Development of bioelectrical impedance-derived indices of fat and fat-free mass for assessment of nutritional status in childhood [Corrigendum: 2008 May, v. 62, issue 5, p. 686.]

Objectives: (1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body compositi...

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Published inEuropean journal of clinical nutrition Vol. 62; no. 2; pp. 210 - 217
Main Authors Wright, C.M, Sherriff, A, Ward, S.C.G, McColl, J.H, Reilly, J.J, Ness, A.R
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Published London Nature Publishing Group UK 01.02.2008
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Abstract Objectives: (1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition. Design: Two prospective cohort studies. Setting: Normative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools. Subjects: Normative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years. Measures: Leg-to-leg (Z(T)) and arm-to-leg (Z(B)) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height2/Z), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively. Results: In the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) -1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (-0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI. Conclusions: This clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings.
AbstractList Objectives: (1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition. Design: Two prospective cohort studies. Setting: Normative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools. Subjects: Normative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years. Measures: Leg-to-leg (Z(T)) and arm-to-leg (Z(B)) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height2/Z), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively. Results: In the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) -1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (-0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI. Conclusions: This clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings.
Objectives: (1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition. Design: Two prospective cohort studies. Setting: Normative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools. Subjects: Normative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years. Measures: Leg-to-leg ( Z T ) and arm-to-leg ( Z B ) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height 2 / Z ), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively. Results: In the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) −1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (−0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI. Conclusions: This clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings.
Objectives: (1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition. Design: Two prospective cohort studies. Setting: Normative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools. Subjects: Normative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years. Measures: Leg-to-leg (Z (T)) and arm-to-leg (Z (B)) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height(2)/Z), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively .Results: In the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) -1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (-0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI. Conclusions: This clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings. [PUBLICATION ABSTRACT]
(1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition. Two prospective cohort studies. Normative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools. Normative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years. Leg-to-leg (Z (T)) and arm-to-leg (Z (B)) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height(2)/Z), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively. In the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) -1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (-0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI. This clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings.
Objectives:(1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition.Design:Two prospective cohort studies.Setting:Normative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools.Subjects:Normative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years.Measures:Leg-to-leg (Z sub(T)) and arm-to-leg (Z sub(B)) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height super(2)/Z), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively. Results:In the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) -1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (-0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI. Conclusions:This clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings.European Journal of Clinical Nutrition (2008) 62, 210-217; doi:10.1038/sj.ejcn.1602714; published online 14 March 2007
OBJECTIVES(1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition. DESIGNTwo prospective cohort studies. SETTINGNormative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools. SUBJECTSNormative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years. MEASURESLeg-to-leg (Z (T)) and arm-to-leg (Z (B)) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height(2)/Z), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively. RESULTSIn the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) -1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (-0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI. CONCLUSIONSThis clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings.
Objectives:(1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort of children. (2) To assess the discriminant validity of the method in a group of children likely to have abnormal body composition.Design:Two prospective cohort studies.Setting:Normative data: Avon Longitudinal Study of Parents and Children (ALSPAC), population based cohort; proof of concept study: tertiary feeding clinic and special needs schools.Subjects:Normative data: 7576 children measured aged between 7.25 and 8.25 (mean 7.5) (s.d.=0.2) years; proof of concept study: 29 children with either major neurodisability or receiving artificial feeding, or both, mean age 7.6 (s.d.=2) years.Measures:Leg-to-leg (ZT) and arm-to-leg (ZB) BIA, weight and height. Total body water (TBW) was estimated from the resistance index (RI=height2/Z), and fat-free mass was linearly related to TBW. Fat mass was obtained by subtracting fat-free mass from total weight. Fat-free mass was log-transformed and the reciprocal transform was taken for fat mass to satisfy parametric model assumptions. Lean and fat mass were then adjusted for height and age using multiple linear regression models. The resulting standardized residuals gave the lean index and fat index, respectively.Results:In the normative cohort, the lean index was higher and fat index lower in boys. The lean index rose steeply to the middle of the normal range of body mass index (BMI) and then slowly for higher BMI values, whereas the fat index rose linearly through and above the normal range. In the proof of concept study, the children as a group had low lean indices (mean (s.d.) −1.5 (1.7)) with average fat indices (+0.21 (2.0)) despite relatively low BMI standard deviation scores (−0.60 (2.3)), but for any given BMI, individual children had extremely wide ranges of fat indices. The lean index proved more stable and repeatable than BMI.Conclusions:This clinical method of handling BIA reveals important variations in nutritional status that would not be detected using anthropometry alone. BIA used in this way would allow more accurate assessment of energy sufficiency in children with neurodisability and may provide a more valid identification of children at risk of underweight or obesity in field and clinical settings.
