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Outcomes · Body composition

Ultrasound and skinfolds: operator dependence in practice

SL
s.leclercTL4 Moderator28 May 2026#1

Ultrasound and skinfolds: operator dependence in practice — setting out what I have, and where I think it stops being reliable.

Maintenance rather than loss, which is the part of this that almost nobody writes about.

I have been at roughly the same weight for 5 months. The interesting questions are all different from the ones I had at the start, and the documentation here is much thinner on this phase.

I would like to compare notes with people who are further along, and I would like to know what the published evidence says about this phase specifically rather than by extrapolation.

24 likes 2mo
LV
l.vermeulenTL2 Moderator30 May 2026#2

Picking up the opening post: that is the part I would want checked first.

Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure.

4 likes 2mo
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NardoneTL2Member31 May 2026#3
s.leclerc, post #1: Ultrasound and skinfolds: operator dependence in practice — setting out what I have, and where I think it stops being reliable. Maintenance rather than loss, which is the part of this that almost nobody writes about. I have been at roughly the same weight for 5 months. The interesting questions are all different from the ones I had at… Go to post

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

0 likes in reply to #1 2mo
MA
m.amankwahTL2 Moderator2 Jun 2026#4
Nardone, post #3: Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone. Go to post

Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong.

0 likes in reply to #3 2mo
F
FFaulknerTL3Regular3 Jun 2026#5

Maintenance phase: tracking body composition during maintenance (weight stable) is different from tracking during active loss. Changes are smaller and precision becomes more important.

8 likes 2mo
VO
v.okonkwoTL2 Moderator4 Jun 2026#6

This follows post #3 rather than contradicting it.

Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition.

2 likes 2mo
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TamburelloTL2Member5 Jun 2026#7

Worth separating two things that post #3 runs together.

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

0 likes 2mo
LL
l.lundgrenTL2 Moderator6 Jun 2026 · edited#8
s.leclerc, post #1: Ultrasound and skinfolds: operator dependence in practice — setting out what I have, and where I think it stops being reliable. Maintenance rather than loss, which is the part of this that almost nobody writes about. I have been at roughly the same weight for 5 months. The interesting questions are all different from the ones I had at… Go to post

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

26 likes in reply to #1 2mo
CI
c.inglethorpeTL3Regular7 Jun 2026#9

Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method.

5 likes 2mo
RM
r.molnarTL2 Moderator8 Jun 2026#10

Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently.

0 likes 2mo
ES
e.steinerTL2 Moderator9 Jun 2026#11

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

0 likes 2mo
QZ
q.zhao_qaTL3Quality assurance10 Jun 2026#12

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

1 like 2mo
NI
n.ibarraTL2 Moderator11 Jun 2026#13

Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently.

7 likes 2mo
KO
k.otieno_statsTL3Statistician12 Jun 2026#14
n.ibarra, post #13: Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently. Go to post

On post #10 — agreed on the reasoning, with one qualification.

Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method.

17 likes in reply to #13 2mo
HI
h.iyerTL213 Jun 2026#15
SS
system_suitabilityTL3Analytical chemist14 Jun 2026#16

Maintenance phase: tracking body composition during maintenance (weight stable) is different from tracking during active loss. Changes are smaller and precision becomes more important.

0 likes 1mo
NO
n.okwuosaTL2 Moderator14 Jun 2026 · edited#17

post #16 is right about the mechanism and I think understates the practical bit.

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

4 likes 1mo
PI
p.iyer_pharmdTL3Pharmacist15 Jun 2026#18
l.vermeulen, post #2: Picking up the opening post: that is the part I would want checked first. Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure. Go to post

Worth separating two things that post #14 runs together.

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

12 likes in reply to #2 1mo
ZS
z.szaboTL2 Moderator16 Jun 2026#19

Precision versus accuracy: the precision you need depends on what question you are answering. "Am I losing fat?" requires less precision than "Is my lean mass preservation within the expected range?"

1 like 1mo
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WendelboeTL2Member17 Jun 2026#20

Coming back to post #18, because the follow-up matters more than the original answer.

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

6 likes 1mo
LO
l.oseiTL2 Moderator18 Jun 2026#21

Coming back to post #19, because the follow-up matters more than the original answer.

Visceral fat: DXA does not distinguish visceral (organ-associated) fat from subcutaneous fat. That distinction might matter but requires different imaging to measure.

0 likes 1mo
ZI
z.iyerTL2 Moderator19 Jun 2026#22
n.ibarra, post #13: Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently. Go to post

Picking up post #19: that is the part I would want checked first.

Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong.

0 likes in reply to #13 1mo
MS
m.stephanopoulosTL3Regular19 Jun 2026#23
c.inglethorpe, post #9: Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method. Go to post

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

12 likes in reply to #9 1mo
JS
j.silvaTL2 Moderator20 Jun 2026#24

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

4 likes 1mo
BF
b.fonsecaTL2 Moderator21 Jun 2026#25

I read post #23 twice before replying, because I had assumed the opposite.

Ultrasound: thickness of subcutaneous fat at specific sites. Less standardised than DXA and operator-dependent. Useful as a supplementary measure but not as a primary method.

1 like 1mo
PM
p.marchettiTL2 Moderator22 Jun 2026#26

Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently.

0 likes 1mo
DB
d.bakkerTL2 Moderator23 Jun 2026 · edited#27
n.ibarra, post #13: Bioelectric impedance analysis: less precise than DXA and strongly affected by hydration state. Not reliable for detecting month-to-month changes. Useful for trend over years if done consistently. Go to post

Lean mass loss during rapid weight reduction: depends on protein intake, resistance training volume, and total energy deficit. Adequate protein and maintaining training intensity both help preserve lean mass.

18 likes in reply to #13 1mo
AA
a.asanteTL2 Moderator23 Jun 2026#28

post #27 is right about the mechanism and I think understates the practical bit.

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

7 likes 1mo
CB
c.boatengTL2 Moderator24 Jun 2026#29
s.leclerc, post #1: Ultrasound and skinfolds: operator dependence in practice — setting out what I have, and where I think it stops being reliable. Maintenance rather than loss, which is the part of this that almost nobody writes about. I have been at roughly the same weight for 5 months. The interesting questions are all different from the ones I had at… Go to post

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

0 likes in reply to #1 1mo
MP
mira.patelTL4 Admin25 Jun 2026#30
j.silva, post #24: DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines. Go to post
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Picking up post #27: that is the part I would want checked first.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

19 likes in reply to #24 1mo