Fat has been given a bad connotation over the last few decades due to the risks associated with excess levels in the body. However, contrary to what many think, everyone needs (and has) fat in their body. Fat serves a vital role in the body such as protecting our organs, preserving our body heat, and assisting with the absorption of vitamins such as Vitamin A, D, E, and K. Through this lesson you will learn how to select, setup, calibrate and care for equipment that measures body fat percentage. You also will learn how to conduct these measurements using two common techniques in the field, skinfold thickness and Bioelectrical Impedance.
Review the following information thoroughly BEFORE going through the Graded Activities. Please be aware of the due dates associated with this lesson. This lesson includes two parts, you can navigate between the parts using the tabs or the “Jump to next part” button. The Graded Activities for this lesson are located in PART 2 and should be completed after you have completed both Part 1 and Part 2.
Measuring Body Fat Percentage
Body fat percentage can be measured in the field using two different types of methods as explained in this video. In this lesson we will be exploring the skinfold thickness method in Part 1 and the bioelectrical impedance method in Part 2.
Part 1
Skinfold Thickness
Required Resources
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Skinfold Thickness
One method used to determine body fat percentage is skinfold thickness. Skinfold calipers are the tools used to measure the thickness of a fold of skin with its underlying layer of fat. The total amount of fat on the body can be estimated if skinfold measurements are taken at certain locations. It is useful to mark the locations on the body with a cosmetic pencil (mark can be easily removed) prior to measuring the skinfolds.
In the US, skinfold thickness measurements are usually taken on the right side of the body while internationally they are taken on the left. Measurement protocols should specify which side of the body to conduct the skinfold thickness measurements on.
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Equipment Setup
For skinfold calipers, setup is easy. Ensure the skinfold calipers are out of the box and that you have a cosmetic pencil available for marking the skin.
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Equipment Calibration
For skinfold calipers, zero the calipers, ensuring that the pointer falls exactly on 0mm. If the pointer is off, depending on the type of caliper you are using you may be able to adjust the pointer through adjusting the screw. If the calipers do not zero and are not adjustable do not use them. Place a step wedge, that has a series of wedges that fall at different increments, in between the caliper and see if the caliper reading falls within the acceptable ranges for each associated step in the wedge. If the caliper does not calibrate to the step wedge do not use it. Always be sure to record the calibration value prior to conducting any measurements following calibration protocols. Calibration should occur at the start of each measurement session.
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Equipment Care
The calipers should be wiped down with sanitizer after every child’s measurement to prevent the spread of germs. Cleaning the equipment at the end of the session is also important to extend the life of the equipment. Due to their small size it is easy to lose or forget a caliper so make sure to follow a protocol for collecting, transporting, and storing.
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Lohman Anthropometric Standardization Reference Manual
Read pages 55 - 68.
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National Health and Nutrition Examination Survey (NHANES) III Anthropometry Manual
Read pages 2-11, 2-16, 3-12 to 3.14, 3-17 to 3-22, and 5-14.
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Lange Skinfold Caliper Operation Manual
Read pages 1 - 3.
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World Health Organization Multicentre Growth Reference Study Videos on Conducting Skinfold Thickness Measurements (View in new tab)
[starting at 10:28 to the end]
View this video to learn more about the equipment and techniques for conducting skinfold thickness measurements in children.
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Measurement Roles: Body Fat Percentage Skinfold Thickness
The different roles a practitioner may play in measuring body fat percentage using skinfold thickness are outlined in this document.
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Number of Measurements
Review this document to clarify the number of measurements needed.
Part 2
Bioelectrical Impedance
Required Resources
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Bioelectrical Impedance (BIA)
Bioelectrical impedance or BIA has been integrated into scales, handheld devices and whole body devices (view the embedded video on whole body devices below).
BIA sends a mild electrical current through the body to determine body composition including fat composition based on the impedance (resistance) of the electrical current. The BIA machine is a less invasive and simpler method to determine body fat percentage in comparison to skinfold thickness.
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Tanita Understanding Body Fat Analysis
Pages 16 - 19
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Equipment Setup
Setup the BIA following manufacturing guidelines. These will vary depending on the type of BIA equipment used. -
Equipment Calibration
Calibrate the BIA following manufacturing guidelines. These will vary depending on the type of BIA equipment used. -
Equipment Care
Sanitize the BIA after every child’s measurement to prevent the spread of germs. Cleaning the equipment at the end of the session is also important to extend the life of the equipment. It is recommended to store in a temperature controlled environment to maintain the integrity of the equipment. -
Bioelectrical Impedance Protocol
Read pages 1 - 3.
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Omron Handheld Bioelectrical Impedance
Review product details tab.
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Measurement Roles: Body Fat Percentage Bioelectrical Impedance
The different roles a practitioner may play in measuring body fat percentage using bioelectrical impedance are outlined in this document.
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Number of Measurements
Review this document to clarify the number of measurements needed.
Resources in this section are meant to help reinforce the content in this lesson.
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Calibration Form
See example of an equipment Calibration Form used in the Children’s Healthy Living Program
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Data Collection Form
See example of a Data Collection Form used in the Children’s Healthy Living Program
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Measurement and Standardization Protocols
Review the methods used in the World Health Organization Multicentre Growth Reference Study
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Bioelectrical Impedance Scale (View in new tab)
View this video for another example of a bioelectrical impedance scale