Methods and Techniques

Obesity (2008) 16, 451–456; doi:10.1038/oby.2007.55

Predictive Equations for Body Fat and Abdominal Fat With DXA and MRI as Reference in Asian Indians

Kashish Goel1, Nidhi Gupta1, Anoop Misra2, Pawan Poddar3,4, Ravindra M. Pandey3,4, Naval K. Vikram3,4 and Jasjeet S. Wasir2

  1. 1Department of Medicine, Maulana Azad Medical College, New Delhi, India
  2. 2Department of Diabetes and Metabolic Diseases, Fortis Flt. Lt. Rajan Dhall Hospital, Vasant Kunj, New Delhi, India
  3. 3Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  4. 4Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India.

Correspondence: Anoop Misra, (anoopmisra@metabolicresearchindia.com)

Received 10 March 2007; Accepted 22 June 2007.

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Abstract

Objective:

 

To develop accurate and reliable equations from simple anthropometric parameters that would predict percentage of total body fat (%BF), total abdominal fat (TAF), subcutaneous abdominal adipose tissue (SCAT), and intra-abdominal adipose tissue (IAAT) with a fair degree of accuracy.

Methods and Procedures:

 

Anthropometry, %BF by dual-energy X-ray absorptiometry (DXA) in 171 healthy subjects (95 men and 76 women) and TAF, IAAT, and SCAT by single slice magnetic resonance imaging (MRI) at L3–4 intervertebral level in 100 healthy subjects were measured. Mean age and BMI were 32.2 years and 22.9 kg/m2, respectively. Multiple regression analysis was used on the training data set (70%) to develop equations, by taking anthropometric and demographic variables as potential predictors. Predicted equations were applied on validation data set (30%).

Results:

 

Multiple regression analysis revealed the best equation for predicting %BF to be: %BF = 42.42 + 0.003 times age (years) + 7.04 times gender (M = 1, F = 2) + 0.42 times triceps skinfold (mm) + 0.29 times waist circumference (cm) - 0.22 times weight (kg) - 0.42 times height (cm) (R 2 = 86.4%). The most precise predictive equation for estimating IAAT was: IAAT (mm2) = -238.7 + 16.9 times age (years) + 934.18 times gender (M = 1, F = 2) + 578.09 times BMI (kg/m2) - 441.06 times hip circumference (cm) + 434.2 times waist circumference (cm) (R 2 = 52.1%). SCAT was best predicted by: SCAT (mm2) = -49,376.4 - 17.15 times age (years) + 1,016.5 times gender (M = 1, F = 2) +783.3 times BMI (kg/m2) + 466 times hip circumference (cm) (R 2 = 67.1).

Discussion:

 

We present predictive equations to quantify body fat and abdominal adipose tissue sub-compartments in healthy Asian Indians. These equations could be used for clinical and research purposes.

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