Reference method matters: DXA system differences influence agreement with 3D optical imaging body composition estimates

Int J Obes (Lond)Published Method comparison study

Authors' conclusion

Our findings indicate that conclusions related to a clinical body composition method's accuracy depend on the specific DXA device and associated software version chosen to serve as the reference method.

Study context

Population
Healthy adultscompleted all four evaluations
Participants
99 adults
Comparison
3D optical imaging vs three DXA systems for BF%
Outcome
Agreement between BF% estimates by 3DO and each DXA system
Methodological detailssame-day measurements
  • Same-day measurements

Main finding

As reported in the abstract

BF%

Further findings

Method × sex and method × BMI category interactions

Significant interactions; differences between methods not uniform across sexes or BMI categories

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Reference method matters: DXA system differences influence agreement with 3D optical imaging body composition estimates. Int J Obes (Lond). Published 7 July 2026. doi:10.1038/s41366-026-02148-6

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