Agreement Between Standard Body Composition Methods to Estimate Percentage of Body Fat in Young Male Athletes.

Abstract

This is author's accepted manuscript.Final version available from Human Kinetics via the DOI in this record.PURPOSE: To examine the intermethods agreement of dual-energy X-ray absorptiometry (DXA) and foot-to-foot bioelectrical impedance analysis (BIA) to assess the percentage of body fat (%BF) in young male athletes using air-displacement plethysmography (ADP) as the reference method. METHODS: Standard measurement protocols were carried out in 104 athletes (40 swimmers, 37 footballers, and 27 cyclists, aged 12-14 y). RESULTS: Age-adjusted %BF ADP and %BF BIA were significantly higher in swimmers than footballers. ADP correlates better with DXA than with BIA (r = .84 vs r = .60, P < .001). %BF was lower when measured by DXA and BIA than ADP (P < .001), and the bias was higher when comparing ADP versus BIA than ADP versus DXA. The intraclass correlation coefficients between DXA and ADP showed a good to excellent agreement (r = .67-.79), though it was poor when BIA was compared with ADP (r = .26-.49). The ranges of agreement were wider when comparing BIA with ADP than DXA with ADP. CONCLUSION: DXA and BIA seem to underestimate %BF in young male athletes compared with ADP. Furthermore, the bias significantly increases with %BF in the BIA measurements. At the individual level, BIA and DXA do not seem to predict %BF precisely compared with ADP in young athletic populations.This work was done as part of the PRO-BONE study. It has received funding from the European Union Seventh Framework Programme (FP7/2007-2013) under grant agreement no. PCIG13-GA-2013-618496. M.V.N-F. received a PhD Student Internships Abroad scholarship from the National Council for Scientific and Technological Development (CNPq; process: 200340/2015-8) and a Brazilian PhD Student scholarship from the São Paulo Research Foundation (FAPESP; process. 2016/18436-8 and 2017/11732-3). E.U-G. received a PhD scholarship from Universidad de Castilla-La Mancha (2014/10340). A.C.F.M. received a postdoctoral scholarship from the São Paulo Research Foundation (FAPESP; process: 2014/13367-2 and 2015/14319-4)

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