Validity of Four-Compartment Model Body Fat In Physically Active Men And Women When Using DXA For Body Volume

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Brett S. Nickerson
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Michael R. Esco
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Phillip A. Bishop
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Brian M. Kliszczewicz
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Kyung-Shin Park
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Henry N. Williford
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The purpose of this study was twofold: 1) compare body volume (BV) estimated from dual energy X-ray absorptiometry (DXA) to BV from a criterion underwater weighing (UWW) with simultaneous residual lung volume (RLV), and 2) compare four-compartment (4C) model body fat percentage (BF%) values when deriving BV via DXA (4CDXA) and UWW (4CUWW) in physically active men and women. One hundred twenty-two adults (62 men and 60 women) who self-reported physical activity levels of at least 1,000 MET·min·wk-1 volunteered to participate (age = 22 ± 5 years). DXA BV was determined with the recent equation from Smith-Ryan et al. while criterion BV was determined from UWW with simultaneous RLV. The mean BV values for DXA were not significant compared with UWW in women (p = .80; constant error [CE] = 0.0L), but were significantly higher in the entire sample and men (both p < .05; CE = 0.3 and 0.7L, respectively). The mean BF% values for 4CDXA were not significant for women (p = .56; CE = –0.3%), but were significantly higher in the entire sample and men (both p < .05; CE = 0.9 and 2.0%, respectively). The standard error of estimate (SEE) ranged from 0.6–1.2L and 3.9–4.2% for BV and BF%, respectively, while the 95% limits of agreement (LOA) ranged from ±1.8–2.5L for BV and ±7.9–8.2% for BF%. 4CDXA can be used for determining group mean BF% in physically active men and women. However, due to the SEEs and 95% LOAs, the current study recommends using UWW with simultaneous RLV for BV in a criterion 4C model when high individual accuracy is desired.

Nickerson and Park are with the Dept. of Curriculum and Pedagogy, Texas A&M International University, Laredo TX. Esco is with the Dept. of Kinesiology, University of Alabama, Tuscaloosa, AL. Bishop is with the Dept. of Health Professions, Liberty University, Lynchburg, VA. Kliszczewicz is with the Dept. of Exercise Science and Sport Management, Kennesaw State University, Kennesaw, GA. Williford is with the Dept. of Kinesiology, Auburn University Montgomery, Montgomery, AL.

Address author correspondence to Brett S. Nickerson at brett.nickerson@tamiu.edu.
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