Proportional bias of multifrequency bioimpedance analysis is larger in Hispanic females than males.
Proportional bias of multifrequency bioimpedance analysis is larger in Hispanic females than males.
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DOI:
10.1016/j.nutres.2022.03.007
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发表时间:
2022-07
影响因子:
4.5
通讯作者:
Snarr, Ronald L.
中科院分区:
文献类型:
--
作者:
Nickerson, Brett S.;Snarr, Ronald L.
Body composition algorithms are typically validated using multi-ethnic populations without accounting for ethnicity. This might be problematic when using multi-frequency bioimpedance analysis (MF-BIA) for Hispanics. Group error (i.e., constant error [CE]), individual error (i.e., 95% limits of agreement [LOAs]), and proportional bias of MF-BIA were determined in Hispanic men and women (n = 84 and 97, respectively) when using dual energy X-ray absorptiometry (DXA) as a reference method. Due to the lack of an ethnic-specific impedance equation for Hispanics, it was hypothesized that MF-BIA would be biased when compared to DXA. For body fat percent (BF%), MF-BIA displayed similar CE±95% LOA for the sample (−3.17±5.45%), males (−3.2±5.5%), and females (−3.2±5.4%) compared to DXA. However, moderate proportional bias was present for females (r=0.48). The sample (r=0.22) and males (r=−0.04) had trivial-to-no proportional bias. Regarding fat mass (FM), MF-BIA exhibited CE±95% LOA values of −1.4±4.2 kg for the sample, −1.9±4.6 kg for males, and −0.9±3.6 kg for females. There was strong proportional bias for females (=0.68) and moderate bias for the sample (r=0.36). No proportional bias was observed for males (r=−0.02). For fat-free mass (FFM), males demonstrated the largest CE±95% LOA (1.6±4.6), compared to the sample (1.2±3.9 kg) and females (0.9±3.4 kg) when MF-BIA was compared to DXA. No proportional biases existed for the sample (r=−0.01) or males (r=−0.10). However, females exhibited a moderate, negative bias (r=−0.38). Due to the observed moderate-to-strong proportional biases within body composition estimates, the need for ethnic-specific algorithms is warranted, particularly for the Hispanic female population. DXA = Dual-energy x-ray absorptiometry; MF-BIA = Multi-frequency bioimpedance analysis; FFM = Fat-free mass; BF% = Body fat percentage; CE = Constant Error; The middle solid lines on the scatterplots indicate CE. The dashed lines represent the upper and lower limits of agreement (± 1.96 SD). The dashed-dotted regression lines represent the proportional bias.
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DOI:
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