The report compares the results of body composition and anthropometric measurements obtained using different techniques and equipment. It highlights the differences in values and diagnosis obtained and suggests the incorporation of varied techniques for improved assessment.
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Running head: BODY COMPOSITION ANALYSIS PRACTICAL BODY COMPOSITION ANALYSIS USING VARIOUS ANTHROPOMETRIC MEASUREMENT TEACHNIQUES AND EQUIPMENT Name of the Student: Name of the University: Author note:
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1BODY COMPOSITION ANALYSIS PRACTICAL Executive Summary The paragraphs of the report aims to shed light on the different results of body composition and anthropometric measurements obtained. The study consisted of 10 participants, whose body mass index, waist-to-hip ratio and body fat percentages were calculated using bio- impedance and body composition ‘Bio Stat’ equipment. It was observed that different methodsreporteddifferentresultsduetotheirvariedprinciplesofworking.Body compositionresultsofbodyfatpercentagesshowedhighernumberofindividualsin possessionof‘unacceptable’or‘unhealthy’adipositylevels,possiblyduetogreater comprehensiveness, accuracy and detail. Hence, future health professionals must incorporate varied techniques for improved assessment along with consideration of cost effectiveness.
2BODY COMPOSITION ANALYSIS PRACTICAL Table of Contents Introduction....................................................................................................................3 Aim.................................................................................................................................3 Hypothesis......................................................................................................................3 Method...........................................................................................................................4 Results............................................................................................................................5 Table 1: Body Composition Data using various Methods (As designed by the Author)...................................................................................................................................5 Figure 1: Body Fat Percentages by Bio-Impedance and Body Composition (As designed by the Author).........................................................................................................7 Figure 2: Distribution of ‘healthy/acceptable’ subjects across all the methods.........8 Discussion......................................................................................................................8 Conclusion....................................................................................................................11 References....................................................................................................................12 Appendices...................................................................................................................15 Appendix 1: Raw Data (As collected by the Author)..............................................15
3BODY COMPOSITION ANALYSIS PRACTICAL Introduction Anthropometric measurements encompass procedures underlying evaluation of the physical parameters possessed by an individual such as height and weight (De Ridder et al., 2016). Recent clinical care has witnessed an emergence in the usage of more comprehensive anthropometric analysis such as body composition, bio-impedance and waist circumferences. Such procedures highlight body anthropometrics beyond the physical characteristics of an individual and outline measurements at the tissue level such as body fat percentage and abdominal adiposity (Müller et al., 2016). Discrepancies lie between these varied methods, in terms of feasibility, accuracy, simplicity, comprehensiveness, cost and differential results obtained, which is the cause of major conflict during screening and assessments (de Aquino Lemos et al., 2016). Identification and evaluation considering the differences obtained and the accuracies exhibited by these methods encompass the underlying rationale for this study. Aim Toidentify,compareandevaluatethedifferencesinresultsandbodyfat percentages obtained from various anthropometric assessment methods, of Body Mass Index (BMI), Hip-to-Waist ratio, bio-impedance and body composition analysis, and the rate of assessment accuracy demonstrated by each method. Hypothesis Body composition analysis produces a more accurate, comprehensive and detailed analysis of anthropometric and body fat percentage and hence aids in improved clinical diagnosis, as compared to those measured by bio-impedance, BMI and waist-to-hip ratios.
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4BODY COMPOSITION ANALYSIS PRACTICAL Method 10 participants were recruited who were university students, within the age group of 19 to 25 years, of which 5 were males and 5 were female. Prior to the conductance of this study, informed consent was obtained from the participants who were asked to participate voluntarily in the study without any coercion. Firstly, the waist-to-hip ratio of the participants were measured using a measuring tape and instructing the participants to stand upright with relaxed arms and feet spread apart adequately to obtain circumferences of the waist and hip measurements. The measurements were conducted twice to obtain an average and the ratio was calculated by dividing the waist circumference value with that of the hip (Wu et al., 2018). The body mass index of the participants was then calculated using weighing and height scales. To obtain the BMI, the weight of the participant in kilograms were divided by the height in square meters (Locke et al., 2015). This was followed by measurement of the body fat percentages of the participants using bio-impedance methods requiring a body at scale. Participants were asked to stand flat on the scales after cleaning with antibacterial solution and adjusting in accordance to the demographic characteristics of the subjects. The results displayed were recorded as body fat percentages (Bosy-Westphal et al., 2017). Lastly, the body composition of the participants were measured using the ‘Body Stat’ composition equipment which was adjusted as per the instruction manual. The equipment displayed a wide variety of results for each participant such as fat percentage, fat mass in kilograms, lean muscle mass in kilograms, percentage of fluid level as per body mass, volume of total water in the body and basal metabolic rate (BMR) – of which body values of body fat percentages were recorded for comparative analysis (Pineda-Juárez et al., 2016). The reference values for each measurement was considered as per the practical manual.
