{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:45:47Z","timestamp":1792799147793,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T00:00:00Z","timestamp":1703376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Body composition could help identify malnutrition in pediatric patients, but there is uncertainty over which techniques are most suitable and prevailing opinion that measurements are difficult to obtain in practice. This study examined the acceptability, practicality, reliability, and validity of different anthropometric and body composition measurements in patients with complex diagnoses in a tertiary pediatric hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 152 children aged 5\u201318\u2009years had weight, height, body mass index (BMI), mid\u2010upper arm circumference (MUAC), 4\u2010site skinfold thicknesses (SFT), bioelectrical impedance analysis (BIA), and dual\u2010energy x\u2010ray absorptiometry (DXA) assessed on admission and discharge. Acceptability was assessed in a continuous scale, practicality with number\/percentage of successful measurements, reliability with intraclass correlation coefficients and coefficients of repeatability, and validity between \u201csimpler\u201d techniques and DXA with Bland\u2010Altman analysis of agreement and Cohen kappa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Techniques were overall acceptable. Measurements were successful in &gt;50%, with patient refusal uncommon. Coefficients of repeatability were good (0.3\u2009cm MUAC and height, 0.2\u2009kg weight, and 1.0\u2009mm SFTs). All techniques significantly overestimated DXA fat mass, but BMI and triceps SFT better identified abnormal fat mass (\u03ba\u2009=\u20090.46 and 0.49). BIA fat\u2010free mass was not significantly different from DXA, with substantial agreement between techniques (\u03ba\u2009=\u20090.65).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Body composition by a range of techniques is acceptable, practical, and reliable in a diverse group of children with complex diagnoses. BIA seems a good alternative to DXA for assessing fat\u2010free mass, triceps SFT, and BMI for fat mass but should be used with care as it could overestimate total fat mass in individuals.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.11098","type":"journal-article","created":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T04:19:06Z","timestamp":1703391546000},"page":"673-684","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Measuring body composition in pediatric patients with complex diagnoses: Acceptability, practicality, and validation of different techniques"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1884-2145","authenticated-orcid":false,"given":"Nara E.","family":"Lara\u2010Pompa","sequence":"first","affiliation":[{"name":"Childhood Nutrition Research Centre UCL Great Ormond St Institute of Child Health London UK"},{"name":"Clinical Nutrition Hospital Infantil 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