Published October 5, 2020 | Version v1
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Assessment of fat-free mass from bioelectrical impedance analysis in men and women with Prader-Willi syndrome: cross-sectional study

Authors/Creators

  • 1. Clinical Epidemiology Unit , Liver Research Center , Basovizza , Trieste , Italy; International Center for the Assessment of Nutritional Status (ICANS), University of Milano , Milano , Italy
  • 2. Istituto Auxologico Italiano, IRCCS, Division of Auxology and Metabolic Diseases, Piancavallo (VB) , Italy
  • 3. Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research , Milano and Piancavallo (VB) , Italy
  • 4. Istituto Auxologico Italiano, IRCCS, Division of General Medicine, Piancavallo (VB) , Italy; Department of Translational Medicine , University of Piemonte Orientale , Novara , Italy
  • 5. Istituto Auxologico Italiano, IRCCS, Division of Auxology and Metabolic Diseases, Piancavallo (VB) , Italy; Istituto Auxologico Italiano, IRCCS, Experimental Laboratory for Auxo-Endocrinological Research , Milano and Piancavallo (VB) , Italy

Description

We have recently shown that population-specific formulae are required to estimate fat-free mass (FFM) from bioelectrical impedance analysis (BIA) in obese women with Prader-Willi syndrome (PWS) matched by age and percent fat mass (FM) to non-PWS women. The present cross-sectional study was aimed at developing generalised BIA equations that could be used in PWS subjects independently of sex and FM. We used dual-energy X-ray absorptiometry to measure FFM and BIA to measure whole-body impedance at 50 kHz (Z50) in 34 women and 21 men with PWS. The impedance index, that is, height (cm)2/Z50 (Ω), explained 77% (BCa-bootstrapped 95% CI 65 to 85%) of the variance of FFM with a root mean squared error of the estimate of 3.7 kg (BCa-bootstrapped 95% CI 3.2 to 4.5 kg). BIA can be used to estimate FFM in obese and non-obese PWS men and women by means of population-specific equations.

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