Evaluation of simple body composition methods: assessment of validity in prepubertal Chilean children

C A Aguirre1, G D C Salazar1, D V Lopez de Romaña1

  • 1Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Santiago, Chile.

Insights

Skinfold and bioelectrical impedance analyses (BIA) measurements can rank body fatness in children, but are not accurate for precise body composition descriptions in prepubertal Chilean youth.

Area of Science:

  • Pediatric Endocrinology
  • Human Physiology
  • Body Composition Analysis

Background:

  • Assessing body fatness in children is crucial for monitoring health.
  • Skinfold and bioelectrical impedance analyses (BIA) are common, accessible methods.
  • Validation against a gold standard is needed for accurate body composition assessment.

Purpose of the Study:

  • To evaluate the accuracy of skinfold and BIA methods for estimating body fatness.
  • To compare these estimations against a three-component (3C) model in prepubertal Chilean children.
  • To identify potential differences based on sex and nutritional status.

Main Methods:

  • Body composition of 424 Chilean children (198 female, 226 male) was assessed.
  • Body fat percentage (BF%) was measured using Skinfold equations (Slaughter, Ramirez, Huang) and BIA (Tanita, Ramirez equation).
  • A 3C model using isotope dilution and air displacement plethysmography served as the gold standard.

Main Results:

  • Skinfold and BIA methods showed high R2 values, indicating good ranking ability.
  • All tested equations and devices underestimated or overestimated BF% compared to the 3C model.
  • Underestimation was notable with the Slaughter skinfold equation and Tanita BIA device.

Conclusions:

  • Skinfold and BIA methods are useful for ranking body fatness in prepubertal children.
  • These methods lack accuracy for precise body composition description in this population.
  • Further research may be needed to refine these methods for pediatric populations.
Abstract

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