Table 2– Appropriate measurements of body composition and surrogate markers in research and clinical practice
VariableResearchClinical practice
Fat-free mass/fat massDeuterium dilutionDEXA, single-frequency BIA
Anthropometry (sum of four skin folds)
Intracellular massDeuterium dilution combined with bromide dilutionMultifrequency BIA
Muscle massCT
MRI
Biomarkers (i.e. D3-creatine dilution)
DEXA
Ultrasonography
Biomarkers (i.e. creatine height index)
Anthropometry (mid-arm muscle circumference)
Abdominal fatCTDEXA
Abdominal visceral fatMRI
Biomarkers (i.e. PAI-1)
Anthropometry (i.e. sagittal diameter and/or waist/hip circumference)
Ultrasonography
Bone mass and densityDEXADEXA
HRCT
Muscle strength and related physical performanceIsokinetic quadriceps strength
(Repetitive) magnetic stimulation
Timed up-and-go test
Stair-climb power test
Cycle ergometry
One-repetition maximum
Handgrip strength
Timed up-and-go test
Stair-climb power test
  • DEXA: dual-energy X-ray absorptiometry; BIA: bioelectrical impedance; CT: computed tomography; MRI: magnetic resonance imaging; PAI: plasminogen-activator inhibitor; HRCT: high-resolution computed tomography.