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Assessing the consistency between the anthropometric method and bioelectrical impedance analysis when calculating the Heath-Carter somatotype in people without obesity: a cross-sectional study Cover

Assessing the consistency between the anthropometric method and bioelectrical impedance analysis when calculating the Heath-Carter somatotype in people without obesity: a cross-sectional study

Open Access
|Aug 2025

Figures & Tables

Fig. 1:

Diagram of the location of measuring (potential) and current electrodes on the patient's hand and foot.

Table 1:

Study participant data.

ParametersM
M ± SD
F
M ± SD
Height, cm182 ± 12164 ± 6
Body mass, kg61.4 ± 11.778.9 ± 15.5
BMI, kg/m222.3 ± 2.824.2 ± 3.9
Age, years18.1 ± 1.318.4 ± 0.9
Shoulder girth, cm27.3 ± 3.2634.6 ± 3.7
Calf circumference, cm34.8 ± 2.336.6 ± 3.3
Hip circumference, cm69.7 ± 8.578.6 ± 7.9
Diameter of the distal epiphysis of the humerus, cm5.3 ± 0.56.7 ± 0.6
Diameter of the distal femoral epiphysis, cm8.1 ± 1.09.4 ± 0.8
Subscapular, mm16.3 ± 7.014.3 ± 8.8
Triceps, mm16.0 ± 5.69.9 ± 4.6
Iliac crest, mm16.1 ± 8.013.8 ± 10.3
Medial calf, mm19.5 ± 8.311.9 ± 5.4

[i] Notes: M – Male, F – Female, Subscapular – fold of skin and fat under the lower angle of the scapula in an oblique direction at an angle of 45° to the line of the spine, Triceps – vertical fold of skin and fat, on the back of the shoulder, in the middle between the olecranon and acromion process, on a freely lowered arm, Iliac crest – a diagonal fold passing directly above the iliac crest in a vertical line from the mid-axillary line, Medial calf – vertical skinfold, on the medial side of the leg at the level of the maximum circumference.

Table 2:

Results of a comparative analysis of somatotype assessment using anthropometric measurements and bioelectrical impedance analysis.

Female
SomatotypeBIAAnthropometryppcr
M ± SDM ± SD
Endo4.2±1.14.6±1,30.028*0.84 (0.62; 0.94)0.89
Meso4.9±1.04.1±0.30.001*0.31 (0.12; 0.48)0.81
Ekto2.3±1.22.3±1.40.8860.96 (0.90; 0.99)0.97
Male
SomatotypeBIAAnthropometryppcr
M ± SDM ± SD
Endo2.1±1.33.1±1.10.4320.21 (−0.40; 0.69)0.23
Meso5.6±1.63.8±1.40.001*0.42 (0.10; 0.66)0.84
Ecto2.4±1.32.4±1.20.1670.98 (0.94; 0.99)0.99

Notes: BIA – bioelectrical impedance analysis, pc – Lin's concordance correlation coefficient, r – Pearson's correlation coefficient, ENDO – endomorphy scores, MESO – mesomorphy scores, ECTO – ectomorphy scores,

* – statistically significant differences between measurement methods at p < 0.05.

Fig. 2:

Comparative analysis of endomorphy scores in female. A – assessment of bias using the Bland-Altman method, the Y-axis shows the “BIA-Anthro” difference in endomorphy scores, B – scatter plot between two methods for assessing somatotype. BIA – bioelectrical impedance analysis, SD (standard deviation), r – Pearson correlation coefficient, pc – Lin correlation concordance coefficient.

Fig. 3:

Comparative analysis of mesomorphy scores in females. A– assessment of bias using the Bland-Altman method, the Y-axis shows the “BIA-Anthro” difference in mesomorphy scores, B – scatter plot between two methods for assessing somatotype. BIA – bioelectrical impedance analysis, SD (standard deviation), r – Pearson correlation coefficient, pc – Lin correlation concordance coefficient.

Fig. 4:

Comparative analysis of ectomorphy scores in females. A – assessment of bias using the Bland-Altman method, the Y-axis shows the “BIA-Anthro” difference in ectomorphy scores, B – scatter plot between two methods for assessing somatotype. BIA – bioelectrical impedance analysis, SD (standard deviation), r – Pearson correlation coefficient, pc – Lin correlation concordance coefficient.

Fig. 5:

Comparison of female somatotyping results by the Heath-Carter method using BIA and anthropometry. BIA – bioelectrical impedance analysis.

Fig. 6:

Comparative analysis of endomorphy scores in young men. A – assessment of bias using the Bland-Altman method, the Y-axis shows the “BIA-Anthro” difference in endomorphy scores, B – scatter plot between two methods for assessing somatotype. BIA – bioelectrical impedance analysis, SD (standard deviation), r – Pearson correlation coefficient, pc – Lin correlation concordance coefficient.

Fig. 7:

Comparative analysis of mesomorphy scores in male. A – assessment of bias using the Bland-Altman method, the Y-axis shows the “BIA-Anthro” difference in mesomorphy scores, B – scatter plot between two methods for assessing somatotype. BIA – bioelectrical impedance analysis, SD (standard deviation), r – Pearson correlation coefficient, pc – Lin correlation concordance coefficient.

Fig. 8:

Comparative analysis of ectomorphy scores in male. A – assessment of bias using the Bland-Altman method, the Y-axis shows the “BIA-Anthro” difference in ectomorphy scores, B – scatter plot between two methods for assessing somatotype. BIA – bioelectrical impedance analysis, SD (standard deviation), r – Pearson correlation coefficient, pc – Lin correlation concordance coefficient.

Fig. 9:

Comparison of somatotyping results of male by Heath-Carter method using BIA and anthropometry.

Language: English
Page range: 99 - 106
Submitted on: Jan 15, 2025
Published on: Aug 4, 2025
Published by: University of Oslo
In partnership with: Paradigm Publishing Services

© 2025 Kyialbek Sakibaev, Alexander Meshtel, Tatyana Grichanova, Kylychbek Suiunov, Abdyrakhman Eshiev, Sagynbek Dzholdubaev, Nazgul Tashmatova, Mirlan Nuruev, Aiperi Alimbekova, Akmaral Argynbaeva, Uulkan Manas Kyzy, Bekbolot Keneshbaev, Kulpunai Karimova, published by University of Oslo
This work is licensed under the Creative Commons Attribution 4.0 License.