Validation of anthropometry and foot-to-foot bioelectrical resistance against a three-component model to assess total body fat in children: the IDEFICS study

K. Bammann, I. Huybrechts, G. Vicente-Rodriguez, C. Easton, T. De Vriendt, S. Marild, M. I. Mesana, M. W. Peeters, J. J. Reilly, I. Sioen, B. Tubic, N. Wawro, J. C. Wells, K. Westerterp, Y. Pitsiladis, L. A. Moreno

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To compare different field methods for estimating body fat mass with a reference value derived by a three-component (3C) model in pre-school and school children across Europe.

DESIGN: Multicentre validation study.

SUBJECTS: Seventy-eight preschool/school children aged 4-10 years from four different European countries.

METHODS: A standard measurement protocol was carried out in all children by trained field workers. A 3C model was used as the reference method. The field methods included height and weight measurement, circumferences measured at four sites, skinfold measured at two-six sites and foot-to-foot bioelectrical resistance (BIA) via TANITA scales.

RESULTS: With the exception of height and neck circumference, all single measurements were able to explain at least 74% of the fat-mass variance in the sample. In combination, circumference models were superior to skinfold models and height-weight models. The best predictions were given by trunk models (combining skinfold and circumference measurements) that explained 91% of the observed fat-mass variance. The optimal data-driven model for our sample includes hip circumference, triceps skinfold and total body mass minus resistance index, and explains 94% of the fat-mass variance with 2.44 kg fat mass limits of agreement. In all investigated models, prediction errors were associated with fat mass, although to a lesser degree in the investigated skinfold models, arm models and the data-driven models.

CONCLUSION: When studying total body fat in childhood populations, anthropometric measurements will give biased estimations as compared to gold standard measurements. Nevertheless, our study shows that when combining circumference and skinfold measurements, estimations of fat mass can be obtained with a limit of agreement of 1.91 kg in normal weight children and of 2.94 kg in overweight or obese children.
Original languageEnglish
Pages (from-to)520-526
JournalInternational Journal of Obesity
Volume37
Issue number4
DOIs
Publication statusPublished - Apr 2013

Keywords

  • validation studies
  • body composition
  • child
  • body weights and measures
  • deuterium
  • electric impedance

Cite this

Bammann, K. ; Huybrechts, I. ; Vicente-Rodriguez, G. ; Easton, C. ; De Vriendt, T. ; Marild, S. ; Mesana, M. I. ; Peeters, M. W. ; Reilly, J. J. ; Sioen, I. ; Tubic, B. ; Wawro, N. ; Wells, J. C. ; Westerterp, K. ; Pitsiladis, Y. ; Moreno, L. A. / Validation of anthropometry and foot-to-foot bioelectrical resistance against a three-component model to assess total body fat in children: the IDEFICS study. In: International Journal of Obesity. 2013 ; Vol. 37, No. 4. pp. 520-526.
@article{f5e31fcbbbfc4aeca64852f53a4d8ebe,
title = "Validation of anthropometry and foot-to-foot bioelectrical resistance against a three-component model to assess total body fat in children: the IDEFICS study",
abstract = "OBJECTIVE: To compare different field methods for estimating body fat mass with a reference value derived by a three-component (3C) model in pre-school and school children across Europe. DESIGN: Multicentre validation study. SUBJECTS: Seventy-eight preschool/school children aged 4-10 years from four different European countries. METHODS: A standard measurement protocol was carried out in all children by trained field workers. A 3C model was used as the reference method. The field methods included height and weight measurement, circumferences measured at four sites, skinfold measured at two-six sites and foot-to-foot bioelectrical resistance (BIA) via TANITA scales. RESULTS: With the exception of height and neck circumference, all single measurements were able to explain at least 74{\%} of the fat-mass variance in the sample. In combination, circumference models were superior to skinfold models and height-weight models. The best predictions were given by trunk models (combining skinfold and circumference measurements) that explained 91{\%} of the observed fat-mass variance. The optimal data-driven model for our sample includes hip circumference, triceps skinfold and total body mass minus resistance index, and explains 94{\%} of the fat-mass variance with 2.44 kg fat mass limits of agreement. In all investigated models, prediction errors were associated with fat mass, although to a lesser degree in the investigated skinfold models, arm models and the data-driven models. CONCLUSION: When studying total body fat in childhood populations, anthropometric measurements will give biased estimations as compared to gold standard measurements. Nevertheless, our study shows that when combining circumference and skinfold measurements, estimations of fat mass can be obtained with a limit of agreement of 1.91 kg in normal weight children and of 2.94 kg in overweight or obese children.",
keywords = "validation studies, body composition, child, body weights and measures, deuterium, electric impedance",
author = "K. Bammann and I. Huybrechts and G. Vicente-Rodriguez and C. Easton and {De Vriendt}, T. and S. Marild and Mesana, {M. I.} and Peeters, {M. W.} and Reilly, {J. J.} and I. Sioen and B. Tubic and N. Wawro and Wells, {J. C.} and K. Westerterp and Y. Pitsiladis and Moreno, {L. A.}",
year = "2013",
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doi = "10.1038/ijo.2013.13",
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Bammann, K, Huybrechts, I, Vicente-Rodriguez, G, Easton, C, De Vriendt, T, Marild, S, Mesana, MI, Peeters, MW, Reilly, JJ, Sioen, I, Tubic, B, Wawro, N, Wells, JC, Westerterp, K, Pitsiladis, Y & Moreno, LA 2013, 'Validation of anthropometry and foot-to-foot bioelectrical resistance against a three-component model to assess total body fat in children: the IDEFICS study' International Journal of Obesity, vol. 37, no. 4, pp. 520-526. https://doi.org/10.1038/ijo.2013.13

