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. 2006 Jul;91(7):612–617. doi: 10.1136/adc.2005.085522

Table 1 Summary of assumptions underlying different techniques, their availability, and their main advantages and disadvantages.

Technique Assumptions made Reference data Availability* Advantages/disadvantages
Skinfolds – raw Constant skin protein content Y +++ For: simple measure of regional fat
Against: no information on lean mass
Skinfolds – equations Skinfolds ∝ whole body fat N +++ For: simple and quick
Against: population specific, poor accuracy in individuals and groups
Body mass index Var weight  =  var fat Y +++ For: simple and quick
Against: measures nutritional status not body composition
Waist circumference Waist ∝ central fat Y +++ For: simple, quick, robust measure of abdominal fat
Against: not so accurate as measure of internal visceral fat
Impedance Conductivity ∝ body water N ++ For: simple and quick
Against: population specific; poor accuracy in individuals and groups
DXA Constant attenuations of FFM and F N ++ For: accurate for limb lean and fat
Against: radiation exposure; whole body bias ∝?size, sex, fatness
Densitometry† Constant Dffm and Df N + For: acceptable two‐component technique
Against: effects of disease on lean mass reduce accuracy
Isotope dilution Constant Hffm N + For: only technique acceptable in all age groups
Against: delayed results; inaccurate if disease affects Hffm
MRI Electromagnetic properties N + For: accurate for regional AT
Against: expensive, limited availability, measures AT not fat
TOBEC Conductivity ∝ body water N + For: acceptable two‐component technique
Against: rarely available, accuracy unknown
TBK Constant K in cell mass N + For: measures functional component of body composition
Against: rarely available, poor accuracy for fatness
Multicomponent models Constant Dprot and Dmin, N + For: most accurate approach, all measurements acceptable
constant mineral composition Against: expensive, specialist research approach

*Availability: +, low; ++, medium; +++, high.

†Densitometry by air displacement plethysmography (Bodpod)

AT, adipose tissue; Df, density of fat; Dffm, density of fat‐free mass; Dmin, density of mineral; Dprot, density of protein; F, fat; FFM, fat‐free mass; Hffm, hydration of fat‐free mass; K, potassium; Var, variability.