A. Paxton et al., ANTHROPOMETRIC EQUATIONS FOR STUDYING BODY-FAT IN PREGNANT-WOMEN, The American journal of clinical nutrition, 67(1), 1998, pp. 104-110
Anthropometric data from 200 pregnant women were used to estimate body
fat at gestation weeks 14 and 37 and changes in body fat from week 14
to week 37 with four formulas from the literature. The resulting esti
mates were evaluated against the estimation of fat by a four-compartme
nt model that determined fat from weight, total body water, bone miner
al mass, and body density. The estimates of fat by existing anthropome
tric models were statistically different from those by the four-compar
tment model in both early and late pregnancy. Most importantly, the ch
ange in body fat estimated by the anthropometric models (all > 4 kg) w
as considerably higher than that estimated by the four-compartment mod
el (3.3 kg). Two new anthropometric equations were developed, both of
which used the four-compartment model as the reference method. The equ
ation for predicting change in fat mass from week 14 to 37 of pregnanc
y was as follows: 0.77 (change in weight, kg) + 0.07 (change in thigh
skinfold thickness, mm) - 6.13 (r(2) = 0.73). The equation for determi
ning fat (kg) at term was as follows: 0.40 (weight at week 37, kg) + 0
.16 (biceps skinfold thickness at week 37, mm) + 0.15 (thigh skinfold
thickness at week 37, mm) - 0.09 (wrist circumference at week 37, mm)
+ 0.10 (prepregnancy weight, kg) - 6.56 (r(2) = 0.89). Both equations
were derived on a randomly selected half of the total sample and valid
ated on the remaining half. Both equations were found to be valid for
use in studying pregnant women with different prepregnancy body mass i
ndexes, different gestational weight gains, different ethnicities, and
different socioeconomic status.