Body Composition
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physical fitness Physical fitness is a state of health and well-being and, more specifically, the ability to perform aspects of Outline of sports, sports, occupations, and daily activities. Physical fitness is generally achieved through proper nutrition, modera ...
, body composition refers to quantifying the different components (or "compartments") of a
human body The human body is the entire structure of a Human, human being. It is composed of many different types of Cell (biology), cells that together create Tissue (biology), tissues and subsequently Organ (biology), organs and then Organ system, org ...
. The selection of compartments varies by model but may include
fat In nutrition science, nutrition, biology, and chemistry, fat usually means any ester of fatty acids, or a mixture of such chemical compound, compounds, most commonly those that occur in living beings or in food. The term often refers specif ...
,
bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, ...
,
water Water is an inorganic compound with the chemical formula . It is a transparent, tasteless, odorless, and Color of water, nearly colorless chemical substance. It is the main constituent of Earth's hydrosphere and the fluids of all known liv ...
, and
muscle Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...
. Two people of the same gender, height, and body weight may have completely different body types as a consequence of having different body compositions. This may be explained by a person having low or high
body fat Adipose tissue (also known as body fat or simply fat) is a loose connective tissue composed mostly of adipocytes. It also contains the stromal vascular fraction (SVF) of cells including preadipocytes, fibroblasts, Blood vessel, vascular endothel ...
, dense muscles, or big bones.


Compartment models

Body composition models typically use between 2 and 6 compartments to describe the body. Common models include: * 2 compartment: Fat mass (FM) and fat-free mass (FFM) * 3 compartment: Fat mass (FM), water, and fat-free dry mass * 4 compartment: Fat mass (FM), water, protein, and mineral * 5 compartment: Fat mass (FM), water, protein, bone mineral content, and non-osseous mineral content * 6 compartment: Fat mass (FM), water, protein, bone mineral content, non-osseous mineral content, and glycogen As a rule, the compartments must sum to the body weight. The proportion of each compartment as a percent is often reported, found by dividing the compartment weight by the body weight. Individual compartments may be estimated based on population averages or measured directly or indirectly. Many measurement methods exist with varying levels of accuracy. Typically, the higher compartment models are more accurate, as they require more data and thus account for more variation across individuals. The four compartment model is considered the reference model for assessment of body composition as it is robust to most variation and each of its components can be measured directly.


Measurement methods

A wide variety of body composition measurement methods exist. The
gold standard A gold standard is a backed currency, monetary system in which the standard economics, economic unit of account is based on a fixed quantity of gold. The gold standard was the basis for the international monetary system from the 1870s to the ...
measurement technique for the 4-compartment model consists of a weight measurement, body density measurement using
hydrostatic weighing Hydrostatic weighing, also referred to as underwater weighing, hydrostatic body composition analysis and hydrodensitometry, is a technique for measuring the density of a living person's body. It is a direct application of Archimedes' principl ...
or air displacement plethysmography, total body water calculation using isotope dilution analysis, and mineral content measurement by
dual-energy X-ray absorptiometry Dual-energy X-ray absorptiometry (DXA, or DEXA) is a means of measuring bone mineral density (BMD) with Spectral imaging (radiography), spectral imaging. Two X-ray beams, with different energy levels, are aimed at the patient's bones. When soft t ...
(DEXA). However, it is also common to use a DEXA scan alone and refer to this as the "gold standard". These claims are somewhat dubious since measurements methods vary significantly from study to study. In practice, the measurement methods used will be a tradeoff between cost, availability, and accuracy.


DEXA

Body composition measurement with dual energy X-ray absorptiometry (DEXA) is used increasingly for a variety of clinical and research applications. A DEXA scan requires medical supervision by a radiologist. Total body scans using DEXA give accurate and precise measurements of body composition, including bone mineral content (BMC), bone mineral density (BMD), lean tissue mass, fat tissue mass, and fractional contribution of fat. DEXA measurements are highly reproducible if the same type of machine is used, making them excellent for monitoring pharmaceutical therapy, nutritional or exercise intervention, sports training, and other body composition altering programs. They are also fast, simple, non-invasive, and expose the subject to a level of x-rays less than that of a cross-country flight. DEXA exams provide both total body and up to 14 regional (trunk, individual arms & legs, android, gynoid, etc.) results. However, the role of DEXA in clinical evaluations and research studies has been questioned by Wang et al. who stated that "the errors of the DXA EXAmethod are still of concern if it were to be used as the criterion."


