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Measurement error in bioimpedance spectroscopy: The role of electrode type and analyzer Cover

Measurement error in bioimpedance spectroscopy: The role of electrode type and analyzer

Open Access
|Aug 2026

Figures & Tables

Figure 1.

Sample hand-to-foot multi-frequency bioimpedance collected from a healthy adult. Red markers highlight the low (3 kHz) and high (1 MHz) frequency datapoints. The black marker highlights 50 kHz data, which is the specific frequency analyzed in this study.

Figure 2.

Study design of the twelve assessments utilizing single- and double-tab electrodes and the two different devices (i.e., device A and device B).

Table 1.

A summary of the twelve comparisons utilizing single-tab (ST) and double-tab (DT) electrodes and the two different ImpediMed SFB7 analyzers (i.e., device A and device B). The colors in the table correspond to those displayed in Figures 3 – 8.

TrialsElectrode Type(s)Description
1 v 2STTest-retest with device A; intra-analyzer error
1 v 3STComparing devices A and B; inter-analyzer error
3 v 4STTest-retest with device B; intra-analyzer error
1 v 5STComparing different sets of ST electrodes with device A; error from switching electrode sets
3 v 6STComparing different sets of ST electrodes with device B; error from switching electrode sets
7 v 8DTTest-retest with device A; intra-analyzer error
7 v 9DTComparing devices A and B; inter-analyzer error
9 v 10DTTest-retest with device B; intra-analyzer error
7 v 11DTComparing different sets of DT electrodes with device A; error from switching electrode sets
9 v 12DTComparing different sets of DT electrodes with device B; error from switching electrode sets
1 v 7ST & DTComparison of ST and DT electrodes for device A; error from switching electrode set/type
3 v 9ST & DTComparison of ST and DT electrodes for device B; error from switching electrode set/type
Figure 3.

The technical error of the measurement (TEM) for reactance (Xc50) expressed in absolute (Ω) and relative (%) terms for each assessment, intra-analyzer in red (1 v. 2, 3 v. 4, 7 v. 8, 9 v. 10), different set of double-tab (DT) electrodes in blue (7 v. 11 and 9 v. 12), different set of single-tab (ST) electrodes in green (1 v. 5 and 3 v. 6), comparison of the different electrode types single vs double-tab electrodes in purple (1 v. 7 and 3 v. 9), and inter-analyzer in orange (7 v. 9 and 1 v. 3).

Table 2.

The absolute and relative technical error of the measurement for the raw bioelectrical impedance variables – Reactance (Xc50), Resistance (R50), Phase Angle (φ). See Figure 2 for assessment definitions.

Assessment ComparisonReactance (Xc50)Resistance (R50)Phase Angle (φ)
Sample Mean ± SD 64.3 ± 8.6 ΩSample Mean ± SD 557.4 ± 100.6 ΩSample Mean ± SD 6.7 ± 1.0◦
Abs. TEM (Ω)Rel. TEM (%)Abs. TEM (Ω)Rel. TEM (%)Abs. TEM (◦)Rel TEM (%)
1 v 20.180.280.300.050.020.27
1 v 30.651.001.370.250.050.8
3 v 40.080.120.260.050.010.11
1 v 50.671.046.591.190.060.95
3 v 60.981.516.371.150.091.31
7 v 80.170.270.310.060.020.24
7 v 91.071.681.190.210.091.38
9 v 100.150.240.620.110.020.24
7 v 110.891.366.371.130.091.33
9 v 120.630.986.341.130.081.13
1 v 70.811.277.801.400.111.64
3 v 90.671.047.921.420.101.45
Figure 4.

The technical error of the measurement (TEM) for resistance (R50) expressed in absolute (Ω) and relative (%) terms for each assessment, intra-analyzer in red (1 v. 2, 3 v. 4, 7 v. 8, 9 v. 10), different set of double-tab (DT) electrodes in blue (7 v. 11 and 9 v. 12), different set of single-tab (ST) electrodes in green (1 v. 5 and 3 v. 6), comparison of the different electrode types single vs double-tab electrodes in purple (1 v. 7 and 3 v. 9), and inter-analyzer in orange (7 v. 9 and 1 v. 3).

