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Measurement of fat-free mass in infants.
de Bruin, N C; Westerterp, K R; Degenhart, H J; Visser, H K.
Afiliación
  • de Bruin NC; Department of Pediatrics, Erasmus University, The Netherlands.
Pediatr Res ; 38(3): 411-7, 1995 Sep.
Article en En | MEDLINE | ID: mdl-7494668
Body composition data are important for adequate monitoring of growth and nutritional status in infants. 18O Isotope dilution techniques (ID18-O) are widely used to estimate total body water (TBW) and calculate fat-free mass (FFM). A problem of isotope dilution is an underestimation of TBW by the extrapolation to t = O approach and an overestimation of TBW by the plateau approach. Using total body electrical conductivity (TOBEC) as the reference technique we validated the extrapolation approach by 149 measurements (boys, n = 76; girls, n = 73) in 50 healthy infants aged 1-12 mo. TOBEC-derived FFM and fat mass were in excellent agreement with Fomon's reference data. Strictly linear relationships with slopes not significantly different from one were found between FFM estimated by TOBEC (FFMTOBEC) and FFM estimated by ID18-O (FFM18-O) (r = 0.98 and residual SD = 0.29 for boys, r = 0.98 and residual SD = 0.32 for girls). FFM18-O was slightly but significantly lower than FFMTOBEC, the difference being on average 0.18 (+/- 0.24) kg for girls and 0.08 (+/- 0.21) kg for boys (i.e. respectively 4 (+/- 4.5)% (p < 0.0001) and 1.5 (+/- 3.9)% (p = 0.004) of FFMTOBEC). We conclude that ID18-O using the extrapolation to t = O approach is suitable for TBW and FFM estimations in groups of infants. Due to the considerable measurement error of ID18-O (estimated at approximately 6%), individual TBW18-O and FFM18-O estimates should be considered with some caution.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Composición Corporal / Índice de Masa Corporal / Antropometría Tipo de estudio: Observational_studies Límite: Female / Humans / Infant / Male Idioma: En Revista: Pediatr Res Año: 1995 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Composición Corporal / Índice de Masa Corporal / Antropometría Tipo de estudio: Observational_studies Límite: Female / Humans / Infant / Male Idioma: En Revista: Pediatr Res Año: 1995 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Estados Unidos