Comparison of body composition methods in overweight and obese Brazilian women

• Published in: Arquivos brasileiros de endocrinologia e metabologia 2010-06, Vol.54 (4), p.398-405
• Main Authors: Braulio, Valeria Bender, Furtado, Valéria Cristina Soares, Silveira, Maria das Graças, Fonseca, Maria Helena, Oliveira, José Egídio
• Format: Article
• Language: English
• Subjects: Absorptiometry, Photon; Adult; Anthropometry - methods; Body Composition - physiology; Body Mass Index; Brazil; Electric Impedance; ENDOCRINOLOGY & METABOLISM; Epidemiologic Methods; Female; Humans; Obesity - pathology; Overweight - pathology; Skinfold Thickness
• ISSN: 0004-2730; 1677-9487; 1677-9487; 0004-2730
• DOI: 10.1590/S0004-27302010000400009

The purpose of this study was to compare skinfold thickness (SKF) and bioelectrical impedance analysis (BIA) of body composition using three different equations against dual-energy X-ray absorptiometry (DXA) in overweight and obese Brazilian women. Thirty-four women (age 43.8 +/- 10.9 years; body mass index [BMI] 32.1 +/- 4.3 kg/m(2)) had percentage body fat (BF%), fat mass (FM) and fat-free mass (FFM) estimated by DXA, SKF and BIA (BIA-man: manufacturer's equation; and predictive obesity-specific equations of Segal and of Gray). Regression analysis, Bland-Altman plot analysis and intra-class correlation coefficient (ICC) were used to compare methods. Absolute agreement between DXA and BIA-man was poor for all measures of body composition (BF% -6.8% +/- 3.7%, FM -3.1 +/- 3.6 kg, FFM 5.7 +/- 2.8 kg). BIA-Segal equation showed good absolute agreement with DXA for BF% (1.5% +/- 1.5%), FM (1.0 +/- 3.2 kg) and FFM (1.5 +/- 2.6 kg), albeit the limits of agreement were wide. BIA-Gray equation showed good absolute agreement with DXA for FM (2.3 +/- 4.1 kg), and smaller biases for BF% (0.05% +/- 4.4%) and FFM (0.2 +/- 2.9 kg), although wide limits of agreement. BIA-Gray and DXA showed the highest ICC among the pairs of methods. A good absolute agreement was observed between DXA and SKF for BF% (-2.3% +/- 5.8%), FM (0.09 +/- 4.7 kg), and FFM (2.4 +/- 4.4 kg), although limits of agreement were wider and ICC between DXA and SKF for BF% indicated poor degree of reproducibility. These findings show that both BIA-Segal and BIA-Gray equations are suitable for BF%, FM and FFM estimations in overweight and obese women.