A PRISMA-driven systematic review of predictive equations for assessing fat and fat-free mass in healthy children and adolescents using multicomponent molecular models as the reference method

J Obes. 2013:2013:148696. doi: 10.1155/2013/148696. Epub 2013 Jun 6.

Abstract

Simple methods to assess both fat (FM) and fat-free mass (FFM) are required in paediatric populations. Several bioelectrical impedance instruments (BIAs) and anthropometric equations have been developed using different criterion methods (multicomponent models) for assessing FM and FFM. Through childhood, FFM density increases while FFM hydration decreases until reaching adult values. Therefore, multicomponent models should be used as the gold standard method for developing simple techniques because two-compartment models (2C model) rely on the assumed adult values of FFM density and hydration (1.1 g/cm(3) and 73.2%, respectively). This study will review BIA and/or anthropometric-based equations for assessing body composition in paediatric populations. We reviewed English language articles from MEDLINE (1985-2012) with the selection of predictive equations developed for assessing FM and FFM using three-compartment (3C) and 4C models as criterion. Search terms included children, adolescent, childhood, adolescence, 4C model, 3C model, multicomponent model, equation, prediction, DXA, BIA, resistance, anthropometry, skinfold, FM, and FFM. A total of 14 studies (33 equations) were selected with the majority developed using DXA as the criterion method with a limited number of studies providing cross-validation results. Overall, the selected equations are useful for epidemiological studies, but some concerns still arise on an individual basis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Absorptiometry, Photon
  • Adiposity
  • Adolescent
  • Adolescent Development
  • Age Factors
  • Biomedical Research / methods*
  • Biomedical Research / standards
  • Body Composition*
  • Body Water / metabolism
  • Child
  • Child Development
  • Electric Impedance
  • Female
  • Humans
  • Male
  • Models, Biological*
  • Models, Statistical*
  • Pediatric Obesity / diagnosis*
  • Pediatric Obesity / epidemiology
  • Pediatric Obesity / physiopathology
  • Predictive Value of Tests
  • Reference Values
  • Reproducibility of Results
  • Sex Factors
  • Skinfold Thickness