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DOI: 10.1055/a-2588-0682
Association of Phase Angle with Exercise Performance in Adolescent Female Basketball Players
Gefördert durch: JSPS KAKENHI 23KK0177

Abstract
The phase angle measured by bioelectrical impedance analysis is a potential indicator of exercise performance. Owing to the lack of studies on adolescent female athletes, this study aimed to investigate the relationship between whole-body and regional phase angles and exercise performance in adolescent female basketball players. Forty-five female basketball players (aged 16.6±0.6 y) participated in this study. Lean soft tissue and phase angles for the whole-body, upper limb, and lower limb were assessed using the bioelectrical impedance analysis method. Participants performed maximal isometric knee extension and flexion strength, 20-m sprint, a vertical jump, an agility T-test, and a 20-m shuttle run test. The phase angle for the whole-body and the phase angle for the upper limb, but not the phase angle for the lower limb, were significantly correlated with the 20-m sprint and endurance capacity (all p<0.01). Even after adjusting for age and lean soft tissue in multiple regression analysis, the phase angle for the whole-body and the phase angle for the upper limb remained a significant predictor of these parameters (all p<0.05). The phase angle for the upper limb, combined with age and lean soft tissue, explained endurance capacity similarly to the phase angle for the whole-body (adjusted R 2: 0.24 vs. 0.23) but was better for the 20-m sprint (adjusted R 2: 0.26 vs. 0.11). Both whole-body and regional phase angles are associated with sprint and aerobic performance in adolescent female basketball players. However, the regional phase angle can be an equivalent or superior predictor of these performance parameters compared with the whole-body phase angle.
Publikationsverlauf
Eingereicht: 16. Januar 2025
Angenommen nach Revision: 14. April 2025
Accepted Manuscript online:
15. April 2025
Artikel online veröffentlicht:
07. Juli 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
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References
- 1 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
- 2 Van Itallie TB, Segal KR. Nutritional assessment of hospital patients: new methods and new opportunities. Am J Hum Biol 1989; 1: 205-208
- 3 Campa F, Toselli S, Mazzilli M, Gobbo LA, Coratella G. Assessment of body composition in athletes: a narrative review of available methods with special reference to quantitative and qualitative bioimpedance analysis. Nutrients 2021; 13: 1620
- 4 Chula de Castro JA, Lima TR, Silva DAS. Body composition estimation in children and adolescents by bioelectrical impedance analysis: A systematic review. J Bodyw Mov Ther 2018; 22: 134-146
- 5 Ward LC. Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation. Eur J Clin Nutr 2019; 73: 194-199
- 6 Shiose K, Kondo E, Takae R. et al. Validity of bioimpedance spectroscopy in the assessment of total body water and body composition in wrestlers and untrained subjects. Int J Environ Res Public Health 2020; 17: 9433
- 7 Norman K, Stobäus N, Pirlich M, Bosy-Westphal A. Bioelectrical phase angle and impedance vector analysis–clinical relevance and applicability of impedance parameters. Clin Nutr 2012; 31: 854-861
- 8 Yamada Y, Buehring B, Krueger D, Anderson RM, Schoeller DA, Binkley N. Electrical properties assessed by bioelectrical impedance spectroscopy as biomarkers of age-related loss of skeletal muscle quantity and quality. J Gerontol A Biol Sci Med Sci 2017; 72: 1180-1186
- 9 Earthman CP, Matthie JR, Reid PM, Harper IT, Ravussin E, Howell WH. A comparison of bioimpedance methods for detection of body cell mass change in HIV infection. J Appl Physiol 2000; 88: 944-956
- 10 Miura T, Matsumoto Y, Kawaguchi T. et al. Low phase angle is correlated with worse general condition in patients with advanced cancer. Nutr Cancer 2019; 71: 83-88
- 11 Di Vincenzo O, Marra M, Scalfi L. Bioelectrical impedance phase angle in sport: A systematic review. J Int Soc Sports Nutr 2019; 16: 49
- 12 Martins PC, Moraes MS, Silva DAS. Cell integrity indicators assessed by bioelectrical impedance: A systematic review of studies involving athletes. J Bodyw Mov Ther 2020; 24: 154-164
