problendoПроблемы ЭндокринологииProblems of Endocrinology0375-96602308-1430Endocrinology Research Centre10.14341/probl13538problendo-13538Research ArticleБолезни костной и жировой тканиBones & Adipose tissues diseasesВзаимозаменяемость различных косвенных методов определения состава телаInterchangeability of different indirect methods for determining body compositionhttps://orcid.org/0000-0003-3321-7575БондареваЭ. А.BondarevaE. A.

Бондарева Эльвира Александровна, к.б.н. 

119435, Москва, ул. Малая Пироговская, д. 1а 

Elvira A. Bondareva, PhD

1a Malaya Pirogovskaya street, 119435 Moscow

antropogen20@gmail.comhttps://orcid.org/0009-0002-7396-521XГараськоБ. А.GaraskoB. A.

Гарасько Борис Аркадьевич, к.м.н. 

Москва

Boris A. Garasko, PhD

Moscow

bgarasko@mail.ruhttps://orcid.org/0000-0001-6435-7218Хромов-БорисовН. Н.Khromov-BorisovN. N.

Хромов-Борисов Никита Николаевич, к.б.н. 

Москва

Nikita N. Khromov-Borisov, PhD

Moscow

Nikita.KhromovBorisov@gmail.comhttps://orcid.org/0000-0001-8077-9381МазуринаН. В.MazurinaN. V.

Мазурина Наталия Валентиновна, д.м.н. 

Москва

Natalya V. Mazurina, MD. PhD

Moscow

natalyamazurina@mail.ruhttps://orcid.org/0000-0002-6220-4397ЕршоваЕ. В.ErshovaE. V.

Ершова Екатерина Владимировна, к.м.н. 

Москва

Ekaterina V. Ershova, MD. PhD

Moscow

yu99pol06@rambler.ruhttps://orcid.org/0000-0002-6624-2374КомшиловаК. А.KomshilovaK. A.

Комшилова Ксения Андреевна, к.м.н. 

Москва

Kseniya A. Komshilova, PhD

Moscow

Komshilova.Kseniya@endocrincentr.ruhttps://orcid.org/0000-0002-8520-8702ТрошинаЕ. А.TroshinaE. A.

Трошина Екатерина Анатольевна, д.м.н, член-корр. РАН, профессор 

Москва

Ekaterina A. Troshina, MD. PhD, Professor

Moscow

troshina@inbox.ruФедеральный научно-клинический центр физико-химической медицины им. акад. Ю.М. Лопухина Федерального медико-биологического агентстваРоссияLopukhin Federal research and clinical center of physical-chemical medicine, Federal medical biological agencyRussian FederationКомиссия РАН по борьбе с лженаукойРоссияCommission on Pseudoscience of Russian Academy of SciencesRussian FederationНациональный медицинский исследовательский центр эндокринологии им. акад. И.И. ДедоваРоссияI.I. Dedov Endocrinology Research CentreRussian Federation2025140920257144756Copyright © Бондарева Э.А., Гарасько Б.А., Хромов-Борисов Н.Н., Мазурина Н.В., Ершова Е.В., Комшилова К.А., Трошина Е.А., 20252025Бондарева Э.А., Гарасько Б.А., Хромов-Борисов Н.Н., Мазурина Н.В., Ершова Е.В., Комшилова К.А., Трошина Е.А.Bondareva E.A., Garasko B.A., Khromov-Borisov N.N., Mazurina N.V., Ershova E.V., Komshilova K.A., Troshina E.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.probl-endojournals.ru/jour/article/view/13538ОБОСНОВАНИЕ

ОБОСНОВАНИЕ. Определение компонентов состава тела — мышечной и жировой массы — важный этап клинических и эпидемиологических исследований. Наиболее распространенными методами количественного определения состава тела являются косвенные методы. Однако разнообразие применяемых методов и моделей приборов затрудняет прямое сопоставление данных как на групповом, так и на индивидуальном уровнях.

