研究社区居住老年女性体重指数分类之间的经典生物电阻抗矢量模式。
Examining Classic Bioimpedance Vector Patterns Between BMI Classifications Among Community-Dwelling Older Women.
作者信息
Lafontant Kworweinski, Fukuda David H, Chovatia Dea, Latta Cecil, Banarjee Chitra, Stout Jeffrey R, Xie Rui, Lopez Janet, Thiamwong Ladda
机构信息
Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL 32816, USA.
College of Nursing, University of Central Florida, Orlando, FL 32826, USA.
出版信息
Sensors (Basel). 2025 Jul 4;25(13):4181. doi: 10.3390/s25134181.
Body mass index (BMI) is not equipped to adequately detect obesity in individuals, leading to conditions such as normal-weight obesity, which disproportionately impact older women. Bioelectrical impedance vector analysis (BIVA) is a non-invasive and accessible method for assessing body composition and cellular health (e.g., resistance/height, reactance/height, phase angle), yet little is known about how BMI categories differ in cellular health. This cross-sectional study compared bioimpedance and adiposity across BMI classifications (normal weight, overweight, and obese) among 196 community-dwelling older women (age: 74.5 ± 7.0 years, BMI: 30.3 ± 6.3 kg/m) using a one-way ANOVA and BIVA software. Individual and group bioimpedance were plotted within tolerance and 95% confidence ellipses. Body fat percentage (F = 70.6, < 0.001, η = 0.42) and resistance/height (F = 36.4, < 0.001, η = 0.27) differed between normal-weight, overweight, and obese groups. Reactance/height (F = 36.4, < 0.001, η = 0.27) and phase angle (F = 4.77, = 0.01, η = 0.05) only differed between normal-weight and obese groups. When plotted with 95% BIVA confidence ellipses, BMI categories occupied distinct positions from each other (T = 16.1 - 66.6, D = 0.68 - 1.48, < 0.05). Within BIVA tolerance ellipses, overweight and obese categories fell in the "obese" quadrant, while the normal-weight category fell in the "athletic" quadrant. However, individual participants were predominantly scattered throughout the "cachectic," "obese," and "athletic" quadrants regardless of BMI. These findings suggest that BMI appears to be adequate for assessing population averages but not individual body composition. Future research should investigate the utility of bioelectrical resistance as a marker of obesity.
体重指数(BMI)无法充分检测个体的肥胖情况,从而导致诸如正常体重肥胖等状况,而这些状况对老年女性的影响尤为严重。生物电阻抗矢量分析(BIVA)是一种用于评估身体成分和细胞健康状况(例如电阻/身高、电抗/身高、相位角)的非侵入性且便捷的方法,但对于BMI类别在细胞健康方面的差异却知之甚少。这项横断面研究使用单因素方差分析和BIVA软件,比较了196名社区居住老年女性(年龄:74.5±7.0岁,BMI:30.3±6.3kg/m²)中不同BMI分类(正常体重、超重和肥胖)之间的生物电阻抗和肥胖程度。将个体和组的生物电阻抗绘制在容差和95%置信椭圆内。正常体重、超重和肥胖组之间的体脂百分比(F = 70.6,P < 0.001,η = 0.42)和电阻/身高(F = 36.4,P < 0.001,η = 0.27)存在差异。电抗/身高(F = 36.4,P < 0.001,η = 0.27)和相位角(F = 4.77,P = 0.01,η = 0.05)仅在正常体重和肥胖组之间存在差异。当用95% BIVA置信椭圆绘制时,BMI类别彼此占据不同位置(T = 16.1 - 66.6,D = 0.68 - 1.48,P < 0.05)。在BIVA容差椭圆内超重和肥胖类别落在“肥胖”象限,而正常体重类别落在“运动员”象限。然而,无论BMI如何,个体参与者主要分散在“恶病质”、“肥胖”和“运动员”象限。这些发现表明,BMI似乎足以评估总体平均值,但无法评估个体身体成分。未来的研究应调查生物电阻抗作为肥胖标志物的效用。
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