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Topic summary

DXA precision and the least significant change for lean mass — the long version

This is a generated summary. It shows the 9 most-liked posts from a topic of 112, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
JR
j.rasmussenTL2Regular4 May 2025#5

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

29 likes 15mo
I
IsaksenTL3Regular12 May 2025#31

Coming back to post #29, because the follow-up matters more than the original answer.

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.

30 likes 15mo
DB
da.bakkerTL2 Moderator14 May 2025#40

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

29 likes 14mo
IA
i.amankwahTL2 Moderator15 May 2025#45

Picking up post #42: that is the part I would want checked first.

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

28 likes 14mo
EV
e.verhoevenTL2 Moderator17 May 2025#53
unit_conversion, post #21: 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

I read post #51 twice before replying, because I had assumed the opposite.

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.

33 likes in reply to #21 14mo
MS
m.steinerTL2 Moderator19 May 2025#62

On post #58 — agreed on the reasoning, with one qualification.

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.

30 likes 14mo
RB
r.bakkenTL2 Moderator21 May 2025#74

post #73 is right about the mechanism and I think understates the practical bit.

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.

28 likes 14mo
MS
m.steinerTL2 Moderator24 May 2025#87
p.fontaine, post #38: post #37 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. Go to post

post #86 is right about the mechanism and I think understates the practical bit.

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.

27 likes in reply to #38 14mo
AW
a.westergaardTL3Regular27 May 2025#104
a.hartmann, post #49: For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use. 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.

30 likes in reply to #49 14mo

Read the full topic (112 posts)

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