ABSTRACT

Typically, methods of determining body composition are based on the model which divides the body into two chemically distinct compartments: fat and fat free. The fat free compartment is further divided into three chemical groups: water, pro­ tein, and bone minerals. Additional methods for assessing body composition in­ clude: a) assessment o f total body water using isotopes of hydrogen, deuterium and tritium, b) estimation o f lean body mass from total body potassium or urinary crea­ tinine excretion, and c) assessment o f human body composition by densitometry and anthropometry. More recent methods, however, include measuring the multielemental composition o f the human body via neutron activation analysis; deter­ mining total body skeletal muscle mass with total plasma creatinine and endog­ enous urinary 3-methylhistidine excretion; and determining fat free mass by electrical conductance techniques. Although, more specific, some of these methods require complex laboratory equipment and do not provide accurate estimates o f body fat in an individual.1 Various radiologic examinations are now used to assess body compo­ sition, in the attempt to objectively determine the metabolic and nutritional status in patients requiring nutritional support. These methods of estimating body com­ position will be the focus of this chapter.