Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation (2024)

  • Lukaski HC, Johnson PE, Bolonchuk WW, Lykken GI. Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am J Clin Nutr. 1985;41:810–7.

    Article CAS Google Scholar

  • Thomasset M. Bioelectric properties of tissue. Impedance measurement in clinical medicine. Significance of curves obtained. Lyon Med. 1962;94:107–18.

    CAS PubMed Google Scholar

  • Hoffer EC, Meador CK, Simpson DC. Correlation of whole-body impedance with total body water volume. J Appl Physiol. 1969;27:531–4.

    Article CAS Google Scholar

  • Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Gómez JM, et al. Bioelectrical impedance analysis—Part I: review of principles and methods. Clin Nutr. 2004;23:1226–43.

    Article Google Scholar

  • Ward LC. Segmental bioelectrical impedance analysis: an update. Curr Opin Clin Nutr Metab Care. 2012;15:424–9.

    Article Google Scholar

  • Zhu F, Leonard EF, Levin NW. Body composition modeling in the calf using an equivalent circuit model of multi-frequency bioimpedance analysis body composition modeling in the calf using an equivalent circuit model of multi-frequency bioimpedance analysis. Physiol Meas. 2005;26:s133–43.

    Article Google Scholar

  • Mulasi U, Kuchnia AJ, Cole AJ, Earthman CP. Bioimpedance at the bedside: current applications, limitations, and opportunities. Nutr Clin Pract. 2015;30:180–93.

    Article Google Scholar

  • Ward LC, Isenring E, Dyer JM, Kagawa M, Essex T. Resistivity coefficients for body composition analysis using bioimpedance spectroscopy: effects of body dominance and mixture theory algorithm. Physiol Meas. 2015;36:1529–49.

    Article CAS Google Scholar

  • Lukaski HC, Kyle UG, Kondrup J. Assessment of adult malnutrition and prognosis with bioelectrical impedance analysis: phase angle and impedance ratio. Curr Opin Clin Nutr Metab Care. 2017;20:330–9.

    Article Google Scholar

  • Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Gómez JM, et al. Bioelectrical impedance analysis-part II: utilization in clinical practice. Clin Nutr. 2004;23:1430–53.

    Article Google Scholar

  • Earthman CP. Body composition tools for assessment of adult malnutrition at the bedside. J Parenter Enter Nutr. 2015;39:787–822.

    Article Google Scholar

  • 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. Aging Clin Exp Res. 2017;29:591–7.

    Article Google Scholar

  • Guo SS, Chumlea WC, Cockram DB. Use of statistical methods to estimate body composition. Am J Clin Nutr. 1996;64:428S–435S.

    Article CAS Google Scholar

  • Tronstad C, Pripp AH. Statistical methods for bioimpedance analysis. J Electr Bioimpedance. 2014;5:14–27.

    Google Scholar

  • Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;327:307–10.

    Article Google Scholar

  • Geddes L, Baker LE. The specific resistance of biological material—a compendium of data for the biomedical engineer and physiologist. Med Biol Eng. 1967;5:271–93.

    Article CAS Google Scholar

  • Cornish BH, Thomas BJ, Ward LC. Improved prediction of extracellular and total body water using impedance loci generated by multiple frequency bioelectrical impedance analysis. Phys Med Biol. 1993;38:337.

    Article CAS Google Scholar

  • Davies P, Gregory J. Body water measurements in growth disorders. Arch Dis Child. 1991;66:1467.

    Article CAS Google Scholar

  • Nielsen BM, Dencker M, Ward L, Linden C, Thorsson O, Karlsson MK, et al. Prediction of fat-free body mass from bioelectrical impedance among 9- to 11-year-old Swedish children. Diabetes Obes Metab. 2007;9:521–39.

    Article CAS Google Scholar

  • Horlick M, Arpadi SM, Bethel J, Wang J, Moye J Jr, et al. Bioelectrical impedance analysis models for prediction of total body water and fat-free mass in healthy and HIV-infected children and adolescents. Am J Clin Nutr. 2002;76:991–9.

    Article CAS Google Scholar

  • De Lorenzo A, Di Campli C, Andreoli A, Sasso GF, Bonamico M, Gasbarrini A. Assessment of body composition by bioelectrical impedance in adolescent patients with celiac disease. Am J Gastroenterol. 1999;94:2951–5.

    PubMed Google Scholar

  • Wickramasinghe VP, Lamabadusuriya SP, Cleghorn GJ, Davies PS. Assessment of body composition in Sri Lankan children: validation of a bioelectrical impedance prediction equation. Eur J Clin Nutr. 2008;62:1170–7.

