商用 3DO 人体扫描仪测量中国成年人超重和肥胖症患者身体成分的适用性:基于减肥临床试验的二次分析。

IF 4.5 2区 医学 Q1 NUTRITION & DIETETICS
Jialu Wang, Anqi Song, Molian Tang, Yi Xiang, Yiquan Zhou, Zhiqi Chen, David Heber, Qingya Tang, Renying Xu
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引用次数: 0

摘要

背景:据报道,一种商用三维光学(3DO)扫描系统可用于身体成分评估。然而,该系统在中国成年人中的适用性还有待深入研究:该二次分析基于一项为期 16 周的减肥临床试验,该试验可选择性延长至 24 周。研究期间的每次随访均通过 3DO 扫描测量腰围、臀围和身体成分。每次随访时还进行生物电阻抗分析(BIA),以确认 3DO 扫描的可靠性。我们使用林氏相关系数(Lin's concordance correlation coefficients,CCC)来评估上述两种方法之间的相关性。我们还进行了Bland-Altman分析,以评估不同方法之间的一致性和潜在偏差:共有 70 名超重和肥胖的中国成年人(男性 23 人,女性 47 人,年龄为 31.8 ± 5.8 岁)参与了分析,共进行了 350 次 3DO 扫描和相应的 350 次 BIA 测量。通过 3DO 扫描,试验前的体脂率、脂肪量和无脂量分别为 33.9 ± 5.4%、26.7 ± 4.6 kg 和 50.3 ± 8.7 kg。试验 16 周后,它们分别为(30.5 ± 5.8%)、(22.5 ± 4.7 kg)和(49.4 ± 8.3 kg)。与 BIA 相比,3DO 扫描在评估无脂肪质量方面表现最佳(CCC = 0.89,95%CI:0.86,0.90),其次是脂肪质量(CCC = 0.76,95%CI:0.71,0.80)和体脂百分比(CCC = 0.70,95%CI:0.64,0.75)。分组分析表明,3DO 扫描和 BIA 在女性中的相关性优于男性,在测量体重较大(体重指数≥28.0 kg/m2)的参与者的去脂质量方面,其相关性优于体重较小的参与者(2):3DO扫描是监测中国超重和肥胖成年人身体成分变化的有效技术。结论:3DO 扫描是监测中国成年人超重和肥胖身体成分变化的有效技术,但其在不同种族中的准确性和可靠性还需进一步探讨。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The applicability of a commercial 3DO body scanner in measuring body composition in Chinese adults with overweight and obesity: a secondary analysis based on a weight-loss clinical trial.

Background: A commercial three-dimensional optical (3DO) scanning system was reported to be used in body composition assessment. However, the applicability in Chinese adults has yet to be well-studied.

Methods: This secondary analysis was based on a 16-week weight-loss clinical trial with an optional extension to 24 weeks. Waist and hip circumference and body composition were measured by 3DO scanning at each follow-up visit during the study. Bioelectrical impedance analysis (BIA) was also performed to confirm the reliability of 3DO scanning at each visit. We used Lin's concordance correlation coefficients (CCC) to evaluate the correlation between the two methods above-mentioned. Bland-Altman analysis was also performed to evaluate the agreement and potential bias between different methods.

Results: A total number of 70 Chinese adults overweight and obese (23 men and 47 women, aged 31.8 ± 5.8 years) were included in the analysis, which resulted in 350 3DO scans and corresponding 350 BIA measurements. The percent body fat, fat mass, and fat-free mass were 33.9 ± 5.4%, 26.7 ± 4.6 kg, and 50.3 ± 8.7 kg before the trial by 3DO scanning. And they were 30.5 ± 5.8%, 22.5 ± 4.7 kg, and 49.4 ± 8.3 kg after 16 weeks of the trial. Compared with BIA, 3DO scanning performed best in the assessment of fat-free mass (CCC = 0.89, 95%CI: 0.86, 0.90), then followed by fat mass (CCC = 0.76, 95%CI: 0.71, 0.80) and percent body fat (CCC = 0.70, 95%CI: 0.64, 0.75). Subgroup analysis showed that 3DO scanning and BIA correlated better in women than that in men, and correlated better in measuring fat-free mass in participants with larger body weight (BMI ≥28.0 kg/m2) than those with smaller body weight (<28.0 kg/m2).

Conclusions: 3DO scanning is an effective technology to monitor changes in body composition in Chinese adults overweight and obese. However its accuracy and reliability in different ethnicities needs further exploration.

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来源期刊
Journal of the International Society of Sports Nutrition
Journal of the International Society of Sports Nutrition NUTRITION & DIETETICS-SPORT SCIENCES
CiteScore
8.80
自引率
3.90%
发文量
34
审稿时长
6-12 weeks
期刊介绍: Journal of the International Society of Sports Nutrition (JISSN) focuses on the acute and chronic effects of sports nutrition and supplementation strategies on body composition, physical performance and metabolism. JISSN is aimed at researchers and sport enthusiasts focused on delivering knowledge on exercise and nutrition on health, disease, rehabilitation, training, and performance. The journal provides a platform on which readers can determine nutritional strategies that may enhance exercise and/or training adaptations leading to improved health and performance.
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