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Open Access 01-12-2024 | Obesity | Review

Body composition assessment in individuals with class II/III obesity: a narrative review

Authors: Erika Aparecida Silveira, Maria Clara Rezende Castro, Andrea Toledo Oliveira Rezende, Ana Paula dos Santos Rodrigues, Felipe Mendes Delpino, Emilly Santos Oliveira, Flávia Campos Corgosinho, Cesar de Oliveira

Published in: BMC Nutrition | Issue 1/2024

Abstract

Background

Individuals with class II/III obesity have a high percentage of body fat. Assessing body composition in cases of severe obesity can be difficult and controversial both in clinical practice and scientific research. Thus, it is essential to explore the different aspects of evaluating body composition and to discuss the available methods to assess it in this population.

Aims

To summarise and discuss the methods used to measure body composition in adults with class II/III obesity and their potential in clinical practice and scientific research.

Methods

This is a narrative review using data from PubMed, Scielo, and Lilacs databases. Original articles on body composition analysis in adults with class II/III obesity i.e., a BMI ≥ 35 kg/m² were eligible. Body composition assessment methods were analysed and described.

Results

Some imaging methods produced significantly accurate results. Dual-energy X-ray absorptiometry (DXA) significantly produces accurate results and has been used in clinical studies. However, due to its high cost, it is not applicable in clinical practice. Multifrequency bioelectrical impedance analysis (BIA) has good accuracy and is more appropriate for clinical practice than other methods. We have highlighted several aspects of the importance and applicability of performing body composition analysis in individuals with class II/III obesity.

Conclusion

DXA has been considered the most adequate method for clinical research. Multifrequency BIA may be a viable alternative to DXA for use in clinical practice. Assessing body composition and its components is important for people with class II/III obesity. It can help improve the effectiveness of interventions and clinical treatments, especially in reducing the risk of losing muscle mass. Muscle loss can cause sarcopenic obesity and other clinical complications, so understanding body composition is crucial. Assessing body composition can also help understand the impact of interventions on bones and avoid clinical complications.

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Title: Body composition assessment in individuals with class II/III obesity: a narrative review
Authors: Erika Aparecida Silveira
Maria Clara Rezende Castro
Andrea Toledo Oliveira Rezende
Ana Paula dos Santos Rodrigues
Felipe Mendes Delpino
Emilly Santos Oliveira
Flávia Campos Corgosinho
Cesar de Oliveira
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Obesity
Radiology
Published in: BMC Nutrition / Issue 1/2024
Electronic ISSN: 2055-0928
DOI: https://doi.org/10.1186/s40795-024-00913-2

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Perceived healthiness of foods, food avoidance and diet-related anxiety in individuals with self-reported irritable bowel syndrome: a cross-sectional study

Open Access
Research

Docosahexaenoic acid (DHA) impairs hypoxia-induced cellular and exosomal overexpression of immune-checkpoints and immunomodulatory molecules in different subtypes of breast cancer cells

Open Access
Breast Cancer
Research

At a glance: The STEP trials

Obesity
Clinical Trial Summary

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote series | Spotlight on menopause

Springer Medicine

Body composition assessment in individuals with class II/III obesity: a narrative review

Abstract

Background

Aims

Methods

Results

Conclusion

Other articles of this Issue 1/2024

Implementing healthy food policies in health sector settings: New Zealand stakeholder perspectives

Dietary diversity and associated factors among women attending antenatal clinics in the coast region of Tanzania

The effect of coconut oil and palm oil on anthropometric parameters: a clinical trial

Food and nutrition knowledge, attitudes and practices among children in public primary school with canteens in southern Benin: a case study

Perceived healthiness of foods, food avoidance and diet-related anxiety in individuals with self-reported irritable bowel syndrome: a cross-sectional study

Docosahexaenoic acid (DHA) impairs hypoxia-induced cellular and exosomal overexpression of immune-checkpoints and immunomodulatory molecules in different subtypes of breast cancer cells

At a glance: The STEP trials

Keynote series | Spotlight on menopause

Springer Medicine

Abstract

Background

Aims

Methods

Results

Conclusion

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