Abstract
Purpose
High precision body composition assessment methods accurately monitor physique traits in athletes. The acute impact of subject presentation (ad libitum food and fluid intake plus physical activity) on body composition estimation using field and laboratory methods has been quantified, but the impact on interpretation of longitudinal change is unknown. This study evaluated the impact of athlete presentation (standardised versus non-standardised) on interpretation of change in physique traits over time. Thirty athletic males (31.2 ± 7.5 years; 182.2 ± 6.5 cm; 91.7 ± 10.3 kg; 27.6 ± 2.6 kg/m2) underwent two testing sessions on 1 day including surface anthropometry, dual-energy X-ray absorptiometry (DXA), bioelectrical impedance spectroscopy (BIS) and air displacement plethysmography (via the BOD POD), with combinations of these used to establish three-compartment (3C) and four-compartment (4C) models.
Methods
Tests were conducted after an overnight fast (BASEam) and ~ 7 h later after ad libitum food/fluid and physical activity (BASEpm). This procedure was repeated 6 months later (POSTam and POSTpm). Magnitude of changes in the mean was assessed by standardisation.
Results
After 6 months of self-selected training and diet, standardised presentation testing (BASEam to POSTam) identified trivial changes from the smallest worthwhile effect (SWE) in fat-free mass (FFM) and fat mass (FM) for all methods except for BIS (FM) where there was a large change (7.2%) from the SWE. Non-standardised follow-up testing (BASEam to POSTpm) showed trivial changes from the SWE except for small changes in FFM (BOD POD) of 1.1%, and in FM (3C and 4C models) of 6.4 and 3.5%. Large changes from the SWE were found in FFM (BIS, 3C and 4C models) of 2.2, 1.8 and 1.8% and in FM (BIS) of 6.4%. Non-standardised presentation testing (BASEpm to POSTpm) identified trivial changes from the SWE in FFM except for BIS which was small (1.1%). A moderate change from the SWE was found for BOD POD (3.3%) and large for BIS (9.4%) in FM estimations.
Conclusions
Changes in body composition utilising non-standardised presentation were more substantial and often in the opposite direction to those identified using standardised presentation, causing misinterpretation of change in physique traits. Standardised presentation prior to body composition assessment for athletic populations should be advocated to enhance interpretation of true change.
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Abbreviations
- 2C model:
-
Two-compartment model
- 3C model:
-
Three-compartment model
- 4C model:
-
Four-compartment model
- BASEam:
-
Baseline morning testing session, standardised presentation
- BASEpm:
-
Baseline afternoon testing session, non-standardised presentation
- BIS:
-
Bioelectrical impedance spectroscopy
- BM:
-
Body mass
- BMI:
-
Body mass index
- BMC:
-
Bone mineral content
- BOD POD:
-
Air displacement plethysmography
- CV:
-
Coefficient of variation
- D2O:
-
Deuterium dilution
- DXA:
-
Dual-energy X-ray absorptiometry
- FM:
-
Fat mass
- FFM:
-
Fat-free mass
- LM:
-
Lean mass
- NHANES:
-
National Health and Nutrition Examination Survey
- POSTam:
-
Post 6 months morning testing session, standardised presentation
- POSTpm:
-
Post 6 months afternoon testing session, non-standardised presentation
- SA:
-
Surface anthropometry
- SD:
-
Standard deviation
- SWE:
-
Smallest worthwhile effect
- TBW:
-
Total body water
- TEM:
-
Technical error of measurement
- %BF:
-
Percentage of body fat
- V TG :
-
Volume of thoracic gas
References
Ackland TR, Lohman TG, Sundgot-Borgen J, Maughan RJ, Meyer NL, Stewart AD, Müller W (2012) Current status of body composition assessment in sport: review and position statement on behalf of the ad hoc research working group on body composition health and performance, under the auspices of the I.O.C. medical commission. Sports Med 42(3):227–249
Armstrong LE (2005) Hydration assessment techniques. Nutr Rev 63:S40-S54. https://doi.org/10.1111/j.1753-4887.2005.tb00153.x
Binkley TL, Daughters SW, Weidauer LA, Vukovich MD (2015) Changes in body composition in Division I football players over a competitive season and recovery in off-season. J Strength Condition Res 29(9):2503–2512
Bone JL, Ross ML, Tomcik KA, Jeacocke NA, Hopkins WG, Burke LM (2016) Manipulation of muscle creatine and glycogen changes DXA estimates of body composition. Med Sci Sports Exerc 49(5):1029–1035
