bioelectrical impedance pros and cons

4, pp. The following body fat measurement tools require special machinery and provide much more accurate results: A Bod Pod is a machine that calculates a persons body density. On a larger commercial. doi: 10.1097/MD.0000000000032229. Hogenbirk RNM, Viddeleer AR, Hentzen JEKR, van der Plas WY, van der Schans CP, de Bock GH, Kruijff S, Klaase JM. 214-219, 1974. 2017;29:591-7. However, it does have some limitations. Learn how we can help The clinical benefit of BIA can be further enhanced by combining it with bioelectrical impedance vector analysis (BIVA). A wide range of techniques are used in research to assess bone density and quality, but dual-energy X-ray absorptiometry (DXA) is likely to remain the standard procedure used in clinical practice for the foreseeable future for most patients, predicts the co-author of a recent review of imaging-based techniques for assessing bone in rheumatology. 2, pp. Leg-to-Leg BIA Demura S, Sato S. Comparisons of accuracy of estimating percent body fat by four bioelectrical impedance devices with different frequency and induction system of electrical current. Results may vary depending on the device used: the accuracy of BI results may vary depending on the specific device used and the quality of the device, Can be affected by recent exercise: The results may be affected by recent exercise as the muscle will have more hydration and will conduct electricity better, thus appearing to have less body fat. Individual measures of body fat ranged from -3.6% to 4.8% of the four-compartment value, highlighting the potential for significant discrepancies when measuring individual body composition over time. However, results can be affected by hydration levels, menstrual cycle, recent exercise and it doesn't provide specific information about body regions. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Lean tissues are highly-conductive, as they contain large quantities of water. Verywell Fit articles are reviewed by board-certified physicians and nutrition and exercise healthcare professionals. 417-424, 1986. Verywell Fit's content is for informational and educational purposes only. 19, no. 4, pp. The need to standardise eating, exercise, and both acute and chronic hydration changes are clearly important to provide valid body composition estimations. Also in 2016, Consumer Reports conducted a test of six different body fat scales. Also, as long as the scales are consistent in their measurements even if these are inaccurate they can help the person roughly track the effectiveness of their exercise regimen or diet over time. Total body water (TBW) is estimated, and this estimation is used to calculate fat-free mass. One study looked at the accuracy of weight and height estimation by ICU nurses and physicians. In athletic populations, where varying glycogen stores are likely throughout a training week, it is likely that this will lead to some variation in detection of change in fat-free mass in athletes as glycogen is likely to be affected by both diet, as well as the intensity, duration, and modality of previous training sessions even with protocol standardisation. Sergi G, De Rui M, Stubbs B, Veronese N, Manzato E. Measurement of lean body mass using bioelectrical impedance analysis: a consideration of the pros and cons. The device then uses other data such as your height, gender, andweight measurements to determine your body fat percentage. 2010;8(5):437-441. doi:10.1089/met.2010.0013. Plug in your weight in pounds and your height in inches. While "bioelectrical impedance analysis" sounds technical, BIA devices use straightforward technology. As with step-on body fat scales, they are not very accurate. 4, pp. FOIA Cons. 33-36, 1989. Bioelectrical impedance analysis is an easy-to-use and low-cost method for the estimation of fat-free mass (FFM) in physiological and pathological conditions. 199-209, 1992. Cons: Unless you happen to have an underwater scale at . It measures body fat in relation to lean body mass and is said to be more accurate than BMI testing. Experts generally agree that the accuracy of the measurement depends, in part, on the quality of the device. Hand-to-foot BIA devices, however, may allow for greater accuracy, as the current is sent from the upper-body to the lower-body, and is less likely to be influenced by the distribution of body fat. MNT is the registered trade mark of Healthline Media. A weak electrical current is run through the body to identify the speed of conductivity based on total water in the body which correlates to body fat percentage. HHS Vulnerability Disclosure, Help The reliability of BIA measurements is influenced by various factors related to the instrument itself, including electrodes, operator, subject, and environment. However, these