Segmental bioelectrical impedance spectroscopy: A novel field assessment of muscle size and quality in normal weight and obese older men

Exp Gerontol. 2022 Jun 1:162:111745. doi: 10.1016/j.exger.2022.111745. Epub 2022 Feb 19.

Abstract

The purpose of this study was to determine if segmental bioelectrical impedance spectroscopy characteristic frequency (fc) and phase angle (Pa) were reflective of differences in quadriceps muscle size and quality, respectively, in normal weight and obese older men, and to assess the impact of hydration status on these measurements. Forty-one healthy older men volunteered for this study and were recruited by age (65-74 years) and two body mass index groups: normal weight and obese. Participants visited the laboratory on one occasion where they underwent a hydration status assessment via urine specific gravity, a percent body fat assessment via dual-energy X-ray absorptiometry, a segmental bioelectrical impedance spectroscopy thigh assessment to determine fc and Pa, and resting ultrasonography to assess superficial quadriceps cross-sectional area and echo intensity as a proxy for muscle quality. Urine specific gravity was not different between the groups (P = 0.116); however, echo intensity, cross-sectional area, and percent body fat were greater in the obese group (P < 0.001), and both fc and Pa were greater in the normal weight group (P < 0.001). Larger muscle cross-sectional area was associated with lower fc (r = -0.597, P < 0.001), but was not associated with Pa (P = 0.469). Poorer muscle quality (higher echo intensity) was associated with lower Pa (r = -0.765, P < 0.001), but not associated with fc (P = 0.244). There was no association between fc and Pa (P = 0.449). All group differences and associations remained unchanged after controlling for urine specific gravity. Segmental bioelectrical impedance spectroscopy may offer an inexpensive, time efficient, and portable assessment of quadriceps muscle size and quality in older men.

Keywords: Characteristic frequency; Echo intensity; Hydration status; Phase angle; Sarcopenia; Ultrasonography.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorptiometry, Photon
  • Aged
  • Body Composition* / physiology
  • Electric Impedance
  • Humans
  • Male
  • Obesity*
  • Quadriceps Muscle / diagnostic imaging
  • Spectrum Analysis