Changes in body fat, fat-free mass and extracellular water occur in ma
ny disorders, and during normal growth in children. Thus, body composi
tion is an increasingly important measurement in paediatric clinical p
ractice, and is used for diagnostic purposes, for decisions for treatm
ent and for monitoring improvement. A number of different methods exis
t for determining body composition in children; however, their use is
complicated by the absence of a gold standard and the lack of validity
data in children both with and without growth disorders. In this repo
rt, validity and usefulness are compared among anthropometric methods
and weighted against other techniques used in children. Recent recomme
ndations of a number of expert committees are discussed.