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Obesity has become a major health problem in persons with a spinal cord injury (SCI). An in SCI persons validated measure of fat mass is the use of single frequency bio-impedance with a for the SCI population specific equation (BIA+ equation). Conversely, clinical management relies on measures which are both valid and practical in day-to-day practice. Lacking an alternative, BMI is still in clinical management although it is shown to be not valid in SCI populations. Potential alternatives for clinical practice are the simple measurement of waist circumference (WC) or the calculation of an anthropometric index integrating using waist circumference, calf circumference, chest diameter and measurement of subscapular skin fold (AI). To examine the validity of WC and an AI in comparison to BIA+ equation we studied these measurments in 23 adult male persons with motor complete paraplegia (duration > 1 year). An estimation of obesity using WC and AI and comparing them with BIA+ equation using Bland and Altman plots and statistics and Pearson's correlation coefficients was made. Good agreement between BIA+ equation and AI with a small systematic difference (mean difference: -0.28) was found. The correlation (Pearson's r) between WC and the BIA+ equation % FM was very high (0.83). Concluded can be that using an AI is suited to determine obesity in adult male SCI persons. WC measurment is promising, but needs further validation.
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