Obesity

Body composition references, sarcopenia cutoffs, and prevalence in youth using bioelectrical impedance analysis

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

This study established BIA-based body composition reference values for youth using nationally representative data, identified age- and sex-specific sarcopenia cutoff points and prevalence estimates, and highlighted age- and sex-specific differences. These findings provide a valuable resource for the early identification and management of sarcopenia in youth.

Study context

Population
Youth aged 10–25 years who underwent bioelectrical impedance analysis (BIA), nationwide survey
Participants
1,451 participants
Exposure
Males vs Females
Outcome
BIA body composition reference values (age-specific percentiles, least mean squares method); sarcopenia cutoffs and prevalence defined by SMI, FFM-MFR and appendicular skeletal muscle mass-to-fat ratio (ASM-MFR) with age- and sex-specific cutoffs
Methodological detailsnationwide survey, nationally representative data
  • Nationwide survey
  • Nationally representative data

Main finding

As reported in the abstract

Prevalence of sarcopenia

By SMI

By FFM-MFR

By ASM-MFR

Observational data: associations, not effects.

Further findings

Muscle-related parameters (fat-free mass, fat-free mass index, ASM, SMI)

Increased during puberty in both sexes, more pronounced in males, followed by a plateau or gradual increase after adolescence

Fat-related parameters (fat mass, fat mass index, % body fat)

Males: decreased until age 14 years, then increased; females: increased until adolescence, declined after early adulthood

Original publication

Body composition references, sarcopenia cutoffs, and prevalence in youth using bioelectrical impedance analysis. Int J Obes (Lond). Published 8 January 2026. doi:10.1038/s41366-025-01892-5

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