Methods for assessing body composition in clinical practice: a narrative review.
DOI:
https://doi.org/10.22481/rsc.v22i1.16863Keywords:
Anthropometry, Nutritional Assessment, Tests and Diagnostics, Body CompositionAbstract
Body composition assessment is widely used in clinical practice to estimate the proportion of lean mass, fat, and bone tissue, aiding in the diagnosis of nutritional disorders, monitoring dietary interventions, and personalizing therapeutic approaches. This article aimed to analyze the theoretical foundations and practical implications of body composition assessment methods used in the clinical context. To achieve this, a narrative literature review was conducted to gather and integrate information on the main methods employed. The results indicated that body composition assessment methods can be classified as direct, indirect, and doubly indirect. Laboratory methods, such as hydrostatic weighing and dual-energy X-ray absorptiometry (DEXA), are considered reference standards in terms of accuracy but have limitations regarding cost and availability. More accessible methods, such as bioelectrical impedance analysis (BIA), skinfold thickness measurement, and circumference measurements, are widely used in clinical practice despite presenting greater variability in results. It is concluded that body composition assessment is a relevant procedure for clinical practice, but the choice of method should consider its accuracy, applicability, and limitations. Standardizing protocols and training evaluators are essential to ensure the reliability of measurements.
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References
Heyward VH. Avaliação física e prescrição de exercício. 6th ed. Porto Alegre: Artmed; 2011.
ACSM. Diretrizes do ACSM para os testes de esforço e sua prescrição. 10, editor. Rio de Janeiro: Guanabara Koogan; 2018. 510 p.
Guedes DP. Procedimentos clínicos utilizados para análise da composição corporal. Rev Bras Cineantropometria e Desempenho Hum. 2013; 15(1).
Morrow Jr. JR, Jackson AW, Disch JG, Mood DP. Medida e Avaliação do Desempenho Humano - 4.ed. [Internet]. Porto Alegre, RS: Artmed; 2014. Available from: https://books.google.com.br/books?id=Jbm-AwAAQBAJ
Rother ET. Revisão sistemática X revisão narrativa. Acta Paul Enferm. 2007;20(2):5–6.
Gasparyan AY, Ayvazyan L, Blackmore H, Kitas GD. Writing a narrative biomedical review: considerations for authors, peer reviewers, and editors. Rheumatol Int [Internet]. 2011;31(11):1409–17. Available from: http://link.springer.com/10.1007/s00296-011-1999-3
Cronin P, Ryan F, Coughlan M. Undertaking a literature review: a step-by-step approach. Br J Nurs [Internet]. 2008; 17(1):38–43. Available from: http://www.magonlinelibrary.com/doi/10.12968/bjon.2008.17.1.28059
Ribeiro G, Lopes A. Análise da Composição corporal: evolução histórica do modelo anatômico de análise tecidual. Rev Bras Prescrição e Fisiol do Exerc. 2017;11(68):620–25.
Fontoura AS da, Formentin CM, Abech EA. Guia prático de avaliação física. 1st ed. São Paulo: Phorte; 2013.
Campa F, Toselli S, Mazzilli M, Gobbo LA, Coratella G. Assessment of Body Composition in Athletes: A Narrative Review of Available Methods with Special Reference to Quantitative and Qualitative Bioimpedance Analysis. Nutrients [Internet]. 2021;13(5):1620. Available from: https://www.mdpi.com/2072-6643/13/5/1620
Gonçalves F, Mourão P. A Avaliação da Composição Corporal - A Medição de Pregas Adiposas como Técnica para a Avaliação da Composição Corporal. Motricidade [Internet]. 2008;4(4):14–22. Available from: https://www.redalyc.org/articulo.oa?id=273020553003
Toomey CM, Cremona A, Hughes K, Norton C, Jakeman P. A Review of Body Composition Measurement in the Assessment of Health. Top Clin Nutr [Internet]. 2015;30(1):16–32. Available from: https://journals.lww.com/00008486-201501000-00003
Siri WE. Body Composition from Fluid Spaces and Density: Analysis of Methods. In: Brozek J, Henschel A, editors. Techniques for Measuring Body Compositions. Washington, DC: National Academy of Sciences; 1961.
