25.01.2012 Body Composition Measurement Methods Overview • Body composition in general • Body composition applications • Body composition models • Body composition assessment (reference) methods • Field methods Skinfold method Bioelectrical Impedance Analysis Method Petra Polster, MSc [email protected] BODY COMPONENT MODEL • Additional Anthropometric Methods Body Compartment models Body Weight (BW) Body Fat (BF) Lean Lean Body Mass (LBM) Body Fat (BF) Body Fat (BF) Extracellular Mass (ECM) Mass (ECM) ECW ECM Body Cell Mass (BCM) BCM ICW Scale Body Composition Skinfolds BIA Reference man • different types of tissue: 1. fat free mass: muscle, bone and organs water, t mineral i l and d protein t i 2. fat (adipose) tissue Body mass componen nt (kg) = different compartments that make a person’s weight 1 25.01.2012 Reference women Body Composition Body mass componen nt (kg) Essential and storage fat Essential fat • heart, lungs, liver, spleen, kidneys, intestines, muscles and lipid-rich tissues of the central nervous system and bone marrow • ~ 10 % of total body lipid → normal physiological function Storage fat • primarily in adipose tissue • visceral fat tissue (organ protection) • subcutaneous fat Body Composition Body Composition Applications Fat Free Mass (FFM) and Lean Body Mass (LBM) • Identification of the health risk associated with excessively low or high levels of total body fat Fat Free Mass (FFM) • FFM = body mass – fat mass • non-fat f t components t off the th human h body b d • skeletal muscle, bone and water Lean Body Mass (LBM) • FFM + essential lipids • Promoting the client’s understanding of health risks risk associated with excessively low or high levels of total body fat • Monitoring of changes in body composition that are associated with certain diseases • Assessment of the effectiveness of nutrition and exercise interventions in altering body composition • Estimation of a healthy body weight for clients and athletes • Formulation of dietary recommendations and exercise prescriptions • Monitoring of growth, development, maturation, and age-related changes in body composition Body composition and health Body composition and performance Fat Free Mass (FFM) • association between body composition and physical performance • FFM and its component – relationship to health and athletic performance • low levels or loss of FFM: impaired functional capacity ↓ energy expenditure ↑ risk gaining FM • low bone mineral mass: ↑ risk osteoporosis • body composition data of an athlete for tracking changes – effectiveness of training estimating an optimal body weight for weight class sports screening and monitoring the athlete’s health status Body composition and sport performance 1. Fat Mass (FM) and performance 2. Fat Free Mass (FFM) and performance 2 25.01.2012 Body composition and performance Body composition and performance Percentage body fat in athletes grouped by sport category Fat Mass and Performance Inverse relationship between FM and performance of PA: • body movements either vertically (jumping) or horizontally (running) • excess fat: ↑ metabolic cost of PA • in contact sports and swimming for example – advantages of relatively high FM compared to other athletic groups Body composition and performance Body composition and performance Body composition of top American male athletes Fat Free Mass and Performance + activities that require force application (e.g., throwing, pushing) large absolute amount of FFM – negative effect on performance that requires body translocation (e.g., running, jumping) or body rotation (e.g. gymnasts) + positive correlation between physical performance and FFM in military-related tasks + high FFM:FM ratios – generally better performance Body composition and performance Body composition and performance Problems of extreme leanness Problems of extreme leanness • risk groups for e.g. gymnasts, dancers, distance runners etc • severe weight loss, starvation and dehydration → ↓ isometric and dynamic strength • long-term-effect: abnormal kidney function • ↑ risk for developing eating disorders → triad: • male athletes with the lowest body fat levels in weight-class sports (e.g. boxing, lightweight rowing etc.) • low %BF – performance benefits, but also negative effect (men < 5 % and women < 12 %) 3 25.01.2012 Body composition assessment methods Hydrodensitometry / Underwater Weighing • Laboratory vs. field methods • measures body density (Db) • “gold standard” • estimation of total body volume – water displacement • combination with measurement of residual lung volume • 4 reference methods: 1. Hydrodensitometry / Underwater Weighing (UWW) Principle and Assumptions • Archimedes’ Principle 2. Air Displacement plethysmographie (ADP) 3. Hydrometry 4. Dual‐Energy X‐Ray Absorptiometry (DEXA) Hydrodensitometry / Underwater Weighing Hydrodensitometry / Underwater Weighing Archimedes' Principle of displacement Testing procedure • The density of fat mass and fat-free mass are constant. • Lean tissue is more dense than water. • Fat tissue is less dense than water. person with more body fat will weigh less underwater and be more buoyant. 1. Weigh the subject to the nearest 0.1 kg. 2. Measure or estimate the subject's RV. 3. Tare (zero) the scale in the underwater weighing tank. Air Displacement Plethysmography (ADP) Air Displacement Plethysmography (ADP) • Bod Pod measures body density (Db) • estimation of total body volume – air displacement • advantages compared to UWW Principle and Assumptions • relationship between pressure and volume Testing Procedure • client sits in a chamber • changes in pressure within a closed chamber between the front testing chamber and a reference chamber 4 25.01.2012 Hydrometry Hydrometry • measures the body water content • human body: 60 % of the body weight = water (variable) • association between TBW and FFB 3. Tracer equilibrium is achieved relatively rapidly. 