Brožek J, Grande F, Anderson JT, Keys A (1963) Densitometric analysis of body composition: revision of some quantitative assumptions. Ann N Y Acad Sci 110(1):113–140
Bunt JC, Lohman TG, Boileau RA (1989) Impact of total body water fluctuations on estimation of body fat from body density. Med Sci Sports Exerc 21(1):96–100
Cornish BH, Ward LC, Thomas BJ, Jebb SA, Elia M (1996) Evaluation of multiple frequency bioelectrical impedance and Cole–Cole analysis for the assessment of body water volumes in healthy humans. Eur J Clin Nutr 50(3):159–164
COSMED USA I (2010) BOD POD Gold Standard Body Composition Tracking System Operator’s Manual. Concord, CA
Crapo R, Morris A, Clayton P, Nixon C (1982) Lung volumes in healthy nonsmoking adults. Bull Eur Physiopathol Respir 18(3):419
Dehghan M, Merchant AT (2008) Is bioelectrical impedance accurate for use in large epidemiological studies? Nutr J 7(1):26
Dixon CB, Ramos L, Fitzgerald E, Reppert D, Andreacci JL (2009) The effect of acute fluid consumption on measures of impedance and percent body fat estimated using segmental bioelectrical impedance analysis. Eur J Clin Nutr 63(9):1115–1122
Evans EM, Rowe DA, Misic MM, Prior BM, Arngrimsson SA (2005) Skinfold prediction equation for athletes developed using a four-component model. Med Sci Sports Exerc 37(11):2006
Fields D, Higgins P, Hunter G (2004) Assessment of body composition by air-displacement plethysmography: influence of body temperature and moisture. Dyn Med 3(1):3
Gallagher M, Walker K, O’Dea K (1998) The influence of a breakfast meal on the assessment of body composition using bioelectrical impedance. Eur J Clin Nutr 52(2):94–97
Harley JA, Hind K, O’Hara JP (2011) Three-compartment body composition changes in elite Rugby league players during a super league season, measured by dual-energy X-ray absorptiometry. J Strength Condition Res 25(4):1024–1029
Heiss CJ, Gara N, Novotny D, Heberle H, Morgan L, Stufflebeam J, Fairfield M (2009) Effect of a 1 litre fluid load on body composition measured by air displacement plethysmography and bioelectrical impedance. J Exerc Physiol Online 12(2):1–8
Hopkins W, Marshall S, Batterham A, Hanin J (2009a) Progressive statistics for studies in sports medicine and exercise science. Med Sci Sports Exerc 41(1):3
Hume P, Marfell-Jones M (2008) The importance of accurate site location for skinfold measurement. J Sports Sci 26(12):1333–1340
ImpediMed (2016) Imp SFB7 instructions for use. vol 1. Pinkenba, Queensland
Kelly TL, Wilson KE, Heymsfield SB (2009) Dual energy X-ray absorptiometry body composition reference values from NHANES. PLoS One 4(9):e7038
Kerr A, Slater G, Byrne N, Chaseling J (2015) Validation of bioelectrical impedance spectroscopy to measure total body water in resistance trained males. Int J Sport Nutr Exerc Metab 25:494–503
Kerr A, Slater GJ, Byrne N (2017) Impact of food and fluid intake on technical and biological measurement error in body composition assessment methods in athletes. Br J Nutr 117(4):591–601
Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Gómez JM, Heitmann BL, Kent-Smith L, Melchior J-C, Pirlich M, Scharfetter H, Schols AMWJ., Pichard C (2004a) Bioelectrical impedance analysis—part I: review of principles and methods. Clin Nutr 23(5):1226–1243
Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Manuel Gómez J, Lilienthal Heitmann B, Kent-Smith L, Melchior J-C, Pirlich M, Scharfetter H, Schols MWJ, Pichard A C (2004b) Bioelectrical impedance analysis—part II: utilization in clinical practice. Clin Nutr 23(6):1430–1453
Lunar GH (2011) EnCORE-based X-ray bone densitometer user manual. vol LU43616EN Revision, 8 edn. GE Medical Systems Lunar, Madison
Matthie JR (2008) Bioimpedance measurements of human body composition: critical analysis and outlook. Expert Rev Med Devices 5(2):239–261. https://doi.org/10.1586/17434440.5.2.239
Meyer NL, Sundgot-Borgen J, Lohman TG, Ackland TR, Stewart AD, Maughan RJ, Smith S, Müller W (2013) Body composition for health and performance: a survey of body composition assessment practice carried out by the Ad Hoc Research Working Group on Body Composition, Health and Performance under the auspices of the IOC Medical Commission. Br J Sports Med 47(16):1044–1053
Moon J, Tobkin S, Roberts M, Dalbo V, Kerksick C, Bemben M, Cramer J, Stout J (2008) Total body water estimations in healthy men and women using bioimpedance spectroscopy: a deuterium oxide comparison. Nutr Metab 5(1):7
