Discrepancies between leg-to-leg bioelectrical Impedance analysis and computerized tomography in abdominal visceral fat measurement

Abstract The aim of this study was to evaluate leg-to-leg bioelectrical impedance analysis (LBIA) using a four-contact electrode system for measuring abdominal visceral fat area (VFA). The present study recruited 381 (240 male and 141 female) Chinese participants to compare VFA measurements estimate...

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Autores principales: Hsueh-Kuan Lu, Yu-Yawn Chen, Chinagwen Yeh, Chih-Lin Chuang, Li-Ming Chiang, Chung-Liang Lai, Kevin M. Casebolt, Ai-Chun Huang, Wen-Long Lin, Kuen-Chang Hsieh
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/c9f8bb3f87a349da8fb864e7d1dba1de
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Sumario:Abstract The aim of this study was to evaluate leg-to-leg bioelectrical impedance analysis (LBIA) using a four-contact electrode system for measuring abdominal visceral fat area (VFA). The present study recruited 381 (240 male and 141 female) Chinese participants to compare VFA measurements estimated by a standing LBIA system (VFALBIA) with computerized tomography (CT) scanned at the L4-L5 vertebrae (VFACT). The total mean body mass index (BMI) was 24.7 ± 4.2 kg/m2. Correlation analysis, regression analysis, Bland-Altman plot, and paired sample t-tests were used to analyze the accuracy of the VFALBIA. For the total subjects, the regression line was VFALBIA = 0.698 VFACT + 29.521, (correlation coefficient (r) = 0.789, standard estimate of error (SEE) = 24.470 cm2, p < 0.001), Lin’s correlation coefficient (CCC) was 0.785; and the limit of agreement (LOA; mean difference ±2 standard deviation) ranged from −43.950 to 67.951 cm2, LOA% (given as a percentage of mean value measured by the CT) was 48.2%. VFALBIA and VFACT showed significant difference (p < 0.001). Collectively, the current study indicates that LBIA has limited potential to accurately estimate visceral fat in a clinical setting.