Combining Anthropometry and Bioelectrical Impedance Analysis to Predict Body Fat in Female Athletes

J Athl Train. 2022 Apr 1;57(4):393-401. doi: 10.4085/1062-6050-0747.20.

Abstract

Context: Accurate methods for predicting the percentage of body fat (%Fat) in female athletes are needed for those who lose weight before competition. Methods mandated by sport governing bodies for minimal weight determination in such athletes lack validation.

Objective: To (1) determine whether combining anthropometry using skinfold (SF) thicknesses and bioelectrical impedance analysis (BIA) in a 3-compartment (3C) model would improve the prediction of %Fat in female athletes and (2) evaluate the Slaughter SF equation.

Design: Cross-sectional study.

Setting: Laboratory-based study during the preseason for collegiate sports.

Participants: A total of 18 National Collegiate Athletic Association Division I female athletes were recruited from swim and gymnastics teams.

Main outcome measure(s): We measured %Fat based on a 4-compartment (4C) criterion incorporating body density (air-displacement plethysmography), total body water (D2O dilution), and bone mineral mass (dual-energy x-ray absorptiometry) compared with predicted %Fat using SF alone (Slaughter equation), BIA (single frequency for total body water estimate), and combined SF and BIA (3C model).

Results: For the %Fat determined using the 4C criterion, the highest adjusted coefficient of determination and lowest prediction error (r2; ±standard error of estimate) were for the 3C model (r2 = 0.87; ±2.8%), followed by BIA (r2 = 0.80; ±3.5%) and SF (r2 = 0.76; ±3.8%; P values < .05 for all). Means differed for the %Fat determined using BIA (26.6% ± 7.5%) and the 3C (25.5% ± 7.2%) versus 4C model (23.5% ± 7.4%; analysis of variance and post hoc analyses: P values < .05). The SF estimate (24.0% ± 7.8%) did not differ from the 4C value.

Conclusions: Combining SF and BIA might improve the prediction and lower the prediction error for determining the %Fat in female athletes compared with using SF or BIA separately. Regardless, the Slaughter equation for SF appeared to be accurate for determining the mean %Fat in these female athletes.

Keywords: body density; fat-free mass; gymnasts; minimal weight; swimmers.

MeSH terms

  • Absorptiometry, Photon / methods
  • Adipose Tissue* / metabolism
  • Anthropometry
  • Athletes
  • Body Composition*
  • Cross-Sectional Studies
  • Electric Impedance
  • Female
  • Humans
  • Swimming