ЦЕЛЬ

ЦЕЛЬ. Целью исследования является анализ согласованности оценок абсолютных значений жировой и безжировой массы тела, а также доли жировой массы тела, полученных с применением биоимпедансных анализаторов АВС-02 «Медасс» (НТЦ Медасс, Россия), 770InBody (InBody, Корея) и ультразвукового сканера BodyMetrix BX2000 (IntelaMetrix, США) в группе мужчин и женщин.

МАТЕРИАЛЫ И МЕТОДЫ

МАТЕРИАЛЫ И МЕТОДЫ. Проведено обсервационное одноцентровое одномоментное неконтролируемое исследование. Было проведено измерение основных антропометрических признаков (длина и масса тела, окружность талии). Состав тела определяли методом биоимпедансометрии (БИА) по октополярной схеме на приборе 770InBody и по тетраполярной схеме на приборе АВС-02 «Медасс» и ультразвукового исследования (УЗИ) с применением ультразвукового сканера BodyMetrix BX2000 (BM). Были рассчитаны абсолютное (ЖМ) и относительное (%ЖМ) количество жировой массы тела и безжировая масса тела (БЖМ).

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ. Были обследованы 48 человек (38 женщин и 10 мужчин) в возрасте от 24 до 74 лет. Антропометрические признаки обследованных представлены широким диапазоном. Для всех пар компонентного состава тела обнаружена сильная корреляционная связь с минимальным значением для пары %ЖМ АВС-BM 0,85 [0,73; 0,91] и максимальным 0,998 [0,977; 0,993] для пары ЖМ АВС-InBody. Для всех пар измерений, кроме %ЖМ, определенного методом БИА, обнаружены значимые статистические различия (p<0,001). Показаны: высокая согласованность между БИА оценками абсолютного количества жировой массы (ЖМ) (CCC>0,95), умеренная согласованность (CCC 0,9–0,95) для доли жировой массы (%ЖМ), определенной разными БИА анализаторами, а для всех остальных пар согласованность измерений можно признать как слабую (CCC<0,90).

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ. Наилучшая согласованность на групповом и индивидуальном уровнях выявлена для оценок жировой массы тела двумя разными БИА анализаторами (InBody и ABC).

BACKGROUND

BACKGROUND: Determination of body composition components — muscle and fat mass — is an important step in clinical and epidemiological studies. The most common methods for quantitative determination of body composition are indirect methods. However, the variety of methods and models of devices used makes direct comparison of data at both group and individual levels difficult.

AIM

AIM: The aim of the study is to analyze the consistency of estimates of absolute values of fat and lean body mass, as well as the proportion of body fat mass, obtained using bioimpedance analyzers ABC-02 «Medas» (STC Medas, Russia), 770InBody (InBody, Korea) and ultrasound scanner BodyMetrix BX2000 (IntelaMetrix, USA) in a group of men and women.

MATERIALS AND METHODS

MATERIALS AND METHODS: An observational, single-center, cross-sectional, uncontrolled study was conducted. The main anthropometric characteristics (height and weight, waist circumference) were measured. Body composition was determined by bioimpedancemetry (BIA) using the octopolar scheme on the 770InBody device and the tetrapolar scheme on the ABC-02 Medass device and ultrasound scanning using the BodyMetrix BX2000 (BM) ultrasound scanner. The absolute (FM) and relative amount of body fat (PBF) and lean body mass were calculated.

RESULTS

RESULTS: A total of 48 people (38 women and 10 men) aged 24 to 74 years were examined. The anthropometric characteristics of the examined subjects were presented in a wide range. A strong correlation was found for all pairs of body composition components: the minimum value for the pair PBF ABC-BM was 0.853 [0.730, 0.913], the maximum was 0.988 [0.977, 0.993] for the pair FM ABC-InBody. Also, significant statistical differences (p<0.001) were found for all pairs of measurements, except for PBF determined by the BIA method. High agreement (CCC>0.95) of BIA estimates of the absolute amount of fat mass was shown, moderate agreement (CCC 0.9–0.95) is characteristic of the PBF determined by different BIA analyzers, and for all other pairs the agreement of measurements can be assessed as weak (CCC<0.90).

CONCLUSION

CONCLUSION: The best agreement at the group and individual levels was found for FM estimates by two different BIA analyzers (InBody and ABC).

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The authors declare that there are no conflicts of interest present.