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J Appl Physiol 94: 959-965, 2003. First published November 1, 2002; doi:10.1152/japplphysiol.00732.2002
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Vol. 94, Issue 3, 959-965, March 2003

QDR 4500A DXA overestimates fat-free mass compared with criterion methods

Frances Tylavsky1, Timothy Lohman2, Barbara A. Blunt3, Dale A. Schoeller4, Thomas Fuerst5, Jane A. Cauley6, Michael C. Nevitt7, Marjolein Visser8
Tamara B. Harris9
For The Health ABC Study

1 Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee 38105; 2 Department of Physiology, University of Arizona, Tucson, Arizona 85721; 3 PPD Development, Inc., Austin, Texas 78704; 4 Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, Wisconsin 53706; 5 Synarc, Inc. and 7 Department of Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, California 94105; 6 University of Pittsburgh, Pittsburgh, Pennsylvania 15261; 8 Institute for Research in Extramural Medicine, VU University Medical Center, 1081 BT Amsterdam, The Netherlands; and 9 National Institute on Aging, National Institutes of Health, Bethesda, Maryland 20892

This study evaluated the accuracy with which the dual-energy X-ray absorptiometer (Hologic QDR 4500A) measured fat-free mass (FFM), fat mass (FM), and hydration of FFM. In a study of 58 men and women (ages 70-79 yr), the QDR 4500A was found to provide a systematically higher estimate of FFM and lower estimate of FM than a four-component model of body composition. A correction factor from this study was developed and applied to two other samples (n = 13 and 37). We found mean corrected levels of FFM and FM to be equivalent to that obtained by the four-component model or total body water. In addition, the hydration of the corrected FFM was closer to the established hydration level in adult samples and that obtained from the four-component model. These findings suggest that the current calibration of the fan-beam system of the Hologic QDR 4500A provides an overestimate of FFM and underestimate of FM compared with reference methods.

body composition; hydration of fat-free mass; four-component model of body composition; total body water; dual-energy X-ray absorptiometer


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