DEXA or BMI
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OBJECTIVE: To evaluate the relationship between body mass index (BMI) and %body fat (%Fat) in collegiate football athletes (FBA) compared with age-matched/gender-matched general population volunteers (comparison group, CG) and compare body composition and overweight/obese frequencies by BMI between FBA and CG. DESIGN: Cross-sectional. SETTING: Two Division I-A (D-IA) universities in Texas. Integrative Health Technologies (San Antonio, Texas) laboratory. PARTICIPANTS: Football athletes (n = 156, 20.0 ± 1.3 years, 185.6 ± 6.5cm, 103.3 ± 20.4 kg). Comparison group (n = 260, 21.5 ± 2.7 years, 179.0 ± 7.6 cm, 86.3 ± 20.9 kg). STATISTICAL ANALYSIS: Body mass index and bone densitrometry (DEXA) body composition were assessed. Regression was used to predict %Fat from BMI in CG and FBA. To compare %Fat, fat mass (FM), fat-free mass (FFM), and weight (WT) between CG, FBA, linemen, and non-linemen, 1 × 4 analysis of variance was used. Chi-square analysis was used to compare the frequency of BMI ≥25 between groups. RESULTS: Body mass index differently predicted %Fat for CG (r = 0.643, SE = 6.258) and FBA (r =0.769, SE = 4.416). Body mass index cutoffs for overweight/obese corresponded to the following %Fat in each group [BMI ≥25 = 19.9% (CG) and 11.1% (FBA); BMI ≥30 = 27.3% (CG) and 20.2% (FBA)]. Football athletes had significantly higher WT, BMI, FFM, and frequency of BMI ≥25 with lower %Fat and FM than CG (α < 0.05). Linemen had the highest WT, BMI, FFM, %Fat, and frequency of BMI ≥25. CONCLUSIONS: The relationship between BMI and %Fat differed between CG and FBA. Using current BMI thresholds for obesity in FBA may result in misleading inferences about health risk.
author list (cited authors)
Lambert, B. S., Oliver, J. M., Katts, G. R., Green, J. S., Martin, S. E., & Crouse, S. F.