title: A comparison of dual energy x-ray absorptiometry and two bioelectrical impedance analyzers to measure body fat percentage and fat-free mass index in a group of Mexican young women.
abstract: BACKGROUND
  Studies of obesity require the estimation of fat mass (FM) and fat-free mass (FFM); therefore it is important to validate methods that evaluate these measurements.
  
  
  OBJECTIVE
  We sought to compare two different bioelectrical impedance analysis systems (BIAs) to estimate FM and FFM using dual-energy X-ray absorptiometry (DXA) as reference.
  
  
  METHODS
  We used a cross-sectional design. We evaluated FM and FFM using DXA and two types of BIA equipment: a foot-foot system (FFS) and a hand-foot system (HFS). We conducted paired analysis (paired ttest). We used Bland-Altman plots to assess the relationships between FM and FFMI, limits of agreement were constructed (CL).
  
  
  RESULTS
  A total of 175 female students (22.9 ± 2.2 years old) participated in the study. The paired analysis showed significant differences between the mean value of body fat percentage (BF%) estimated by BIA equipment compared to DXA (FFS = 28.7%, HFS= 34.4% and DXA= 35.3%). The mean difference between the HFS and DXA of BF% was -0.96, ((CL -5.29, 7.20). For the FFS, the mean difference was -6.69, (CL -0.29, -13.09). The paired analysis revealed significant differences between the estimates of FFMI by BIA compared to DXA (FFS =16.29, HFS =14.95, DXA =14.18). The mean difference between HFS and DXA was 0.78, and (CL -2.27, 0.72) whereas the FFS mean difference was -2.11 (CL -3.73 -0.49).
  
  
  CONCLUSIONS
  A different magnitude of bias was observed between the BIA equipment arrays. The HFS appears to be more reliable than the FFS used, particularly in obtaining FFMI in young women.
authors.affiliation: Health Care Department. Metropolitan Autonomous University Xochimilco. Mexico City. Mexico.. meirigo@correo.xoc.uam.mx.
authors.forename: Maria Del Consuelo
authors.initials: Mdel C
authors.lastname: Velazquez-Alva
authors.affiliation: Health Care Department. Metropolitan Autonomous University Xochimilco. Mexico City. Mexico.. meirigo@correo.xoc.uam.mx.
authors.forename: Maria Esther
authors.initials: ME
authors.lastname: Irigoyen-Camacho
authors.affiliation: Health Care Department. Metropolitan Autonomous University Xochimilco. Mexico City. Mexico..
authors.forename: Raquel
authors.initials: R
authors.lastname: Huerta-Huerta
authors.affiliation: Health Care Department. Metropolitan Autonomous University Xochimilco. Mexico City. Mexico..
authors.forename: Jaime
authors.initials: J
authors.lastname: Delgadillo-Velazquez
mesh_terms: D015502:Absorptiometry, Photon / Q000379:methods*; D000293:Adolescent; D000328:Adult; D001823:Body Composition / Q000502:physiology*; D050218:Body Fat Distribution; D003430:Cross-Sectional Studies; D017097:Electric Impedance; D005260:Female; D006801:Humans; D008800:Mexico; D015203:Reproducibility of Results; D055815:Young Adult