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National Guideline Clearinghouse | The official positions of the International Society for Clinical Densitometry: body composition analysis reporting.

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National Guideline Clearinghouse | The official positions of the International Society for Clinical Densitometry: body composition analysis reporting.





International Society for Clinical Densitometry

National Guideline Clearinghouse (NGC)

Guideline Title
The official positions of the International Society for Clinical Densitometry: body composition analysis reporting.
Bibliographic Source(s)
Petak S, Barbu CG, Yu EW, Fielding R, Mulligan K, Sabowitz B, Wu CH, Shepherd JA. The official positions of the International Society for Clinical Densitometry: body composition analysis reporting. J Clin Densitom. 2013 Oct-Dec;16(4):508-19. [92 references] PubMed External Web Site Policy
Guideline Status
This is the current release of the guideline.
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The Official Positions of the International Society for Clinical De... - PubMed - NCBI



 2013 Oct-Dec;16(4):508-19. doi: 10.1016/j.jocd.2013.08.018.

The Official Positions of the International Society for Clinical Densitometry: body composition analysis reporting.

Abstract

Dual-energy x-ray absorptiometry (DXA) measurements of body composition increasingly are used in the evaluation of clinical disorders, but there has been little guidance on how to effectively report these measures. Uniformity in reporting of body composition measures will aid in the diagnosis of clinical disorders such as obesity, sarcopenia, and lipodystrophy. At the 2013 International Society for Clinical Densitometry Position Development Conference on body composition, the reporting section recommended that all DXA body composition reports should contain parameters of body mass index, bone mineral density, BMC, total mass, total lean mass, total fat mass, and percent fat mass. The inclusion of additional measures of adiposity and lean mass are optional, including visceral adipose tissue, appendicular lean mass index, android/gynoid percent fat ratio, trunk to leg fat mass ratio, lean mass index, and fat mass index. Within the United States, we recommend the use of the National Health and Nutrition Examination Survey 1999-2004 body composition dataset as an age-, gender-, and race-specific reference and to calibrate BMC in 4-compartment models. Z-scores and percentiles of body composition measures may be useful for clinical interpretation if methods are used to adjust for non-normality. In particular, DXA body composition measures may be useful for risk-stratification of obese and sarcopenic patients, but there needs to be validation of thresholds to define obesity and sarcopenia. To summarize, these guidelines provide evidence-based standards for the reporting and clinical application of DXA-based measures of body composition.
Copyright © 2013 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

KEYWORDS:

Adipose mass; body composition; bone mineral density; lean mass; whole body

PMID:
 
24183640
 
[PubMed - indexed for MEDLINE]

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