    Article CAS Google Scholar

  • Lakens D. Equivalence tests: a practical primer for t-tests, correlations, and meta-analyses. Soc Psychol Personal Sci. 2017;8:355–62.

    Article Google Scholar

  • Richter SJ, Richter C. A method for determining equivalence in industrial applications. Qual Eng. 2002;14:375–80.

    Article Google Scholar

  • Dixon PM, Saint-Maurice PF, Kim Y, Hibbing P, Bai Y, Welk GJ. A primer on the use of equivalence testing for evaluating measurement agreement. Med Sci Sports Exerc. 2018;50:837–45.

    Article Google Scholar

  • Matthie JR. Bioimpedance measurements of human body composition: critical analysis and outlook. Expert Rev Med Devices. 2008;5:239–61.

    Article Google Scholar

  • Seoane F, Abtahi S, Abtahi F, Ellegård L, Johannsson G, Bosaeus L, et al. Mean expected error in prediction of total body water. A true accuracy comparison between bioimpedance spectroscopy and single frequency regression equations. Biomed Res Int. 2015; 2015:656323.

  • Raimann JG, Zhu F, Wang J, Thijssen S, Kuhlmann MK, Kotanko P, et al. Comparison of fluid volume estimates in chronic hemodialysis patients by bioimpedance, direct isotopic, and dilution methods. Kidney Int. 2013;85:1–11.

    Google Scholar

  • Page P. Beyond statistical significance: clinical interpretation of rehabilitation research literature. Int J Sports Phys Ther. 2014;9:726–36.

    PubMed PubMed Central Google Scholar

  • Copay AG, Subach BR, Glassman SD, Polly DW Jr, Schuler TC. Understanding the minimum clinically important difference: a review of concepts and methods. Spine J. 2007;7:541–6.

    Article Google Scholar

  • Jaeschke R, Guyatt G, Sackett D. Users’ guides to the medical literature diagnostic test. JAMA. 1994;271:703–7.

    Article CAS Google Scholar

  • Warkentin LM, Majumdar SR, Johnson JA, Agborsangaya CB, Rueda-Clausen CF, Sharma AM, et al. Weight loss required by the severely obese to achieve clinically important differences in health-related quality of life: two-year prospective cohort study. BMC Med. 2014;12:175.

    Article Google Scholar

  • Rothberg AE. Weight loss ≥ 10% is required by the severely obese to achieve minimal clinically important differences in health-related quality of life. Evid Based Med. 2015;20:69.

    Article Google Scholar

  • Federation TI, Chemistry C, Group W, et al. International Federation of Clinical Chemistry (IFCC). J Clin Chem 2002;2001:1–5.

  • Yanovski S, Hubbard V, Heymsfield S, Lukaski HC. Bioelectrical impedance analysis in body composition measurement. NIH Technology Assessment Statement. Am J Clin Nutr. 1996;64:387S–532S.

    Article Google Scholar

  • National Institutes of Health. Bioelectrical impedance analysis in body composition measurement: National Institutes of Health Technology Assessment Conference Statement. Am J Clin Nutr. 1996;64:524s–532s.

    Article Google Scholar

  • Brantlov S, Jødal L, Lange A, Rittig S, Ward LC. Standardisation of bioelectrical impedance analysis for the estimation of body composition in healthy paediatric populations: a systematic review. J Med Eng Technol. 2017;41:1–20.

    Article Google Scholar

  • Brantlov S, Ward LCLC, Jødal L, Rittig S, Lange A. Critical factors and their impact on bioelectrical impedance analysis in children: a review. J Med Eng Technol. 2017;41:22–35.

    Article Google Scholar

  • Wootton S, Durkin K, Jackson A. Quality control issues related to assessment of body composition. Food Nutr Bull. 2014;35:S79–85.

    Article Google Scholar

  • Jackson AA, Johnson M, Durkin K. Wootton s. Body composition assessment in nutrition research: value of BIA technology. Eur J Clin Nutr. 2013;67:S71–8.

    Article Google Scholar

  • Villa F, Magnani A, Merati G, Castiglioni P. Feasibility of long-term monitoring of multifrequency and multisegment body impedance by portable devices. IEEE Trans Biomed Eng. 2014;61:1877–86.

    Article Google Scholar

  • Asogwa C, Lai D. A review on opportunities to assess hydration in wireless body area networks. Electronics. 2017;6:1–16.

    Article Google Scholar

  • Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation (2024)
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