Abstract
Estimates of body composition have been derived using 3-dimensional optical imaging (3DO), but no equations to date have been calibrated using a 4-component (4C) model criterion. This investigation reports the development of a novel body fat prediction formula using anthropometric data from 3DO imaging and a 4C model. Anthropometric characteristics and body composition of 179 participants were measured via 3DO (Size Stream® SS20) and a 4C model. Machine learning was used to identify significant anthropometric predictors of body fat (BF%), and stepwise/lasso regression analyses were employed to develop new 3DO-derived BF% prediction equations. The combined equation was externally cross-validated using paired 3DO and DXA assessments (n = 158), producing a R2 value of 0.78 and a constant error of (X ± SD) 0.8 ± 4.5%. 3DO BF% estimates demonstrated equivalence with DXA based on equivalence testing with no proportional bias in the Bland–Altman analysis. Machine learning methods may hold potential for enhancing 3DO-derived BF% estimates.
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Funding
No funding was received for the data collection leading to equation development, although the project was supported in-kind by Size Stream, LLC through provision of the 3-dimensional optical scanner. The data utilized for external validation were obtained from research supported by the National Institute of Diabetes and Digestive and Kidney Diseases (R01DK109008, R01DK111698) and registered at Clinical Trial Registration: NCT03637855.
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PSH interpreted results, prepared the paper, and reviewed the paper; BS performed data analyses, interpreted results, and reviewed the paper; SBH and JAS supervised data collection, interpreted results, and reviewed the paper; DB and MTS interpreted results and reviewed the paper; GMT supervised data collection, performed data analyses, interpreted results, prepared the paper, and reviewed the paper. All authors read and approved the submitted paper.
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Size Stream, LLC, the manufacturer of the 3D scanner utilized in the present study, supported the project through equipment loan/donation to the study sites. However, monetary funding was not provided to the study sites or investigators as part of this project. Size Stream, LLC was also involved in the study design, execution, analysis, and interpretation of the study results. DB is employed by Size Stream, LLC, and BS is a paid analysis consultant for Size Stream, LLC. SBH is on the medical advisory board for Tanita Medical. JAS has received in-kind support from Size Stream, LLC, Styku, and FIT3D and has received research funding from Hologic and General Electric (GE) Healthcare. GMT has received in-kind support from Size Stream, LLC, Naked Labs Inc., RJL Systems, MuscleSound, and Biospace, Inc. (DBA InBody). The remaining authors declare no potential conflicts of interest.
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Harty, P.S., Sieglinger, B., Heymsfield, S.B. et al. Novel body fat estimation using machine learning and 3-dimensional optical imaging. Eur J Clin Nutr 74, 842–845 (2020). https://doi.org/10.1038/s41430-020-0603-x
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DOI: https://doi.org/10.1038/s41430-020-0603-x
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