Differences in body composition are associated with increased disease risk in various stages of life. Despite numerous available methods in assessing body composition (air displacement plethysmography, dual-energy X-ray absorptiometry, bioelectrical impedance, hydrometry, and magnetic resonance imaging), due to innate technical limitations, the ability for one singular method to track body composition over the life span (ie, infancy to adulthood) is challenging and imperfect. The primary goal of this review is to determine if there are body composition methods that can accurately track body composition from infancy into adulthood. After careful consideration and taking into account the best available scientific evidence, we feel air displacement plethysmography is the best instrument at this time for tracking body composition, starting in infancy and forward into adulthood, partly because it is the only “practical” clinical tool currently available for use during infancy.
McCarthyHDAshwellM. A study of central fatness using waist-to-height ratios in UK children and adolescents over two decades supports the simple message—‘keep your waist circumference to less than half your height’. Int J Obes (Lond). 2006;30(6):988-992.
2.
McCarthyHD. Body fat measurements in children as predictors for the metabolic syndrome: focus on waist circumference. Proc Nutr Soc. 2006;65(4):385-392.
3.
GallagherDVisserMSepulvedaDPiersonRNHarrisTHeymsfieldSB. How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups?Am J Epidemiol. 1996;143(3):228-239.
4.
BrambillaPBedogniGHeoMPietrobelliA. Waist circumference-to-height ratio predicts adiposity better than body mass index in children and adolescents. Int J Obes(Lond). 2013;37(7):943-946.
5.
MeiZGrummer-StrawnLMPietrobelliAGouldingAGoranMIDietzWH. Validity of body mass index compared with other body-composition screening indexes for the assessment of body fatness in children and adolescents. Am J Clin Nutr. 2002;75(6):978-985.
6.
ColeTJBellizziMCFlegalKMDietzWH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1-6.
7.
MaynardLMWisemandleWRocheAFChumleaWCGuoSSSiervogelRM. Childhood body composition in relation to body mass index. Pediatrics. 2001;107(2):344-350.
8.
OliverosESomersVKSochorOGoelKLopez-JimenezF. The concept of normal weight obesity. Prog Cardiovasc Dis. 2014;56(4):426-433.
9.
HeymsfieldSBLohmanTGWangZGoingSB, eds. Human Body Composition. 2nd ed.Champaign, IL: Human Kinetics; 2005.
10.
FomonSJJensenRLOwenGM. Determination of body volume of infants by a method of helium displacement. Ann N Y Acad Sci. 1963;110:80-90.
11.
PiersonWR. A photogrammetric technique for the estimation of surface area and volume. Ann N Y Acad Sci. 1963;110:109-112.
12.
ShengHPAdolphALSmithEGarzaC. Body volume and fat-free mass determinations by acoustic plethysmography. Pediatr Res. 1988;24:85-89.
13.
FieldsDAGoranMIMcCroryMA. Body-composition assessment via air-displacement plethysmography in adults and children: a review. Am J Clin Nutr. 2002;75(3):453-467.
14.
McCroryMAGomezTDBernauerEMMoléPA. Evaluation of a new air displacement plethysmograph for measuring human body composition. Med Sci Sports Exerc. 1995;27(12):1686-1691.
15.
DempsterPAitkensS. A new air displacement method for the determination of human body composition. Med Sci Sports Exerc. 1995;27(12):1692-1697.
16.
FalknerF. An air displacement method of measuring body volume in babies: a preliminary communication. Ann N Y Acad Sci. 1963;110:75-79.
17.
ZumdahlSS. Gases. 2nd ed.Lexington, MA: D. C. Heath; 1989.
18.
MaGYaoMLiuY. Validation of a new pediatric air-displacement plethysmograph for assessing body composition in infants. Am J Clin Nutr. 2004;79(4):653-660.
19.
FieldsDAAllisonDB. Air-displacement plethysmography pediatric option in 2-6 years old using the four-compartment model as a criterion method. Obesity (Silver Spring). 2012;20(8):1732-1737.
20.
BattezzatiABertoliSTestolinCTestolinG. Body composition assessment: an indispensable tool for disease management. Acta Diabetol. 2003;40(suppl 1):S151-S153.
21.
Van LoanMD. Body composition in disease: what can we measure and how can we measure it?Acta Diabetol. 2003;40(suppl 1):S154-S157.
22.
McMillenICRobinsonJS. Developmental origins of the metabolic syndrome: prediction, plasticity, and programming. Physiol Rev. 2005;85(2):571-633.
23.
KooWWHammamiMHockmanEM. Validation of bone mass and body composition measurements in small subjects with pencil beam dual energy X-ray absorptiometry. J Am Coll Nutr. 2004;23(1):79-84.
24.
KooWWWaltersJBushAJChesneyRWCarlsonSE. Dual-energy X-ray absorptiometry studies of bone mineral status in newborn infants. J Bone Miner Res. 1996;11(7):997-102.
25.
HammamiMKooWWHockmanEM. Body composition of neonates from fan beam dual energy X-ray absorptiometry measurement. JPEN J Parenter Enteral Nutr. 2003;27(6):423-426.
26.
KooWWWaltersJCHockmanEM. Body composition in human infants at birth and postnatally. J Nutr. 2000;130(9):2188-2194.
National Council on Radiation Protection and Measurements. Ionizing Radiation Exposure of the Population of the United States. Bethesda, MD: NCPR; 1987.
29.
YaoMNommsen-RiversLDeweyKUrlandoA. Preliminary evaluation of a new pediatric air displacement plethysmograph for body composition assessment in infants. Acta Diabetol. 2003;40(suppl 1):S55-S58.
30.
SainzRDUrlandoA. Evaluation of a new pediatric air-displacement plethysmograph for body-composition assessment by means of chemical analysis of bovine tissue phantoms. Am J Clin Nutr. 2003;77(2):364-370.