5BODY COMPOSITION ANALYSIS PRACTICAL Results Table 1: Body Composition Data using various Methods (As designed by the Author) Participant Number Participant Gender Body Mass Index with Diagnosis as per Reference Range Waist-to-Hip Ratio with Diagnosis as per Reference Range Body fat % using Bio- Impedance with Diagnosis as per Reference Range Body fat % using Body Stat with Diagnosis as per Reference Range 1.Female20 (Normal) 0.76 (Acceptable) 12.7 (Athletic) 25.9 (Unacceptable – High) 2.Female25.1 (Overweig ht) 0.67 (Acceptable) 14.6 (Athletic) 32.7 (Unacceptable – High) 3.Female23.2 (Normal) 0.84 (Unacceptable ) 18 (Good) 31.5 (Unacceptable – High) 4.Female25.9 (Overweig ht) 0.77 (Acceptable) 14.9 (Athletic) 22.6 (Unacceptable – High) 5.Female18.75 (Normal) 0.75 (Acceptable) 20 (Good) 17.1 (Acceptable) 6.Male17.34 (Underwei ght) 0.81 (Acceptable) 16 (Acceptable ) 18.8 (Unacceptable – High) 7.Male190.7818.818
6BODY COMPOSITION ANALYSIS PRACTICAL (Normal)(Acceptable)(Acceptable ) (Acceptable) 8.Male23.7 (Normal) 0.83 (Acceptable) 27.2 (Obesity) 17.3 (Acceptable) 9.Male22.7 (Normal) 0.85 (Acceptable) 4.8 (Athletic) 18.5 (Unacceptable – High) 10.Male18.7 (Normal) 0.76 (Acceptable) -- Table1 summarisesthekey body compositionresultsobtainedfrom various procedures, and hence highlights differences in values and diagnosis obtained across these methods. It can be observed that body fat percentage values recorded by body composition methods are much higher in comparison to those measured by bio-impedance methods. The samecanbeobservedindiagnosiswheremostindividualsareclassifiedtopossess unacceptablebodyfatpercentageswhichisconflictingwithotherwise‘healthy’or ‘acceptable’ values presented by BMI and waist-to-hip ratios.
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7BODY COMPOSITION ANALYSIS PRACTICAL Figure 1: Body Fat Percentages by Bio-Impedance and Body Composition (As designed by the Author) Participant 1Participant 2Participant 3Participant 4Participant 5Participant 6Particioant 7Partcipant 8Participant 9 0 5 10 15 20 25 30 35 Body Fat Percentages (%) Bio-ImpedanceBody Composition Figure 1 outlines the differences in body fat percentages measured by both bio- impedance and body composition equipment where the former has been demonstrated to display higher percentages of body fat among participants.
8BODY COMPOSITION ANALYSIS PRACTICAL Figure 2: Distribution of ‘healthy/acceptable’ subjects across all the methods Healthy'/'Acceptable' Subjects BMI (70%)Waist-to-Hip (90%)Bio-Impedance (80%)Body Composition (60%) Figure 2 demonstrates the percentage of participants who were reported to possess ‘healthy’ or ‘acceptable’ body fat and anthropometric parameters across various methods. It can be observed that waist-to-hip ratios report that 90% participants are within acceptable ranges, followed by bio-impedance scores reporting the same in 80%, followed by BMI and the least value recorded by body composition techniques which report that only 60% of participants are ‘healthy’ or possess acceptable body fat percentages. Discussion It can be restated that the initial hypothesis of considering body composition methods to provide anthropometric details with accuracy, comprehensiveness, elaboration and detail, has been proven, as compared to other techniques such as BMI, waist-to-hip ratios and bio- impedance measures. As observed from Table 1 as well as Figure 1, it is evident both body composition and bio-impedancemeasureshighlightgreaterdetailonbodyfatpercentages,withbody
9BODY COMPOSITION ANALYSIS PRACTICAL composition methods highlighting higher values of the same. Bio-impedance and especially body composition methods are considered to be more accurate methods of anthropometric analysis due to their usage of electrical currents (Tewari et al., 2018). Bio-impedance methods rely on the principle of electrical currents which relay tissue composition values as per the measurement of voltage values. Such principles result in measurement of muscle and fat tissue distribution with greater accuracy hence resulting in different results obtained from bio-impedance measures (Fosbøl & Zerahn, 2015). Body composition methods utilise similar principles of functioning but displays greater accuracy due its requirement of suitable laboratory arrangements for adequate working. This can be observed in body composition methodswhichuseBioStatequipmenttoproducecomprehensiveanddetailed anthropometric analytical calculations such as fat percentage, fat mass in kilograms, lean muscle mass in kilograms, percentage of fluid level as per body mass, volume of total water in the body and basal metabolic rate (BMR) – of which body values of body fat percentages wererecordedforcomparativeanalysis(Lemosetal.,2016).Suchcomprehensive technological usage can be reflected in the differential results obtained hence making body composition methods a far more accurate procedure for anthropometric assessment. The pie chart highlighted in Figure 2 highlighted the distribution of ‘healthy’ subjects who were determined to be in possession of acceptable anthropometric characteristics as per references ranges specified by each method. It was observed that waist-to-hip calculations recorded maximum number of participants as ‘healthy’, followed by bio-impedance methods, BMI values and lastly with body composition methods recording the least number of participants to possess values within acceptable ranges. Such differences in reporting can be based on the distinctive functioning and physical parameters measured by each of the above methods (Borga et al., 2018).
