Comparison of body composition and bone mineral measurements from two DXA instruments in young men

Abstract

The purpose of this study was to compare body-composition and whole-body, lumbar spine (LS), femoral neck (FN), trochanter, and Ward's triangle (WT) bone mineral measurements by using the Hologic QDR 1000W (DXAH) and the Lunar DPX-L (DXAL) dual-energy X-ray absorptiometry instruments. In addition, the ability of conversion equations to predict DXAH data from DXAL data were tested. Thirteen healthy young adult males (aged 22.2 +/- 3.6 y, 177.4 +/- 5.3 cm in height, and 72.7 +/- 9.6 kg in weight) were scanned on the same day by using DXAH and DXAL. Whereas measured body mass was not different (P > 0.05) between machines, whole-body fat mass [DXAH-DXAL (DXAdiff) = 1152 +/- 1395 g], percentage fat (DXAdiff = 1.5 +/- 1.7% of body mass), bone mineral density (BMD; DXAdiff = 0.016 +/- 0.023 g/cm2), and bone mineral content (BMC; DXAdiff = 316 +/- 50 g) were lower and whole-body fat-free soft tissue (FFST; DXAdiff = 1781 +/- 1859 g) was higher with DXAH than with DXAL. Lower fat mass (DXAdiff = 2145 +/- 855 g) and BMC (DXAdiff = 216 +/- 36 g) and higher FFST (DXAdiff = 1966 +/- 943 g) in the trunk were primarily responsible for the whole-body differences. Lower BMD and BMC values were found for LS (DXAdiff = 0.145 +/- 0.038 g/cm2 and 3 +/- 2 g, respectively), trochanter (DXAdiff = 0.100 +/- 0.044 g/cm2 and 1.7 +/- 1.0 g), and WT (DXAdiff = 0.195 +/- 0.061 g/cm2 and 1.93 +/- 0.51 g) with DXAH compared with DXAL. DXAH BMD of FN was also lower (DXAdiff = 0.141 +/- 0.032 g/cm2) than with DXAL. Only DXAH whole-body BMC and LS BMD were accurately predicted from DXAL with conversion equations. Predicted DXAH FN BMD was significantly lower than the actual DXAH value (P < or = 0.05), whereas the discrepancy between DXAH and DXAL actually increased for whole-body percentage fat and BMD (DXAdiff = 6.6 +/- 1.3% body mass and 0.020 +/- 0.025 g/cm2). In conclusion, lower whole-body fat mass, percentage fat, and BMC, and higher whole-body FFST with DXAH were due primarily to measurement differences in the trunk. Whereas conversion equations accurately predicted DXAH whole-body BMC and LS BMD from DXAL measurements in young adult males, they did not accurately predict DXAH, percentage fat, and BMD of the whole body and FN BMD.