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    "slug": "a-guide-to-buying-your-first-bia-device",
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        "rendered": "<p>People are finally taking notice: body composition is useful for measuring health; BMI is not. \u00a0Even the<a href=\"http:\/\/www.nytimes.com\/interactive\/projects\/cp\/summer-of-science-2015\/latest\/bmi\">\u00a0New York Times<\/a>\u00a0is publishing stories about the pitfalls and inaccurate uses of BMI. \u00a0The jury is in: if you want to be on the cutting edge of health and fitness,<b>\u00a0you need to be involved with body composition analysis<\/b>. To do that, you need a device that measures body composition, and some of the most popular body composition tools are devices that use bioelectrical impedance analysis (BIA).<\/p>\n<p>BIA devices are becoming one of the most popular and convenient ways to measure body fat percentage and body composition because of their speed, convenience, and accuracy. There is no shortage of them to buy, and costs range greatly. \u00a0Some are under $50, while others range in the tens of thousands.<\/p>\n<p>Why? \u00a0What\u2019s the difference between them?<\/p>\n<p>Fundamentally, all BIA devices operate using the same method: a small, safe, electric current is sent through a person\u2019s body. \u00a0Along the way, it encounters resistance due to the variation in water content in different parts of your body\u00a0\u2013 like in\u00a0fat and muscle \u2013 and that resistance is measured. \u00a0This information is then\u00a0analyzed and translated into useful outputs, such as body fat percentage and\u00a0<a href=\"http:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/45434945-lean-body-mass-and-muscle-mass-whats-the-difference\">lean body mass<\/a>.<\/p>\n<p>So if every device uses the same method, why the range in price? What are some things to consider when looking for a BIA device, especially those that influence the cost? Here, we\u2019ll break down\u00a0<strong>the most important things to look into<\/strong>\u00a0when buying a BIA device to measure body composition.<\/p>\n<h2><strong>Check\u00a0the frequencies<\/strong><\/h2>\n<p><strong><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Shoppers-guide03_6ad9497b-da3e-447d-9f36-1d883fcc0903.jpg?10986465884628724157\" alt=\"\" \/><\/strong><\/p>\n<p>All BIA devices use at least one electric current set at a specific frequency to measure body composition. \u00a0In the past, this frequency was traditionally set at 50 kHz. \u00a0Some devices today continue to use this single frequency.<\/p>\n<p>However, beginning the early 1990s, research began to accumulate suggesting that single frequency devices set at 50 kHz<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/10484581\">\u00a0did not accurately predict changes<\/a>\u00a0in total body water, and that the use of multiple frequencies \u2013 multiple currents set at a different frequencies \u2013 was a superior method in terms of accuracy. \u00a0So, the\u00a0<b>first thing you will want to check when looking at BIA devices whether it is a single or multifrequency device\u00a0<\/b>because generally speaking, devices that use multiple frequencies are found to be more accurate.<\/p>\n<p>Why are multifrequency devices typically more accurate? \u00a0The answer lies with how BIA devices measure that resistance \u2013 more accurately termed \u201cimpedance\u201d \u2013 when the current travels through the body.<\/p>\n<p>As the current travels, the water in your body will naturally resist the flow of the current as it travels. \u00a0This is called\u00a0<b>resistance<\/b>. \u00a0When the current encounters a cell, the cell wall will cause a \u201cdelay\u201d as the current builds up enough energy to pass through the cell wall. \u00a0This brief \u201ctime delay\u201d is referred to as\u00a0<strong>reactance<\/strong>. \u00a0Impedance is a combination of these two values.<\/p>\n<p>How does this apply to frequencies? Lower frequencies don\u2019t have enough energy to pass through cell walls easily, so they often\u00a0follow an easier path by traveling around cells. This means lower frequencies are better suited for measuring\u00a0<strong>extracellular water<\/strong>. \u00a0Conversely, higher frequencies are better suited to penetrating cell walls and can\u00a0<a href=\"http:\/\/pdxscholar.library.pdx.edu\/cgi\/viewcontent.cgi?article=1209&amp;context=phy_fac\">measure both intracellular and extracellular water<\/a>. The end result is that those frequencies can measure all of your body water and provide you with an accurate result for your lean body mass.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Shoppers-guide02_grande.jpg?18235127387649092677\" alt=\"\" \/><\/p>\n<p>Ideally, you will want a device that\u00a0<b>uses at least two frequencies<\/b>\u00a0\u2013 one on the lower end and the other on the higher end. The more frequencies you have, the better the device is able to gather the information required to accurately measure your total body water, and from there, your body composition.