Figure 5.

The technical error of the measurement (TEM) for phase angle (φ) expressed in absolute (°) and relative (%) terms for each assessment, intra-analyzer in red (1 v. 2, 3 v. 4, 7 v. 8, 9 v. 10), different set of double-tab (DT) electrodes in blue (7 v. 11 and 9 v. 12), different set of single-tab (ST) electrodes in green (1 v. 5 and 3 v. 6), comparison of the different electrode types single vs double-tab electrodes in purple (1 v. 7 and 3 v. 9), and inter-analyzer in orange (7 v. 9 and 1 v. 3).

Figure 6.

The technical error of the measurement (TEM) for total boy water (TBW) expressed in absolute (kg) and relative (%) terms for each assessment, intra-analyzer in red (1 v. 2, 3 v. 4, 7 v. 8, 9 v. 10), different set of double-tab (DT) electrodes in blue (7 v. 11 and 9 v. 12), different set of single-tab (ST) electrodes in green (1 v. 5 and 3 v. 6), comparison of the different electrode types single vs double-tab electrodes in purple (1 v. 7 and 3 v. 9), and inter-analyzer in orange (7 v. 9 and 1 v. 3).

Table 3.

The absolute and relative technical error of the measurement for each of the body composition variables – total body water (TBW), fat-free mass (FFM), and fat mass (FM). See Figure 2 for assessment definitions.

Assessment ComparisonTotal Body Water (TBW)Fat Free Mass (FFM)Fat Mass (FM)
Sample Mean ± SD 53.9 ± 6.3 kgSample Mean ± SD 73.6 ± 8.6 kgSample Mean ± SD 26.4 ± 8.6 kg
Abs. TEM (kg)Rel. TEM (%)Abs. TEM (kg)Rel. TEM (%)Abs. TEM (kg)Rel. TEM (%)
1 v 20.030.070.050.070.050.21
1 v 30.190.500.400.540.401.52
3 v 40.030.080.050.070.050.21
1 v 50.380.960.690.940.692.66
3 v 60.380.980.730.990.732.81
7 v 80.030.070.060.080.060.21
7 v 90.210.540.450.610.451.66
9 v 100.040.100.070.100.070.27
7 v 110.370.960.700.960.702.61
9 v 120.380.990.690.940.692.55
1 v 70.531.370.971.320.973.68
3 v 90.511.320.911.240.913.44
Figure 7.

The technical error of the measurement (TEM) for fat-free mass (FFM) expressed in absolute (kg) and relative (%) terms for each assessment, intra-analyzer in red (1 v. 2, 3 v. 4, 7 v. 8, 9 v. 10), different set of double-tab (DT) electrodes in blue (7 v. 11 and 9 v. 12), different set of single-tab (ST) electrodes in green (1 v. 5 and 3 v. 6), comparison of the different electrode types single vs double-tab electrodes in purple (1 v. 7 and 3 v. 9), and inter-analyzer in orange (7 v. 9 and 1 v. 3).

Figure 8.

The technical error of the measurement (TEM) for fat mass (FM) expressed in absolute (kg) and relative (%) terms for each assessment, intra-analyzer in red (1 v. 2, 3 v. 4, 7 v. 8, 9 v. 10), different set of double-tab (DT) electrodes in blue (7 v. 11 and 9 v. 12), different set of single-tab (ST) electrodes in green (1 v. 5 and 3 v. 6), comparison of the different electrode types single vs double-tab electrodes in purple (1 v. 7 and 3 v. 9), and inter-analyzer in orange (7 v. 9 and 1 v. 3).

Language: English
Page range: 84 - 94
Submitted on: Jul 22, 2026
Published on: Aug 25, 2026
Published by: University of Oslo
In partnership with: Paradigm Publishing Services

© 2026 Carina M. Velasquez, Ainsley E. Way, Christian Rodriguez, Ethan G. Tinoco, Christine M. Florez, Madelin R. Siedler, Todd J. Freeborn, Grant M. Tinsley, published by University of Oslo
This work is licensed under the Creative Commons Attribution 4.0 License.