methods can also lead to error, as hydrostatic weighing has been shown to lead to individual error rates of 6% [6]. BodPod, skinfold, BIA and hydrostatic weighing) Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. The reliability of BIA However, the body fat scale that the researchers tested did not use accurate formulas to estimate BFP. due to their variation in water content, the small electrical current passes through the tissues at different speeds. A. Jebb, T. J. Cole, D. Doman, P. R. Murgatroyd and A. M. Prentice, Evaluation of the novel Tanita body-fat analyser to measure body composition by comparison with a four-compartment model, British Journal of Nutrition, vol. It's also wise to understand that there is more to health than your body fat percentage or weight, and these scales are only a tool, not a reflection of your general wellness. Home body fat scales also cannot show where a persons body fat is stored. So there are pros and cons to any method. For example, an athlete may be singled-out for interventions to reduce their body fat based on their BIA assessment and normative values, yet other methods may suggest that their body composition is optimal. Disclaimer. When it is assumed that the hydration factor of the fat-free mass is constant and is not different in the obese state, then fat-free mass and thus body fat can be assessed with bioelectrical impedance. Body fat scales provide a rough estimate of a persons BFP. The reliability of . Sergi G, De Rui M, Stubbs B, Veronese N, Manzato E. Measurement of lean body mass using bioelectrical impedance analysis: a consideration of the pros and cons. However, body fat scales are not an accurate method for estimating BFP. 2004 Oct;23(5):1226-43. doi: 10.1016/j.clnu.2004.06.004. Read More Created for people with ongoing healthcare needs but benefits everyone. P. Clarys, A. D. Martin and D. T. Drinkwater, Gross tissue masses in adult humans- data from 25 dissections, Human Biology, vol. 25, no. Saunders et al., [18] showed that BIA was not a suitable method of body composition assessment in athletes with abnormal hydration status (e.g. However, BIA should not be used by anyone with an electronic medical implant, such as a heart pacemaker or an implantable cardioverter defibrillator (ICD). Foods. Some scales use more than one frequency and more advanced algorithms to provide a result. Content is fact checked after it has been edited and before publication. . All rights reserved. 74-78, 2005. Fat mass was underestimated by 1.6kg, whereas fat-free mass was overestimated by 1.8kg. First, the researchers used a lab-based machine called a Bod Pod to take accurate body fat measurements. However, studies that validate the accuracy of BIA exclusively in post-menopausal women are lacking. Epub 2014 Oct 1. The criterion method for determining body composition is the four-compartment model (1] fat mass, 2] total body water, 3] bone mineral mass, and 4] residual mass), and should be used when assessing the validity of BIA measurements. As reported earlier, error rates can range from 4-8% for individuals, and, therefore, an athlete could have decreased body fat percentage by 4%, whereas there BIA would report that they had gained 4% body fat. Understanding how much fat and muscle make up the body can be an important tool for people looking to track their overall health. Methods of body composition assessment. Body fat scales use bioelectrical impedance analysis (BIA) to estimate the relative percentages of different tissues and substances within the body. Bioelectrical impedance analysis--part I: review of principles and methods. Methodological limitations of BIA may affect the ability of the method to accurately determine body composition. 44, pp. 44, pp. Bioelectric impedance is a method to measure the resistance of body tissues to the flow of a small electrical signal, and from that calculate the proportion of body fat. . Precautions for the BIA bioelectrical impedance analysis method: 1. A. Weststrate, I. Paymans and K. Van Der Kooy, Factors affecting bioelectical impedance measurements in humans, European Journal of Clinical Nutrition, vol. Results readily available on the computer screen. Other factors which may impact the BIA measurement and should therefore also be standardised are [16]: The standardisation of hydration status is clearly of importance for BIA, as the method is reliant on estimations of total body water to ascertain fat-free mass. A normal balance of body fat and muscle is associated with good health and longevity so BIA tests can aid clinicians in . Only half of the weight measurements were within a 10% margin of error, but over 80% of the height . 