Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice

Whilst the assessment of body composition is routine practice in sport, there remains considerable debate on the best tools available, with the chosen technique often based upon convenience rather than understanding the method and its limitations. The aim of this manuscript was threefold: (1) provid...

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Main Authors: Andreas M. Kasper, Carl Langan-Evans, James F. Hudson, Thomas E. Brownlee, Liam D. Harper, Robert J. Naughton, James P. Morton, Graeme L. Close
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/4/1075
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author Andreas M. Kasper
Carl Langan-Evans
James F. Hudson
Thomas E. Brownlee
Liam D. Harper
Robert J. Naughton
James P. Morton
Graeme L. Close
author_facet Andreas M. Kasper
Carl Langan-Evans
James F. Hudson
Thomas E. Brownlee
Liam D. Harper
Robert J. Naughton
James P. Morton
Graeme L. Close
author_sort Andreas M. Kasper
collection DOAJ
description Whilst the assessment of body composition is routine practice in sport, there remains considerable debate on the best tools available, with the chosen technique often based upon convenience rather than understanding the method and its limitations. The aim of this manuscript was threefold: (1) provide an overview of the common methodologies used within sport to measure body composition, specifically hydro-densitometry, air displacement plethysmography, bioelectrical impedance analysis and spectroscopy, ultra-sound, three-dimensional scanning, dual-energy X-ray absorptiometry (DXA) and skinfold thickness; (2) compare the efficacy of what are widely believed to be the most accurate (DXA) and practical (skinfold thickness) assessment tools and (3) provide a framework to help select the most appropriate assessment in applied sports practice including insights from the authors’ experiences working in elite sport. Traditionally, skinfold thickness has been the most popular method of body composition but the use of DXA has increased in recent years, with a wide held belief that it is the criterion standard. When bone mineral content needs to be assessed, and/or when it is necessary to take limb-specific estimations of fat and fat-free mass, then DXA appears to be the preferred method, although it is crucial to be aware of the logistical constraints required to produce reliable data, including controlling food intake, prior exercise and hydration status. However, given the need for simplicity and after considering the evidence across all assessment methods, skinfolds appear to be the least affected by day-to-day variability, leading to the conclusion ‘come back skinfolds, all is forgiven’.
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spelling doaj.art-1058d23a3bd849f388582aa3ec9f86c52023-11-21T12:05:05ZengMDPI AGNutrients2072-66432021-03-01134107510.3390/nu13041075Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports PracticeAndreas M. Kasper0Carl Langan-Evans1James F. Hudson2Thomas E. Brownlee3Liam D. Harper4Robert J. Naughton5James P. Morton6Graeme L. Close7Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKSchool of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UKSchool of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UKResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UKWhilst the assessment of body composition is routine practice in sport, there remains considerable debate on the best tools available, with the chosen technique often based upon convenience rather than understanding the method and its limitations. The aim of this manuscript was threefold: (1) provide an overview of the common methodologies used within sport to measure body composition, specifically hydro-densitometry, air displacement plethysmography, bioelectrical impedance analysis and spectroscopy, ultra-sound, three-dimensional scanning, dual-energy X-ray absorptiometry (DXA) and skinfold thickness; (2) compare the efficacy of what are widely believed to be the most accurate (DXA) and practical (skinfold thickness) assessment tools and (3) provide a framework to help select the most appropriate assessment in applied sports practice including insights from the authors’ experiences working in elite sport. Traditionally, skinfold thickness has been the most popular method of body composition but the use of DXA has increased in recent years, with a wide held belief that it is the criterion standard. When bone mineral content needs to be assessed, and/or when it is necessary to take limb-specific estimations of fat and fat-free mass, then DXA appears to be the preferred method, although it is crucial to be aware of the logistical constraints required to produce reliable data, including controlling food intake, prior exercise and hydration status. However, given the need for simplicity and after considering the evidence across all assessment methods, skinfolds appear to be the least affected by day-to-day variability, leading to the conclusion ‘come back skinfolds, all is forgiven’.https://www.mdpi.com/2072-6643/13/4/1075DXAultrasoundbioelectricalimpedancescanningplethysmography
spellingShingle Andreas M. Kasper
Carl Langan-Evans
James F. Hudson
Thomas E. Brownlee
Liam D. Harper
Robert J. Naughton
James P. Morton
Graeme L. Close
Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice
Nutrients
DXA
ultrasound
bioelectrical
impedance
scanning
plethysmography
title Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice
title_full Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice
title_fullStr Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice
title_full_unstemmed Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice
title_short Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice
title_sort come back skinfolds all is forgiven a narrative review of the efficacy of common body composition methods in applied sports practice
topic DXA
ultrasound
bioelectrical
impedance
scanning
plethysmography
url https://www.mdpi.com/2072-6643/13/4/1075
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