Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation.

Abstract:

:Bioelectrical impedance analysis is an extremely popular method for assessment of body composition. Despite its wide-spread use over the past thirty years, its accuracy and clinical value is still questioned. Most frequently, criticisms focus on its purported poor absolute accuracy and that different impedance analysers or prediction equations fail to measure body composition identically. This perspective review highlights that the magnitude of errors associated with impedance methods are not dissimilar to those observed for so-called gold standard methods. It is argued that the focus on statistically significant but small differences between methods can obscure operational equivalence and that such differences may be of minor clinical significance. Finally, the need for better standardization of protocols and the need for consensus on what is a minimal clinically important difference between methods is highlighted.

journal_name

Eur J Clin Nutr

authors

Ward LC

doi

10.1038/s41430-018-0335-3

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

194-199

issue

2

eissn

0954-3007

issn

1476-5640

pii

10.1038/s41430-018-0335-3

journal_volume

73

pub_type

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