<\/p>\n<h2><strong>See what outputs it provides<\/strong><\/h2>\n<p><strong><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Shoppers-guide04.jpg?14257722773466503442\" alt=\"\" \/><\/strong><\/p>\n<p>BIA devices range widely in capabilities and the outputs they are able to produce. \u00a0Some devices only measure your body fat percentage, while others can give much more information. \u00a0Typically, the better quality the BIA device, the more comprehensive outputs you will receive.<\/p>\n<p>Every BIA device on the market will at least give body fat percentage. \u00a0Using body fat percentage as an indicator of your overall health and weight is a very useful metric and a much better tool than simply monitoring your scale weight.<\/p>\n<p>However, just as relying solely on scale weight isn\u2019t advisable, neither is relying solely on body fat percentage. \u00a0This is because<a href=\"http:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/42418241-going-beyond-body-fat-percentage\">\u00a0body fat percentages can fluctuate for many reasons<\/a>, not all of these changes are related to weight gain or loss.<\/p>\n<p>Here are a few other BIA outputs to look for and some reasons why you would want to track these in addition to body fat:<\/p>\n<ul>\n<li><b>Skeletal Muscle Mass<\/b>: Skeletal Muscle Mass is the muscle that you can grow and develop through exercise and proper nutrition. \u00a0It also has\u00a0a significant influence on change in Lean Body Mass. \u00a0However, Lean Body Mass<a href=\"http:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/45434945-lean-body-mass-and-muscle-mass-whats-the-difference\">\u00a0can also be influenced by other factors<\/a>\u00a0such as body water. If you are\u00a0tracking Skeletal Muscle Mass, you\u2019ll be able to cross reference\u00a0your\u00a0muscle gains against your Lean Body Mass to ensure that those gains are due to muscle, not water.<\/li>\n<\/ul>\n<ul>\n<li><b>Body Water Analysis<\/b>: Since BIA devices all measure total body water via impedance, if your device can give you this information, you\u2019ll know how much total body water you have. \u00a0If your device can further break this down into<a href=\"http:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/40668865-your-body-and-you-a-guide-to-body-water\">\u00a0intracellular and extracellular water<\/a>\u00a0components, you\u2019ll be able to understand your body water levels are properly balanced. \u00a0With that information, you\u2019ll know if you have any unusual swelling due to inflammation, injury, etc.<\/li>\n<\/ul>\n<ul>\n<li><b>Phase Angle<\/b>: Phase Angle is a measurement of the relationship between reactance, resistance, and impedance. \u00a0It\u2019s able to give you an idea of the integrity of your cell walls, which gives an indication of their ability to retain water. \u00a0This has an impact on your overall health. \u00a0By tracking Phase Angle, you\u2019ll be able to get an idea about the health of your individual cells and how much water is inside them.<\/li>\n<\/ul>\n<h2><strong>Find out what information it needs (important)<\/strong><\/h2>\n<p><strong><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Shoppers-guide05.jpg?5223338736770759229\" alt=\"\" \/><\/strong><\/p>\n<p>All BIA devices are going to require your\u00a0<b>weight<\/b>\u00a0at the very minimum. \u00a0For this reason, many BIA devices take the form of bathroom scales. \u00a0These devices measure your weight and calculate your body composition results using your weight at the time of testing.<\/p>\n<p>However, not all BIA devices are scales. \u00a0BIA technology is being used in handheld devices for convenience, as well as devices that use adhesive electrodes and require a person to lie down while testing. \u00a0These types of devices will require a user to enter in their weight manually. \u00a0However, unless you weigh yourself right before testing, this information would have to be estimated based on your memory, which could cause inaccurate results.<\/p>\n<p>Another fairly common user input requirement is\u00a0<b>age<\/b>\u00a0or\u00a0<b>gender<\/b>. \u00a0However, these requirements aren\u2019t to personalize your results; they\u2019re to tell the device which equations to use to calculate your results. \u00a0In the BIA industry, these equations are known as empirically derived prediction variables \u2013 also sometimes referred to as \u201cempirical estimations.\u201d<\/p>\n<p>For example, the average person tends to gain body fat mass as they age. \u00a0This trend has been observed over time, and equations have been developed to account for this fat gain. \u00a0By entering in your age, the BIA device will compare the raw data it gets from you and adjust it based on the data it has for your age.