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Updated: Jan 22, 2026

Author Spotlight: Implementation of BIVA for Analyzing Disease Risk Factors in Patients with Low Body Cell Mass
Published on: July 14, 2023
Longitudinal analysis of body composition in Italian national U17 male handball players using bioelectrical impedance
Sofia Serafini1, Olga Papale2, Andrea DI Credico1
1Department of Medicine and Aging Sciences, Gabriele D'Annunzio University of Chieti and Pescara, Chieti, Italy.
Background:
Monitoring body composition is crucial for optimizing performance and preventing injuries in young athletes during a competitive season. This study evaluated changes in body composition and bioelectrical impedance vector analysis (BIVA) in 15 male U17 Italian national handball players (age: 16.44±0.60 years).
Methods:
Bioelectrical parameters were analyzed across four time points: end of the season (T0), pre-season (T1), season onset (T2), and winter break (T3), using repeated measures mixed models, while Mahalanobis' tests track vector shifts and ellipse distances (D). Statistical significance was set at P<0.05.
Results:
The vector significantly lengthened from T0 to T1 (D=1.95), then shortened from T1 to T2 (D=1.63) and T2 to T3 (D=0.88). Stature-adjusted resistance significantly decreased at T2 (262.9 Ω/m±26.1) compared to T1 (275.6 Ω/m±27.8) and at T3 (249.7 Ω/m±21.4) compared to T0 (269.7 Ω/m±27.9), T1, and T2. Stature-adjusted reactance significantly increased at T1 (39.00 Ω/m±3.7) compared to T0 (35.3 Ω/m±3.6) then decreased at T2 (36.2 Ω/m±3.2) and T3 (35.7 Ω/m±3.4) compared to T1. From T0 to T3, phase angle, total body water, and fat-free mass increased significantly from 7.4°±0.5 to 8.1±0.6°, 59.9±3.6% to 61.1±3.7%, and 82.0±4.5% to 84.0±5.1%, respectively.
Conclusions:
Bioelectrical analysis effectively tracks hydration indices and training adaptations in young athletes, representing a valuable tool for managing performance and recovery.
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