Reliability and Precision of the Nana Protocol to Assess Body Composition Using Dual Energy X-Ray Absorptiometry.

The Nana positioning protocol is widely used to position participants to minimize technical error when undertaking body composition scanning and analysis with a Dual energy X-Ray absorptiometry (DXA) machine. Once biological and technical errors are accounted for, the only variation in test-retest r...

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Publicado en:International Journal of Sport Nutrition & Exercise Metabolism Vol. 28; no. 1; pp. 19 - 26
Autores principales: Shiel, Flinn, Persson, Carl, Simas, Vini, Furness, James, Climstein, Mike, Pope, Rod, Schram, Ben
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Human Kinetics Publishers, Inc. Jan2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Sport Nutrition & Exercise Metabolism
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      dt: Jan2018
      vid: 28
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      pub: Human Kinetics Publishers, Inc.
      place: Champaign, Illinois
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        127731992
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        10.1123/ijsnem.2017-0174
        127731992
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        atl: Reliability and Precision of the Nana Protocol to Assess Body Composition Using Dual Energy X-Ray Absorptiometry.
      aug:
        au:
          Shiel, Flinn
          Persson, Carl
          Simas, Vini
          Furness, James
          Climstein, Mike
          Pope, Rod
          Schram, Ben
        affil: Bond University
      sug:
        subj:
          Body Composition Evaluation
          Absorptiometry, Photon Methods
          Protocols Evaluation
          Patient Positioning Methods
          Clinical Assessment Tools
          Instrument Validation
          Human
          Validation Studies
          Test-Retest Reliability
          Male
          Female
          Intraclass Correlation Coefficient
          Reproducibility of Results
          Adipose Tissue
          Reliability and Validity
          Descriptive Statistics
          Male
          Female
      ab: The Nana positioning protocol is widely used to position participants to minimize technical error when undertaking body composition scanning and analysis with a Dual energy X-Ray absorptiometry (DXA) machine. Once biological and technical errors are accounted for, the only variation in test-retest results is from statistical fluctuation or machine error. Therefore, the aim of this study is to assess the test-retest reliability of the Nana positioning protocol and establish the smallest real difference percentage (SRD%). A gender-balanced group of 30 participants (15 males, 15 females) underwent two scans in succession using the Nana positioning protocol, with repositioning between scans. Percentage change in mean with typical error, Intraclass Correlation Coefficients (ICC), and standard error measurement percentage (SEM%) were used to identify the test-retest reliability and error rate of these protocols. Additionally, SRD% was calculated to assess the point at which clinically important changes occurred in a participant. The reliabilities of the whole body and regional scans were excellent. Percentage change in mean ranged between 0.00% and 0.23%. High reproducibility of the Nana positioning protocol was evident through an ICC ranging between 0.966-1.000. Additionally, typical error, SEM%, and SRD% were all low. Interestingly, fat mass was associated with the largest fluctuations observed to be associated with any of the parameters assessed. When all sources of biological and technical errors have been accounted for, the Nana positioning protocol has excellent test-retest reliability and produces low SEM% and SRD%.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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