Assessing Body Composition Ana Carolina Paludo Ana Carolina Paludo Physiology of Sport and Exercise carolina.paludo@fsps.muni.cz Learning Objectives ▪ Concept of body composition ▪ Methods for assessing body composition ▪ Practical approach Human Body Composition Typical body composition of and adult man and woman Body Composition: the body's relative amounts of fat mass and fat-free mass (bone, water, muscle, connective and organ tissue, teeth) Essential fat: crucial for normal body functioning Nonessential fat: adipose tissue Body Composition Models Two-Compartment model: divides the human body into fat and fat-free mass. Multi-component model: divide the human body into the atomic model, molecular model, cellular model, and tissue system model. Why assessing body composition? Information about the % of body fat and fat distribution The most important consideration is the proportion of total body weight that is fat Estimating a healthy body weight and formulating nutritional recommendations/ exercise prescriptions (over and underweight/fatness) Estimating competitive body weight for athletes participating in sports that use body weight classification Monitoring the growth of children and adolescents and identifying those at risk ( under or overweight/fatness) Body changes associated with aging, malnutrition or obesity Two Method Body Composition Assessment Direct • Chemical solution dissolves • Physical dissection Indirect • Height, weight and BMI • Hydro densitometry • Air displacement plethysmograph • Skin fold method • Bioelectrical impedance analysis (BIA) • Dual-energy X-ray absorptiometer (DEXA) Height, weight and BMI Body Height: measured by stadiometer Body weight: measured by weighing scale Body Mass Index (BMI): estimated by equation BMI= Weight (kg)/ Height (cm)2 BMI postive and negative factors • A significant predictor of cardiovascular disease and type 2 diabetes. • Is widely used in population-based and prospective studies • Does not differentiate fat from lean body mass • Athletes with a large amount of muscle mass can be wrongly classified into the 'moderate or high-risk' categories Hydro densitometry Based on the density of the body D= Mass/volume Mass= measured by scale weight Volume= 1. hydrostatic weighing (underwater weighing) 2. volume by air displacement Archimedes' Principle: weight loss underwater is directly proportional to the volume of water displaced by the body volume. Hydro densitometry - Calculation Body density = Wa / (((Wa - Ww) / Dw) - (RV + 100cc)) Wa = body weight in the air (kg), Ww = body weight in water (kg), Dw = density of water (according to temperature) RV = residual lung volume 100cc is the correction for air trapped in the gastrointestinal tract. Siri (1956): Fat % = [4.950 /Density - 4.500]×100 Brozek et al. (1963): Fat % = [4.570 /Density - 4.142]×100 Hydrostatic Weighing • A most common technique used for decades • The majority of indirect techniques have been validated against hydrostatic weighing • Time-consuming • Difficult to perform on the aquaphobic • Requires measurement of residual lung volume • Impractical to measure a large number of people Air displacement plethysmograph • Measure the body volume and density using air displacement instead of water to estimate the volume. • Body volume is calculated by subtracting the air volume of the person inside the chamber from the volume of the empty chamber. • The individual sits inside the small chamber (Bod Pod) • Computerized pressure sensors determine the amount of air displaced by the person. • After estimating the body volume is possible to predict the body density and body fat. • Take around 5-10 minutes. Air displacement plethysmograph Factors to consider: • Individuals are tested wearing minimal clothing (a swimsuit) and a swim cap to compress the hair. • Individuals with excess body hair may affect the results (underestimating). Skinfold Thickness • Based on the principle that the amount of fat beneath the skin is proportional to total body fat • Reliable measurement of the tissue gives a good indication of the percent body fat. • A simple anthropometric procedure that estimates body fat from the close relationship between three factors: 1.Subcutaneous fat in adipose tissue deposits directly beneath the skin 2.Body's internal fat store 3.Body density of the intact human body Skinfold Thickness Measurement • Skinfold measurement is done with pressure calipers • Specific anatomical sites are measured, on the right side of the body, three times (average or repeated number is taken) • The values are applied in predictive equations to estimate body fat. Skinfold Thickness Formulas Bioelectrical Impedance Analysis (BIA) • Based on the principle that the fat tissue is a less-efficient conductor of an electrical current (1-10 uA). • The easier the conductance, the leaner the individual • Low-level electrical current is passed through the individual body and the impedance or the opposition to the flow of the current is measured with a BIA analyzer. • It is possible to estimate body fat, lean body mass and body water Bioelectrical Impedance Analysis (BIA) • BIA devices are considered safe for most people CAUTIONS: • Anyone with an electronic medical implant • Pregnant women Factors that may affect the measurement • Body weight: less accurate in obese people • Hydration: dehydration may cause the fat-free mass (muscle and bone) to be underestimated • Exercise: a recent exercise in high intensity may affect the accuracy • Food and drink: recent food and drink intake may affect the accuracy. Overnight fasting is more accurate Dual-Energy X-Ray Absorptiometey • A high-technology procedure that quantifies fat and muscle around bone areas of the body, including regions without the bone present. • Consists of a short exposure with low radiation dosage penetrates into the bone and soft tissue areas to a depth of about 30cm. Specialized computer software reconstructs an image of the underlying tissue. • The computer generates a report that quantifies bone mineral content, total fat mass, and fatfree mass. Practical application - Sport Maximizing Fat-Free Mass Desirable for athletes involved in strength, power and muscular endurance types of modalities in which the body weight is moved through space. Dehydration: impairs kidney and cardiovascular function; impairing performance Chronic fatigue: similar symptoms of overtraining Severe weight loss Practical application - Sport Problems associate with very low levels of body fat Too little body fat is associated with impairment in reproductive health (low levels of testosterone and estrogen); disorders in the immune system; lower bone mineral density; increase risk of injuries. In female athletes, increase the chance of the Female Triad Syndrome: interrelationship of menstrual dysfunction, low energy availability and decrease of bone mineral Practical application - Sport • Prioritize the body composition instead of weight • Specific sport modality • Sex and individual differences should be considered • Methodological errors in body composition measurement should be considered • A combination of diet and exercise is the best approach for optimal weight loss, for athletes with no more than 0.5 -1.0kg per week until reaching the desired body composition range. To consider in sport settings: carolina.paludo@fsps.muni.cz Obrigada