Post
by drkcgoh » April 11th, 2010, 6:18 pm
DEXA does not measure Bone Density alone, and the good Prof. Philip S. from Sydney U was the pioneer in this field. However, there is not much publicity to poularize this facet of DEXA, because of its high cost, though I managed to claim all the USD$165 from Medicare, and the Turn Around Time was as low as 9 days when we got paid.
Under water weighing, or Hydrodensitometry is only ranked #3, while BIA is <#5, and DEXA is 1-3 in the table given by "Nutriition Review" Vol49,no.6, page 166, & reproduced by Reubin in San Francisco.
Hydrodensitometry done at the University of Lacrosse, Wisconsin is on a computer balance calibrated to 5gm, whereas at the Univerity of Florida, Gainesville & in many other places, the subject just sits on a spring balance before he is immersed in a pool of water (where the temperature is measured accurately to give you its proper SG up to several decimal places); and you can imagine how accurate this device can be. Besides this, whether you use the Siri, Ortez or other equations depends on the ethnicity & age of the subject, and again, gives a wide variation in the final result. I know because I used to do this serially on myself & on my many subjects. We used to calibrate our DEXA devices every morning before measurement. So it is important to state how you measure the Total Body Fat when you quote from their charts, & <6% is too extreme a figure for any athlete, as theorists claim that a certain amount of fat is essential fro good health & proper functioning of the nervous system. As I have mentionned before, the Total Body Fat can vary from 6% to >20% in the same subject, depending on which method you use to measure it, and there is confusion as to which method to use.
We must understand Total Body Fat properly before any claims can be made about how high or low we need to aim for.
Dr.K.C.Goh
Dr.K.C.Goh
Sports Medicine Consultant