INTERESTING ...
A variety of methods are used to determine body composition. Techniques such as dual X-ray absorptiometry (DEXA), magnetic resonance imaging (MRI), and underwater weighing are just a few. Underwater weighing is considered the "gold standard" in body fat measurement. The accuracy of other methods is determined by comparing them to underwater weighing.
Body fat percentages are regularly measured at fitness and wellness centers. Since high-tech procedures are expensive and time consuming, more practical methods are used. The most common methods to determine body fat include skinfold techniques, girth measurements and bioelectrical impedance analysis (BIA).
It is important to remember all techniques currently used are estimates, and are prone to error. BIA and skinfold measurements have a standard error of about 3%. Therefore, if results of an analysis indicate you have 17% body fat, your body fat ranges between 14 and 20%. There's even a small chance the error range may be greater than 3%. Even underwater weighing has a standard error of 2%. Body composition measurement is not an exact science.
Bioelectrical Impedance Analysis
During BIA, electrodes are placed on the hand and foot, and an individual is hooked up to a machine. The device sends a weak, painless electrical current through the body. Although many people think BIA measures body fat, it really determines the ability of body tissues to conduct electricity. The technique is based upon the principle fat tissue is a less effective conductor of electricity than lean tissue. The faster the current passes through the body, the leaner the individual. Results from BIA provide an estimate of total body water. Using values of total body water, lean body mass and body fat can be calculated using mathematical equations.
The National Institutes of Health have stated BIA provides a good estimate of body composition. However, BIA values are affected by a number of variables that must be standardized if measurements are going to be accurate. The variables include electrode placement, body position, dehydration, exercise and ambient temperature. These factors are usually tightly controlled during research studies, but are often disregarded in fitness centers which makes the estimate of body fat less accurate. The following guidelines are recommended for BIA.
1. Place electrodes according to manufacturer specifications (sites should be measured). Misplacing the electrode by as little as one centimeter decreases measurement accuracy.
2. Body position affects BIA. The test is most accurately done in the supine position. Limbs should not be crossed.
3. No eating or drinking within four hours of the test.
4. No exercise within 12 hours of the test. 5. No alcohol consumption within 48 hours of the test.
6. No diuretics within seven days of the test.
7. Urinate within 30 minutes of the test.
Skinfold Measurements
Assessing body composition using skinfold thickness is based on the principle that approximately half the body's fatty tissue is directly beneath the skin. The skinfold test is done with the aid of calipers. Several sites must be measured to determine total fat percentage.
Training and practice are essential in obtaining accurate skinfold measurements. Even with adequate practice, varied measurements are found among different technicians, calipers and protocols. In a study by Timothy Lohman, M.D., four experienced investigators were told to follow the same skinfold procedures. However, they did not train together to confirm the same measurement technique was used. Each investigator measured the same subjects using two different kinds of calipers and protocols. Three important points emerged--body fat percentage was affected by the protocol used, the type of skinfold caliper used affected the measurement of body fat, and there were variations in the measurement of skinfold sites among the different investigators.
This does not suggest skinfold measurements are not accurate or useful. A recent study by scientists at Creighton University compared the accuracy of measuring body fat percentage with skinfold calipers, near-infrared interactance and BIA in women ages 17 to 29. All measurements were compared to underwater weighing. The results of this study indicated skinfold measurements most accurately estimated the percentage of body fat for this population, and therefore were recommended over the BIA and near-infrared procedures.
In order to obtain the most accurate skinfold measurements, they should always be performed by the same technician. Also, the same protocol and calipers should always be used. Follow the selected protocol exactly, and do not measure skinfolds after exercise because the shift in body fluid to the skin tends to increase the size of the skinfolds. If you are new at measuring skinfolds, practice at least 100 times.
For a thorough review on skinfold technique and a description of skinfold sites, refer to Advanced Fitness Assessment & Exercise Prescription (Human Kinetics, $40) by Vivian H. Heyward.
Following the measurement of skinfolds, it is not necessary to predict the percentage of body fat. Simply keep a sum of skinfold thicknesses from selected body sites. If the sum of skinfold thicknesses is decreasing, so is the percentage of body fat.
Special Considerations
BIA and skinfold measurements rely on population specific mathematical equations. This means the analysis can be applied only to people with similar characteristics such as age and gender. The equations suit most people. However, there are special groups of individuals for whom prediction of body fat is not reliable. BIA and skinfold measurements overestimate the percentage of body fat in lean subjects and underestimate it in obese subjects. Both of these techniques are extremely unreliable when used to measure the obese.
Extreme muscular hypertrophy presents special problems that may limit the accuracy of body composition assessment. A recent study by Loren Cordain at Colorado State University found inconsistencies among commonly used procedures for estimating body fat percentages in competitive male body builders. The average percentage of body fat for the body builders was 16.7% for BIA, 12.5% for underwater weighing and 10.4% for skinfolds. BIA overestimated the body fat percentage because equations for men who did not weight train were applied to highly muscled athletes.
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