Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Communication
  • Published:

Body composition estimated by bioelectrical impedance in the Swedish elderly. Development of population-based prediction equation and reference values of fat-free mass and body fat for 70- and 75-y olds

Abstract

Objective: To develop a bioelectrical impedance (BIA) prediction equation for fat-free mass (FFMBIA) and present reference values of FFM and body fat (BF) for healthy Swedish elderly from population-based representative samples.

Subjects: This study is based on 823 (344 males, 479 females) participants from two systematic samples of birth cohorts in Göteborg aged 70 (cohort H70V, 201 males and 299 females) and 75 (cohort NORA75, 143 males and 180 females).

Methods: Body composition was measured with BIA (BIA-101, RJL system, Detroit) in both cohorts and was estimated by a four-compartment (4C) model from total body water (TBW) and total body potassium (TBK) in a sub-sample of the NORA75 cohort. The FFMBIA was validated against the FFM from the 4C model (FFM4C).

Results: The FFMBIA correlated well with FFM4C (r=0.95, SEE=2.64 kg). The FFMBIA (kg) in 70-y-old males and females were 58.5±5.4 and 43.4±4.4, and for 75-y-old males and females were 56.1±4.7 and 42.5±4, respectively. The body fat in kg (FM) among 70-y-old males and females were 25.2±8.1 and 25.7±8.4, and for 75-y-old males and females were 21.7±7.1 and 22.8+7.2, respectively. The percent body fat (BF%) among 70-y-old males and females were 29.5±5.8 and 36.3±6.4, and for 75-y-old males and females were 27.3±6 and 34.1±6.1, respectively.

Conclusion: The FFM, FM and BF% from this study might be used as reference values for Swedish elderly aged 70 and 75 y.

Sponsorship: See acknowledgement.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  • Baumgartner RN, Heymsfiled SB, Lichtman S, Wang J & Pierson RN Jr (1991): Body composition in elderly people: effect of criterion estimates on predictive equations. Am. J. Clin. Nutr. 53, 1345–1353.

    Article  CAS  Google Scholar 

  • Baumgartner RN, Heymsfield SB & Roche AF (1995): Human body composition and the epidemiology of chronic disease. Obes. Rex. 3, 73–95.

    Article  CAS  Google Scholar 

  • Bengtsson C, Hulthén B, Larsson B, Noppa H, Steen B & Warnold I (1981): New height and weight tables for middle-aged and elderly males and females. Läkartidningen 78, 3152–3154 (in Swedish).

    CAS  Google Scholar 

  • Bland JM & Altman DG (1986): Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1, 307–310.

    Article  CAS  Google Scholar 

  • Bosaeus I, Johansson G, Rosén T, Hallgren P, Tölli J, Sjöström L & Begtsson B-A˚ (1996): Comparison of methods to estimate body fat in growth hormone deficient adults. Clin. Endocrinol. 44, 395–402.

    Article  CAS  Google Scholar 

  • Broekhoff C, Voorrips LE, Weijenberg MP, Witvoet GA, van Staveren WA & Duerenberg P (1992): Relative validity of different methods to assess body composition in apparently healthy elderly women. Ann. Nutr. Metab. 36, 118–156.

    Article  Google Scholar 

  • Bruce A˚, Andersson M, Arvidsson B & Isaksson B (1980): Body composition Prediction of normal body potassium, body water and body fat in adults on the basis of body height, body weight and age. Stand. J. Clin. Lab. Invest. 40, 461–473.

    Article  CAS  Google Scholar 

  • Chumlea WC & Baumgartner RN (1989): Status of anthropometry and body composition data in elderly subjects. Am. J. Clin. Nutr. 50, 1158–1166.

    Article  CAS  Google Scholar 

  • Deurenberg P, Smit HE & Kusters CSL (1989): Is the bioelectrical impedance method suitable for epidemiological filed studies? Eur. J. Chin. Nutr. 43, 647–654.

    CAS  Google Scholar 

  • Deurenberg P, van der Kooy K, Evers P & Hulshof T (1990): Assessment of body composition by bioelectrical impedance in a population aged >60 y. Am. J. Clin. Nutr. 51, 3–6.

    Article  CAS  Google Scholar 

  • Flynn MA, Nolph GB, Baker AS, Martin WM & Krause G (1989): Total body potassium in aging humans: a longitudinal study. Am. J. Clin Nutr. 50, 713–717.

    Article  CAS  Google Scholar 

  • Going S, Williams D & Lohman T (1995): Aging and body composition: biological changes and methodological issues. Excer. Sport. Sci. Rev. 23, 411–458.

    CAS  Google Scholar 

  • Guo SS, Chumlea WC & Cockram DB (1996): Use of statistical methods to estimate body composition. Am. J. Clin. Nutr. 64 (Suppl) S428–S435.

    Article  Google Scholar 

  • Heitmann BL (1990): Prediction of body water and fat in adult Danes from measurement of electrical impedance. A validation study. Int. J. Obes. 14, 789–802.

    CAS  PubMed  Google Scholar 

  • Heymsfield SB, Wand J, Lichtman S, Kamen Y, Kehayias J & Pierson RN Jr (1989): Body composition in elderly subjects: a critical appraisal of clinical methodology. Am. J. Clin. Nutr. 50, 1167–1175.

    Article  CAS  Google Scholar 

  • Kehayias JJ, Fiatarone MA, Zhuang H & Roubenoff R (1997): Total body potassium and body fat: relevance to aging. Am. J. Clin. Nutr. 66, 901–910.

