Development of bioelectrical impedance analysis-based equations for estimation of body composition in postpartum rural Bangladeshi women.
Equations for predicting body composition from bioelectrical impedance analysis (BIA) parameters are age-, sex- and population-specific. Currently there are no equations applicable to women of reproductive age in rural South Asia. Hence, we developed equations for estimating total body water (TBW), fat-free mass (FFM) and fat mass in rural Bangladeshi women using BIA, with ²H₂O dilution as the criterion method. Women of reproductive age, participating in a community-based placebo-controlled trial of vitamin A or β-carotene supplementation, were enrolled at 19·7 (SD 9·3) weeks postpartum in a study to measure body composition by ²H₂O dilution and impedance at 50 kHz using multi-frequency BIA (n 147), and resistance at 50 kHz using single-frequency BIA (n 82). TBW (kg) by ²H2O dilution was used to derive prediction equations for body composition from BIA measures. The prediction equation was applied to resistance measures obtained at 13 weeks postpartum in a larger population of postpartum women (n 1020). TBW, FFM and fat were 22·6 (SD 2·7), 30·9 (SD 3·7) and 10·2 (SD 3·8) kg by ²H₂O dilution. Height²/impedance or height²/resistance and weight provided the best estimate of TBW, with adjusted R² 0·78 and 0·76, and with paired absolute differences in TBW of 0·02 (SD 1·33) and 0·00 (SD 1·28) kg, respectively, between BIA and ²H₂O. In the larger sample, values for TBW, FFM and fat were 23·8, 32·5 and 10·3 kg, respectively. BIA can be an important tool for assessing body composition in women of reproductive age in rural South Asia where poor maternal nutrition is common.
The JiVitA Project, Chalkmamrojpur, Shadullapur Road, Gaibandha, Bangladesh.
Saijuddin
S
Shaikh
Department of International Health, Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Room W2041, Baltimore, MD 21205, USA.
Kerry J
KJ
Schulze
Saint John's Research Institute, Saint John's Medical College, Saint John's National Academy of Health Sciences, Bangalore 560 034, India.
Anura
A
Kurpad
The JiVitA Project, Chalkmamrojpur, Shadullapur Road, Gaibandha, Bangladesh.
Hasmot
H
Ali
The JiVitA Project, Chalkmamrojpur, Shadullapur Road, Gaibandha, Bangladesh.
Abu Ahmed
AA
Shamim
Department of International Health, Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Room W2041, Baltimore, MD 21205, USA.
Sucheta
S
Mehra
Department of International Health, Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Room W2041, Baltimore, MD 21205, USA.
Lee S-F
LS
Wu
The JiVitA Project, Chalkmamrojpur, Shadullapur Road, Gaibandha, Bangladesh.
Mahbubar
M
Rashid
Department of International Health, Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Room W2041, Baltimore, MD 21205, USA.
Alain B
AB
Labrique
Department of International Health, Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Room W2041, Baltimore, MD 21205, USA.
Parul
P
Christian
Department of International Health, Center for Human Nutrition, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Room W2041, Baltimore, MD 21205, USA.
Keith P
KP
West
D000328:Adult; D000886:Anthropometry; D001459:Bangladesh; D001823:Body Composition; D001827:Body Height; D001834:Body Water; D001835:Body Weight; D019587:Dietary Supplements; D017097:Electric Impedance; D005260:Female; D006801:Humans; D049590:Postpartum Period; D016032:Randomized Controlled Trials as Topic; D012424:Rural Population; D014801:Vitamin A / Q000737:chemistry; D055815:Young Adult; D019207:beta Carotene / Q000737:chemistry
D019207:beta Carotene; D014801:Vitamin A