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Int J Sports Med 2020; 41(09): 610-615
DOI: 10.1055/a-1152-4865
Nutrition

Phase Angle is Determined by Body Composition and Cardiorespiratory Fitness in Adolescents

Raquel David Langer 
1   Faculty of Medical Sciences, Growth and Development Laboratory – Center for Investigation in Pediatrics (CIPED), State University of Campinas, Campinas, Brazil
,
Roseane de Fatima Guimarães
2   School of Kinesiology and Physical Activity Sciences, Universite de Montreal, Montreal, Canada
,
Ezequiel Moreira Gonçalves
1   Faculty of Medical Sciences, Growth and Development Laboratory – Center for Investigation in Pediatrics (CIPED), State University of Campinas, Campinas, Brazil
,
Gil Guerra-Junior
1   Faculty of Medical Sciences, Growth and Development Laboratory – Center for Investigation in Pediatrics (CIPED), State University of Campinas, Campinas, Brazil
,
Anderson Marques de Moraes
3   Department of Sports Science, Pontifical Catholic University of Campinas, Campinas, Brazil
› Author Affiliations Funding: We also thank the Coordination for the Improvement of Higher Education Personnel—CAPES [grant number: 23001.000422/98-30] for support this study.
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Abstract

The phase angle is used to evaluate nutritional status and is an indicator of cellular health. Cardiorespiratory fitness and body composition are strong indicators of health during adolescence. We aimed to evaluate if body composition and cardiorespiratory fitness have an association with phase angle among adolescents. 203 girls and 220 boys (12.8±1.3 years) were evaluated. Peak height velocity, percentage fat mass, fat-free mass, cardiorespiratory fitness, and phase angle measurements were collected. Linear regression adjusted by peak height velocity was used to verify if predictor variables were associated with phase angle among adolescents. Phase angle showed correlation with fat-free mass (girls: r=0.42 and boys: r=0.37); with percent fat mass (girls: r=0.23); and with cardiorespiratory fitness (boys: r=0.19). Linear regression showed that percentage fat mass (in girls) and cardiorespiratory fitness (in boys) had an effect of 11 and 17% in phase angle, respectively, while fat-free mass had an effect of 22 and 26% in phase angle for girls and boys, respectively. Changes in phase angle seem to be more associated with the percentage fat mass in girls, cardiorespiratory fitness in boys, and fat-free mass in both when controlled by peak height velocity.

Key words

bioelectrical impedance analysis - fat mass - fat-free mass - physical activity


Publication History

Received: 00 00 2020

Accepted: 18 March 2020

Article published online:
30 April 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • References

