Assessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, Uganda

Abstract Background Accurate measurement of body composition in children and adolescents is important as the quantities of fat and fat-free mass have implications for health risk. The objectives of the present study were: to determine the reliability of Fourier Transform Infrared spectroscopy (FTIR)...

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Main Authors: Catherine T. Ndagire, John H. Muyonga, Dan Isabirye, Benard Odur, Serge M. A. Somda, Richard Bukenya, Juan E. Andrade, Dorothy Nakimbugwe
Format: Article
Language:English
Published: BMC 2018-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-5627-y
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author Catherine T. Ndagire
John H. Muyonga
Dan Isabirye
Benard Odur
Serge M. A. Somda
Richard Bukenya
Juan E. Andrade
Dorothy Nakimbugwe
author_facet Catherine T. Ndagire
John H. Muyonga
Dan Isabirye
Benard Odur
Serge M. A. Somda
Richard Bukenya
Juan E. Andrade
Dorothy Nakimbugwe
author_sort Catherine T. Ndagire
collection DOAJ
description Abstract Background Accurate measurement of body composition in children and adolescents is important as the quantities of fat and fat-free mass have implications for health risk. The objectives of the present study were: to determine the reliability of Fourier Transform Infrared spectroscopy (FTIR) measurements and; compare the Fat Mass (FM), Fat Free Mass (FFM) and body fat percentage (%BF) values determined by bioelectrical impedance analysis (BIA) to those determined by deuterium dilution method (DDM) to identify correlations and agreement between the two methods. Methods A cross-sectional study was conducted among 203 children and adolescents aged 8–19 years attending schools in Kampala city, Uganda. Pearson product-moment correlation at 5% significance level was considered for assessing correlations. Bland Altman analysis was used to examine the agreement between of FTIR measurements and between estimates by DDM and BIA.. Reliability of measurements was determined by Cronbach’s alpha. Results There was good agreement between the in vivo D2O saliva enrichment measurements at 3 and 4 h among the studied age groups based on Bland-Altman plots. Cronbach’s alpha revealed that measurements of D2O saliva enrichment had very good reliability. For children and young adolescents, DDM and BIA gave similar estimates of FFM, FM, and %BF. Among older adolescents, BIA significantly over-estimated FFM and significantly under-estimated FM and %BF compared to estimates by DDM. The correlation between FFM, FM and %BF estimates by DDM and BIA was high and significant among young and older adolescents and for FFM among children. Conclusions Reliability of the FTIR spectroscopy measurements was very good among the studied population. BIA is suitable for assessing body composition among children (8–9 years) and young adolescents (10–14 years) but not among older adolescents (15–19 years) in Uganda. The body composition measurements of older adolescents determined by DDM can be predicted using those provided by BIA using population-specific regression equations.
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spelling doaj.art-6c8d3ddc39ba48c793f95b5711b7a5e12022-12-22T00:48:17ZengBMCBMC Public Health1471-24582018-06-011811910.1186/s12889-018-5627-yAssessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, UgandaCatherine T. Ndagire0John H. Muyonga1Dan Isabirye2Benard Odur3Serge M. A. Somda4Richard Bukenya5Juan E. Andrade6Dorothy Nakimbugwe7School of Food Technology, Nutrition and Bio-engineering, Makerere UniversitySchool of Food Technology, Nutrition and Bio-engineering, Makerere UniversityDepartment of Biochemistry and Sports Science, Makerere UniversityDepartment of Statistical Methods and Actuarial Science, School of Statistics, Makerere UniversityCentre MURAZDivision of Nutritional Sciences, University of IllinoisDivision of Nutritional Sciences, University of IllinoisSchool of Food Technology, Nutrition and Bio-engineering, Makerere UniversityAbstract Background Accurate measurement of body composition in children and adolescents is important as the quantities of fat and fat-free mass have implications for health risk. The objectives of the present study were: to determine the reliability of Fourier Transform Infrared spectroscopy (FTIR) measurements and; compare the Fat Mass (FM), Fat Free Mass (FFM) and body fat percentage (%BF) values determined by bioelectrical impedance analysis (BIA) to those determined by deuterium dilution method (DDM) to identify correlations and agreement between the two methods. Methods A cross-sectional study was conducted among 203 children and adolescents aged 8–19 years attending schools in Kampala city, Uganda. Pearson product-moment correlation at 5% significance level was considered for assessing correlations. Bland Altman analysis was used to examine the agreement between of FTIR measurements and between estimates by DDM and BIA.. Reliability of measurements was determined by Cronbach’s alpha. Results There was good agreement between the in vivo D2O saliva enrichment measurements at 3 and 4 h among the studied age groups based on Bland-Altman plots. Cronbach’s alpha revealed that measurements of D2O saliva enrichment had very good reliability. For children and young adolescents, DDM and BIA gave similar estimates of FFM, FM, and %BF. Among older adolescents, BIA significantly over-estimated FFM and significantly under-estimated FM and %BF compared to estimates by DDM. The correlation between FFM, FM and %BF estimates by DDM and BIA was high and significant among young and older adolescents and for FFM among children. Conclusions Reliability of the FTIR spectroscopy measurements was very good among the studied population. BIA is suitable for assessing body composition among children (8–9 years) and young adolescents (10–14 years) but not among older adolescents (15–19 years) in Uganda. The body composition measurements of older adolescents determined by DDM can be predicted using those provided by BIA using population-specific regression equations.http://link.springer.com/article/10.1186/s12889-018-5627-yBody compositionBioelectric impedance analysisDeuterium dilution methodChildrenAdolescents, agreement, reliability
spellingShingle Catherine T. Ndagire
John H. Muyonga
Dan Isabirye
Benard Odur
Serge M. A. Somda
Richard Bukenya
Juan E. Andrade
Dorothy Nakimbugwe
Assessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, Uganda
BMC Public Health
Body composition
Bioelectric impedance analysis
Deuterium dilution method
Children
Adolescents, agreement, reliability
title Assessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, Uganda
title_full Assessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, Uganda
title_fullStr Assessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, Uganda
title_full_unstemmed Assessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, Uganda
title_short Assessing the reliability of FTIR spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8–19 years attending schools in Kampala, Uganda
title_sort assessing the reliability of ftir spectroscopy measurements and validity of bioelectrical impedance analysis as a surrogate measure of body composition among children and adolescents aged 8 19 years attending schools in kampala uganda
topic Body composition
Bioelectric impedance analysis
Deuterium dilution method
Children
Adolescents, agreement, reliability
url http://link.springer.com/article/10.1186/s12889-018-5627-y
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