010-111 · Question #115
For the comparison of body mass index (BMI) and plethysmography body composition assessment techniques, which of the following statements is correct?
The correct answer is B. BMI is inferior to plethysmography because it does not account for lean/fat mass in its calculation. BMI is inferior to plethysmography because it is calculated solely from height and weight and cannot distinguish between lean tissue and fat mass.
Question
For the comparison of body mass index (BMI) and plethysmography body composition assessment techniques, which of the following statements is correct?
Options
- APlethysmography is inferior to BMI because of the difficulties associated with determination of lung
- BBMI is inferior to plethysmography because it does not account for lean/fat mass in its calculation.
- CPlethysmography is superior to BMI because it accounts for the hydration state of the client.
- DBMI is superior to plethysmography because its standard error of estimate for predicting percent
How the community answered
(25 responses)- B80% (20)
- C12% (3)
- D8% (2)
Why each option
BMI is inferior to plethysmography because it is calculated solely from height and weight and cannot distinguish between lean tissue and fat mass.
Plethysmography accounts for lung volume through residual volume correction, so the difficulty of lung volume determination does not make it inferior - it is a manageable and standard part of the protocol.
BMI is a simple ratio of weight to height squared and treats all body mass as equivalent, meaning a muscular athlete and an obese sedentary individual with the same BMI would be indistinguishable by the metric. Plethysmography (air displacement plethysmography) measures body volume to calculate body density, allowing separate estimation of fat mass and fat-free mass. This makes plethysmography a far more precise body composition assessment tool than BMI.
Plethysmography does not specifically account for hydration state; techniques such as bioelectrical impedance analysis are more sensitive to hydration changes.
BMI is not superior to plethysmography in predicting percent body fat - its standard error of estimate is larger because it cannot differentiate fat from lean mass.
Concept tested: Body composition assessment - BMI vs plethysmography
Source: https://www.cdc.gov/bmi/about/index.html
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