Correlation of body composition parameters using different methods among Brazilian obese adults
DOI:
https://doi.org/10.1590/1980-0037.2019v21e60539Abstract
Data comparing anthropometric measurements, bioelectrical impedance analysis (BIA) and dual-energy X-ray absortiometry (DXA) parameters are somehow limited and conflicting. The objective of this study was to correlate anthropometric, BIA and DXA parameters among obese Brazilian adults with focus on the comparison with visceral adipose tissue (VAT) obtained from DXA and in the value of antropometric measurements. Fifty voluntary participants were enrolled. The Spearman correlation test was used to assess the correlation of VAT with anthropometric measurements, BIA and other DXA parameters. The intra-class correlation coefficient (ICC) was used to evaluate concordance between lean mass (LM), fat mass (FM), %body fat (%BF) and %upper body fat (%UBF) obtained from BIA and DXA. Most were female (80%) and had an average body index mass (BMI) of 39.0 (± 6.4) kg/m2. The only anthropometric measurements showing a strong correlation with VAT were abdominal circumference (AC) and waist-to-height ratio (WHtR), but just in females. There was a very good correlation for LM [ICC = 0.951 (CI = 0.913 - 0.972)], FM [ICC = 0.987 (CI = 0.977 – 0.993)], %BF [ICC = 0.961 (CI = 0.931-0.978)], and %UBF [ICC = 0.873 (CI = 0.776 – 0.928)], between data collected through BIA and DXA. Among the anthropometric measurements assessed, only AC and WHtR seems to estimate patients with abdominal fat distribution and higher VAT in females. DXA and BIA proved similar for the evaluation of LM, FM, %BF and %UBF, although DXA has the advantage of estimating VAT.
References
WHO. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Technical Report Series. Geneva. World Health Organization, 2000. Report No 894.
Khan A, Raza S, Khan Y et al. Current updates in the medical management of obesity. Recent Pat Endocr Metab Immune Drug Discov 2012; 6: 117- 28.
Vigitel Brasil Saúde 2016 – Ministério da Saúde. http://portalarquivos.saude.gov.br/images/pdf/2017/abril/17/Vigitel.pdf.
Katzmarzyk PT, Greenway FL, Heymsfield SB, Bouchard C. Clinical utility and reproducibility of visceral adipose tissue measurements derived from dual-energy X-ray absorptiometry in White and African American adults. Obesity (Silver Spring) 2013; 21(11): 2221-4.
Kaul S, Rothney MP, Peters DM, Wacker WK, Davis CE, Shapiro MD, et al. Dual-energy x-ray absorptiometry for quantification of visceral fat. Obesity 2012; 20: 1313-1318.
Kaess BM, Pedley A, Massaro JM, Murabito J, Hoffmann U, Fox CS. The ratio of visceral to subcutaneous fat, a metric of body fat distribution, is a unique correlate of cardiometabolic risk. Diabetologia 2012;55:2622–2630.
Shah RV, Murthy VL, Abbasi SA, Blankstein R, Kwong RY, Goldfine AB, et al. Visceral adiposity and the risk of metabolic syndrome across body mass index: The mesa study. JACC Cardiovasc Imaging 2014;7:1221–1235.
Lee SY, Gallagher D. Assessment methods in human body composition. Curr Opin Clin Nutr Metab Care 2008; 11(5): 566–572.
Fosbøl MØ, Zerahn B. Contemporary methods of body composition measurement. Clin Physiol Funct Imaging 2015; 35 (2):81-97.
Lemos T, Gallagher D. Current body composition measurement techniques. Curr Opin Endocrinol Diabetes Obes 2017; 24 (5):310-314.
Ashwell M, Gibson S. Waist-to-height ratio as an indicator of 'early health risk': simpler and more predictive than using a 'matrix' based on BMI and waist circumference. BMJ Open 2016; 6(3):e010159.
Faria SL, Faria OP, Cardeal MDA, Ito MK. Validation study of multi-frequency bioelectrical impedance with dual energy x-ray absoptiometry among obese patients. Obes Surg 2014; 24(9):1476-80.
Li YC, Li CI, Lin WY, Liu CS, Hsu HS, Lee CC, et al. Percentage of body fat assessment using bioelectrical impedance analysis and dual-energy X-ray absorptiometry in a weight loss program for obese or overweight Chinese adults. PLoS One 2013; 8(4): e58272.
Neeland IJ, Grundy SM, Li X, Adams-Huet B, Vega GL. Comparison of visceral fat mass measurement by dual-X-ray absorptiometry and magnetic resonance imaging in a multiethnic cohort: the Dallas Heart Study. Nutr Diabetes 2016; 6(7):e221.
Buckinx F, Reginster JY, Dardenne N, Croisiser JL, Kaux JF, Beaudart C, et al. Concordance between muscle mass assessed by bioelectrical impedance analysis and by dual energy X-ray absorptiometry: A cross-sectional study. BMC Musculoskelet Disord 2015; 16:60.
Ramírez-Vélez R, Tordecilla-Sanders A, Correa-Bautista JE, González-Ruíz K, González-Jiménez E, Triana-Reina HR, et al. Validation of multi-frequency bioelectrical impedance analysis versus dual-energy X-ray absorptiometry to measure body fat percentage in overweight/obese Colombian adults. Am J Hum Biol 2018; 30(1): 1-6.
Vega GL, Adams-Huet B, Peshock R et al. Influence of body fat content and distribution on variation in metabolic risk. J Clin Endocrinol Metab 2006; 91:4459–4466.
Patel S, Unwin N, Bhopal R, White M, Harland J, Ayis SA, et al. A comparison of proxy measures of abdominal obesity in Chinese, European and South Asian adults. Diabet Med 1999; 16(10):853-60.
Després JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature 2006; 444:881–887.
Bertin E, Marcus C, Ruiz JC, Eschard JP, Leutenegger M. Measurement of visceral adipose tissue by DXA combined with anthropometry in obese humans. Int J Obesity 2000; 24: 263-270.
Miazgowski T, Kucharski R, Sołtysiak M, Taszarek A, Miazgowski B, Widecka K. Visceral fat reference values derived from healthy European men and women aged 20-30 years using GE Healthcare dual-energy x-ray absorptiometry. PLoS One 2017;12(7): e0180614.
Rockamann RA, Dalton EK, Arabas JL, Jorn L, Mayhew JL. Validity of arm-to-arm bia devices compared to dxa for estimating % fat in college men and women. Int J Exerc Sci 2017; 10(7):977-988. eCollection 2017.
Lee DH, Park KS, Ahn S, Ku EJ, Jung KY, Kim YJ, et al. Comparison of Abdominal Visceral Adipose Tissue Area Measured by Computed Tomography with That Estimated by Bioelectrical Impedance Analysis Method in Korean Subjects. Nutrients 2015; 7(12): 10513-24.
Wang ZH, Yang ZP, Wang XJ, Dong YH, Ma J. Comparative Analysis of the multi-frequency bio-impedance and dual-energy x-ray absorptiometry on body composition in obese subjects. Biomed Environ Sci 2018; 31(1):72-75.
Chen KT, Chen YY, Wang CW, Chuang CL, Chiang LM, Lai CL, et al. Comparison of standing posture bioelectrical impedance analysis with dxa for body composition in a large, healthy chinese population. PLoS One 2016; 11(7): e0160105.
