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The influence of body position on bioelectrical impedance spectroscopy measurements in young children

The influence of body position on bioelectrical impedance spectroscopy measurements in young children
The influence of body position on bioelectrical impedance spectroscopy measurements in young children

Bioelectrical impedance techniques are easy to use and portable tools for assessing body composition. While measurements vary according to standing vs supine position in adults, and fasting and bladder voiding have been proposed as additional important influences, these have not been assessed in young children. Therefore, the influence of position, fasting, and voiding on bioimpedance measurements was examined in children. Bioimpedance measurements (ImpediMed SFB7) were made in 50 children (3.38 years). Measurements were made when supine and twice when standing (immediately on standing and after four minutes). Impedance and body composition were compared between positions, and the effect of fasting and voiding was assessed. Impedance varied between positions, but body composition parameters other than fat mass (total body water, intra- and extra-cellular water, fat-free mass) differed by less than 5%. There were no differences according to time of last meal or void. Equations were developed to allow standing measurements of fat mass to be combined with supine measurements. In early childhood, it can be difficult to meet requirements for fasting, voiding, and lying supine prior to measurement. This study provides evidence to enable standing and supine bioimpedance measurements to be combined in cohorts of young children.

2045-2322
Lyons-Reid, Jaz
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Ward, Leigh C
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Tint, Mya Thway
3aaf54db-4dbd-4d6b-90ae-440a18e381ef
Kenealy, Timothy
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Godfrey, Keith
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Chan, Shiao-Yng
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Cutfield, Wayne
a01589bd-5b82-49fa-89e1-137e6f59e24d
Lyons-Reid, Jaz
0cf7e7b8-ffe9-4ef5-ba37-56b571eaa926
Ward, Leigh C
68d08d29-e7dd-4ac5-b14c-0fdb9bab70d9
Tint, Mya Thway
3aaf54db-4dbd-4d6b-90ae-440a18e381ef
Kenealy, Timothy
e749549b-5513-4eb0-9789-2f2b0cd82576
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Chan, Shiao-Yng
3c9d8970-2cc4-430a-86a7-96f6029a5293
Cutfield, Wayne
a01589bd-5b82-49fa-89e1-137e6f59e24d

Lyons-Reid, Jaz, Ward, Leigh C, Tint, Mya Thway, Kenealy, Timothy, Godfrey, Keith, Chan, Shiao-Yng and Cutfield, Wayne (2021) The influence of body position on bioelectrical impedance spectroscopy measurements in young children. Scientific Reports, 11 (1), [10346]. (doi:10.1038/s41598-021-89568-8).

Record type: Article

Abstract

Bioelectrical impedance techniques are easy to use and portable tools for assessing body composition. While measurements vary according to standing vs supine position in adults, and fasting and bladder voiding have been proposed as additional important influences, these have not been assessed in young children. Therefore, the influence of position, fasting, and voiding on bioimpedance measurements was examined in children. Bioimpedance measurements (ImpediMed SFB7) were made in 50 children (3.38 years). Measurements were made when supine and twice when standing (immediately on standing and after four minutes). Impedance and body composition were compared between positions, and the effect of fasting and voiding was assessed. Impedance varied between positions, but body composition parameters other than fat mass (total body water, intra- and extra-cellular water, fat-free mass) differed by less than 5%. There were no differences according to time of last meal or void. Equations were developed to allow standing measurements of fat mass to be combined with supine measurements. In early childhood, it can be difficult to meet requirements for fasting, voiding, and lying supine prior to measurement. This study provides evidence to enable standing and supine bioimpedance measurements to be combined in cohorts of young children.

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Submitted date: 9 March 2021
e-pub ahead of print date: 22 March 2021
Published date: 14 May 2021
Additional Information: Funding Information: J.L-R. is currently receiving University of Auckland Doctoral Scholarship. The authors would like to acknowledge Auckland NiPPeR research staff Christine Creagh, Marysia Depczynski, and Sarah Wilkins for their contribution to this study. Public good funding for the investigator-led NiPPeR study is through the UK Medical Research Council (as part of an MRC award to the MRC Lifecourse Epidemiology Unit (MC_UU_12011/4)); the Singapore National Research Foundation, National Medical Research Council (NMRC, NMRC/TCR/012-NUHS/2014); the National University of Singapore (NUS) and the Agency of Science, Technology and Research (as part of the Growth, Development and Metabolism Programme of the Singapore Institute for Clinical Sciences (SICS) (H17/01/a0/005); and as part of Gravida, a New Zealand Government Centre of Research Excellence. Funding for aspects of the NiPPeR study has been provided by Société Des Produits Nestlé S.A under a Research Agreement with the University of Southampton, Auckland UniServices Ltd, SICS, National University Hospital Singapore PTE Ltd and NUS. K.M.G. is supported by the National Institute for Health Research (NIHR Senior Investigator (NF-SI-0515-10042), NIHR Southampton 1000DaysPlus Global Nutrition Research Group (17/63/154) and NIHR Southampton Biomedical Research Center (IS-BRC-1215-20004)), British Heart Foundation (RG/15/17/3174) and the European Union (Erasmus+ Programme ImpENSA 598488-EPP-1-2018-1-DE-EPPKA2-CBHE-JP). S.Y.C. is supported by a Singapore NMRC Clinician Scientist Award (NMRC/CSA-INV/0010/2016). The funders had no role in the data collection and analysis, and the decision to submit for publication. Publisher Copyright: © 2021, The Author(s).

Identifiers

Local EPrints ID: 448658
URI: http://eprints.soton.ac.uk/id/eprint/448658
ISSN: 2045-2322
PURE UUID: 781c27da-24b4-4c86-bc91-51f54a75efca
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 29 Apr 2021 16:31
Last modified: 17 Mar 2024 02:38

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Contributors

Author: Jaz Lyons-Reid
Author: Leigh C Ward
Author: Mya Thway Tint
Author: Timothy Kenealy
Author: Keith Godfrey ORCID iD
Author: Shiao-Yng Chan
Author: Wayne Cutfield

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