58, no. Bioelectrical impedance analysis (BIA) is a valid method for the assessment of body composition. Buckinx F, Reginster JY, Dardenne N, Croisiser JL, Kaux JF, Beaudart C, Slomian J, Bruyre O. BMC Musculoskelet Disord. Download PDF. Would you like email updates of new search results? Quick and easy to perform: BI can be completed in just a few minutes and does not require any special preparation or training. As electrical current follows the path of least resistance, some scales may send current through the lower-body only, missing the upper-body entirely. The scales then use a mathematical formula that incorporates the value for electrical resistance with information about a persons age, height, and gender. Although BIA was primarily used to determine changes in dialysis patients [2], it is a method now used to determine body composition across a range of populations, including athletes [2, 3], obese individuals [4, 5] and the general population [3]. About usContact usJoin our teamOfficial partnersPrivacy policyTerms of useTerms and conditionsDisclaimer, 2023 Science for Sport | Catapult Sports, https://www.ncbi.nlm.nih.gov/pubmed/16215137, https://www.ncbi.nlm.nih.gov/pubmed/4468420, https://www.ncbi.nlm.nih.gov/pubmed/24755478, https://www.ncbi.nlm.nih.gov/pubmed/11319654, https://www.ncbi.nlm.nih.gov/pubmed/23299872, https://www.ncbi.nlm.nih.gov/pubmed/8695593, https://www.ncbi.nlm.nih.gov/pubmed/12540391, https://www.ncbi.nlm.nih.gov/pubmed/15640463, https://www.sciencedirect.com/science/article/pii/S0168822707000332, https://www.ncbi.nlm.nih.gov/pubmed/15076792, https://www.ncbi.nlm.nih.gov/pubmed/10743490, https://www.ncbi.nlm.nih.gov/pubmed/17228035, https://www.ncbi.nlm.nih.gov/pubmed/10393132, https://www.ncbi.nlm.nih.gov/pubmed/15181388, http://europepmc.org/abstract/med/15064592, https://www.ncbi.nlm.nih.gov/pubmed/1578098, https://www.ncbi.nlm.nih.gov/pubmed/2816797, https://www.ncbi.nlm.nih.gov/pubmed/9624647, https://www.ncbi.nlm.nih.gov/pubmed/8379501, https://www.researchgate.net/publication/16706298_Gross_Tissue_Weights_in_the_Human_Body_by_Cadaver_Dissection, https://www.sciencedirect.com/science/article/pii/002196818290056X, https://www.ncbi.nlm.nih.gov/pubmed/2912008, https://www.ncbi.nlm.nih.gov/pubmed/2079851, https://www.ncbi.nlm.nih.gov/pubmed/20647951, https://www.ncbi.nlm.nih.gov/pubmed/8780358, https://www.ncbi.nlm.nih.gov/pubmed/16837369, https://www.ncbi.nlm.nih.gov/pubmed/3529918, The Bioelectrical Impedance (BIA) Equations, Issues with Bioelectrical Impedance (BIA), Effect of incorrect measures in the applied setting, A BIA equation for use in athletic populations, The validity of BIA vs. the four-compartment model for athletes with more extreme body composition (e.g. There are several measurement tools to estimate body fat percentage, each have pros and cons mostly related to difficulty, cost, and availability. Content is reviewed before publication and upon substantial updates. Therefore, for this review, BIA will be used to denote all bioelectrical impedance assessments. The primary area for future research in this area is clearly the need for validated BIA equations for athletes in a range of sports and with varying body composition. The principal of BIA is that the different tissues in the body will act as conductors, semi-conductors, or dielectrics (insulators). BIA has been compared to the four-compartment model in several studies using various populations. It also measures the volume of water that a persons body displaces when they sit inside a tank of water. Bioelectrical impedance analysis (BIA) is a valid method for the assessment of body composition. Medicine (Baltimore). Because many BIA scales offer several features for a reasonable cost and are a quick and easy way to estimate body fat percent, body fat scales that use bioelectrical impedance analysis are a worthwhile investment for consumers who are curious about their body composition. If either value is higher than average, a person should see their doctor. The most accurate readings were off by about 21%, while the least accurate were off by about 34%. In large epidemiologic . Having a BMI or BFP below the recommended range also has health risks. 2-compartment: (e.g. BIA assumes that the human body is composed of a series of cylinders, uniform in shape, length, cross-sectional area, and with constant conductivity. Portable (lightweight equipment). "A scan removes the margin of error that bio-electric impedance tests [which measure body fat in relation to lean body mass] have, and that has significant reliability. BIA is an alternative to more invasive and expensive methods like dual-energy X-ray. Despite being popular in many commercial gyms and within epidemiological research on group body composition, BIA does not appear to provide a valid single- or repeated-measure of body composition for athletes. As hand-held and leg-to-leg methods may not account for the resistance of the lower- or upper-body, respectively, it is logical to assume that hand-to-foot measurements may better reflect whole-body composition than the alternatives. 