4. Neither the tracer nor body water is metabolized during the equilibration time. 5 The relative hydration of the FFB is 73 2 % 5.The relative hydration of the FFB is 73.2 % Principle and Assumptions • measurement of TBW, ECW and ICW via dilution of isotopic tracers – estimation of TBW and %BF • Assumptions: 1. The tracer is distributed only in body water. 2. The tracer is distributed evenly throughout all water compartments. Testing Procedure • collecting of saliva before and after drinking the solution • drinking of an isotope solution • analysis of the collected saliva Dual-Energy X-Ray Absorptiometry Dual-Energy X-Ray Absorptiometry • measures bone mineral density, bone‐free LTM, FM soft‐tissue mass (LTM + FM), FFM, and %BF • 2 X‐ray beams with differing energy levels are aimed at the patient'ss bones the patient bones Testing Procedure • calibrating of the DEXA‐Scanner • height and weight measurement of the client Principle and Assumptions • the measurement is dependent on the thickness, density, and chemical composition of the underlying tissue – X‐ray energies through fat, lean tissue, and bone varies • these attenuation ratios = constant for all individuals (= assumption) Field methods of body composition assessment Skinfold Method Body Mass Index (BMI) = kg/m2 • body weight classification • but: no distinction between fat and lean body mass Practical use of • SKF is a good measure of subcutaneous fat • distribution of fat subcutaneously and internally is similar for all individuals within each gender similar for all individuals within each gender • relationship between skinfold thickness and Db • relationship between skinfold thickness and %BF 5 25.01.2012 Skinfold Method Equipment • Caliper Skinfold Method measurement tape Testing Procedure • measurements: right site of the body measurements right site of the body • identification of the measurement sites • marking the measurement sites • grasping the skinfold • placing the caliper jaws directly on the mark • keep the fold elevated while the measurement is taken • releasing the jaw pressure slowly • result reading after 4 seconds • opening of the jaws and removing it from the site • the measurement should be repeated 3 times • calculating %BF – SKF prediction equations (Siri‐Equation) SKF Equations for Athletes - Examples SKF Equations for Athletes - Examples Jackson and Pollock (1978) • sum of 7 skinfolds (physical active men > 18 years) • Db = 1.112 – 0.00043499 * (Σ 7SKF) + 0.00000055 * ((Σ 7 SKF))2 – 0.00028826 * (age) ( g ) Jackson and Pollock (1978) • sum of 7 skinfolds (physical active men > 18 years) • 7 skinfolds: chest + midaxillary + triceps + subscapular + abdomen + anterior suprailiac p + thigh g Jackson et al. (1980) • sum of 4 skinfolds (female athletes) • Db = 1.096095 – 0.0006952 * (Σ4 SKF) + 0.0000011 * (Σ4 SKF)2 – 0.0000714 * (age) • Db = 1.096095 – 0.0006952 * (Σ4 SKF) + 0.0000011 * (Σ4 SKF)2 – 0.0000714 * (age) SKF Equations for Athletes - Examples SKF Equations for Athletes - Examples Jackson and Pollock (1978) Db = 1.112 – 0.00043499 * (Σ 7SKF) + 0.00000055 * (Σ 7 SKF)2 – 0.00028826 * (age) Jackson et al. (1980) • sum of 4 skinfolds (female athletes) • 4 skinfolds: triceps + anterior suprailiac + abdomen + thigh g %BF (percent body fat) • resistance trained: (5.21/Db) – 4.41 • endurance trained: (5.03/Db) – 4.59 • all sports: (5.12/Db) – 4.68 • Db = 1.112 – 0.00043499 * (Σ 4SKF) + 0.00000055 * (Σ 4 SKF)2 – 0.00028826 * (age) 6 25.01.2012 SKF Equations for Athletes - Examples Skinfold Method Jackson et al. (1980) Db = 1.112 – 0.00043499 * (Σ 4SKF) + 0.00000055 * (Σ 4 SKF)2 – 0.00028826 * (age) Advantages: • simple method • not expensive %BF (percent body fat) • resistance trained: (4.97/Db) – 4.52 • endurance trained: (4.95/Db) – 4.50 • all sports: (4.97/Db) – 4.52 Measurement errors • technician measurement skills • type of caliper • SKF prediction equations (age, gender, physical activity level) Bioelectrical Impedance Analysis (BIA) Bioelectrical Impedance Analysis (BIA) Method • rapid, noninvasive, and relatively inexpensive method Equipment: BIA Models Segmental BIA • impedance measurement of each arm, leg and torso • using 8 electrodes • low‐level electrical current – passed through the body • measures the resistance of body tissues to the flow of the electrical signal Principle Multifrequency BIA • single‐frequency BIA devices: 50 kHz • 4 electrodes Upper‐Body and Lower‐Body BIA Analyzers Bioelectrical Impedance Analysis (BIA) Bioelectrical Impedance Analysis (BIA) Testing Procedure • Pre‐Testing Guidelines • client: lying flat on a non‐conducting surface • measurement on the right side of the body • cleaning the skin at the electrodes site (with an alcohol pad) • placing the sensor electrodes Pre‐Testing Guidelines • No eating or drinking within 4 hours of the test! • No exercise within 12 hours of the test! • Client should urinate within 30 minutes to the test! • No alcohol consumption within 48 hours of the test! • No diuretic medications within seven days of the test! • No testing of female clients who perceive they are retaining water during that stage of their menstrual cycle. • attaching the lead wires to the appropriate electrodes (red – wrist and ankle; black: hand and foot) 7 25.01.2012 Bioelectrical Impedance Analysis (BIA) Advantages • very simple method • testing takes less than a minute • comfortable ‐ transportable • not expensive Waist and Hip Circumference Additional Anthropometric Methods The circumference technique • measures body shape, using a tape measure • same investigator - repeated measurements • subjects are required to wear underwear during the measurement, so that the thickness of clothing does not influence the result. • morning measurement • subjects are measured in the standing position • normal breathing at the time of the measurements • measurements are made in duplicate Body Composition Measurement Methods Thank you for listening! 8
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