Bioelectrical impedance analysis
Bioelectrical impedance analysis (BIA) is a commonly used method for estimating body composition. Since the advent of the first commercially available devices in the mid-1980s the method has become popular owing to its ease of use, portability of the equipment and its relatively low cost compared to some of the other methods of body composition analysis. It is familiar in the consumer market as a simple instrument for estimating body fat. BIA[1] actually determines the electrical impedance, or opposition to the flow of an electric current through body tissues which can then be used to calculate an estimate of total body water (TBW). TBW can be used to estimate fat-free body mass and, by difference with body weight, body fat.
Many of the early research studies showed that BIA was quite variable and it was not regarded by many as providing an accurate measure of body composition. In recent years technological improvements have made BIA a more reliable and therefore more acceptable way of measuring body composition. Nevertheless it is not a "gold standard" or reference method. Like all assessment tools, the result is only as good as the test done. Although the instruments are straightforward to use, careful attention to the method of use (as described by the manufacturer) should be given. Simple devices to estimate body fat, often using BIA, are available to consumers as body fat meters. These instruments are generally regarded as being less accurate than those used clinically or in nutritional and medical practice.
In recent years, more accurate methods of Bioelectrical Impedance Analysis have been developed.
Direct-Segmental Bioelectrical Impedance Analysis
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A new technology, called Direct-Segmental Bioelectrical Impedance Analysis (DSM-BIA), is much more accurate than traditional BIA. This technology utilizes eight points of tactile electrodes while conveying multiple frequencies of currents through the body. Frequencies higher than 100 kHz allow for the measurement of both intracellular and extracellular water. Single frequency BIA can only detect extracellular water. Validation studies have proven that the DSM-BIA machines manufactured by this company are 96-98% accurate when compared with the gold standards of body composition, hydrostatic weighing and DEXA testing.
References
- ^ Ursula G. Kyle; et al. (2004). "Bioelectrical impedance analysis part I: review of principles and methods" ([dead link] – Scholar search). Clinical Nutrition. 23 (5): 1226&ndash, 1243. doi:10.1016/j.clnu.2004.06.004.
Lin KH, et al. Reliability of body fat measurement: Skinfold, bioelectrical impedance analysis and infrared. Journal of the Physical Therapy Association of the Republic of China, September 1995; 102-108.
Mattar JA, et al. Application of total body bioimpedance to the critically ill patient. New Horizons, 1995, Vol 4., No. 4; 493-503.
Heber D, et al. Clinical detection of sarcopenic obesity by bioelectrical impedance analysis. American Journal of Clinical Nutrition, 1996; 64 (supplement 3); 472S-477S.