<\/p>\n<p>BIA devices often use empirical estimations to improve the accuracy of their results. \u00a0They work on the basis of adjusting the raw results for an individual of your age and gender. \u00a0Age and gender are common to nearly all BIA devices.<\/p>\n<p><b>Height<\/b>\u00a0is also a common requirement for many BIA devices. It\u2019s an unbiased physical attribute, just like weight.\u00a0 Unlike age and gender, however, height is necessary not because adjustments need to be made to results, but instead to give the BIA device a frame to understand the impedance results.<\/p>\n<p>Impedance increases as height increases because the current has to physically travel further and will encounter more resistance. \u00a0However, high impedance is also associated with a greater proportion of fat mass to lean body mass. \u00a0With accurate height measurements, the BIA device will understand how to interpret the impedance values correctly, which is why nearly all BIA devices require height measurements.<\/p>\n<h2><strong>Understand what\u2019s measured and what\u2019s not<\/strong><\/h2>\n<p><strong><img decoding=\"async\" src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0832\/8945\/files\/Shoppers-guide01.jpg?9877194680918322019\" alt=\"\" \/><\/strong><\/p>\n<p>The design of many BIA devices are such that impedance is measured for a certain section of the body, and the results of that section are used to estimate the remaining sections of the body. \u00a0Before choosing a BIA device, you should know what<a href=\"http:\/\/www.inbodyusa.com\/blogs\/inbodyblog\/39971073-bia-once-flawed-not-anymore\">\u00a0exactly your device is measuring and what it is estimating<\/a>.<\/p>\n<p>Home scales that use BIA technology to determine body composition operate by sending currents up one leg and down the other. \u00a0Impedance is only actually measured for the legs. \u00a0In order to calculate the upper body, the device will make assumptions about the composition of your body based on the composition of your legs (and if using age and gender data, adjusting for those as well).<\/p>\n<p>Handheld BIA devices only measure impedance in the arms and upper body. \u00a0Similar to how the legs are measured, these types of BIA devices will estimate the lower half of the body with the results from the upper body.<\/p>\n<p>Other devices that use the \u201cWhole Body\u201d impedance use a method that is somewhat misleading. \u00a0Unlike scales and handheld devices, the current does travel through the entire body in the sense that it travels from through both the upper and lower body. \u00a0However, \u201cWhole Body\u201d impedance devices\u00a0<b>do not actually directly measure the entire body.<\/b>\u00a0\u00a0Typically, \u201cWhole Body\u201d impedance devices get most of their measurement data<a href=\"http:\/\/naldc.nal.usda.gov\/naldc\/download.xhtml?id=45645&amp;content=PDF\">\u00a0from the arm and leg that the electrodes are placed on<\/a>. \u00a0Just like handhelds and scales, these devices must estimate results for the rest of the body.<\/p>\n<p>Finally, there are devices that use Direct Segmental Multifrequency-BIA technology (DSM-BIA). \u00a0These devices programmed in such a way that they analyze your body in five distinct sections \u2013 the two arms, the two legs, and the torso.<\/p>\n<p>Each of these sections is analyzed independently, and from these, a measurement for the entire body is produced. \u00a0This is similar to how DEXA machines operate, and when compared against DEXA results, DSM-BIA technology<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21555168\">\u00a0was found to be accurate<\/a>. \u00a0In comparison to other BIA methods, DSM-BIA offers results that are based on direct measurements, without using estimations to compensate for the areas that were not directly measured.<\/p>\n<h2><strong>Summary<\/strong><\/h2>\n<p>There are a lot of things to consider when looking for a BIA device. \u00a0When you\u2019re assessing which device to go with, it will help you to remember the following:<\/p>\n<ul>\n<li>Accuracy generally will increase with multi-frequency devices. \u00a0You\u2019ll want\u00a0<b>at least<\/b>\u00a0two frequencies for reliable measurements.<\/li>\n<\/ul>\n<ul>\n<li>You\u00a0<strong>c<\/strong><b>an do more<\/b>\u00a0with more results. Changes in body fat percentages can be tricky to explain if the only outputs you have are Fat and Fat Free Mass.<\/li>\n<\/ul>\n<ul>\n<li>Check what information the device needs from you in order to test. \u00a0If it requires your age and\/or gender, it\u00a0<b>may be giving you estimations<\/b>\u00a0based on the results of the general population.<\/li>\n<\/ul>\n<ul>\n<li>Understand what the device is actually measuring and what it is estimating. \u00a0If\u00a0<b>accuracy is important to you<\/b>, you\u2019ll want as much of the body measured as possible.<\/li>\n<\/ul>\n<p>Source: https:\/\/uk.inbody.com\/blog\/a-guide-to-buying-your-first-bia-device\/<\/p>",
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