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.