Cross-Validation of Bioelectrical Impedance Analysis of Body Composition in Children and Adolescents

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Abstract
Background and Purpose. The reliability and validity of measurements obtained with two bioelectrical impedance analyzers (BIAs), an RJL Systems model BIA-103 and a Berkeley Medical Research BMR-2000, were investigated using the manufacturers' prediction equations for the assessment of fat-free mass (FFM) (in kilograms) in children and adolescents. Subjects. Forty-seven healthy children and adolescents (23 male, 24 female), ranging in age from 8 to 20 years (X̅=12.1, SD=2.3), participated. Methods. In the context of a repeated-measures design, the data were analyzed according to gender and maturation (Tanner staging). Hydrostatic weighing (HYDRO) and Lohman's Siri age-adjusted body density prediction equation served as the criteria for validating the BIA-obtained measurements. Results. High intraclass correlation coefficients (ICC≥.987) demonstrated good test-retest (between-week) measurement reliability for HYDRO and both BIA methods. Between-method (HYDRO versus BIA) correlation coefficients were high for both boys and girls (r≥.97). The standard errors of estimate (SEEs) for FFM were slightly larger for boys than for girls and were consistently smaller for the RJL system than for the BMR system (RJL SEE=1.8 kg for boys, 1.3 kg for girls; BMR SEE=2.4 kg for boys, 1.9 kg for girls). The coefficients of determination were high for both BIA methods (r2≥.929). Total prediction errors (TEs) for FFM showed similar between-method trends (RJL TE=2.1 kg for boys, 1.5 kg for girls; BMR TE=4.4 kg for boys, 1.9 kg for girls). Discussion and Conclusion. This study demonstrated that the RJL BIA with the manufacturer's prediction equations can be used to reliably and accurately assess FFM in 8- to 20-year-old children and adolescents. The prediction of FFM by the BMR system was acceptable for girls, but significant overprediction of FFM for boys was noted.

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