TY - JOUR
T1 - Reliability and Precision of the Nana Protocol to Assess Body Composition Using Dual Energy X-ray Absorptiometry
AU - Shiel, Flinn
AU - Persson, Carl
AU - Simas, Vini
AU - Furness, James
AU - Climstein, Mike
AU - Pope, Rod
AU - Schram, Ben
N1 - Accepted author manuscript version reprinted, by permission, from "International Journal of Sport Nutrition and Exercise Metabolism" , 2018. © Human Kinetics, Inc.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - The Nana positioning protocol is widely used to position participants to minimise technical error when undertaking body composition scanning and analysis with a Dual Energy X-Ray Absorptiometry (DXA) machine. Once biological and technical errors are accounted for, the only variation in test re-test results is from statistical fluctuation or machine error. Therefore, the aim of this study is to assess the test re-test reliability of the Nana positioning protocol, and establish the smallest real difference percentage (SRD%). A gender balanced group of thirty participants (15 males, 15 females) underwent two scans in succession using the Nana positioning protocol, with repositioning between scans. Percentage change in mean with typical error, Intraclass Correlation Coefficients (ICC) and standard error measurement percentage (SEM%) were used to identify the test re-test reliability and error rate of these protocols. Additionally, SRD% was calculated to assess the point at which clinically important changes occurred in a participant. The reliabilities of the whole body and regional scans were excellent. Percentage change in mean ranged between 0.00% and 0.23%. High reproducibility of the Nana positioning protocol was evident through an ICC ranging between 0.966 - 1.000. Additionally, typical error, SEM% and SRD% were all low. Interestingly, fat mass was associated with the largest fluctuations observed to be associated with any of the parameters assessed. When all sources of biological and technical errors have been accounted for, the Nana positioning protocol has excellent test re-test reliability and produces low SEM% and SRD%.Accepted author manuscript version reprinted, by permission, from "International Journal of Sport Nutrition and Exercise Metabolism" , 2018. © Human Kinetics, Inc.
AB - The Nana positioning protocol is widely used to position participants to minimise technical error when undertaking body composition scanning and analysis with a Dual Energy X-Ray Absorptiometry (DXA) machine. Once biological and technical errors are accounted for, the only variation in test re-test results is from statistical fluctuation or machine error. Therefore, the aim of this study is to assess the test re-test reliability of the Nana positioning protocol, and establish the smallest real difference percentage (SRD%). A gender balanced group of thirty participants (15 males, 15 females) underwent two scans in succession using the Nana positioning protocol, with repositioning between scans. Percentage change in mean with typical error, Intraclass Correlation Coefficients (ICC) and standard error measurement percentage (SEM%) were used to identify the test re-test reliability and error rate of these protocols. Additionally, SRD% was calculated to assess the point at which clinically important changes occurred in a participant. The reliabilities of the whole body and regional scans were excellent. Percentage change in mean ranged between 0.00% and 0.23%. High reproducibility of the Nana positioning protocol was evident through an ICC ranging between 0.966 - 1.000. Additionally, typical error, SEM% and SRD% were all low. Interestingly, fat mass was associated with the largest fluctuations observed to be associated with any of the parameters assessed. When all sources of biological and technical errors have been accounted for, the Nana positioning protocol has excellent test re-test reliability and produces low SEM% and SRD%.Accepted author manuscript version reprinted, by permission, from "International Journal of Sport Nutrition and Exercise Metabolism" , 2018. © Human Kinetics, Inc.
UR - http://www.scopus.com/inward/record.url?scp=85042498329&partnerID=8YFLogxK
U2 - 10.1123/ijsnem.2017-0174
DO - 10.1123/ijsnem.2017-0174
M3 - Article
C2 - 28871851
SN - 1526-484X
VL - 28
SP - 19
EP - 25
JO - International Journal of Sport Nutrition and Exercise Metabolism
JF - International Journal of Sport Nutrition and Exercise Metabolism
IS - 1
ER -