Obtaining an accurate body composition measurement in children with special needs has many challenges associated with it. This perplexing scenario limits the providers ability to screen prevent and treat an abnormal weight status in this vulnerable population.
Evidence From 25 Dissections Alan D Martin B Sc Hons
The criterion measurement of body composition. Are predictive techniques a direct measure of body composition. Waist to hip ratio. It has been labeled the gold standard or criterion measure of body composition analysis. Ongoing efforts involve multisegmental and multifrequency bioelectrical impedance analysis quantitative magnetic resonance for total body water fat and lean tissue measurements imaging to further define ectopic fat depots. Inbody230 biospace the bone mineral content bmc may be calculated by subtracting the lbm. Body composition measurement methods are continuously being perfected.
Body fat that is not essential but does provide energy insulation and padding. This method attempts to measure the density of the body by applying archimedes principle. The most accurate estimation of body composition is derived from body density by means of the equation of fractional densities which states that the overall density of a mixture containing more than one substance each with a different density can be calculated if the proportion and density of each component substance is known. Many other methods are founded on this model in one form or another. The ratio of the circumference measurements of the waist and hip giving a general indication of location of storage fat and therefore useful in identifying health risks from the location of the stored fat. The dexa method although accurate in other age groups has limited data in children less than two years of age possibly due to issues of exposure to radiation.
Assuming that the fat free mass ffm and lbm can be accurately estimated by the 8 electrode bia analyzer bia8mf. At one time hydrostatic weighing also and maybe more accurately called hydrodensitometry was considered the criterion for measuring body composition. It measures something in proportion to the criterion methods and is an estimation skinfold standard error. Modern bioelectrical impedance analysis bia provides a wide range of body composition estimates such as fat mass fm lean body mass lbm and body water using specific algorithms. Although the bia is a non invasive relatively cheap safe and portable method of body composition assessment its application to the infant population has shown results with low accuracy at the individual level 68. Nutritional status should be assessed at regular intervals as part of management of human immunodeficiency virus hiv infection.
This systematic review summarizes common methods of body composition measurements. Measure the thinkness of the fat layer on specific body sites. Bia has been used to measure body composition in infants and infant prediction equations have been developed 68. It is based on archimedes principle. Hydrostatic weighing hydrostatic weighing is a valid reliable and widely used technique for assessing body composition.

















