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01.12.2017 | Original Article

Upper and lower limbs composition: a comparison between anthropometry and dual-energy X-ray absorptiometry in healthy people

verfasst von: Danila Diano, Federico Ponti, Sara Guerri, Daniele Mercatelli, Michele Amadori, Maria Pilar Aparisi Gómez, Giuseppe Battista, Giuseppe Guglielmi, Alberto Bazzocchi

Erschienen in: Archives of Osteoporosis | Ausgabe 1/2017

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Abstract

Summary

The detection of changes in lean mass (LM) distribution can help to prevent disability. This study assessed the degree of association between anthropometric measurements and dual-energy X-ray absorptiometry (DXA) body composition (BC) parameters of the upper and lower limbs in a healthy general population and collected DXA age- and sex-specific values of BC that can be useful to build a reference standard.

Purpose

The primary aim of this study was to investigate the reliability of some widely available anthropometric measurements in the assessment of body composition (BC) at the limbs, especially in terms of muscle mass, in a large sample of healthy subjects of different age bands and sex, using fat mass (FM) and lean mass (LM) parameters derived by dual-energy X-ray absorptiometry (DXA) as the gold standard. The secondary aim was to collect DXA age- and sex-specific values of BC of left and right limbs (upper and lower) in a healthy Italian population to be used as reference standards.

Methods

Two hundred fifty healthy volunteers were enrolled. Arm circumference (AC) and thigh circumference (ThC) were measured, and total and regional BC parameters were obtained by a whole-body DXA scan (Lunar iDXA, Madison, WI, USA; enCORE™ 2011 software version 13.6).

Results

FM/LM showed only fair correlation with AC and ThC in females (r = 0.649 and 0.532, respectively); in males and in the total population, the correlation was low (r = 0.360 or lower, and p non-statistically significant). AC and ThC were not well representative of arms LM in both genders (females r = 0.452, males r = 0.530) independently of age. In general, men of all age groups showed higher values of LM and lean mass index (LMI) in both total and segmental upper and lower limbs. In males, the maximum LM and LMI were achieved in the fifth decade in both upper and lower limbs and then started to decrease with aging. In females, no significant modification with aging was identified in LM and LMI.

Conclusion

According to our results, anthropometry is not well representative of LM of arms in both genders, independently of age; therefore, a densitometric examination should be considered for a correct assessment of BC at limbs.

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Titel: Upper and lower limbs composition: a comparison between anthropometry and dual-energy X-ray absorptiometry in healthy people
verfasst von: Danila Diano
Federico Ponti
Sara Guerri
Daniele Mercatelli
Michele Amadori
Maria Pilar Aparisi Gómez
Giuseppe Battista
Giuseppe Guglielmi
Alberto Bazzocchi
Publikationsdatum: 01.12.2017
Verlag: Springer London
Erschienen in: Archives of Osteoporosis / Ausgabe 1/2017
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-017-0374-8

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Upper and lower limbs composition: a comparison between anthropometry and dual-energy X-ray absorptiometry in healthy people

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