31.
UrlandoADempsterPAitkensS. A new air displacement plethysmograph for the measurement of body composition in infants. Pediatr Res. 2003;53(3):486-492.
32.
DemerathEWFieldsDA. Body composition assessment in the infant. Am J Hum Biol. 2014;26(3):291-304.
33.
EllisKJYaoMShypailoRJUrlandoAWongWWHeirdWC. Body-composition assessment in infancy: air-displacement plethysmography compared with a reference 4-compartment model. Am J Clin Nutr. 2007;85(1):90-95.
34.
ShypailoRJButteNFEllisKJ. DXA: can it be used as a criterion reference for body fat measurements in children?Obesity (Silver Spring). 2008;16(2):457-462.
35.
RosendaleRPBartokCJ. Air-displacement plethysmography for the measurement of body composition in children aged 6-48 months. Pediatr Res. 2012;71(3):299-304.
36.
CrookTAArmbyaNClevesMABadgerTMAndresA. Air displacement plethysmography, dual-energy X-ray absorptiometry, and total body water to evaluate body composition in preschool-age children. J Acad Nutr Diet. 2012;112(12):1993-1998.
37.
LohmanTG. Assessment of body composition in children. Pediatr Exerc Sci. 1989;1:19-30.
38.
LohmanTG. Advances in Body Composition Assessment. Champaign, IL: Human Kinetics Publishers; 1992.
39.
LohmanTG. Advances in Body Composition Assessment. Current Issues in Exercise Science. Monograph No 3. Champaign, IL: Human Kinetics; 1992.
40.
DemerathEWFieldsDA. Challenges in infant body composition. Pediatr Res. 2012;72(3):329, author reply 30-31.
41.
RosendaleRPBartokCJ. Response to Demerath and Fields. Pediatric Res. 2012;72:330-331.
42.
LaForgiaJWithersRT. Measurement of total body water using 2H dilution: impact of different calculations for determining body fat. Br J Nutr. 2002;88(3):325-329.
43.
SchoellerDA. Hydrometry. In: RocheAFHemsfieldSBLohmanTG, eds. Human Body Composition. Champaign, IL: Human Kinetics; 1996:25-43.
44.
SchoellerDA. Changes in total body water with age. Am J Clin Nutr. 1989;50:1176-1181.
45.
HewittMJGoingSBWilliamsDPLohmanTG. Hydration of the fat-free body mass in children and adults: implications for body composition assessment. Am J Physiol. 1993;265(Endocrinol Metab 28):E88-E95.
46.
ClarysJPMartinADDrinkwaterDT. Gross tissue weights in human cadaver dissection. Hum Biol. 1984;56:459-473.
47.
HeymsfieldSBWangJKehayiasJHeshkaSLichtmanSPiersonN. Chemical determination of human body density in vivo: relevance to hydrodensitometry. Am J Clin Nutr. 1989;50:1282-1289.
48.
BaumgartnerRNHeymsfieldSBLichtmanSWangJPiersonRNJr. Body composition in elderly people: effect of criterion estimates on predictive equations. Am J Clin Nutr. 1991;53(6):1345-1353.
49.
FieldsDAWilsonGDGladdenLBHunterGRPascoeDDGoranMI. Comparison of the BOD POD with the 4-compartment model in adult females. Med Sci Sports Exerc. 2001;33(9):1605-1610.
50.
NuñezCKoveraAJPietrobelliA. Body composition in children and adults by air displacement plethysmography. Eur J Clin Nutr. 1999;53:382-387.
51.
NuñezCGallagherDBaumgartnerRRubianoFHeymsfieldSB. A comparison of air-displacement plethysmography with dual energy X-ray absorptiometry (DXA) in an elderly cohort. Med Sci Sports Exerc. 1999;31(5)(suppl):S202.
52.
PietrobelliAMoriniPBattistiniNChiumelloGNunezCHeymsfieldSB. Appendicular skeletal muscle mass: prediction from multiple frequency segmental bioimpedance analysis. Eur J Clin Nutr. 1998;52(7):507-511.
53.
PietrobelliANunezCZingarettiG. Assessment by bioimpedance of forearm cell mass: a new approach to calibration. Eur J Clin Nutr. 2002;56(8):723-728.
54.
SalinariSBertuzziAMingroneG. New bioimpedance model accurately predicts lower limb muscle volume: validation by magnetic resonance imaging. Am J Physiol Endocrinol Metab. 2002;282(4):E960-E966.
55.
JacksonASPollockMLGravesJEMaharMT. Reliability and validity of bioelectrical impedance in determining body composition. J Appl Physiol. 1988;64(2):529-534.
56.
PietrobelliARubianoFSt-OngeMPHeymsfieldSB. New bioimpedance analysis system: improved phenotyping with whole-body analysis. Eur J Clin Nutr. 2004;58(11):1479-1484.
57.
NorcrossJVan LoanMD. Validation of fan beam dual energy x ray absorptiometry for body composition assessment in adults aged 18-45 years. Br J Sports Med. 2004;38(4):472-476.
58.
LaForgiaJDollmanJDaleMJWithersRTHillAM. Validation of DXA body composition estimates in obese men and women. Obesity (Silver Spring). 2009;17(4):821-826.
59.
PietrobelliAGallagherDBaumgartnerRRossRHeymsfieldSB. Lean R value for DXA two-component soft-tissue model: influence of age and tissue or organ type. Appl Radiat Isot. 1998;49(5-6):743-744.
60.
PietrobelliAWangZFormicaCHeymsfieldSB. Dual-energy X-ray absorptiometry: fat estimation errors due to variation in soft tissue hydration. Am J Physiol. 1998;274(5, pt 1):E808-E816.
