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Nutrients. 2018;10(6):nu10060738.

Comparison between Dual-Energy X-ray Absorptiometry and Bioelectrical Impedance Analyses for Accuracy in Measuring Whole Body Muscle Mass and Appendicular Skeletal Muscle Mass.

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제1저자 이세영 · 교신저자 임수

PMID 29880741 PMC6024648 DOI 10.3390/nu10060738 IF 5.8 내분비대사내과
소속 (9)
  1. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. danaehyuk@naver.com.
  2. Department of Internal Medicine, Mediplex Sejong Hospital, Incheon 21080, Korea. danaehyuk@naver.com.
  3. Division of Statistics, Medical Research Collaborating Center, Seoul National University Bundang Hospital, Seongnam 13620, Korea. ahnsoyeon@gmail.com.
  4. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. vernade@hanmail.net.
  5. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. hahajmj@hanmail.net.
  6. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. kyoungmin02@gmail.com.
  7. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. shchoimd@gmail.com.
  8. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. janghak@snu.ac.kr.
  9. Department of Internal Medicine, Seoul National University College of Medicine and Seoul National University Bundang Hospital, Seongnam 13620, Korea. limsoo@snu.ac.kr.

Abstract

We evaluate the accuracy of whole body muscle mass (WBMM) and appendicular skeletal muscle mass (ASMM) assessed by bioelectrical impedance analysis (BIA) using an InBody770 machine (InBody, Seoul, Korea) referenced to dual-energy X-ray absorptiometry (DXA) in 507 people (mean age 63.7 ± 10.8 years, body mass index (BMI) 25.2 ± 3.5 kg/m²). Mean WBMMs measured by BIA and DXA were 49.3 ± 6.6 kg and 46.8 ± 6.5 kg in men and 36.1 ± 4.7 kg and 34.0 ± 4.8 kg in women, respectively. The respective effect sizes and 95% confidence intervals (CIs) for the difference were 2.49 (2.22⁻2.76) for men, and 2.12 (1.91⁻2.33) for women. Mean ASMMs measured by BIA and DXA were 22.1 ± 3.3 kg and 19.9 ± 3.2 kg in men, and 15.3 ± 2.5 kg and 13.5 ± 2.2 kg in women, respectively. The respective effect sizes and 95% CIs for the difference were 2.26 (2.10⁻2.41) for men and 1.75 (1.65⁻1.87) for women. The BIA clearly overestimated WBMM by 2.28 kg and ASMM by 1.97 kg compared with DXA. Using BMI, gender, and fat percentage, we derive equations that improved the residuals to.

Keywords

bioelectrical impedance analysisdual-energy X-ray absorptiometrymuscle mass

Figures

Figure 1
Figure 1 Differences in whole body lean muscle mass (WBMM) and appendicular skeletal muscle mass (ASMM) between DXA scans and BIA methods according to body mass index (BMI) and age categories. (a) WBMM by BMI group; (b) WBMM by age group; (c) ASMM by BMI group; and (d) ASMM by age group.
Figure 2
Figure 2 Bland–Altman plot for comparison between the two methods. (a) Whole body lean muscle mass (WBMM), (b) appendicular skeletal muscle mass (ASMM) in subjects who underwent DXA and BIA. Dotted horizontal lines are 95% confidence intervals.
Figure 3
Figure 3 Comparing the percentages of residuals less than 2 kg between expectations before (a,c) and after (b,d) applying regression formulae. (a,c) WBMM; (b,d) ASMM.

그림 출처: PubMed Central 공개 논문 (PMC6024648)

Conflict of interest statement

The authors declare no conflicts of interest relevant to this manuscript.

그 밖의 정보
출판 형태
Comparative Study, Journal Article
저널
Nutrients · eISSN 2072-6643
전자 출판
2018-06-07
MeSH
Absorptiometry, Photon* · Adiposity · Adult · Aged · Aged, 80 and over · Body Composition* · Body Mass Index · Electric Impedance · Female · Humans · Linear Models · Male · Middle Aged · Models, Biological · Multivariate Analysis · Muscle, Skeletal / anatomy & histology · Reproducibility of Results · Sex Factors · Young Adult
참고문헌
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