Reliability of Compartmental Body Composition Measures in Weight-Stable Adults Using GE iDXA: Implications for Research and Practice

Nutrients. 2018 Oct 12;10(10):1484. doi: 10.3390/nu10101484.

Abstract

The aim of this study was to explore the reliability and precision of body compartment measures, in particular visceral adipose tissue, in weight stable adults over a range of BMIs using GE-Lunar iDXA. Weight-stable participants aged 18⁻65 years had a total body composition scan on GE-Lunar iDXA either on three separate occasions over a three month period (n = 51), or on a single occasion for duplicate scans with repositioning (n = 30). The coefficient of variation (CV%) and least significant change (LSC) of body compartments were calculated. The CV was higher for all measures over three months (range 0.8⁻5.9%) compared with same-day precision-scans (all < 2%). The CV for visceral adipose tissue (VAT) was considerably higher than all other body compartments (42.2% three months, 16.2% same day scanning). To accurately measure VAT mass using the GE iDXA it is recommended that participants have a BMI ≥ 25 kg/m², or VAT mass > 500 g. Changes observed in VAT mass levels below 500 g should be interpreted with caution due to lack of precision and reliability. All other compartmental measures demonstrated good reliability, with less than 6% variation over three months.

Keywords: adiposity; body composition; dual X-ray absorptiometry; visceral adipose tissue.

Publication types

  • Validation Study

MeSH terms

  • Absorptiometry, Photon / methods*
  • Adiposity
  • Adolescent
  • Adult
  • Aged
  • Body Composition*
  • Body Mass Index*
  • Body Weight
  • Female
  • Humans
  • Intra-Abdominal Fat*
  • Male
  • Middle Aged
  • Obesity / metabolism
  • Reproducibility of Results
  • Whole Body Imaging
  • Young Adult