Nana A, Slater GJ, Hopkins WG, Burke LM (2012) Effects of daily activities on dual-energy X-ray absorptiometry measurements of body composition in active people. Med Sci Sports Exerc 44(1):180–189
Norton K, Whittingham N, Carter L, Kerr D, Gore C, Marfell-Jones M (1996) Measurement techniques in anthropometry. In: Kevin N (ed) Anthropometrica, 1st ed. University of New South Wales Press Ltd, Kensington, pp 25–75
Norton K, Hayward S, Charles S, Rees M (2000) The effects of hypohydration and hyperhydration on skinfold measurements. Kinanthropometry VI:253–266
O’brien C, Young A, Sawka M (2002) Bioelectrical impedance to estimate changes in hydration status. Int J Sports Med 23(05):361–366
Olds T (2001) The evolution of physique in male rugby union players in the twentieth century. J Sports Sci 19(4):253–262
Oppliger RA, Bartok C (2002) Hydration testing of athletes. Sports Med 32(15):959–971
Pace N, Rathbun EN (1945) Studies on body composition. 3. The body water and chemically combined nitrogen content in relation to fat content. J Biol Chem 158:685–691
Pietrobelli A, Wang Z, Formica C, Heymsfield SB (1998) Dual-energy X-ray absorptiometry: fat estimation errors due to variation in soft tissue hydration. Am J Physiol Endocrinol Metab 274(5):E808–E816
Rouillier MA, David-Riel S, Brazeau AS, St-Pierre DH, Karelis AD (2015) Effect of an acute high carbohydrate diet on body composition using DXA in young men. Ann Nutr Metab 66(4):233–236
Saunders MJ, Blevins JE, Broeder CE (1998) Effects of hydration changes on bioelectrical impedance in endurance trained individuals. Med Sci Sports Exerc 30(6):885–892
Siri WE (1961) Body composition from fluid spaces and density: analysis of methods. Nutrition 9(5):480–491
Slater GJ, O’Connor HT, Pelly FE (2010) Physique assessment of athletes—concepts, methods and applications. Nutritional assessment of athletes. 2nd edn. CRC Press, Boca Raton, pp 73–91
Toombs RJ, Ducher G, Shepherd JA, De Souza MJ (2012) The impact of recent technological advances on the trueness and precision of DXA to assess body composition. Obesity 20(1):30–39. https://doi.org/10.1038/oby.2011.211
Utter AC, Goss FL, Swan PD, Harris GS, Robertson RJ, Trone GA (2003) Evaluation of air displacement for assessing body composition of collegiate wrestlers. Med Sci Sports Exerc 35(3):500–505
van Marken Lichtenbelt W, Westerterp KR, Wouters L (1994) Deuterium dilution as a method for determining total body water: effect of test protocol and sampling time. Br J Nutr 72:491–497
Wang ZM, Deurenberg P, Guo SS, Pietrobelli A, Wang J, Pierson RN Jr, Heymsfield SB (1998) Six-compartment body composition model: inter-method comparisons of total body fat measurement. Int J Obes 22(4):329–337
Wang Z, Pi-Sunyer FX, Kotler DP, Wielopolski L, Withers RT, Pierson RN, Heymsfield SB (2002) Multicomponent methods: evaluation of new and traditional soft tissue mineral models by in vivo neutron activation analysis. Am J Clin Nutr 76(5):968–974
Withers RT, LaForgia J, Pillans RK, Shipp NJ, Chatterton BE, Schultz CG, Leaney F (1998) Comparisons of two-, three-, and four-compartment models of body composition analysis in men and women. J Appl Physiol 85(1):238–245
ZiMian W, Steven BH, Zhao C, Shankuan Z, Richard NP (2010) Estimation of percentage body fat by dual-energy X-ray absorptiometry: evaluation by in vivo human elemental composition. Phys Med Biol 55(9):2619
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The results of this study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation.
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The authors’ responsibilities were as follows—AK and GJS: study concept and design; AK: acquisition of data; AK and GJS: analysis and interpretation of data; AK: draft of manuscript; AK, GJS and NB: critical revision of the manuscript for important intellectual content; AK: statistical analysis; and GJS: study supervision. AK had full access to all of the data in the study and takes responsibility for the integrity and the accuracy of the data analysis.
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Communicated by Guido Ferretti.
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Kerr, A.D., Slater, G.J. & Byrne, N.M. Influence of subject presentation on interpretation of body composition change after 6 months of self-selected training and diet in athletic males. Eur J Appl Physiol 118, 1273–1286 (2018). https://doi.org/10.1007/s00421-018-3861-8
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DOI: https://doi.org/10.1007/s00421-018-3861-8