Agreement of body composition methods in elite male football referees

Abstract

Objective: The current literature about the body composition of elite football referees is scarce and almost non-existent. Therefore, and in order to establish the level of agreement between bioelectrical impedance analysis (BIA) and dual energy X-ray absorptiometry (DXA) in elite football referees, the aim of this study was to compare fat mass (FM) and fat-free mass (FFM) values measured with these two different methods.

Method: A total of 30 male referees belonging to 1^st, 2^nd and 2^ndB categories, and 36 assistant referees from 1^st and 2^nd categories in the Spanish national league participated in this study. Total and regional FM and FFM were assessed using a portable BIA analyser TANITA BC 418-MA (Tanita Corp., Tokyo, Japan) and DXA (Hologic Corp. Software version 12.4, Bedford, MA 01730). Agreement between methods was assessed by plotting the results in Bland-Altman graphs and the presence of heteroscedasticity was also examined. Differences between methods were analysed by two-paired samples t-test.

Results: For the whole group, BIA underestimated body fat percentage in 3.87 points (CI 95%=3.22-4.52; p=<0.01) and overestimated kg of total FFM in 3.56 points (CI 95%=3.08-4.05; p=<0.01), however, no heteroscedasticity was shown in any case (all p>0.05).

Conclusions: The present study suggests that according to DXA, BIA values calculated with a non-specific equation are underestimating total FM and, consequently, overestimating total FFM in male elite football referees.