Validation of anthropometry and foot-to-foot bioelectrical resistance against a three-component model to assess total body fat in children: the IDEFICS study. / Bammann, K.; Huybrechts, I.; Vicente-Rodriguez, G.; Easton, C.; De Vriendt, T.; Marild, S.; Mesana, M. I.; Peeters, M. W.; Reilly, J. J.; Sioen, I.; Tubic, B.; Wawro, N.; Wells, J. C.; Westerterp, K.; Pitsiladis, Y.; Moreno, L. A.

In: International Journal of Obesity, Vol. 37, No. 4, 04.2013, p. 520-526.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Validation of anthropometry and foot-to-foot bioelectrical resistance against a three-component model to assess total body fat in children: the IDEFICS study

AU - Bammann, K.

AU - Huybrechts, I.

AU - Vicente-Rodriguez, G.

AU - Easton, C.

AU - De Vriendt, T.

AU - Marild, S.

AU - Mesana, M. I.

AU - Peeters, M. W.

AU - Reilly, J. J.

AU - Sioen, I.

AU - Tubic, B.

AU - Wawro, N.

AU - Wells, J. C.

AU - Westerterp, K.

AU - Pitsiladis, Y.

AU - Moreno, L. A.

PY - 2013/4

Y1 - 2013/4

N2 - OBJECTIVE: To compare different field methods for estimating body fat mass with a reference value derived by a three-component (3C) model in pre-school and school children across Europe. DESIGN: Multicentre validation study. SUBJECTS: Seventy-eight preschool/school children aged 4-10 years from four different European countries. METHODS: A standard measurement protocol was carried out in all children by trained field workers. A 3C model was used as the reference method. The field methods included height and weight measurement, circumferences measured at four sites, skinfold measured at two-six sites and foot-to-foot bioelectrical resistance (BIA) via TANITA scales. RESULTS: With the exception of height and neck circumference, all single measurements were able to explain at least 74% of the fat-mass variance in the sample. In combination, circumference models were superior to skinfold models and height-weight models. The best predictions were given by trunk models (combining skinfold and circumference measurements) that explained 91% of the observed fat-mass variance. The optimal data-driven model for our sample includes hip circumference, triceps skinfold and total body mass minus resistance index, and explains 94% of the fat-mass variance with 2.44 kg fat mass limits of agreement. In all investigated models, prediction errors were associated with fat mass, although to a lesser degree in the investigated skinfold models, arm models and the data-driven models. CONCLUSION: When studying total body fat in childhood populations, anthropometric measurements will give biased estimations as compared to gold standard measurements. Nevertheless, our study shows that when combining circumference and skinfold measurements, estimations of fat mass can be obtained with a limit of agreement of 1.91 kg in normal weight children and of 2.94 kg in overweight or obese children.

AB - OBJECTIVE: To compare different field methods for estimating body fat mass with a reference value derived by a three-component (3C) model in pre-school and school children across Europe. DESIGN: Multicentre validation study. SUBJECTS: Seventy-eight preschool/school children aged 4-10 years from four different European countries. METHODS: A standard measurement protocol was carried out in all children by trained field workers. A 3C model was used as the reference method. The field methods included height and weight measurement, circumferences measured at four sites, skinfold measured at two-six sites and foot-to-foot bioelectrical resistance (BIA) via TANITA scales. RESULTS: With the exception of height and neck circumference, all single measurements were able to explain at least 74% of the fat-mass variance in the sample. In combination, circumference models were superior to skinfold models and height-weight models. The best predictions were given by trunk models (combining skinfold and circumference measurements) that explained 91% of the observed fat-mass variance. The optimal data-driven model for our sample includes hip circumference, triceps skinfold and total body mass minus resistance index, and explains 94% of the fat-mass variance with 2.44 kg fat mass limits of agreement. In all investigated models, prediction errors were associated with fat mass, although to a lesser degree in the investigated skinfold models, arm models and the data-driven models. CONCLUSION: When studying total body fat in childhood populations, anthropometric measurements will give biased estimations as compared to gold standard measurements. Nevertheless, our study shows that when combining circumference and skinfold measurements, estimations of fat mass can be obtained with a limit of agreement of 1.91 kg in normal weight children and of 2.94 kg in overweight or obese children.

KW - validation studies

KW - body composition

KW - child

KW - body weights and measures

KW - deuterium

KW - electric impedance

U2 - 10.1038/ijo.2013.13

DO - 10.1038/ijo.2013.13

M3 - Article

VL - 37

SP - 520

EP - 526

JO - International Journal of Obesity

JF - International Journal of Obesity

SN - 0307-0565

IS - 4

ER -