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Phase angle identifies a muscle quality phenotype associated with physical performance in U.S. marines
Adam W Potter1, Christy L Christopoulos2, Karl E Friedl1
1U.S. Army Research Institute of Environmental Medicine, Natick, MA, United States.
Frontiers in Physiology
|August 12, 2026
Summary
Phase angle (PhA) offers physiological insights beyond DXA body composition, enhancing physical performance in U.S. Marines. This marker reflects muscle quality-related status, not direct muscle quality.
Area of Science:
- Physiology
- Sports Science
- Body Composition Analysis
Background:
- Dual-energy X-ray absorptiometry (DXA) is a common method for assessing body composition.
- Bioelectrical impedance analysis (BIA) provides an alternative method, yielding phase angle (PhA) as a key metric.
- The physiological significance of PhA beyond DXA-derived measures for physical performance remains an area of investigation.
Purpose of the Study:
- To determine if phase angle (PhA) provides additional physiological information for explaining physical performance in active-duty U.S. Marines, beyond what is explained by DXA-derived body composition.
- To investigate the independent associations of PhA with various physical performance metrics.
- To explore the role of PhA as a marker of muscle quality-related physiological status.
Main Methods:
- Analysis of data from 2,177 active-duty U.S. Marines utilizing BIA, DXA, and physical performance tests.
- Standardization of PhA within sex to create Phase Angle Muscle Quality (PhA-MQ) quartiles.
- Multivariable linear regression models adjusted for DXA metrics (FFMI, %BF), age, and sex to assess independent associations and incremental explanatory value (ΔR², partial R²).
Main Results:
- Physical performance, including the Physical Fitness Test (PFT) and Combat Fitness Test (CFT), increased progressively across PhA-MQ quartiles.
- Phase angle (PhA) remained independently associated with PFT and CFT scores even after adjusting for DXA-derived body composition.
- PhA demonstrated stronger associations with performance efficiency measures (e.g., PFT per kg lean mass) than with estimated VO₂max.
- Continuous spline analyses indicated monotonic relationships between PhA and physical performance.
Conclusions:
- Phase angle (PhA) serves as a physiological marker that is independently associated with enhanced physical performance in U.S. Marines.
- PhA provides physiological information beyond DXA-derived body composition, particularly for performance efficiency.
- These findings suggest PhA reflects a muscle quality-related physiological status rather than being a direct measure of muscle quality itself.
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