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Open Access Research

An anthropometric model to estimate neonatal fat mass using air displacement plethysmography

Andrea L Deierlein2*, John Thornton14, Holly Hull3, Charles Paley14 and Dympna Gallagher145

Author Affiliations

1 New York Obesity Nutrition Research Center, St. Luke's-Roosevelt Hospital, New York, NY, USA

2 Department of Preventive Medicine, Mt. Sinai School of Medicine, New York, NY, USA

3 Department of Dietetics & Nutrition, University of Kansas Medical Center, Kansas City, KS, USA

4 Department of Pediatrics, St. Luke's-Roosevelt Hospital, New York, NY, USA

5 Institute of Human Nutrition, Columbia University, New York, NY, USA

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Nutrition & Metabolism 2012, 9:21  doi:10.1186/1743-7075-9-21

Published: 21 March 2012

Abstract

Background

Current validated neonatal body composition methods are limited/impractical for use outside of a clinical setting because they are labor intensive, time consuming, and require expensive equipment. The purpose of this study was to develop an anthropometric model to estimate neonatal fat mass (kg) using an air displacement plethysmography (PEA POD® Infant Body Composition System) as the criterion.

Methods

A total of 128 healthy term infants, 60 females and 68 males, from a multiethnic cohort were included in the analyses. Gender, race/ethnicity, gestational age, age (in days), anthropometric measurements of weight, length, abdominal circumference, skin-fold thicknesses (triceps, biceps, sub scapular, and thigh), and body composition by PEA POD® were collected within 1-3 days of birth. Backward stepwise linear regression was used to determine the model that best predicted neonatal fat mass.

Results

The statistical model that best predicted neonatal fat mass (kg) was: -0.012 -0.064*gender + 0.024*day of measurement post-delivery -0.150*weight (kg) + 0.055*weight (kg)2 + 0.046*ethnicity + 0.020*sum of three skin-fold thicknesses (triceps, sub scapular, and thigh); R2 = 0.81, MSE = 0.08 kg.

Conclusions

Our anthropometric model explained 81% of the variance in neonatal fat mass. Future studies with a greater variety of neonatal anthropometric measurements may provide equations that explain more of the variance.

Keywords:
Neonate; Fat mass; Anthropometry; Air displacement plethysmography