Hydrostatic weighing

Hydrostatic weighing, also referred to as underwater weighing, hydrostatic body composition analysis and hydrodensitometry, is a technique for measuring the density of a living person's body. It is a direct application of Archimedes' principle, that an object displaces its own volume of water.


Air displacement plethysmography

Air displacement plethysmography is an alternative to underwater weighing for measuring body volume. The technique uses air as opposed to water and is known as air displacement plethysmography (ADP). Subjects enter a sealed chamber that measures their body volume through the displacement of air in the chamber. Next, body volume is combined with body weight (mass) to determine body density. The technique then estimates the percentage of body fat and
lean body mass Lean body mass (LBM), sometimes conflated with , is a component of body composition. Fat-free mass (FFM) is calculated by subtracting body fat weight from total body weight: total body weight is lean plus fat. In equations: :LBM = BW ...
(LBM) through empirically derived equations similar to those used with underwater weighing (for the density of fat and fat-free mass).


Isotope dilution analysis

Total body water may be effectively measured using isotope dilution analysis of deuterium oxide.


Total body potassium

Potassium 40 is a naturally occurring radioactive isotope found in intracellular water, but is not present in stored triglycerides (fat). Whole body counting can measure the amount of potassium 40 (40K) in the body, a quantity called total body potassium (TBK). This can be used to estimate fat-free mass directly. It has mostly been replaced by newer, more accurate techniques such as DEXA.


Bioelectrical impedance analysis

Another method to estimate body water is bioelectrical impedance analysis (BIA), which uses the resistance of electrical flow through the body. BIA is highly sensitive to hydration status and water intake. Drinking water dilutes the electrolytes in the body, making it less conductive, as does increasing body fat. By controlling hydration status or performing multiple impedance measurements, it is possible to estimate body fat and other variables. InBody developed the world's first 8-point tactile electrode system in 1996, a direct segmental analysis method that measures the impedance of five torsos using multiple frequencies. Many BIA products provide partial muscle and fat mass measurements, but not impedance, especially in the torso. Recent advancements such as 8-point electrodes, multi-frequency measurements, and Direct Segmental Analysis, have improved the accuracy of BIA machines. BIA machines have found acceptance in medical, fitness, and wellness space owing to their ease-of-use, portability, quick measurements, and cost efficiency. AURA Devices developed and launched a number of wearable bioimpedance trackers, including the first smart strap for Apple Watch that tracks body fat, muscles, lean mass, water levels, etc.


Body Volume Index

The Body Volume Index (BVI) is a technique used for measuring body shape. Initially, BVI technology employed white light scanning machines to measure an individual's body shape. However, recent technological advances in 3D measurement have enabled BVI to be calculated using images taken on a smartphone. Two images are required to create an individual 3D silhouette. By comparing this 3D silhouette with MRI data, body volume and fat distribution can be calculated.


Skin folds

Body composition can also be measured using the skin fold test, which is performed using a measuring
caliper Calipers or callipers are an instrument used to measure the linear dimensions of an object or hole; namely, the length, width, thickness, diameter or depth of an object or hole. The word "caliper" comes from a corrupt form of caliber. Many ty ...
. It can be done in nine steps: # Take measurements on the right side of the body. # Mark client up. # Pinch skin (KM) above mark # Pull fat away from muscles # Place caliper halfway between top and bottom of mark # Allow caliper to settle (1–2 seconds) # Take reading – repeat 15 seconds # Add up total (4) – average # Calculate body fat % A common skin fold method is by using gun style
caliper Calipers or callipers are an instrument used to measure the linear dimensions of an object or hole; namely, the length, width, thickness, diameter or depth of an object or hole. The word "caliper" comes from a corrupt form of caliber. Many ty ...
s to measure the thickness of
subcutaneous fat The subcutaneous tissue (), also called the hypodermis, hypoderm (), subcutis, or superficial fascia, is the lowermost layer of the integumentary system in vertebrates. The types of cells found in the layer are fibroblasts, adipose cells, and ...
in multiple places on the body. This includes the abdominal area, the subscapular region, arms, buttocks and thighs. These measurements are then used to estimate total body fat.