2022 Dec 24;22(1):997. doi: 10.1186/s12877-022-03704-1. The scan uses two X-ray beams that scan the body for between 10-20 minutes. The authors subsequently developed a novel prediction equation to estimate fat mass from the same Tanita bioimpedance analyser, with the four-compartment method as reference. Voulgaridou G, Papadopoulou SD, Spanoudaki M, Kondyli FS, Alexandropoulou I, Michailidou S, Zarogoulidis P, Matthaios D, Giannakidis D, Romanidou M, Papadopoulou SK. The entire procedure is done in under 30 minutes and afterward, you can return to your normal daily activities. BMI can also help your physician gauge your general risk of obesity-related diseases, though BMI is best used in combination with other measurements to get a more complete look at your health. Comparison of Foot-to-Foot and Hand-to-Foot Bioelectrical Impedance Methods in a Population with a Wide Range of Body Mass Indices. Handheld BIA devices use electrical impulses to estimate BFP. This is done under the assumption that 73% of the bodys fat-free mass is water, and that this remains constant over time and between individuals. The path of the electrical current may differ between this method and the hand-held method, and could potentially influence body composition results; though this issue is discussed later in the article. 2017;29:591-7. Very accurate: As we know a human is to error but with computerized 3d scanning, precise trigonometric measurements can be precisely recorded at ease with minimal errors. You may own it personally and you will come across these machines at gyms and clinics. 2023 Jan 6;10:1056123. doi: 10.3389/fpubh.2022.1056123. The mean coefficient of variation for within-day, intra-individual measurements, has ranged from 0.3% to 2.8%, with daily or weekly variability ranging from 0.9% to 3.6%, respectively [2, 17]. 83, pp. Results can be affected by hydration levels: BI results can be affected by hydration levels, as dehydrated individuals will have a higher impedance and appear to have less body fat. Results readily available on the computer screen. Effect of incorrect measures in the applied setting The validity of using BIA to measure changes over time Credit: Tanita. The study mentioned previously on obese subjects [9] reported that in 12 of the 50 participants, BIA underestimated fat mass by 5kg or more. BIA has been shown to underestimate fat mass and overestimate fat-free mass by 1.9 and 1.8kg in obese subjects, respectively [9]. Aging Clin Exp Res. There are different types of BIA devices, but each requires two contact points. Sarcopenia using pectoralis muscle area and lymphocyte-to-monocyte ratio (LMR) are independent prognostic factors in patients for nonmetastatic breast cancer. However, hydration of fat-free mass has been shown to rise to over 77% with increased levels of body fat [22]. Deurenberg, J. Aging Clin Exp Res. BIA is an alternative to more invasive and expensive methods like dual-energy X-ray absorptiometry, computerized tomography, and magnetic resonance imaging. Gagnon C, Mnard J, Bourbonnais A, et al. Bioelectrical impedance analysis (BIA) is a guidelineaccepted method for sarcopenia detection. 75, no. 649-657, 1996. The 9 Best Pedometers of 2023, Tested and Reviewed, Measuring Skinfolds for Determining Body Fat Percentage. 64, pp. Mobvoi TicWatch Pro 3 Ultra. This article also covers how to calculate the ideal body fat, There are various ways to measure the percentage of body fat, and some are more high tech than others. - Quick & very user friendly. This systematic review assesses the literature pertaining to BIA use in the detection of sarcopenia in adults with cancer. Increasing Muscle Mass in Elders through Diet and Exercise: A Literature Review of Recent RCTs. MeSH Some studies showed that bioelectrical impedance analysis is a reasonably accurate method for estimating body fat. 77, pp. It usually involves the placement of two electrical sources on the feet and hand's dorsal surface. Background: Bioelectric impedance analysis (BIA) is commonly used in research to assess body composition. It's very quick to conduct. There is disagreement amongst the limited research available, with only one study suggesting that BIA is suitable for assessing body composition in athletes [15], whereas other research suggests that body fat estimates are much higher in athletes when using the BIA method [16]. Pros: Hydrostatic weighing is an incredibly accurate technique for measuring body composition. Dr. Michael Fisher answered Dermatology 34 years experience Skin calliper: Pros:ease of use.Low cost involved.Minimal training necessary.Cons:limited population (if overfat, calipers will not be accurate).Requires the same tr. Materials and Methods Similarly, hand-held instruments may only assess body composition of the upper extremities. This approach, the Energy Availability - Energy Balance (EAEB) method, increases the reliance on objective measurements, provides an indication of energy availability status over longer periods and. In this study, the home-use body fat scales either overestimated or underestimated BFPs. PMC TicWatch Pro 3 comes in at $300 but is often on sale. But these research studies generally do not test the scales you find in the store. Using this method doesn't need any training or prior practice. Pros: BIA is easy to measure and can be done fully clothed. Prevalence and associated factors of sarcopenia in community-dwelling older adults at risk of malnutrition. The Bioelectrical Impedance Analysis works by determining the impedance which is faced by an electrical current as it passes through the human body. 434-440, 1990. Pros, Cons, and Perspectives Download PDF. The full-body scanner from the Naked Labs has probably become the most famous body scanner and has been covered by various tech-related websites in the last two years. An important consideration when assessing the individual variation of BIA is the potential consequences that an incorrect reading can have. And some offer segmental fat analysis, meaning you can get body fat measurements for each leg, arm, and belly. Haverkort EB, Reijven PL, Binnekade JM, de van der Schueren MA, Earthman CP, Gouma DJ, de Haan RJ. 2023 Dotdash Media, Inc. All rights reserved. The site is secure. Malia Frey is a weight loss expert, certified health coach, weight management specialist, personal trainer, and fitness nutrition specialist. A further consideration for the use of BIA is the validity of its use in measuring changes in fat mass and fat-free mass over time, as this may indicate the efficacy of a nutritional or training intervention looking to manipulate body composition. muscle, fat, bone, etc.) What are the pros & cons of 2-, 3-, & 4-compartment body composition measurement tools? Several methods have been used to assess body composition in humans, each with advantages and drawbacks surrounding cost, validity, reliability, and accessibility (for more information on the methods of body composition assessment and their uses, click here). 3, pp. Research conducted by Jebb et al., [11] found that leg-to-leg BIA using the manufacturer equations resulted in large errors when attempting to predict body fat, relative to the four-compartment model. Her work as an occupational therapist includes: home health, acute care, chronic care, seating and positioning, outpatient rehab, and skilled nursing rehab. The impulse encounters varying levels of resistance or impedance from the different tissues and substances. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Centers for Disease Control and Prevention (CDC), Personal Monitoring / Wearable Technology, https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html, https://www.consumerreports.org/body-fat-scales/body-fat-scale-review/, https://www.cedars-sinai.org/blog/body-fat-scales.html, https://bmjopen.bmj.com/content/6/1/e008922, https://dapa-toolkit.mrc.ac.uk/anthropometry/objective-methods/hydrostatic-underwater-weighing, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5599249/, One-hour endoscopic procedure could eliminate the need for insulin for type 2 diabetes, New clues to slow aging? For example, many BIA equations are validated against assessment methods such as hydrostatic weighing and dual-energy x-ray absorptiometry (DEXA). BIA scales estimate body fat percentage using bioelectrical impedance analysis. A Bod Pod requires specially trained operators, who tend only to use it in research laboratories. Higher values could indicate an increased risk of cardiovascular disease. the resistance of the electrical current [Z]) of the current and then estimate body composition hence the name bioelectrical impedance. This is possible simply because different bodily tissues (e.g. 81, pp. By Charlie BeestoneMay 20th, 2018 | 16 min read. Figure 1. Different types of BIA analysers are available, such as hand-held and leg-to-leg devices. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). (2013). The reliability of BIA measurements is influenced by various factors related to the instrument itself, including electrodes, operator, subject, and environment. Bioelectrical impedance analysis enables a rapid and safe assessment of body water. Most scales measure an estimate of your total fat, muscle, water, and bone in weight and percentage.

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bioelectrical impedance pros and cons

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