Brožek J, Grande F, Anderson JT, Keys A. Densitometric analysis of body composition: revision of some quantitative assumptions. Ann N Y Acad Sci [Internet]. 1963;110(1):113–40. Available from: https://nyaspubs.onlinelibrary.wiley.com/doi/10.1111/j.1749-6632.1963.tb17079.x
Costa KB, Pessoa DCN de P, Perrier-Melo RJ, Brito-Gomes JL de, Guimarães FJ de SP, Costa M da C. Composição corporal da fita métrica à pesagem hidrostática: Uma análise de dois componentes. Rev Bras Ciência e Mov. 2015;23(3):105–12.
Blue MNM, Tinsley GM, Ryan ED, Smith-Ryan AE. Validity of Body-Composition Methods across Racial and Ethnic Populations. Adv Nutr [Internet]. 2021;12(5):1854–62. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2161831322004744
Price KL, Earthman CP. Update on body composition tools in clinical settings: computed tomography, ultrasound, and bioimpedance applications for assessment and monitoring. Eur J Clin Nutr [Internet]. 2019;73(2):187–93. Available from: https://www.nature.com/articles/s41430-018-0360-2
Ayllón D, Gil-Pita R, Seoane F. Detection and Classification of Measurement Errors in Bioimpedance Spectroscopy. Lebedev N, editor. PLoS One [Internet]. 2016;11(6):e0156522. Available from: https://dx.plos.org/10.1371/journal.pone.0156522
Jackson AS, Pollock ML. Generalized equations for predicting body density of men. Br J Nutr [Internet]. 1978;40(3):497–504. Available from: https://www.cambridge.org/core/product/identifier/S0007114578000689/type/journal_article
Jackson AS, Pollock ML, Ward A. Generalized equations for predicting body density of women. Med Sci Sports Exerc [Internet]. 1980;12(3):175–81. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7402053
Campa F, Matias CN, Moro T, Cerullo G, Casolo A, Teixeira FJ, et al. Methods over Materials: The Need for Sport-Specific Equations to Accurately Predict Fat Mass Using Bioimpedance Analysis or Anthropometry. Nutrients [Internet]. 2023 Jan 5;15(2):278. Available from: https://www.mdpi.com/2072-6643/15/2/278
Weltman A, Seip RL, Tran Z V. Practical assessment of body composition in adult obese males. Hum Biol [Internet]. 1987 Jun;59(3):523–55. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3610125
Weltman A, Levine S, Seip R, Tran Z. Accurate assessment of body composition in obese females. Am J Clin Nutr [Internet]. 1988 Nov;48(5):1179–83. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002916523162186
Santos MAA dos, Brandizzi ADA. Influência do diâmetro ósseo no desempenho motor de crianças. Rev Bras Ciência e Mov. 2002;10(1).
Baxter-Jones ADG. 3Growth and maturation [Internet]. Armstrong N, van Mechelen W, Armstrong N, Mechelen W Van, editors. Oxford Textbook of Children’s Sport and Exercise Medicine. Oxford University Press; 2023. p. 0. Available from: https://doi.org/10.1093/med/9780192843968.003.0001
Fernandes H. Is There a Correlation between Adults with Higher Bone Weight and Obesity Since Childhood? A Cross-Sectional Study with a Convenience Sample. J Clin Biomed Investig [Internet]. 2022;2(2):40–2. Available from: https://respubjournals.com/clinical-biomedical-investigation/Is-There-a-Correlation-between-Adults-with-Higher-Bone-Weight-and-Obesity-Since-Childhood-A-Cross-Sectional-Study-with-a-Convenience-Samp.php
Gonçalves EC, Policarpo F, Fernandes-Filho J. Equação de estimativa da composição corporal de idosos do sexo masculino. Rev Salud Públic. scieloco; 2014;16:753–64.
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