Validation of a portable bioelectrical impedance analyzer for the assessment of body composition

Abstract

One of the major challenges in field research has been the difficulty to adequately measure body composition, such as % body fat and fat-free mass (FFM). Therefore, the purpose of the present study was to investigate the convergent validity of the portable bioelectrical impedance body composition analyzer, the Inbody 230, with dual X-ray absorptiometry (DXA) (General Electric Lunar Prodigy). The study population consisted of 145 men and women (age, 44.6 ± 20 years; BMI, 24.5 ± 3.8 kg·m–2). We measured body composition (fat mass, % body fat, total FFM, trunk FFM, and appendicular FFM) using DXA and the Inbody 230. Results show strong significant correlations between both methods for fat mass, % body fat, total FFM, and trunk FFM (r = 0.94–0.99). Furthermore, we showed a modest significant correlation between both methods for appendicular FFM (r = 0.63). Finally, as shown by Bland–Altman analysis, no significant biases were observed between Inbody 230 and DXA for fat mass, % body fat, and total FFM. However, trunk and appendicular FFM were shown to have significant biases between the Inbody 230 and DXA. In conclusion, the present study indicated that the portable Inbody 230 may be an acceptable device to measure fat mass, % body fat, and total FFM (except for women) in healthy adults. In addition, there appears to be a systematic bias for the estimation of trunk and appendicular FFM with the Inbody 230 in men and women.