The Role of Body Adiposity Index in Determining Body Fat Percentage in Colombian Adults with Overweight or Obesity.

The Role of Body Adiposity Index in Determining Body Fat Percentage in Colombian Adults with Overweight or Obesity.
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DOI:
10.3390/ijerph14101093
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发表时间:
2017-09-21
影响因子:
--
通讯作者:
González-Jiménez E
González-Jiménez E
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Ramírez-Vélez R;Correa-Bautista JE;González-Ruíz K;Tordecilla-Sanders A;García-Hermoso A;Schmidt-RioValle J;González-Jiménez E

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本研究的目的是调查身体肥胖指数(BAI)的准确性,作为一个方便的工具,评估身体脂肪百分比(BF%)的超重/肥胖的成年人样本使用生物电阻抗分析(BIA)。研究人群由96名志愿者组成(60%为女性,平均年龄40.6 ± 7.5岁)。评估人体测量特征(体重指数、身高、腰高比、臀围和腰围)、社会经济状况和饮食,并通过BIA-BF%和BAI-BF%测量BF%。Pearson相关系数用于评价BAI-BF%和通过BIA-BF%评估的BF%之间的相关性,同时控制潜在混杂因素。通过配对样本t检验、Lin一致性相关系数和Bland-Altman图分析获得了两种方法测量的BF%之间的一致性。总体而言,在调整潜在混杂因素(年龄、社会经济地位和饮食)后,通过BIA-BF %获得的BF%与通过BAI-BF%估计的BF %之间的相关性为r = 0.885,p < 0.001。Lin的一致性相关系数在两种性别中均为中等。在男性中,配对t检验显示两种方法之间BF%的平均差异显著(-5.6(95%CI-6.4 to-4.8); p < 0.001)。在女性中,这些差异为(-3.6(95%CI-4.7至-2.5); p < 0.001)。总体而言,BAI-BF%的偏倚为−4.8 ± 3.2 BF%; p < 0.001),表明与参考方法相比,BAI-BF%方法显著低估了BF%。在超重/肥胖的成年人中,BAI与BIA-BF%测量的BF%的一致性较低;因此,我们得出结论,当体脂百分比水平较低或较高时,BIA-BF%在两种性别中均不准确。需要进一步的研究来证实我们在不同种族群体中的发现。
The aim of this study is to investigate the accuracy of body adiposity index (BAI) as a convenient tool for assessing body fat percentage (BF%) in a sample of adults with overweight/obesity using bioelectrical impedance analysis (BIA). The study population was composed of 96 volunteers (60% female, mean age 40.6 ± 7.5 years old). Anthropometric characteristics (body mass index, height, waist-to-height ratio, hip and waist circumference), socioeconomic status, and diet were assessed, and BF% was measured by BIA-BF% and by BAI-BF%. Pearson’s correlation coefficient was used to evaluate the correlation between BAI-BF% and BF% assessed by BIA-BF%, while controlling for potential confounders. The concordance between the BF% measured by both methods was obtained with a paired sample t-test, Lin’s concordance correlation coefficient, and Bland-Altman plot analysis. Overall, the correlation between BF% obtained by BIA-BF% and estimated by BAI-BF% was r = 0.885, p < 0.001, after adjusting for potential confounders (age, socioeconomic status, and diet). Lin’s concordance correlation coefficient was moderate in both sexes. In the men, the paired t-test showed a significant mean difference in BF% between the methods (−5.6 (95% CI −6.4 to −4.8); p < 0.001). In the women, these differences were (−3.6 (95% CI −4.7 to −2.5); p < 0.001). Overall, the bias of the BAI-BF% was −4.8 ± 3.2 BF%; p < 0.001), indicating that the BAI-BF% method significantly underestimated the BF% in comparison with the reference method. In adults with overweight/obesity, the BAI presents low agreement with BF% measured by BIA-BF%; therefore, we conclude that BIA-BF% is not accurate in either sex when body fat percentage levels are low or high. Further studies are necessary to confirm our findings in different ethnic groups.
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