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Academic
Author Ward, S.C.G
McColl, J.H
Wright, C.M
Ness, A.R
Sherriff, A
Reilly, J.J
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Issue 2
Keywords epidemiology
fat-free mass
body composition
bioelectrical impedance
child
Human
Nutrition
Lean body mass
Metabolic diseases
Impedance
Child
Epidemiology
Body composition
Nutritional status
Language English
License CC BY 4.0
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PublicationTitle European journal of clinical nutrition
PublicationTitleAbbrev Eur J Clin Nutr
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PublicationYear 2008
Publisher Nature Publishing Group UK
Nature Publishing
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Houtkooper, Lohman, Going, Howell (CR12) 1996; 64
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Wells, Fuller, Dewit, Fewtrell, Elia, Cole (CR26) 1999; 69
Maynard, Wisemandle, Roche, Chumlea, Guo, Siervogel (CR17) 2001; 107
Rennie, Livingstone, Wells, McGloin, Coward, Prentice (CR20) 2005; 82
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Freeman, Cole, Chinn, Jones, White, Preece (CR8) 1995; 73
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Goran, Shewchuk, Gower, Nagy, Carpenter, Johnson (CR11) 1998; 67
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Parker, Reilly, Slater, Wells, Pitsiladis (CR18) 2003; 11
Reilly, Wilson, McColl, Carmichael, Durnin (CR19) 1996; 39
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Davies, Preece, Hicks, Halliday (CR4) 1988; 15
Eur J Clin Nutr. 2008 May;62(5):686
SA Jebb (BF1602714_CR13) 2000; 83
JC Wells (BF1602714_CR27) 2003; 62
KR Foster (BF1602714_CR7) 1996; 64
RF Kushner (BF1602714_CR14) 1992; 56
S Smye (BF1602714_CR22) 1993; 14
LF Liu (BF1602714_CR15) 2005; 105
P Deurenberg (BF1602714_CR5) 1989; 43
LB Houtkooper (BF1602714_CR12) 1996; 64
PS Davies (BF1602714_CR4) 1988; 15
KE Chad (BF1602714_CR3) 2000; 42
EB Fung (BF1602714_CR9) 2002; 102
JC Wells (BF1602714_CR26) 1999; 69
MI Goran (BF1602714_CR11) 1998; 67
F Schaefer (BF1602714_CR21) 1994; 35
JV Freeman (BF1602714_CR8) 1995; 73
S Fomon (BF1602714_CR6) 1982; 35
VA Stallings (BF1602714_CR23) 1995; 126
MP Azcue (BF1602714_CR1) 1996; 129
LM Maynard (BF1602714_CR17) 2001; 107
J Reilly (BF1602714_CR19) 1996; 39
TG Lohman (BF1602714_CR16) 1989; 1
J Golding (BF1602714_CR10) 2001; 15
KL Rennie (BF1602714_CR20) 2005; 82
J Bland (BF1602714_CR2) 1995; 346
L Parker (BF1602714_CR18) 2003; 11
JC Wells (BF1602714_CR25) 2002; 26
PB Sullivan (BF1602714_CR24) 2006; 48
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Snippet Objectives: (1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large...
Objectives: (1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large...
(1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large normative cohort...
Objectives:(1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large...
OBJECTIVES(1) To develop a method of manipulating bioelectrical impedance (BIA) that gives indices of lean and fat adjusted for body size, using a large...
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SubjectTerms accuracy
Adipose Tissue - anatomy & histology
Adipose Tissue - metabolism
anthropometric measurements
Anthropometry
Arm
Avon Longitudinal Study of Parents and Children
bioelectrical impedance
Bioelectricity
Biological and medical sciences
Body Composition
Body fat
Body Mass Index
Body size
Body water
Body Water - metabolism
body weight
Body Weight - physiology
Child
child nutrition
Child Nutrition Disorders - diagnosis
Children
Children & youth
Clinical Nutrition
Cohort Studies
Electric currents
Electric Impedance
Epidemiology
fat free mass
Fat-free
Fat-free body mass
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Health aspects
human diseases
Humans
Impedance
Impedance, Bioelectric
Internal Medicine
Leg
Longitudinal Studies
Male
Mean
Measurement
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Muscle, Skeletal - anatomy & histology
Muscle, Skeletal - metabolism
nervous system diseases
Nutrition
Nutrition assessment
Nutritional Status
Obesity
original-article
Prospective Studies
Public Health
Regression analysis
Regression models
Schools
Sex Factors
Standard deviation
Test methods
Underweight
validity
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Weight
Title Development of bioelectrical impedance-derived indices of fat and fat-free mass for assessment of nutritional status in childhood [Corrigendum: 2008 May, v. 62, issue 5, p. 686.]
URI http://dx.doi.org/10.1038/sj.ejcn.1602714
https://link.springer.com/article/10.1038/sj.ejcn.1602714
https://www.ncbi.nlm.nih.gov/pubmed/17356557
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Volume 62
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