Comparison of body composition by bioelectrical impedance analysis and dual-energy X-ray absorptiometry in Hispanic diabetics

作者: Z Cordero-Macintyre , M Batech , M Deleon , H Balcazar , L Salto

DOI:

关键词:

摘要: OBJECTIVE: The purpose of this study was to compare Tanita tetrapolar foot-to-foot bioelectrical impedance analysis (Model TBF-310, Corporation America, Inc, Arlington Heights, IL; Tanita-BIA) and fan beam dual-energy X-ray absorptiometry (Hologic Discovery A v12.6, Waltham, MA; DXA) in diabetic patients. METHODS: Seventy Hispanic participants (23 male, 47 female; mean age: 53.03 ± 10.32 yrs; weight: 81.45 17.65 kg; body mass index: 31.40 6.80 kg/m(2)) were selected from the Loma Linda University En Balance culturally-sensitive Spanish diabetes education program using baseline data. RESULTS: DXA vs Tanita-BIA fat (FM), percent (%FM), fat-free (FFM) compared Pearson's (FM: 0.96, %FM: 0.91, FFM: 0.95), Spearman's rank 0.94, 0.93) correlation coefficients. Bland-Altman analyses also used difference (DXA - BIA) average BIA results showed general agreement between two methods. When regressed onto DXA, adjusted R(2) was: FM=0.91; %FM=0.83; FFM=0.90. Gender combined concordance correlations with 95% confidence intervals calculated a bootstrap re-sampling data found high associations [FM: 0.93 (95% CI: 0.89, 0.96)], [%FM: 0.86 0.79, 0.90)], [FFM: 0.96)]. CONCLUSION: may provide valid measures fat, diabetics, could be convenient practical approach for assessment community-based research.

参考文章(33)
B E Nilsson, M Bolanowski, Assessment of human body composition using dual-energy x-ray absorptiometry and bioelectrical impedance analysis. Medical Science Monitor. ,vol. 7, pp. 1029- 1033 ,(2001)
B L Heitmann, Impedance: a valid method in assessment of body composition? European Journal of Clinical Nutrition. ,vol. 48, pp. 228- 240 ,(1994)
Dale A Schoeller, Frances A Tylavsky, David J Baer, William C Chumlea, Carrie P Earthman, Thomas Fuerst, Tamara B Harris, Steven B Heymsfield, Mary Horlick, Timothy G Lohman, Henry C Lukaski, John Shepherd, Roger M Siervogel, Lori G Borrud, QDR 4500A dual-energy X-ray absorptiometer underestimates fat mass in comparison with criterion methods in adults The American Journal of Clinical Nutrition. ,vol. 81, pp. 1018- 1025 ,(2005) , 10.1093/AJCN/81.5.1018
R Kushner, D A Schoeller, C R Fjeld, L Danford, Is the impedance index (ht2/R) significant in predicting total body water? The American Journal of Clinical Nutrition. ,vol. 56, pp. 835- 839 ,(1992) , 10.1093/AJCN/56.5.835
Madlyn I. Frisard, Frank L. Greenway, James P. DeLany, Comparison of methods to assess body composition changes during a period of weight loss. Obesity Research. ,vol. 13, pp. 845- 854 ,(2005) , 10.1038/OBY.2005.97
J. Martin Bland, Douglas G. Altman, Statistical methods for assessing agreement between two methods of clinical measurement International Journal of Nursing Studies. ,vol. 47, pp. 931- 936 ,(2010) , 10.1016/J.IJNURSTU.2009.10.001
J. Martin Bland, DouglasG. Altman, Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet. ,vol. 327, pp. 307- 310 ,(1986) , 10.1016/S0140-6736(86)90837-8
Zaida R. Cordero-MacIntyre, Warren Peters, Cesar R. Libanati, Ricardo C. España, Solomon O. Abila, Wanda H. Howell, Timothy G. Lohman, Reproducibility of DXA in obese women. Journal of Clinical Densitometry. ,vol. 5, pp. 35- 44 ,(2002) , 10.1385/JCD:5:1:035
MICHAEL D. JENSEN, JILL A. KANALEY, LORI R. ROUST, PETER C. O'BRIEN, JANELLE S. BRAUN, WILLIAM L. DUNN, HEINZ W. WAHNER, Assessment of Body Composition With Use of Dual-Energy X-ray Absorptiometry: Evaluation and Comparison With Other Methods Mayo Clinic Proceedings. ,vol. 68, pp. 867- 873 ,(1993) , 10.1016/S0025-6196(12)60695-8
Martin Neovius, Erik Hemmingsson, Bo Freyschuss, Joanna Uddén, Bioelectrical Impedance Underestimates Total and Truncal Fatness in Abdominally Obese Women Obesity. ,vol. 14, pp. 1731- 1738 ,(2006) , 10.1038/OBY.2006.199