Use of air displacement plethysmography in the determination of percentage of fat mass in african american children

Pediatr Res. 2004 Jul;56(1):47-54. doi: 10.1203/01.PDR.0000130477.05324.79. Epub 2004 May 5.

Abstract

The purpose of this study was to determine the ability of air displacement plethysmography (ADP) to estimate percentage of fat mass (%FM) in African American children. %FM was determined in 21 boys and 13 girls (11.0 +/- 1.4 y, 18.6 +/- 4.2 kg/m(2) [mean +/- SD]) by ADP (using six published densitometric equations) and dual-energy x-ray absorptiometry (DXA). Measures were done within 2 h of one another, in random order. Regardless of equation, %FM(ADP) was significantly correlated with %FM(DXA) (R(2) = 0.67-0.71, all p < 0.001). %FM(ADP) using the equation of Siri (%FM(ADP-Siri) 20.3 +/- 9.0) agreed most closely with %FM(DXA) (20.0 +/- 10.2, difference p = 0.729). Together, surface area artifact and bone mineral content per unit of bone-free fat-free mass accounted for 29% of the variance in the residual between methods. The correlation between %FM(ADP-Siri) and %FM(DXA) was not significant for those <35 kg (n = 10; R(2) = 0.084, p = 0.417). There was a trend toward %FM(ADP-Siri) underestimating %FM(DXA) in girls (-1.46 +/- 3.0%FM; p = 0.103) but not in boys (1.43 +/- 6.4%FM; p = 0.315). Predicted lung volume was 40.1% higher than measured lung volume (p < 0.001). %FM(ADP-Siri) determined using predicted lung volume was 23.5 +/- 8.9, higher than that using measured lung volume (p < 0.001) and higher than %FM(DXA) (p = 0.001). We conclude that in 9- to 14-y-old African American children and provided lung volume is measured, %FM using ADP with Siri's equation approximates that obtained by DXA. Body composition results determined by ADP in children <35 kg should be interpreted with caution.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Absorptiometry, Photon
  • Adipose Tissue / pathology*
  • Adolescent
  • Black or African American*
  • Body Mass Index*
  • Body Weight
  • Child
  • Female
  • Humans
  • Lung Volume Measurements
  • Male
  • Obesity / pathology*
  • Plethysmography / methods*
  • Plethysmography / standards
  • Predictive Value of Tests
  • Reproducibility of Results
  • Sex Factors