Air displacement plethysmography (ADP) is a widespread technique for assessing global obesity in both health and disease. The reliability of ADP has been demonstrated by studies focused on duplicate trials. The present study was purported to evaluate learning effects on the reliability of body composition assessment using the BOD POD system, the sole commercially available ADP instrument. To this end, quadruplicate trials were performed on a group of 105 subjects (51 women and 54 men). We estimated measurement error from pairs of consecutive trials—(1,2), (2,3), and (3,4)—to test the hypothesis that early measurements are subject to larger errors. Indeed, statistical analysis revealed that measures of reliability inferred from the first two trials were inferior to those computed for the other pairs of contiguous trials: for percent body fat (%BF), the standard error of measurement (SEM) was 1.04% for pair (1,2), 0.71% for pair (2,3), and 0.66% for pair (3,4); the two-way random effects model intraclass correlation coefficient (ICC) was 0.991 for pair (1,2), and 0.996 for pairs (2,3) and (3,4). Our findings suggest that, at least for novice subjects, the first ADP test should be regarded as a practice trial. When the remaining trials were pooled together, the reliability indices of single ADP tests were the following: ICC = 0.996, SEM = 0.70%, and minimum detectable change (MDC) = 1.93% for %BF, and ICC = 0.999, SEM = 0.49 kg, and MDC = 1.35 kg for fat-free mass (FFM). Thus, the present study pleads for eliminating learning effects to further increase the reliability of ADP.

For elite athletes, monitoring body composition is important for maximizing performance without health risks. Amplitude (A)-mode ultrasound (AUS) has attracted increasing attention as an alternative to skinfold thickness measurements commonly used for assessing the amount of body fat in athletes. AUS accuracy and precision, however, depend on the formula used to predict body fat percentage (%BF) from subcutaneous fat layer thicknesses. Therefore, this study evaluates the accuracy of the 1-point biceps (B1), 9-sites Parrillo, 3-sites Jackson and Pollock (JP3), and 7-sites Jackson and Pollock (JP7) formulas. Relying on the previous validation of the JP3 formula in college-aged male athletes, we took AUS measurements in 54 professional soccer players (aged 22.9 ± 3.83 y, mean ± SD) and compared the results given by different formulas. The Kruskal–Wallis test indicated significant differences (p < 10⁻⁶), and Conover’s post hoc test revealed that the JP3 and JP7 data come from the same distribution, whereas the data given by B1 and P9 differ from all the others. Lin’s concordance correlation coefficients for B1 vs. JP7, P9 vs. JP7, and JP3 vs. JP7 were 0.464, 0.341, and 0.909, respectively. The Bland–Altman analysis indicated mean differences of −0.5 %BF between JP3 and JP7, 4.7 %BF between P9 and JP7, and 3.1 %BF between B1 and JP7. This study suggests that JP7 and JP3 are equally valid, whereas P9 and B1 overestimate %BF in athletes.

Body composition assessment helps conducting a healthy life or tracking the effectiveness of a weight management therapy. Ultrasound (US)-based body composition research has gained momentum because of the emergence of portable and inexpensive instruments bundled with user-friendly software. Previously, US-based assessment of body fat percentage (% BF) was found precise, but inaccurate in certain populations. Therefore, this study sought to compute % BF from subcutaneous fat thicknesses (SFs) given by US converting an anthropometric formula that involves skinfold thicknesses (SKFs) measured at the same sites. The symmetry of the body with respect to the central sagittal plane is an underlying assumption in both anthropometry and US-based body composition assessment, so measurements were taken on the right side of the body. Relying on experimental data on skinfold compressibility, we adapted 33 SKF formulas for US use and tested their validity against air displacement plethysmography on a study group of 97 women (BMI = 25.4 ± 6.4 kg/m², mean ± SD) and 107 men (BMI = 26.7 ± 5.7 kg/m²). For both sexes, the best proprietary formula had Lin’s concordance correlation coefficient (CCC) between 0.7 and 0.73, standard error of estimate (SEE) < 3% BF and total error (TE) > 6% BF—mainly because of the underestimation of % BF in overweight and obese subjects. For women (men) the best adapted formula had CCC = 0.85 (0.80), SEE = 3.2% (2.4%) BF, and TE = 4.6% (5.4%) BF. Remarkably, certain adapted formulas were more accurate for overweight and obese people than the proprietary equations. In conclusion, anthropometric equations provide useful starting points in the quest for novel formulas to estimate body fat content from ultrasound measurements.