Obesity, Morbid Clinical Trial
Official title:
Plantar Callosities and the Validity of Body Composition Assessment by Bio-impedance in Severely Obese Persons
Studies have confirmed the association between plantar callosities and severely obese
individuals. Bioelectrical impedance analysis (BIA) is an increasingly popular tool for
estimating body composition because it is easy to use, noninvasive, relatively inexpensive,
and can be performed across a wide range of subjects.
Our hypotheses for this study are: (1)plantar callosities influence the body composition
measurements obtained by bioelectrical impedance analysis BIA, and (2) BIA underestimates
the percentage of body fat compared with air-displacement plethysmography (BodPod).
As the prevalence of obesity continues to increase, many parts of the world are
progressively facing a rise in the number of people who fall under WHO obesity class 2 and
3. Since severe obesity is characterized by large alterations in body compartments when
compared to overweight or non-obese individuals, there is a need for the evaluation of the
body composition of severely obese persons. There is very few published research available
on what methods of body composition measurements can be used on this population.
Other studies have also shown the tendency of bioelectrical impedance analysis (BIA)
instruments to underestimate percentage of fat mass and overestimate the percentage of fat
free nass, compared with gold-standard techniques. We think that plantar callosities might
have contributed to the lack of accurate measurements. Thus, the primary aim of this study
is to determine whether plantar callosities influence the validity of body composition
measurements obtained by BIA, using the InBody 720. The secondary aim is to assess the
validity of the body composition measurements obtained by BIA (InBody 720) in severely obese
individuals, using air-displacement plethysmography (BodPod) as the gold standard.
Additionally, we will explore various sources of error using test-retest reliabilities by
measuring body composition with different arm postures. We will examine this further to rule
out the possibility of "positions of measurement" as a potential confounder of this study.
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Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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