Ultrasound

Ultrasound has also been used to measure subcutaneous fat thickness, and by using multiple points an estimation of body composition can be made. Ultrasound has the advantage of being able to also directly measure muscle thickness and quantify intramuscular fat. In the abdomen, ultrasonography is a useful tool for quantifying both subcutaneous and visceral fat. Ultrasonography has many advantages over CT scan and MRI as it is non-invasive and doesn't utilize ionizing radiation, making it more accessible to special populations.


Quantitative magnetic resonance

Quantitative magnetic resonance (QMR) applies a magnetic field to the body and measures the difference in relaxation rates of hydrogen atoms within fat versus lean mass. It functions similarly to
magnetic resonance imaging Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to generate pictures of the anatomy and the physiological processes inside the body. MRI scanners use strong magnetic fields, magnetic field gradients, and ...
(MRI) but instead of providing an image like MRI, QMR gives quantities of fat mass, lean mass, and total body water. QMR is also widely used for body composition analysis of animals, including laboratory animals like mice, and wildlife including birds.


Circumferences and other simple measurements

Assessment of somatic (skeletal) protein is typically determined by simple measurements and calculations, including mid-arm circumference (MAC), mid-arm muscle circumference (MAMC), and creatinine height ratio (CHI).
Creatinine Creatinine (; ) is a breakdown product of creatine phosphate from muscle and protein metabolism. It is released at a constant rate by the body (depending on muscle mass). Biological relevance Serum creatinine (a blood measurement) is an impor ...
height ratio is calculated as 24-hour urine creatinine multiplied by 100 over the expected 24-hour urine creatinine for height. This calculation results in a percentage that can indicate protein depletion. Many methods of determining body composition use the body weight as a measurement, determined via a
weighing scale A scale or balance is a device used to measure weight or mass. These are also known as mass scales, weight scales, mass balances, massometers, and weight balances. The traditional scale consists of two plates or bowls suspended at equal d ...
. Other details such as height and age can be correlated with other measures and are often used in estimation formulas.


Validity

The methods above are each valid and notable in providing a measurement that can be used to determine the "true body composition" of the tested individual. However, each method does possess its own individual limitations, such as accuracy, precision, or expense, and the combination of methods also has limitations. Often, the relative change from one period to the next is most important; if an individual can maintain all factors as similar as possible, even a simple method such as weighing may give enough information to determine the true change in composition.


Types of exercises

The ideal percent of body mass which should be fat depends on an individual's sex, age, and physical activity. For example, a female thirty year old will have a different ideal fat percentage than a male thirty year old. An athlete will have a different ideal than a non athlete, and it can depend on the sport. The physical activities which can help decrease fat mass, increase lean mass, or both are the same for everybody. Aerobic exercise, also known as cardio (heart) exercise, decreases fat. High intensity interval training (HIIT) in particular helps decrease visceral fat. Visceral fat is near the internal organs, while subcutaneous fat is just under the skin. The former is more tightly associated with poor metabolic health. Bone and muscle strengthening exercise, also known as resistant training, decreases fat mass and increases lean mass at the same time, though it does better at the latter. In order to prevent injury from repetitive motion, people should do resistant training with different parts of their bodies on different days.


See also

*
Body fat percentage The body fat percentage of an organism is the total mass of its fat divided by its total body mass, multiplied by 100; body fat includes essential body fat and storage body fat. Essential body fat is necessary to maintain life and reproductive fu ...
*
Body mass index Body mass index (BMI) is a value derived from the mass (Mass versus weight, weight) and height of a person. The BMI is defined as the human body weight, body mass divided by the square (algebra), square of the human height, body height, and is ...
* Body volume index


References


External links

* {{DEFAULTSORT:Body Composition Physiology Self-care Body shape Medical signs