Assessment body fat wasting

• Importance body fat assessment in nutritional assessment (ipgee)

  1. identify malnutrition and wasting condition
  2. provide accurate assessment of body fat percentage
  3. give effect of specific intervention and supplementary program
  4. early detection and short term monitoring malnutrition and cachexia
  5. evaluate nutritional status changes
• BIA

  adv :

  • portable , cheap , simple , quick , safe

  dis

  • poor accuracy in individual and group
  • population specific
• DXA

  adv

  • easy to use
  • low radiation exposure
  • accurate for limb and lean and fat

  dis

  • expensive
  • bias to sex, fatness and body size
  • need technician to operate
• Bod Pod

  adv

  • high accuracy
  • fast

  dis

  • reduce accuracy if use in disease state
  • expensive
• CT scan

  adv

  • high accuracy
  • reproducibility
  • clearer image in region

  dis

  • expensive
  • high radiation exposure
• MRI

  adv

  • high accuracy
  • reproducibility

  dis

  • expensive
• Types MRI

  Quantitative magnetic resonance

  Magnetic resonance imaging

  Magnetic resonance spectroscopy

  Glycogen measurement by natural abundance (13C MRS)
• Interpretation and clinical application of body fat (tengku muhammad iskandar HenCem)

  • tailor nutritional intervention, monitor progress and optimize health outcome
  • monitor changes over time to evaluate metabolic health, disease and overall well being
  • integrate body fat assessment and other nutritional assessment parameter for comprehensive evaluation on nutritional status
  • help to identify individual at risk obesity related complication and guide personalized nutritional intervention
  • changes in body fat percentage influenced by sex, age, ethnicity and individual difference