Int J Sports Med 2000; 21(8): 598-601
DOI: 10.1055/s-2000-8489
Training and Testing
Georg Thieme Verlag Stuttgart ·New York

Assessment of Body Composition in Ballett Dancers: Correlation Among Anthropometric Measurements, Bio-Electrical Impedance Analysis, and Dual-Energy X-Ray Absorptiometry

A. Eliakim1, 2, 3 , S. Ish-Shalom4 , A. Giladi3 , B. Falk1 , N. Constantini1
  • 1 Ribstein Center for Sport Medicine Sciences and Research, Wingate Institute, Netanya, Israel
  • 2 Department of Pediatrics, Meir General Hospital, Kfar-Saba, Israel
  • 3 Tel-Aviv University, Tel-Aviv, Israel
  • 4 Metabolic Bone Diseases Unit, Rambam Medical Center, Haifa, Israel
Further Information

Publication History

Publication Date:
31 December 2000 (online)

Ballet dancers tend to restrict caloric intake and/or to use inappropriate compensatory behavior (e.g. self-induced vomiting, use of laxatives) in order to maintain a low body weight. Therefore careful assessment of body composition and determination of minimal body weight for maintenance of a desirable percent fat may reduce unnecessary weight loss and decrease the use of a potentially dangerous weight-control behavior. The purpose of this study was to determine body fat in a homogenous group of 59 adolescent, female ballet dancers (age range 14 - 17 y). Body composition was assessed using three different techniques: skinfold thickness measurements, bio-electrical impedance analysis (BIA), and dual energy X-ray absorptiometry (DXA). Percent body fat and the sum of skinfold thickness were calculated from measurements of four sites (i.e. triceps, biceps, subscapular, and suprailiac). All eumenorrheic dancers were examined in the early follicular phase of the menstrual cycle whereas amenorrheic dancers (or pre-menarcheal) at random. Significant positive correlations were found between skinfold measurements and assessments of body fat by BIA (r = 0.48, p < 0.001); and between skinfold measurements and assessments of body fat by DXA (r = 0.80, p < 0.00001). Assessment of body fat by BIA was significantly correlated with assessment of body fat by DXA (r = 0.63, p < 0.001). The correlation coefficient of percent body fat by skinfolds with DXA (r = 0.8, p < 0.00001) was significantly higher than the correlation coefficient of body fat by BIA with body fat DXA (p < 0.01). In addition the agreement between measurements of body fat by DXA and skinfolds was higher than measurements of body fat by DXA and BIA. This study demonstrates that a simple, inexpensive, field-based method such as skinfold measurements can be successfully used to determine body fat in a homogeneous group of female ballet dancers. This may help to determine a minimal body weight of female dancers based on their percent body fat and as a result may reduce excessive weight loss and prevent the use of a risky weight-reducing behavior.

References

  • 1 Armstrong L E, Kenefick R W, Castellani J W, Riebe D, Kavouras S A, Kuznicki J T, Maresh C M. Bioimpedance spectroscopy technique: intra-, extracellular, and total body water.  Med Sci Sports Exerc. 1997;  29 1657-1663
  • 2 Benson J E, Geiger C J, Eiserman P A, Wardlaw G M. Relationship between nutrient intake, body mass index, menstrual function, and ballet injury.  J Am Diet Assoc. 1989;  89 58-63
  • 3 Bland J M, Altman D G. Statistical methods for assessing agreement between two methods of clinical measurements.  Lancet. 1986;  8 307-310
  • 4 Cohen J L, Potosnak L, Baker F O. A nutritional and hematological assessment of elite ballet dancers.  Physician Sportsmed. 1985;  13 43-54
  • 5 Deurenberg P, Weststrate J A, Seidell J C. Body mass index as a measure of body fatness: age- and sex-specific prediction formulas.  Br J Nutr. 1991;  65 105-114
  • 6 Durnin J VGA, Rahaman M M. The assessment of the amount of fat in the human body from measurements of skinfold thickness.  Br J Nutr. 1967;  21 681-689
  • 7 Heyward V H. Evaluation of body composition: current issues.  Sports Med. 1996;  22 146-156
  • 8 Katch F I, Hortobagyi T. Validity of surface anthropometry to estimate upper-arm muscularity, including changes with body mass loss.  Am J Clin Nutr. 1990;  52 591-595
  • 9 Kohrt W M. Body composition by DXA: tried or true?.  Med Sci Sport Exer. 1995;  27 1349-1353
  • 10 Lukasi H C. Methods for the assessment of body composition: traditional and new.  Am J Clin Nutr. 1987;  46 537-556
  • 11 Marken Lichtenbelt W Dv, Fogelholm M, Ottenheijm R, Westerterp K R. Physical activity, body composition and bone density in ballet dancers.  Br J Nutr. 1995;  74 439-451
  • 12 Mazess R B, Barden H S, Bisek J P, Hansen J. Dual energy X-ray absorptiometry for total body and regional bone and soft tissue composition.  Am J Clin Nutr. 1990;  51 1106-1112
  • 13 Oppliger R A, Harms R D, Herrmann D E, Streich C M, Clark R R. Grappling with weight cutting: the Wisconsin wrestling minimum weight project.  Physician Sportsmed. 1995;  23 69-78
  • 14 Pichard C, Kyle U G, Gremion G, Gerbase M, Slosman D O. Body composition by X-ray absorptiometry and bioelectrical impedance in female runners.  Med Sci Sports Exer. 1997;  29 1527-1534
  • 15 Poskitt E ME. The fat child. In: Brook CGD (ed) Clinical Pediatric Endocrinology. 3rd ed. Cambridge; Blackwell Science, Ltd. 1995: 210-233
  • 16 Siri W E. The gross composition of the body.  Adv Biol Med Phys. 1956;  4 239-286
  • 17 Theitz C C. Sports medicine concerns in dance and gymnastics.  Pediatr Clin North Am. 1982;  29 1399-1421
  • 18 Van-Loan M D, Mayclin P L. Body composition assessment: dual-energy X-ray absorptiometry (DXA) compared to reference methods.  Eur J Clin Nutr. 1992;  46 125-130
  • 19 Warren M P, Brooks-Gun J, Hamilton L H, Warren L F, Hamilton W G. Scoliosis and fractures in young ballet dancers: relation to delayed menarche and secondary amenorrhea.  New Eng J Med. 1986;  314 1348-1353
  • 20 Warren M P, Brooks-Gun J. Delayed menarche in athletes: the role of low energy intake and eating disorders and their relation to bone density. In: Laron Z, Rogol AD (eds) Hormones and Sports. New York; Serono Symposia Publication, Raven Press 1989: 41-54
  • 21 Warren M P. The effects of exercise on pubertal progressive and reproductive function in girls.  J Clin Endocrinol Metab. 1980;  51 1150-1157
  • 22 Young A, Stokes M, Round J M, Edwards R HT. The effect of high-resistant training on the strength and cross-sectional area of the human quadriceps.  Eur J Clin Nutr. 1983;  13 411-417
  • 23 Zhu F, Schneditz D, Want E, Levin N W. Dynamics of segmental extracellular volumes during changes in body position by bioimpedance analysis.  J Appl Physiol. 1998;  85 497-504

A. Eliakim, MD

Ribstein Center for Sport Medicine Sciences and Research Wingate Institute

Netanya, 42902 Israel

Phone: Phone:+ 972 (9) 8639400

Fax: Fax:+ 972 (9) 8639412

Email: E-mail:eliakim@internet-zahav.net

    >