Pairwise Agreement Among Field-Based Body-Fat Estimation Methods in Physically Active Adults: A Cross-Sectional Method-Comparison Study.
5 affiliations
- 1Facultad de Ciencias de la Salud y Desarrollo Humano, Universidad ECOTEC, Km.13.5 Samborondón, Samborondón EC092302, Ecuador.
- 2Escuela de Posgrado, Doctorado en Ciencias de la Salud, Instituto Universitario Italiano de Rosario (IUNIR), Rosario S2000CTT, Argentina.
- 3Escuela de Nutriología, Facultad de Ciencias Médicas, de la Salud y la Vida, Universidad Internacional del Ecuador, Quito 170411, Ecuador.
- 4Facultad de Ciencias de la Salud, Universidad Espíritu Santo, Samborondón 0901952, Ecuador.
- 5Center for Evidence Ecosystems, Implementation Science, and Decision-Making (CIDES), Facultad de Ciencias de la Salud y Bienestar Humano, Universidad Tecnológica Indoamérica, Ambato 180150, Ecuador.
Abstract
Background: Field-based body-fat estimates may differ substantially across methods, but similarity in group averages does not necessarily indicate close individual-level agreement. This study characterized pairwise numerical agreement among four field-based body-fat estimation methods without designating a criterion reference. Methods: Forty physically active adults (19 women and 21 men) underwent same-session assessment using archived Carter-derived and Faulkner-derived anthropometric estimates, single-frequency bioelectrical impedance analysis (BIA; Omron HBF-514C), and multifrequency BIA (InBody 120). Agreement was evaluated using paired differences, 95% limits of agreement (LoA), bootstrap confidence intervals, and analyses of non-constant mean and variance structures. Difference-on-paired-mean patterns were additionally examined considering mathematical coupling and unequal method variances. Results: Carter-derived estimates averaged 4.16 percentage points (pp) lower than Faulkner-derived estimates, whereas Omron estimates averaged 5.34 pp higher than InBody estimates. Carter-Faulkner showed an approximately stable mean difference but increasing dispersion across the measurement range, supporting level-specific LoA. Faulkner-InBody showed a small mean difference (-1.48 pp) despite wide global LoA (-12.91 to 9.94 pp). Anthropometry-BIA comparisons showed negative difference-on-paired-mean slopes (-0.58 to -0.72); however, these patterns were algebraically consistent with mathematical coupling and unequal method variances and were not interpreted as independent evidence of adiposity-level effects. Conclusions: The methods showed systematic pairwise differences and substantial individual-level disagreement. Because no criterion method, replicate measurements, or prespecified application-specific acceptability threshold was available, the findings establish neither accuracy, superiority, nor interchangeability among the methods.
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BibTeX
@article{zambranovillacres2026pairwise,
title = {{Pairwise Agreement Among Field-Based Body-Fat Estimation Methods in Physically Active Adults: A Cross-Sectional Method-Comparison Study.}},
author = {Raynier Zambrano-Villacres and Kathy Elisabeth Verdugo Verdugo and Washington David Guevara Castillo and Nelly Andrade Mejia and Jaen Cagua-Ordoñez and Daniel Simancas-Racines},
journal = {Journal of functional morphology and kinesiology},
year = {2026},
month = oct,
doi = {10.3390/jfmk11040401},
url = {https://europepmc.org/article/MED/42924680},
note = {CC BY},
}
RIS
TY - JOUR
TI - Pairwise Agreement Among Field-Based Body-Fat Estimation Methods in Physically Active Adults: A Cross-Sectional Method-Comparison Study.
AU - Raynier Zambrano-Villacres
AU - Kathy Elisabeth Verdugo Verdugo
AU - Washington David Guevara Castillo
AU - Nelly Andrade Mejia
AU - Jaen Cagua-Ordoñez
AU - Daniel Simancas-Racines
PY - 2026
DA - 2026/10/02
JO - Journal of functional morphology and kinesiology
DO - 10.3390/jfmk11040401
UR - https://europepmc.org/article/MED/42924680
AB - Background: Field-based body-fat estimates may differ substantially across methods, but similarity in group averages does not necessarily indicate close individual-level agreement. This study characterized pairwise numerical agreement among four field-based body-fat estimation methods without designating a criterion reference. Methods: Forty physically active adults (19 women and 21 men) underwent same-session assessment using archived Carter-derived and Faulkner-derived anthropometric estimates, single-frequency bioelectrical impedance analysis (BIA; Omron HBF-514C), and multifrequency BIA (InBody 120). Agreement was evaluated using paired differences, 95% limits of agreement (LoA), bootstrap confidence intervals, and analyses of non-constant mean and variance structures. Difference-on-paired-mean patterns were additionally examined considering mathematical coupling and unequal method variances. Results: Carter-derived estimates averaged 4.16 percentage points (pp) lower than Faulkner-derived estimates, whereas Omron estimates averaged 5.34 pp higher than InBody estimates. Carter-Faulkner showed an approximately stable mean difference but increasing dispersion across the measurement range, supporting level-specific LoA. Faulkner-InBody showed a small mean difference (-1.48 pp) despite wide global LoA (-12.91 to 9.94 pp). Anthropometry-BIA comparisons showed negative difference-on-paired-mean slopes (-0.58 to -0.72); however, these patterns were algebraically consistent with mathematical coupling and unequal method variances and were not interpreted as independent evidence of adiposity-level effects. Conclusions: The methods showed systematic pairwise differences and substantial individual-level disagreement. Because no criterion method, replicate measurements, or prespecified application-specific acceptability threshold was available, the findings establish neither accuracy, superiority, nor interchangeability among the methods.
SN - 2411-5142
ER -