IntroductionAccurate body fat (BF) evaluation is an important objective of nutritional assessment of older people (1). However, commonly used methods for assessing body composition such as underwater weighing and air displacement are not suitable for daily practice and may be not appropriate for older people who are not able to cope with these procedures (1, 2).The skinfold thickness (ST) measurement in distinct and pre defined body locations allows direct measurement of the subcutaneous adipose tissue thickness (1). The ST provides a good approximation for total BF, allowing the prompt identification of abnormal situations and is useful to evaluate the dynamic changes of an individual's local or total fat (3). Compared to other procedures for estimating body composition, the ST measurement is a non invasive, very convenient, easy, inexpensive and a highly informative technique to be used in older people (4).Skinfold thickness measurement can be directly converted in percent BF (%BF) or may require body density (BD) calculation using regression equations and further conversion in %BF through distinct prediction formulas. Equations for directly converting skinfold measurement to %BF are only available for younger olders (60 years old) (5) or nonCaucasian olders (6, 7), as opposed to adults (8-11). Therefore, the %BF estimation based on ST measurement, as in other methods like underwater weighting, requires the BD calculation and then its conversion in %BF, through equations. It is also known that the selection of the most appropriate equation should consider its validity within the population under study (15). The adequacy of Siri two compartment model for converting BD to %BF in older people has already been discussed (16,17). Previous studies have suggested that statements of Siri were appropriate for healthy old men but not for older women (16) and that Siri equation, depending on age, overestimates %BF by 2-3% in older individuals (17). The Brozek equation, originally developed for non-athletic young adult males, has subsequently been applied to different populations, including older adults (3). Although the study of the accuracy of these two equations has already been done in adults (18,19), in older people it remains to be seen which equation provides a more accurate transformation of BD in %BF.Therefore, the purpose of the present study is to identify which equation, Siri or Brozek, provides a more valid transformation of BD in %BF within older people. As DualEnergy X-ray Absorptiometry (DXA) is a well established reference method for the assessment of older individuals body composition (20,22), it was chosen as a criterion method.
Materials and Methods
Subjects and designThis was a university-based, cross-sectional study carried out on a convenience sample of older individuals, living in Porto, Portugal. The sample included 35 women aged 60-92 years, and 25 men aged 61-82 years, engaged in an exercise program at the Physical Activity, Health and Leisure Research
ACCURACY OF SIRI AND BROZEK EQUATIONS IN T...