society and Hong Kong Association of Gerontology",
number = "2",

}

TY - JOUR

T1 - Validation of body composition measured by skinfold thickness technique and bioelectrical impedance analysis versus dual-energy X-ray absorptiometry among elderly with sarcopenia

AU - Hasnan, M.

AU - Shahar, Suzana

AU - Zaitun, M. Y.

AU - Ahmad Ali, Z.

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Background: An accurate measurement of body composition among the elderly is important to diagnose various clinical conditions associated with muscle loss (e.g. sarcopenia and cachexia).Methods: 55 men and 23 women (mean age, 66.9 years) were included in this validation study. The skinfold thickness technique (SKF) and bioelectrical impedance analysis (BIA) were validated against dualenergy X-ray absorptiometry (DEXA) in terms of fat mass percentage (%FM) and fat-free mass (FFM) among lean and obese sarcopenic elderly. Three different machines were used for BIA: Omron HBF-510, Tanita BC-418, and Maltron-916.Results. Agreement between DEXA and the Maltron-916 was the best, with mean bias in %FM being 2.8% and 0.6%, and in FFM being -1.7 kg and -1.2 kg for the lean and obese sarcopenics, respectively. Respectively for Tanita BC-418, Omron-HBF-510, and SKF, the mean biases in %FM were 3.4%, 5.2%, and 6.4% among lean sarcopenics, and 1.8%, 8.3%, and 9.1% among obese sarcopenics, whereas the mean biases in FFM were -2.2 kg, -3.4 kg, and -3.9 kg among the former, and -2.1 kg, -6.8 kg, and -7.4 kg among the latter. Accuracy in assessing %FM and FFM was higher in the obese than lean sarcopenics.Conclusions: Maltron-916 agreed with DEXA the most in measuring body composition, compared with the other BIA machines and SKF. Nonetheless, caution should be exercised when assessing lean sarcopenic elderly people.

AB - Background: An accurate measurement of body composition among the elderly is important to diagnose various clinical conditions associated with muscle loss (e.g. sarcopenia and cachexia).Methods: 55 men and 23 women (mean age, 66.9 years) were included in this validation study. The skinfold thickness technique (SKF) and bioelectrical impedance analysis (BIA) were validated against dualenergy X-ray absorptiometry (DEXA) in terms of fat mass percentage (%FM) and fat-free mass (FFM) among lean and obese sarcopenic elderly. Three different machines were used for BIA: Omron HBF-510, Tanita BC-418, and Maltron-916.Results. Agreement between DEXA and the Maltron-916 was the best, with mean bias in %FM being 2.8% and 0.6%, and in FFM being -1.7 kg and -1.2 kg for the lean and obese sarcopenics, respectively. Respectively for Tanita BC-418, Omron-HBF-510, and SKF, the mean biases in %FM were 3.4%, 5.2%, and 6.4% among lean sarcopenics, and 1.8%, 8.3%, and 9.1% among obese sarcopenics, whereas the mean biases in FFM were -2.2 kg, -3.4 kg, and -3.9 kg among the former, and -2.1 kg, -6.8 kg, and -7.4 kg among the latter. Accuracy in assessing %FM and FFM was higher in the obese than lean sarcopenics.Conclusions: Maltron-916 agreed with DEXA the most in measuring body composition, compared with the other BIA machines and SKF. Nonetheless, caution should be exercised when assessing lean sarcopenic elderly people.

KW - Absorptiometry

KW - Aging

KW - Body composition

KW - Electrical impedance

KW - Photon

KW - Sarcopenia

KW - Skinfold thickness

UR - http://www.scopus.com/inward/record.url?scp=84919384596&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84919384596&partnerID=8YFLogxK

M3 - Article

VL - 9

SP - 85

EP - 92

JO - Asian Journal of Gerontology and Geriatrics

JF - Asian Journal of Gerontology and Geriatrics

SN - 1819-1576

IS - 2

ER -