  • 1 Guo SS, Chumlea WC, Roche AF. et al. Age- and maturity-related changes in body composition during adolescence into adulthood: The Fels Longitudinal Study. Int J Obes Relat Metab Disord 1997; 21: 1167-1175
    CrossrefPubMedGoogle Scholar
  • 2 McCormack L, Meendering J, Specker B. et al. Associations between sedentary time, physical activity, and dual-energy X-ray absorptiometry measures of total body, android, and gynoid fat mass in children. J Clin Densitom 2016; 19: 368-374
    CrossrefPubMedGoogle Scholar
  • 3 Fomon SJ, Haschke F, Ziegler EE. et al. Body composition of reference children from birth to age 10 years. Am J Clin Nutr 1982; 35: 1169-1175
    CrossrefPubMedGoogle Scholar
  • 4 Wells JC, Fuller NJ, Dewit O. et al. Four-component model of body composition in children: density and hydration of fat-free mass and comparison with simpler models. Am J Clin Nutr 1999; 69: 904-912
    CrossrefPubMedGoogle Scholar
  • 5 Guo SS, Wu W, Chumlea WC. et al. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr 2002; 76: 653-658
    CrossrefPubMedGoogle Scholar
  • 6 Kyle UG, Bosaeus I, De Lorenzo AD. et al. Bioelectrical impedance analysis–part I: Review of principles and methods. Clin Nutr 2004; 23: 1226-1243
    CrossrefPubMedGoogle Scholar
  • 7 Baumgartner RN, Chumlea WC, Roche AF. Bioelectric impedance phase angle and body composition. Am J Clin Nutr 1988; 48: 16-23
    CrossrefPubMedGoogle Scholar
  • 8 Norman K, Stobäus N, Pirlich M. et al. Bioelectrical phase angle and impedance vector analysis – Clinical relevance and applicability of impedance parameters. Clin Nutr 2012; 31: 854-861
    CrossrefPubMedGoogle Scholar
  • 9 Kyle UG, Genton L, Pichard C. Low phase angle determined by bioelectrical impedance analysis is associated with malnutrition and nutritional risk at hospital admission. Clin Nutr 2013; 32: 294-299
    CrossrefPubMedGoogle Scholar
  • 10 Dittmar M, Reber H, Kahaly GJ. Bioimpedance phase angle indicates catabolism in type 2 diabetes. Diabet Med 2015; 32: 1177-1185
    CrossrefPubMedGoogle Scholar
  • 11 Martins PC, de Lima LRA, Silva AM. et al. Phase angle is associated with the physical fitness of HIV-infected children and adolescents. Scand J Med Sci Sports 2019; 29: 1006-1012
    PubMedGoogle Scholar
  • 12 Paiva SI, Borges LR, Halpern-Silveira D. et al. Standardized phase angle from bioelectrical impedance analysis as prognostic factor for survival in patients with cancer. Support Care Cancer 2010; 19: 187-192
    CrossrefPubMedGoogle Scholar
  • 13 Władysiuk MS, Mlak R, Morshed K. et al. Bioelectrical impedance phase angle as a prognostic indicator of survival in head-and-neck cancer. Curr Oncol 2016; 23: e481-e487
    CrossrefPubMedGoogle Scholar
  • 14 Ribeiro AS, Avelar A, Dos Santos L. et al. Hypertrophy-type resistance training improves phase angle in young adult men and women. Int J Sports Med 2017; 38: 35-40
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Nabuco HCG, Silva AM, Sardinha LB. et al. Phase angle is moderately associated with short-term maximal intensity efforts in soccer players. Int J Sports Med 2019; 40: 739-743
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Ostojic SM, Stojanovic M, Stojanovic V. et al. Adiposity, physical activity and blood lipid profile in 13-year-old adolescents. J Pediatr Endocrinol Metab 2010; 23: 333-343
    CrossrefPubMedGoogle Scholar
  • 17 Grønbæk H, Lange A, Birkebæk NH. et al. Effect of a 10-week weight loss camp on fatty liver disease and insulin sensitivity in obese Danish children. J Pediatr Gastroenterol Nutr 2012; 54: 223-228
    CrossrefPubMedGoogle Scholar
  • 18 García-Hermoso A, Alonso-Martinez AM, Ramírez-Vélez R. et al. Effects of exercise intervention on health-related physical fitness and blood pressure in preschool children: A systematic review and meta-analysis of randomized controlled trials. Sports Med 2019; 50: 187-203
