An Examination of Three Bioelectrical Impedance Body Composition Devices in College Students Original Research
Main Article Content
Keywords
BIA, Percent Body Fat, Accuracy
Abstract
Introduction: Having inexpensive, convenient, and accurate body composition devices available is helpful. The purpose of this study was to determine whether three bioelectrical impedance body composition analyzers are acceptable methods for measuring body composition.
Methods: Participants included 40 college students (18 males and 22 females, 17-22 years, 19.5yrs ± 1.09,). Each participant's percent body fat (%BF) was tested by a Bod Pod®, a handheld Omron HBF-306, a handheld Omron HBF-300, and a standing scale Health-o-meter model BFM081DQ1-63. Repeated measures ANOVA and Bonferroni corrected post hocs were performed to determine statistical differences for %BF among the four devices. A Bland-Altman plot was used to visualize the %BF difference between the Bod Pod and Omron HBF-306.
Results: Mean and SD %BF values for the devices were Bod Pod (19.6 ± 10.70), HBF-300 (16.6 ± 8.07), HBF-306 (18.2 ± 7.75), and Health-o-meter (21.7 ± 11.18). Repeated measures ANOVA revealed statistically significant differences (p < 0.0001) in %BF among the four devices. Bonferroni correction post hoc analysis revealed significant differences among 5 of 6 pairwise comparisons. Bod Pod and HBF 306 were not significantly different (p=0.0584). The HBF-300 underestimated %BF by 3%, and the Health-o-Meter overestimated %BF by 2.1% compared to the Bod Pod.
Conclusions: This study found only one of the three BIA devices to measure body composition accurately. Thus, it is recommended to choose the handheld Omron HBF-306 if one is looking for an inexpensive, convenient, and portable option. Otherwise, it is recommended to use a gold-standard device such as the Bod Pod.
References
2. Kramer, C. K. Are metabolically healthy overweight and obesity benign conditions?: A systematic review and meta-analysis. Ann of Intern Med. 2013;159(11):758-769. Doi: 10.7326/0003-4819-159-11-201312030-00008.
3. Ward, L. C. Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardization. Euro J of Clin Nutr. 2019;73(2):194-199. Doi: 10.1038/s41430-018-0335-3.
4. Brinkworth, G. D., Pateyjohns, I. R., & Buckley, J. D. Evaluation of three bioelectrical impendence analyzers to assess body composition in overweight and obese males. Asia Pacific J of Clin Nutr. 2005;14:S115.
5. Samouda, H., & Langlet, J. Body fat assessment in youth with overweight or obesity by an automated bioelectrical impedance analysis device, in comparison with the dual-energy x-ray absorptiometry: A cross-sectional study. BMC Endocrine Disorders. 2022;22(1):1-10. Doi: 10.1186 s12902-022-01111-6.
6. Sergi, G., De Rui, M., Stubbs, B., Veronese, N., & Manzato, E. Measurement of lean body mass using bioelectrical impedance analysis: a consideration of the pros and cons. Aging Clin and Exper Res. 2017;591-597. Doi: 10.1007/s40520-016-0622-6.
7. Yi, Y., Baek, J. Y., Lee, E., Jung, H.-W., & Jang, I.-Y. A comparative study of high-frequency bioelectrical impedance analysis and dual-energy x-ray absorptiometry for estimating body composition. Life. 2022;12(7):994. Doi: 10.3390/life12070994.
8. Kutáč, P., & Gajda, V. Evaluation of accuracy of the body composition measurements by the BIA method. Human Move. 2011;12(1):41-45. Doi: 10.2478/v10038-010-0027-x.
9. Oeffinger, D. J., Gurka, M. J., Kuperminc, M., Hassani, S., Buhr, N., & Tylkowski, C. Accuracy of skinfold and bioelectrical impedance assessments of body fat percentage in ambulatory individuals with cerebral palsy. Develop Med & Child Neuro. 2013;56(5):475-481. Doi: 10.1111/dmcn.12342.
10. Hurst, P. R., Walsh, D. C.i., Conlon, C. A., Ingram, M., Kruger, R., & Stonehouse, W. Validity and reliability of bioelectrical impedance analysis to estimate body fat percentage against air displacement plethysmography and dual-energy x-ray absorptiometry. Nutr & Diet. 2016;73(2):197-204. Doi: 10.1111/1747-0080.12172.
11. Biaggi, R. R., Vollman, M. W., Nies, M. A., Brenner, C. E., Flakoll, P. J., Levenhagen, D. K., Sun, M., Karabulut, Z., & Chen, K. Y. Comparison of air-displacement plethysmography with hydrostatic weighing and bioelectrical impedance analysis for the assessment of body composition in healthy adults]. The Amer J of Clin Nutr. 1999;69(5):898-903. Doi: 10.1093/ajcn/69.5.898.
12. Marra, M., Sammarco, R., De Lorenzo, A., Ielloma, F., Siervo, M., Pietrobelli, A., Maria Donini, L., Santarpia, L., Cataldi, M., Pasanisi, F., & Cantaldo, F. Assessment of body composition in health and disease using bioelectrical impedance analysis (BIA) and dual energy x-ray absorptiometry (DXA): a critical overview. Cont Media and Mole Imag. 2019;2019:1-9. Doi: 10.1155/2019/3548284.
13. Maddalozzo GF, Cardinal BJ, Snow CA. Concurrent validity of the BOD POD and dual energy x-ray absorptiometry techniques for assessing body composition in young women. J Am Diet Assoc. 2002;102(11):1677-1679. doi:10.1016/s0002-8223(02)90358-5
14. Vicente-rodríguez, G., Rey-lópez, J. P., Mesana, M. I., Poortvliet, E., Ortega, F. B., Polito, A., Nagy, E., Widhalm, K., Sjöström, M., & Moreno, L. A. Reliability and intermethod agreement for body fat assessment among two field and two laboratory methods in adolescents. Obesity. 2012;20(1):221-228. Doi: 10.1038/oby.2011.272.
15. Kalra, S., Mercuri, M., & Anand, S. S. Measures of body fat in south Asian adults. Nutr & Diab. 2013;3(5):e69. Doi.org/10.1038 nutd.2013.10.
16. Houska, C. L., Kemp, J. D., Niles, J. S., Morgan, A. L., Tucker, R. M., & Ludy, M. J. Comparison of body composition measurements in lean female athletes. Inter J of Ex Sci. 2018;11(4):417–424.