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10BODY COMPOSITION ANALYSIS PRACTICAL Waist-to-hip ratios, due to their measurement of abdominal adiposity, are beneficial for the predictionand diagnosisof metabolicdisordersdueto theirassociationwith abdominal obesity. However such values do not calculate weight distribution as per an individual’s height which predicts a person’s health as per his or her body mass present within per square meter of his or her height (Baik et al., 2017). However, BMI does not reflect the true composition of various tissues which add on to an individual’s weight. Hence, in accordance to BMI, an individual with greater lean muscle mass may be reported as overweight as compared to a ‘normal’ individual with greater adiposity (Ashwell & Gibson, 2016). This is where bio-impedance and body composition provides more accurate analysis since these highlight detailed values of body fat distribution with the latter being more comprehensive (Ravindranath et al., 2016). Hence, health professionals must consider usage of multiple methods rather than just one, since each method produces different results due their differential functioning principles and hence, a collaborative approach will provide improved assessment, screening, diagnosis, treatment and positive health outcomes (Kyle et al., 2015). However, body composition methods may not be cost effective and feasible due to laboratory usage and hence, future research is needed to formulate comprehensive yet feasible anthropometric procedures for individuals belonging to remote areas or underprivileged economic groups (Agguire et al., 2015). This study presented key limitations in terms of small sample size, incomplete values, and comparative measurement of only body fat percentages and lack of considerations of subjects with unique clinical conditions or age groups. Future improved research is required with greater sample size and wider participant characteristics to correct such limitations (Queirós, Faria & Almeida, 2017).
11BODY COMPOSITION ANALYSIS PRACTICAL Conclusion Hence, it can be concluded that the above study provided a detailed comparison on the body composition analysis results obtained from various methods. It can be summarised that body composition methods using Body Stat produced more detailed and accurate analysis as compared to BMI, bio-impedance and waist-to-hip ratios. Hence, future clinical professionals must considered incorporation of multiple techniques in order to obtained accurate anthropometric and body composition results. However, cost effectiveness must also be considered to ensure healthcare equity.
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13BODY COMPOSITION ANALYSIS PRACTICAL Paralympicathletes:Comparisonoftwomethods.doi: http://dx.doi.org/10.1123/jsr.2015-0036. De Ridder, J., Julián-Almárcegui, C., Mullee, A., Rinaldi, S., Van Herck, K., Vicente- Rodríguez, G., & Huybrechts, I. (2016). Comparison of anthropometric measurements of adiposity in relation to cancer risk: a systematic review of prospective studies. Cancer Causes & Control,27(3), 291-300. doi: https://doi.org/10.1007/s10552-015- 0709-y. Fosbøl,M.Ø.,&Zerahn,B.(2015).Contemporarymethodsofbodycomposition. measurement.Clinicalphysiologyandfunctionalimaging,35(2),81-97. https://doi.org/10.1111/cpf.12152. Kyle, U. G., Earthman, C. P., Pichard, C., & Coss-Bu, J. A. (2015). Body composition during growth in children: limitations and perspectives of bioelectrical impedance analysis. Europeanjournalofclinicalnutrition,69(12),1298.doi: https://doi.org/10.1038/ejcn.2015.86. Lemos, V. D. A., Alves, E. D. S., Schwingel, P. A., Rosa, J. P. P., Silva, A. D., Winckler, C., ... & De Mello, M. T. (2016). Analysis of the body composition of Paralympic athletes: Comparison of two methods.European journal of sport science,16(8), 955- 964. doi: https://doi.org/10.1080/17461391.2016.1194895. Locke, A. E., Kahali, B., Berndt, S. I., Justice, A. E., Pers, T. H., Day, F. R., ... & Croteau- Chonka, D. C. (2015). Genetic studies of body mass index yield new insights for obesitybiology.Nature,518(7538),197.Retrievedfrom: https://www.nature.com/articles/nature14177. Müller, M. J., Braun, W., Pourhassan, M., Geisler, C., & Bosy-Westphal, A. (2016). Application of standards and models in body composition analysis.Proceedings of
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15BODY COMPOSITION ANALYSIS PRACTICAL Appendices Appendix 1: Raw Data (As collected by the Author) ParticipantBMIHip: waist ratio % Fat Scales %age Fat Body Stat m/f 1200.7612.725.9f 225.10.6714.632.7f 323.20.841831.5f 425.90.7714.922.6f 518.750.752017.1f 617.340.811618.8m 7190.7818.818m 823.70.8327.217.3m 922.70.854.818.5m 1018.70.76m