    CrossrefPubMedGoogle Scholar
  • 19 Ekelund U, Luan J, Sherar LB. et al. Moderate to vigorous physical activity and sedentary time and cardiometabolic risk factors in children and adolescents. JAMA 2012; 307: 704-712
    CrossrefPubMedGoogle Scholar
  • 20 Harriss DJ, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Moore SA, McKay HA, Macdonald H. et al. Enhancing a somatic maturity prediction model. Med Sci Sports Exerc 2015; 47: 1755-1764
    CrossrefPubMedGoogle Scholar
  • 22 Langer RD, Matias CN, Borges JH. et al. Accuracy of bioelectrical impedance analysis in estimated longitudinal fat-free mass changes in male Army cadets. Mil Med 2018; 183: e324-e331
    CrossrefPubMedGoogle Scholar
  • 23 Deurenberg P, Kusters CS, Smit HE. Assessment of body composition by bioelectrical impedance in children and young adults is strongly age-dependent. Eur J Clin Nutr 1990; 44: 261-268
    PubMedGoogle Scholar
  • 24 Ferguson B. ACSM’s Guidelines for Exercise Testing and Prescription, 9th Ed. J Can Chiropr Assoc 2014; 58: 328
    PubMedGoogle Scholar
  • 25 Slaughter MH, Lohman TG, Boileau RA. et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol 1988; 60: 709-723
    PubMedGoogle Scholar
  • 26 Léger L, Lambert J, Goulet A. et al. Aerobic capacity of 6–17-year-old Quebecois--20 meter shuttle run test with 1 minute stages. Can J Appl Sport Sci 1984; 9: 64-69
    PubMedGoogle Scholar
  • 27 Ramírez-Vélez R, Rodrigues-Bezerra D, Correa-Bautista JE. et al. Reliability of health-related physical fitness tests among Colombian children and adolescents: The FUPRECOL Study. PLoS One 2015; 10: e0140875
    CrossrefPubMedGoogle Scholar
  • 28 Liu NY-S, Plowman SA, Looney MA. The reliability and validity of the 20-meter shuttle test in American students 12 –15 years old. Res Q Exerc Sport 1992; 63: 360-365
    CrossrefPubMedGoogle Scholar
  • 29 Bosy-Westphal A, Danielzik S, Dörhöfer R-P. et al. Phase angle from bioelectrical impedance analysis: Population reference values by age, sex, and body mass index. JPEN J Parenter Enteral Nutr 2006; 30: 309-316
    CrossrefPubMedGoogle Scholar
  • 30 Dittmar M. Reliability and variability of bioimpedance measures in normal adults: Effects of age, gender, and body mass. Am J Phys Anthropol 2003; 122: 361-370
    CrossrefPubMedGoogle Scholar
  • 31 Kyle UG, Genton L, Slosman DO. et al. Fat-free and fat mass percentiles in 5225 healthy subjects aged 15–98 years. Nutrition 2001; 17: 534-541
    CrossrefPubMedGoogle Scholar
  • 32 Malecka-Tendera E, Mazur A. Childhood obesity: a pandemic of the twenty-first century. Int J Obes (Lond) 2006; 30 Suppl 2 S1-S3
    CrossrefPubMedGoogle Scholar
  • 33 World Health Organization. 10 facts on obesity. 2017. Retrieved from https://www.who.int/features/factfiles/obesity/en/; date accessed: Sept. 24, 2019
    PubMed
  • 34 de Luis DA, Aller R, Romero E. et al. Relation of phase angle tertiles with blood adipocytokines levels, insulin resistance and cardiovascular risk factors in obese women patients. Eur Rev Med Pharmacol Sci 2010; 14: 521-526
    PubMedGoogle Scholar
  • 35 de-Mateo-Silleras B, de-la-Cruz-Marcos S, Alonso-Izquierdo L. et al. Bioelectrical impedance vector analysis in obese and overweight children. PLoS One 2019; 14: e0211148
    CrossrefPubMedGoogle Scholar
  • 36 Wang Z, Deurenberg P, Wang W. et al. Hydration of fat-free body mass: review and critique of a classic body-composition constant. Am J Clin Nutr 1999; 69: 833-841
    CrossrefPubMedGoogle Scholar
  • 37 Houtkooper LB, Lohman TG, Going SB. et al. Why bioelectrical impedance analysis should be used for estimating adiposity. Am J Clin Nutr 1996; 64: 436S-448S
    CrossrefPubMedGoogle Scholar
  • 38 Siddiqui NI, Khan SA, Shoeb M. et al. anthropometric predictors of bio-impedance analysis (BIA) phase angle in healthy adults. J Clin Diagn Res 2016; 10: CC01-CC04
    PubMedGoogle Scholar