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Body composition, energy expenditure and physical activity

Body composition assessment in infancy and early childhood: comparison of anthropometry with dual-energy X-ray absorptiometry in low-income group children from India

European Journal of Clinical Nutrition volume 68, pages 658–663 (2014)Cite this article

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Abstract

Background/Objective:

Anthropometry is a simple, inexpensive method of body composition assessment, but its validity has not been examined adequately in young children. The study therefore compared the body composition estimates using anthropometry with those using dual-energy X-ray absorptiometry (DXA) in infants and young children.

Methods:

Body composition estimates using anthropometry and DXA were assessed and compared at 6, 12 and 18 months in a cohort of 137 infants enrolled at birth.

Results:

Fat mass (FM) and body fat percent (%BF) estimates by anthropometry were lower than those using DXA. Mean differences (DXA−skinfold thickness) in FM, fat free mass (FFM) and %BF were highest at 6 months (350 g, −226 g and 4%, respectively); the differences reduced with increase in age and were lowest at 18 months (46 g, 56 g and 0%, respectively). Bland–Altman analyses showed good agreement between the FM, FFM and %BF estimates by the two methods only at 18 months. Accretion of FM and FFM during follow-up, estimated by the two methods, was significantly different, with agreement between the methods seen only for increment in FFM from 6 to 12 months.

Conclusions:

Substantial differences were found in the body composition estimates by anthropometry compared with DXA and also in the longitudinally assessed tissue accretion patterns by the two methods. As the body composition patterns may be influenced by the method used for body composition assessment, results of studies assessing body composition by anthropometry during infancy should be interpreted with caution.

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Acknowledgements

The study was sponsored by Department of Biotechnology, Government of India. We thank Dr B Sesikeran, Director, National Institute of Nutrition, Hyderabad, India for the support to carry out this work. We are grateful to our field staff led by Chenna Krishna Reddy and RS Venkateswar Rao for their help in conducting the study and K Usha Rani for her help with the DXA measurements. We are grateful to the study women and their children who participated in this study.

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Authors and Affiliations

  1. Clinical Division, National Institute of Nutrition, Hyderabad, India

    B Kulkarni, R S Mamidi, N Balakrishna & K V Radhakrishna

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  1. B Kulkarni
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  2. R S Mamidi
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  4. K V Radhakrishna
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Correspondence to B Kulkarni.

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Kulkarni, B., Mamidi, R., Balakrishna, N. et al. Body composition assessment in infancy and early childhood: comparison of anthropometry with dual-energy X-ray absorptiometry in low-income group children from India. Eur J Clin Nutr 68, 658–663 (2014). https://doi.org/10.1038/ejcn.2014.37

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