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Title Comparison of Three Bioelectrical Impedance Methods with DXA in Overweight and Obese
Authors 김현수(Hyun-Soo Kim)
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(Cover Date)
v.16 n.2(2009-04)
Keywords Body composition ; Bioelectrical impedance analysis ; Body fat ; Obese
Abstract The objective of this study was to determine the accuracy of three kind of bioelectrical impedance analysis (BIA) to assess body composition (BC) in overweight and obese adults. Fifty-three healthy obese people (ages 26 to 75 years; BMI, 25 to 32 kg/m2) underwent BIA assessment of BC using the hand-foot BIA (Zeus) (H-FIMP) and handhand BIA (Omron 305) (H-HIMP) and the foot-foot BIA (Tanita 611) (F-FIMP). Measures of validity were determined by Pearson correlations between BIA and DXA, paired t-tests to assess mean differences, as well as biases and limits of agreement. All BIA methods showed good relative agreement with DXA [H-FIMP: fat mass (FM), r2=0.81; fat-free mass (FFM), r2=0.81; percentage body fat (BF%), r2=0.69; H-HIMP: FFM, r2=0.76; BF%, r2=0.40; F-FIMP: FFM, r2=0.79, BF%, r2=0.44; all p<0.001]. Absolute agreement between DXA and H-HIMP was moderately good, as indicated by a small bias and wide limits of agreement (bias, +/?1.96 standard deviation; FFM, 1.0, +/?4.9 kg; BF%, ?1.3, +/?7.5%). H-FIMP: and F-FIMP also exhibited a smaller bias but wide limits of agreement (H-FIMP: FFM, 0.7, +/?5.3 kg; BF%, ?0.9, +/?6.9%; F-FIMP: FFM, 0.3, +/?5.7 kg; BF%, 00.5, +/?7.8%). Compared with DXA, H-HIMP produced large bias and wide limits of agreement, and its accuracy estimating body composition in obese men was poor. H-FIMP and FFIMP demonstrated little bias and may be useful for group comparisons, but their utility for assessment of body composition in individuals is limited.