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 Article
  • Published:

Air displacement plethysmography can detect moderate changes in body composition

Abstract

Objectives:

To determine the sensitivity of air displacement plethysmography (APD) for evaluation of changes in body composition in normal subjects.

Design:

Comparison of measurements with and without oil or water loads.

Subjects and methods:

Ten healthy volunteers were analyzed, without and with 1 l and 2 l of oil or water. The measured and true changes in fat mass and fat-free mass were compared by paired t-tests. A correlation study and a Bland & Altman procedure was performed on the 60 measurements of adiposity changes in 30 subjects carrying 0.5 l (n=8 × 2), 1 l (n=10 × 2) and 2 l (n=12 × 2) oil and water loads.

Results:

Fat-free mass increased when the 10 subjects were carrying water. When they carried oil, fat mass increased, however, a 0.5 kg increase of fat-free mass was also detected. Two liters loads led to distinct changes: +1.49±0.59 kg fat and +0.50±0.60 kg fat-free with oil and +0.37±0.57 kg fat and +1.70±0.56 kg fat-free with water (both P<0.001). Mixed loads (+1 l oil and 1 l water) led to detect +0.85±0.48 kg fat and +1.09±0.45 kg fat-free (both P<0.005 vs without load). For the 30 subjects analyzed thrice, measured changes in fat and fat-free mass were slightly underestimated (−15%, NS) but correlated with the true changes. Measured changes in adiposity were correlated with the true changes, with no bias as indicated by the Bland & Altman procedure.

Conclusion:

APD detects 2 kg changes in fat or fat-free mass in small populations.

Sponsorship:

This work was supported by a grant from the ALFEDIAM and the Institut de Recherche en Nutrition Humaine en Aquitaine.

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

  • Bland JM, Altman DG (1986). Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 2, 307–310.

    Article  Google Scholar 

  • Boulier A, Fricker J, Thomasset AL, Apfelbaum M (1990). Fat-free mass estimation by the two-electrode impedance method. Am J Clin Nutr 52, 581–585.

    Article  CAS  Google Scholar 

  • Crapo RO, Morris AH, Clayton PD, Nixon CR (1982). Lung volumes in healthy non-smoking adults. Bull Eur Physiopathol Resp 18, 419–425.

    CAS  Google Scholar 

  • Dempster P, Aitkens S (1995). A new air displacement method for the determination of human body composition. Med Sci Sports Exerc 27, 1692–1697.

    Article  CAS  Google Scholar 

  • Fields DA, Goran MI, McCrory MA (2002). Body-composition assessment via air-displacement plethysmography in adults and children: a review. Am J Clin Nutr 75, 453–467.

    Article  CAS  Google Scholar 

  • Formica C, Atkinson MG, Nyulasi I, McKay J, Heale W, Seeman E (1993). Body composition following hemodialysis: studies using dual-energy X-ray absorptiometry and bioelectrical impedance analysis. Osteoporos Int 3, 192–197.

    Article  CAS  Google Scholar 

  • Heymsfield SB, Wang J, Heshka S, Kehayias JJ, Pierson RN (1989). Dual-photon absorptiometry: comparison of bone mineral and soft tissue mass measurements in vivo with established methods. Am J Clin Nutr 49, 1283–1289.

    Article  CAS  Google Scholar 

  • Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al., Diabetes Prevention Program Research Group (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346, 393–403.

    Article  CAS  Google Scholar 

  • Larger E, Rufat P, Dubois-Laforgue D, Ledoux S (2001). Insulin and weight gain: myth or reality? Diabetes Metab 27, S23–S27.

    CAS  PubMed  Google Scholar 

  • Nathan DM, Roussell A, Godine JE (1988). Glyburide or insulin for metabolic control in non-insulin-dependent diabetes mellitus. A randomized, double-blind study. Ann Intern Med 108, 334–340.

    Article  CAS  Google Scholar 

  • Phelan S, Wadden TA (2002). Combining behavioral and pharmacological treatments for obesity. Obes Res 10, 560–574.

    Article  Google Scholar 

  • Siri WE (1961). Body composition from fluid spaces and density: analysis of methods. In: Brozek J, Henschel A (eds). Techniques for Measuring Body Composition. National Academy of Sciences: Washington, DC, pp 223–244.

    Google Scholar 

  • Smith SR, De Jonge L, Volaufova J, Li Y, Xie H, Bray GA (2005). Effect of pioglitazone on body composition and energy expenditure: a randomized controlled trial. Metabolism 54, 24–32.

    Article  CAS  Google Scholar 

  • Svendsen OL, Haarbo J, Hassager C, Christiansen C (1993). Accuracy of measurements of body composition by dual-energy x-ray absorptiometry in vivo. Am J Clin Nutr 57, 605–608.

    Article  CAS  Google Scholar 

  • Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, et al., Finnish Diabetes Prevention Study Group (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 344, 1343–1350.

    Article  CAS  Google Scholar 

  • Zaluska WT, Schneditz D, Kaufman AM, Morris AT, Levin NW (1998). Relative underestimation of fluid removal during hemodialysis hypotension measured by whole body bioimpedance. ASAIO J 44, 823–827.

    Article  CAS  Google Scholar 

  • Zhu F, Schneditz D, Wang E, Martin K, Morris AT, Levin NW (1998). Validation of changes in extracellular volume measured during hemodialysis using a segmental bioimpedance technique. ASAIO J 44, M541–M545.

    Article  CAS  Google Scholar 

  • Zhu F, Hoenich NA, Kaysen G, Ronco C, Schneditz D, Murphy L et al. (2003). Measurement of intraperitoneal volume by segmental bioimpedance analysis during peritoneal dialysis. Am J Kidney Dis 42, 167–172.

    Article  Google Scholar 

Download references

Acknowledgements

We would like to thank Dr S Jarman for revision of the English manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to V Rigalleau.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Secchiutti, A., Fagour, C., Perlemoine, C. et al. Air displacement plethysmography can detect moderate changes in body composition. Eur J Clin Nutr 61, 25–29 (2007). https://doi.org/10.1038/sj.ejcn.1602482

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1602482

Keywords

This article is cited by

Search

Quick links