- 13 Cirillo E, Pompeo A, Cirillo FT. et al. Relationship between bioelectrical impedance phase angle and upper and lower limb muscle strength in athletes from several sports: a systematic review with meta-analysis. Sports 2023; 11: 107
- 14 Custódio Martins P, de Lima TR, Silva AM, Santos Silva DA. Association of phase angle with muscle strength and aerobic fitness in different populations: A systematic review. Nutrition 2022; 93: 111489
- 15 Lukaski HC, Garcia-Almeida JM. Phase angle in applications of bioimpedance in health and disease. Rev Endocr Metab Disord 2023; 24: 367-370
- 16 Marra M, Caldara A, Montagnese C. et al. Bioelectrical impedance phase angle in constitutionally lean females, ballet dancers and patients with anorexia nervosa. Eur J Clin Nutr 2009; 63: 905-908
- 17 Cattem MVO, Sinforoso BT, Campa F, Koury JC. Bioimpedance vector patterns according to age and handgrip strength in adolescent male and female athletes. Int J Environ Res Public Health 2021; 18: 6069
- 18 Veitia WC, Campo YD, García IE. et al. Body composition analysis using bioelectrical parameters in the Cuban sporting population. Arch Med 2017; 34: 207-215
- 19 Campa F, Thomas DM, Watts K. et al. Reference percentiles for bioelectrical phase angle in athletes. Biology 2022; 11: 264
- 20 Langer RD, de Fatima Guimarães R, Gonçalves EM, Guerra-Junior G, de Moraes AM. Phase angle is determined by body composition and cardiorespiratory fitness in adolescents. Int J Sports Med 2020; 41: 610-615
- 21 Ferreira G, Ferrari G, Langer RD. et al. Phase angle and its determinants among adolescents: influence of body composition and physical fitness level. Sci Rep 2024; 14: 13697
- 22 Ballarin G, Valerio G, Alicante P, Di Vincenzo O, Scalfi L. Bioelectrical impedance analysis (BIA)-derived phase angle in children and adolescents: a systematic review. J Pediatr Gastroenterol Nutr 2022; 75: 120-130
- 23 Martins PC, de Lima LRA, Berria J, Petroski EL, da Silva AM, Silva D. Association between phase angle and isolated and grouped physical fitness indicators in adolescents. Physiol Behav 2020; 217: 112825
- 24 Tortu E, Deliceoğlu G, Nefes Çakar A, Kaya S. Body composition and regional phase angle as indicators of VO2max in elite male and female combat athletes. Int J Sport Cult Sci 2024; 12: 1-11
- 25 Abe T, Kearns CF, Fukunaga T. Sex differences in whole body skeletal muscle mass measured by magnetic resonance imaging and its distribution in young Japanese adults. Br J Sports Med 2003; 37: 436-440
- 26 Wang Z, Ying Z, Bosy-Westphal A. et al. Specific metabolic rates of major organs and tissues across adulthood: evaluation by mechanistic model of resting energy expenditure. Am J Clin Nutr 2010; 92: 1369-1377
- 27 Cole KS, Cole RH. Dispersion and absorption in dielectrics I. Alternating current characteristics. J Chem Phys 1941; 9: 341-351
- 28 Tinsley GM, Moore ML, Silva AM, Sardinha LB. Cross-sectional and longitudinal agreement between two multifrequency bioimpedance devices for resistance, reactance, and phase angle values. Eur J Clin Nutr 2020; 74: 900-911
- 29 De Lorenzo A, Andreoli A, Matthie J, Withers P. Predicting body cell mass with bioimpedance by using theoretical methods: a technological review. J Appl Physiol 1997; 82: 1542-1558
- 30 Shiose K, Yamada Y, Motonaga K. et al. Segmental extracellular and intracellular water distribution and muscle glycogen after 72-h carbohydrate loading using spectroscopic techniques. J Appl Physiol 2016; 121: 205-211
- 31 Sardinha LB, Correia IR, Magalhães JP, Júdice PB, Silva AM, Hetherington-Rauth M. Development and validation of BIA prediction equations of upper and lower limb lean soft tissue in athletes. Eur J Clin Nutr 2020; 74: 1646-1652
- 32 Fousekis K, Tsepis E, Vagenas G. Lower limb strength in professional soccer players: profile, asymmetry, and training age. J Sports Sci Med 2010; 9: 364-373
- 33 Pauole K, Madole K, Garhammer J. et al. Reliability and validity of the T-test as a measure of agility, leg power, and leg speed in college-aged men and women. J Strength Cond Res 2000; 14: 443-450
- 34 Chow GCC, Kong YH, Pun WY. The concurrent validity and test-retest reliability of possible remote assessments for measuring countermovement jump: My jump 2, HomeCourt & Takei vertical jump meter. Appl Sci 2023; 13: 214
