Estimate of body composition by Hume’s equation: validation with DXA

We investigated how the Hume’s equation, using the antipyrine space, could perform in estimating fat mass (FM) and lean body mass (LBM). In 100 (40 male ad 60 female) subjects, we estimated FM and LBM by the equation and compared these values with those measured by a last generation DXA device. The correlation coefficients between measured and estimated FM were r = 0.940 (p < 0.0001) and between measured and estimated LBM were r = 0.913 (p < 0.0001). The Bland–Altman plots demonstrated a fair agreement between estimated and measured FM and LBM, though the equation underestimated FM and overestimated LBM in respect to DXA. The mean difference for FM was 1.40 kg (limits of agreement of −6.54 and 8.37 kg). For LBM, the mean difference in respect to DXA was 1.36 kg (limits of agreement −8.26 and 6.52 kg). The root mean square error was 3.61 kg for FM and 3.56 kg for LBM. Our results show that in clinically stable subjects the Hume’s equation could reliably assess body composition, and the estimated FM and LBM approached those measured by a modern DXA device.