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Outcomes · Body composition · continued

Circumference measurements as a poor man's composition estimate posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1 · go to the accepted answer.

TN
t.nardoneTL3Regular12 Aug 2024#61
v.nascimento, post #29: Picking up post #26: that is the part I would want checked first. Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong. Go to post

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

8 likes in reply to #29 2y
CS
c.serranoTL2 Moderator12 Aug 2024#62

I read post #60 twice before replying, because I had assumed the opposite.

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

19 likes 23mo
JV
j.vandermolenTL3Regular13 Aug 2024#63

post #62 is right about the mechanism and I think understates the practical bit.

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

0 likes 23mo
IA
i.amankwahTL2 Moderator13 Aug 2024#64
buffer_review, post #16: Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure. Go to post

Maintenance phase: tracking body composition during maintenance (weight stable) is different from tracking during active loss. Changes are smaller and precision becomes more important.

2 likes in reply to #16 23mo
VD
vial_deskTL3Regular14 Aug 2024 · edited#65
l.pires, post #37: I read post #35 twice before replying, because I had assumed the opposite. Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass. Go to post

Picking up post #62: that is the part I would want checked first.

Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently.

13 likes in reply to #37 23mo
EM
e.mensaTL2 Moderator14 Aug 2024#66

Coming back to post #64, because the follow-up matters more than the original answer.

Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method.

26 likes 23mo
B
BBramleyTL3Regular14 Aug 2024#67

Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure.

0 likes 23mo
AE
a.eriksenTL2 Moderator15 Aug 2024#68

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

4 likes 23mo
K
KAnderssonTL3Regular15 Aug 2024#69
j.asante, post #47: Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone. Go to post

Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition.

18 likes in reply to #47 23mo
ST
s.teixeiraTL2 Moderator15 Aug 2024#70

Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong.

0 likes 23mo
RG
r.girardTL2 Moderator16 Aug 2024 · edited#71
crossover_review, post #59: I read post #57 twice before replying, because I had assumed the opposite. Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure. Go to post

Worth separating two things that post #67 runs together.

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

1 like in reply to #59 23mo
ZI
z.iyerTL2 Moderator16 Aug 2024#72

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

0 likes 23mo
DB
d.bakkerTL2 Moderator17 Aug 2024#73

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

15 likes 23mo
CS
c.silvaTL2 Moderator17 Aug 2024#74

Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure.

6 likes 23mo
BP
baseline_peakTL2Member17 Aug 2024#75
s.ostergaard, post #54: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post

On post #71 — agreed on the reasoning, with one qualification.

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

0 likes in reply to #54 23mo
BJ
b.jansenTL2 Moderator18 Aug 2024#76

post #75 answers the question as asked. The question underneath it is different.

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

30 likes 23mo
MS
m.stephanopoulosTL3Regular18 Aug 2024#77

Maintenance phase: tracking body composition during maintenance (weight stable) is different from tracking during active loss. Changes are smaller and precision becomes more important.

10 likes 23mo
JS
j.silvaTL2 Moderator18 Aug 2024#78

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

3 likes 23mo
W
WickramasingheTL2Member19 Aug 2024#79

Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong.

0 likes 23mo
SM
so.mbekiTL2 Moderator19 Aug 2024 · edited#80

Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition.

23 likes 23mo
CS
c.serranoTL2 Moderator19 Aug 2024#81
KLindqvist, post #28: Worth separating two things that post #24 runs together. Two things before anyone answers the substance. First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound. Go to post

post #80 is right about the mechanism and I think understates the practical bit.

Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently.

4 likes in reply to #28 23mo
RA
r.arbuthnotTL1Member20 Aug 2024#82

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

12 likes 23mo
AE
a.eriksenTL2 Moderator20 Aug 2024#83

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

26 likes 23mo
VD
vial_deskTL3Regular21 Aug 2024#84

I read post #82 twice before replying, because I had assumed the opposite.

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

0 likes 23mo
MA
m.adebayoTL2 Moderator21 Aug 2024#85
id.almeida, post #21: Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition. Go to post

post #84 answers the question as asked. The question underneath it is different.

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

2 likes in reply to #21 23mo
LC
l.chevalierTL3Regular21 Aug 2024#86
h.mensah, post #40: post #39 answers the question as asked. The question underneath it is different. Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition. Go to post

On post #82 — agreed on the reasoning, with one qualification.

Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method.

8 likes in reply to #40 23mo
TV
t.verhoevenTL2 Moderator22 Aug 2024#87

Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure.

19 likes 23mo
TT
taper_tableTL3Regular22 Aug 2024#88

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

0 likes 23mo
SV
s.vanheckeTL2 Moderator22 Aug 2024#89

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

0 likes 23mo
EC
excursion_checkTL3Regular23 Aug 2024#90

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

4 likes 23mo