The Concordance Between the Clínica Universidad de Navarra Body Adiposity Estimator and a Bioelectrical Impedance Analysis in Assessing the Body Fat of Athletes

Featured Application From a public health perspective, the CUN-BAE can serve as a screening tool in physically active populations in the presence of restricted techniques for assessing body composition.Abstract An equation-derived body fat estimator, namely the Cl & iacute;nica Universidad de Navarra Body Adiposity Estimator (CUN-BAE), was established to assess the body fat percentage in adults. However, its efficiency compared to that of the bioelectrical impedance analysis (BIA) approach remains under-researched. This study aimed to assess the agreement between the body fat percentages measured using a BIA and estimated using the CUN-BAE in a sample of Lithuanian professional athletes. A single cross-sectional study was conducted using the BIA technique to measure and the CUN-BAE equation to calculate the body fat percentages of 323 study participants. The Bland-Altman plot system was applied to comparing both the body fat percentages estimated using the CUN-BAE equation and those obtained via the BIA approach. The average values of the body fat percentages found in the total sample of elite athletes and estimated using the BIA and CUN-BAE equaled 18.4 +/- 5.3% and 18.7 +/- 6.6%, respectively (ICC: 0.91; 95% confidence interval (CI): 0.88; 0.93). This study found that the CUN-BAE method overestimated the BIA's calculation of the body fat percentages by 2.7% on average. Meanwhile, the comparison of adiposity in the athletes using the CUN-BAE equation and the BIA methods demonstrated a similar, although not identical, accuracy. The BIA method cannot be replaced by the CUN-BAE equation in routine sports medicine practice due to moderately sized limits of agreement (95% CI: -6.5; 7.1), even when the access to body fat measurement devices is limited. From a public health perspective, the outcomes derived from the CUN-BAE equation can possibly be extrapolated to females and to individuals competing in strength-power sports, as well as to populations of adults.