- 35 Oliveira R, Brito JP, Fernandes R. et al. The effects of pre-season and relationships with physical, physiological, body composition, and load markers: a case study comparing starters versus non-starters from an elite female professional soccer team. Medicina 2023; 59: 2156
- 36 Bosy-Westphal A, Danielzik S, Dörhöfer RP, Later W, Wiese S, Müller MJ. 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
- 37 Koury JC, Trugo NM, Torres AG. Phase angle and bioelectrical impedance vectors in adolescent and adult male athletes. Int J Sports Physiol Perform 2014; 9: 798-804
- 38 Bongiovanni T, Rossi A, Trecroci A. et al. Regional bioelectrical phase angle is more informative than whole-body phase angle for monitoring neuromuscular performance: a pilot study in elite young soccer players. Sports 2022; 10: 66
- 39 Martins PC, Teixeira AS, Guglielmo LGA. et al. Phase angle is related to 10 m and 30 m sprint time and repeated-sprint ability in young male soccer players. Int J Environ Res Public Health 2021; 18: 4405
- 40 Hetherington-Rauth M, Leu CG, Júdice PB, Correia IR, Magalhães JP, Sardinha LB. Whole body and regional phase angle as indicators of muscular performance in athletes. Eur J Sport Sci 2021; 21: 1684-1692
- 41 Obayashi H, Ikuta Y, Fujishita H. et al. The relevance of whole or segmental body bioelectrical impedance phase angle and physical performance in adolescent athletes. Physiol Meas 2021; 42: 035011
- 42 Genton L, Mareschal J, Norman K. et al. Association of phase angle and running performance. Clin Nutr ESPEN 2020; 37: 65-68
- 43 Taniguchi M, Yamada Y, Ichihashi N. Acute effect of multiple sets of fatiguing resistance exercise on muscle thickness, echo intensity, and extracellular-to-intracellular water ratio. Appl Physiol Nutr Metab 2020; 45: 213-219
- 44 Otsuka Y, Yamada Y, Maeda A. et al. Effects of resistance training intensity on muscle quantity/quality in middle-aged and older people: a randomized controlled trial. J Cachexia Sarcopenia Muscle 2022; 13: 894-908
- 45 Sardinha LB, Rosa GB. Phase angle, muscle tissue, and resistance training. Rev Endocr Metab Disord 2023; 24: 393-414
- 46 Moore FD, Boyden CM. Body cell mass and limits of hydration of the fat-free body: Their relation to estimated skeletal weight. Ann N Y Acad Sci 1963; 110: 62-71
- 47 Tomeleri CM, Cavalcante EF, Antunes M. et al. Phase angle is moderately associated with muscle quality and functional capacity, independent of age and body composition in older women. J Geriatr Phys Ther 2019; 42: 281-286
- 48 Yamada Y, Itoi A, Yoshida T. et al. Association of bioelectrical phase angle with aerobic capacity, complex gait ability and total fitness score in older adults. Exp Gerontol 2021; 150: 111350
- 49 Matias CN, Nunes CL, Francisco S. et al. Phase angle predicts physical function in older adults. Arch Gerontol Geriatr 2020; 90: 104151
- 50 Bongiovanni T, Trecroci A, Rossi A, Iaia FM, Pasta G, Campa F. Association between change in regional phase angle and jump performance: A pilot study in Serie A soccer players. Eur J Investig Health Psychol Educ 2021; 11: 860-865
- 51 Fukuoka AH, de Oliveira NM, Matias CN. et al. Association between phase angle from bioelectric impedance and muscular strength and power in physically active adults. Biology 2022; 11: 1255
- 52 Ward LC, Brantlov S. Bioimpedance basics and phase angle fundamentals. Rev Endocr Metab Disord 2023; 24: 381-391
- 53 Stojanović E, Aksović N, Stojiljković N, Stanković R, Scanlan AT, Milanović Z. Reliability, usefulness, and factorial validity of change-of-direction speed tests in adolescent basketball players. J Strength Cond Res 2019; 33: 3162-3173
- 54 Salafi MIE, Suherman WS, Suhartini B. et al. Design, Validation, and Reliability of a Basketball Skill and Performance Test Instrument in Adolescent Players. Phys Educ Theory Methodol 2023; 23: 668-677
- 55 Campa F, Levi Micheli M, Pompignoli M. et al. The influence of menstrual cycle on bioimpedance vector patterns, performance, and flexibility in elite soccer players. Int J Sports Physiol Perform 2022; 17: 58-66
- 56 Tomazo-Ravnik T, Jakopič V. Changes in total body water and body fat in young women in the course of menstrual cycle. Int J Anthropol 2006; 21: 55-60
- 57 Shiose K, Tanabe Y, Ohnishi T, Takahashi H. Effect of regional muscle damage and inflammation following eccentric exercise on electrical resistance and the body composition assessment using bioimpedance spectroscopy. J Physiol Sci 2019; 69: 895-901