    Article  Google Scholar 

  • Kuczmarski RJ (1989): Need for body composition information in elderly subjects. Am. J. Clin. Nutr. 50, 1150–1157.

    Article  CAS  Google Scholar 

  • Kyle UG, Genton L, Karsegard L, Slosman DO & Pichard C (2001a): Single prediction equation for bioelectrical impedance analysis in adults aged 20–94 years. Nutrition 17, 248–253.

    Article  CAS  Google Scholar 

  • Kyle UG, Genton L, Slosman DO & Pichard C (2001b): Fat-free and fat mass percentiles in 5225 healthy subjects aged 15 to 98 years. Nutrition 17, 531–541.

    Google Scholar 

  • Lukaski HC, Johnson PE, Bolonchuk WW & Lykken GI (1985): Assessment of fat-free mass using bioelectrical impedance measurements of the human body. Am. J. Clin. Nutr. 41, 810–817.

    Article  CAS  Google Scholar 

  • Lukaski HC, Bolonchuk WW, Hall CB & Siders WA (1986): Validation of tetrapolar bioelectrical impedance method to assess human body composition. J. Appl. Physiol. 60, 1327–1332.

    Article  CAS  Google Scholar 

  • Myers RH (1986): Classical and Modern Regression with Applications. Boston: Duxbury Press.

  • Ravaglia G, Forti P, Maioli F, Boschi F, Cicognani A & Gasbarrini G (1999): Measurement of body fat in healthy elderly men: a comparison of methods. J. Gerontol. Med. Sci. 54A, M70–M76.

    Article  Google Scholar 

  • Rinder L, Roupe S, Steen B & Svanborg A (1975): Seventy-year-old people in Gothenberg. A population study in an industrialized Swedish city. I. General presentation of the study. Acta Med. Scand. 198, 397–407.

    Article  CAS  Google Scholar 

  • Rothenberg E, Bosaeus I & Steen B (1996): Food habits and nutrient intake in three 70-year-old free-living populations in Gothenburg, Sweden. A 22-year cohort study. Scand. J. Nutr. 40, 104–110.

    Google Scholar 

  • Roubenoff R, Kehayias JJ, Dawso-Hughes B & Heymsfield SB (1993): Use of dual-energy X-ray absorptiometry in body composition studies: not yet a gold standard. Am. J. Clin. Nutr. 58, 589–591.

    Article  CAS  Google Scholar 

  • Roubenoff R, Baumgartner RN, Harris TB, Dallal GE, Hannan MT, Economos CD, Stauber PM, Wilson PWF & Kiel DP (1997): Application of biolectrical impedance analysis to elderly populations. J. Gerontol. Med. Sci. 52A, M129–M136.

    Article  Google Scholar 

  • Rundgren Å, Eklund S & Jonson R (1984): Bone mineral content in 70- and 75-year-old men and women: an analysis of some anthropometric background factors. Age Ageing 13, 6–13.

    Article  CAS  Google Scholar 

  • Schoeller DA (1989): Changes in total body water with age. Am. J. Clin. Nutr. 50, 1176–1181.

    Article  CAS  Google Scholar 

  • Schroll M, Steen B, Berg S, Heikkinen E & Viidik Z (1993): NORA—Nordic research on ageing. Functional capacity of 75-year-old men and women in three Nordic localities. Dun. Med. Bull. 40, 618–624.

    CAS  Google Scholar 

  • Sheng H-P & Huggins RA . (1979): A review of body composition studies with emphasis on total body water and fat. Am. J. Clin. Nutr. 32, 630–647.

    Article  CAS  Google Scholar 

  • Steen B (1988): Body composition and aging. Nutr Rev. 46, 45–51.

    Article  CAS  Google Scholar 

  • Steen B & Djurfeldt H (1993): The gerontological and geriatric population studies in Gothenberg, Sweden. Z. Gerontol. 26, 163–169.

    CAS  PubMed  Google Scholar 

  • Steen B, Bosaeus I, Elmsta˚hl S, Galvard H, Isaksson B & Robertsson E (1987): Body composition in the elderly estimated with an electrical impedance method. Compr. Gerontol. 1A, 102–105.

    Google Scholar 

  • Steen B, Bruce Å, Isaksson B, Lewin T & Svanborg A . (1977): Body composition in 70-year-old males and females in Gothenburg, Sweden. A population study. Acta Med. Scand. 611 (Suppl), 87–112.

    CAS  Google Scholar 

  • Svendsen OL, Haarbo J, Heitmann BL, Gotfredsen A & Christiansen C (1991): Measurement of body fat in elderly subjects by dual-energy X-ray absorptiometry, bioelectrical impedance, and anthropometry. Am. J. Clin. Nutr. 53, 1117–1123.

    Article  CAS  Google Scholar 

  • Visser M, Gallagher D, Deurenberg P, Wang J, Pierson RN Jr & Heymsfield SB . (1997): Density of fat-free body mass: relationship with race, age, and level of body fatness. Am. J. Physiol. 272, E781–E787.

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by grants from the Gun and Bertil Stohnes Foundation, the Wilhelm and Martina Lundgren Foundation, the Hjalmar Svensson Foundation and the Lions Foundation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D K Dey.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dey, D., Bosaeus, I., Lissner, L. et al. Body composition estimated by bioelectrical impedance in the Swedish elderly. Development of population-based prediction equation and reference values of fat-free mass and body fat for 70- and 75-y olds. Eur J Clin Nutr 57, 909–916 (2003). https://doi.org/10.1038/sj.ejcn.1601625

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1601625

Keywords

This article is cited by

Search

Quick links