{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T16:19:48Z","timestamp":1776269988609,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,4,17]],"date-time":"2023-04-17T00:00:00Z","timestamp":1681689600000},"content-version":"vor","delay-in-days":106,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. The study sought to determine the diagnostic accuracy of body adiposity index (BAI) and relative fat mass (RFM) to predict BIA\u2010derived BFP among patients with type 2 diabetes in the Ho municipality. <jats:italic>Materials and Method<\/jats:italic>. This hospital\u2010based cross\u2010sectional study involved 236 patients with type 2 diabetes. Demographic data, including age and gender were obtained. Height, waist circumference (WC), and hip circumference (HC) were measured using standard methods. BFP was estimated on a bioelectrical impedance analysis (BIA) scale. The validity of BAI and RFM as alternative estimates for BIA\u2010derived BFP was evaluated based on mean absolute percentage error (MAPE), Passing\u2010Bablok regression, Bland\u2010Altman plots, receiver\u2010operating characteristic curve (ROC), and kappa statistics analyses. A <jats:italic>p<\/jats:italic> value less than 0.05 was considered statistically significant. <jats:italic>Results<\/jats:italic>. BAI showed systematic bias in estimating BIA\u2010derived BFP in both genders, but this was not evident between RFM and BFP among females (<jats:italic>t<\/jats:italic> = \u22120.62; <jats:italic>p<\/jats:italic> = 0.534). While BAI showed \u201cgood\u201d predictive accuracy in both genders, RFM exhibited \u201chigh\u201d predictive accuracy for BFP (MAPE: 7.13%; 95% CI: 6.27\u20108.78) among females according to MAPE analysis. From the Bland\u2010Altman plot analysis, the mean difference between RFM and BFP was acceptable among females [0.3 (95% LOA: \u201010.9 to 11.5)], but both BAI and RFM recorded large limits of agreement and low Lin\u2019s concordance correlation coefficient with BFP (Pc &lt; 0.90) in the two gender populations. The optimal cut\u2010off, sensitivity, specificity, and Youden index for RFM were &gt;27.2, 75%, 93.75%, and 0.69, respectively, while those of BAI were &gt;25.65, 80%, 84.37%, and 0.64, respectively, among males. Among females, the values for RFM were &gt;27.26, 92.57%, 72.73%, and 0.65, whereas those of BAI were &gt;29.4, 90.74%, 70.83%, and 0.62, respectively. The accuracy of discriminating between BFP levels was higher among females [BAI (AUC: 0.93) and RFM (AUC: 0.90)] compared to males [BAI (AUC: 0.86) and RFM (AUC: 0.88)]. <jats:italic>Conclusion<\/jats:italic>. RFM had a better predictive accuracy of BIA\u2010derived BFP in females. However, both RFM and BAI failed as valid estimates for BFP. Furthermore, gender\u2010specific performance in the discrimination of BFP levels for RFM and BAI was observed.<\/jats:p>","DOI":"10.1155\/2023\/1500905","type":"journal-article","created":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T03:05:06Z","timestamp":1681787106000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Performance of Body Adiposity Index and Relative Fat Mass in Predicting Bioelectric Impedance Analysis\u2010Derived Body Fat Percentage: A Cross\u2010Sectional Study among Patients with Type 2 Diabetes in the Ho Municipality, Ghana"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1628-0735","authenticated-orcid":false,"given":"Sylvester Yao","family":"Lokpo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cephas Yao","family":"Ametefe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7982-5707","authenticated-orcid":false,"given":"James","family":"Osei-Yeboah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William K. B. A.","family":"Owiredu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0252-3190","authenticated-orcid":false,"given":"Linda","family":"Ahenkorah-Fondjo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7055-7806","authenticated-orcid":false,"given":"Percival Delali","family":"Agordoh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5338-3258","authenticated-orcid":false,"given":"Emmanuel","family":"Acheampong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5816-5172","authenticated-orcid":false,"given":"Kwabena Obeng","family":"Duedu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther Ngozi","family":"Adejumo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Appiah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel Akomanin","family":"Asiamah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8460-0868","authenticated-orcid":false,"given":"Emmanuel","family":"Ativi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5044-7773","authenticated-orcid":false,"given":"Precious Kwablah","family":"Kwadzokpui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30054-X"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2014.08.004"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/681612"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu13114176"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10555-022-10058-y"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802735"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.113905"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318233bc6a"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2011.38"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-29362-1"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k2575"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0058272"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/1747-0080.12172"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.22643"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glt165"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0226767"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2022.2067352"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-021-01301-6"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2012.149"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0146181"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.1507\/endocrj.EJ19-0064"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/72.3.694"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.3126\/jngmc.v12i1.13402"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020046"},{"key":"e_1_2_10_25_2","doi-asserted-by":"publisher","DOI":"10.5007\/1980-0037.2019v21e55915"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-018-0351-3"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/oby.20543"},{"key":"e_1_2_10_28_2","doi-asserted-by":"publisher","DOI":"10.1093\/advances\/nmy043"},{"key":"e_1_2_10_29_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu8120737"},{"key":"e_1_2_10_30_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.22330"},{"key":"e_1_2_10_31_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2022.888507"},{"key":"e_1_2_10_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.theriogenology.2010.01.003"},{"key":"e_1_2_10_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2020.12.009"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2023\/1500905.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2023\/1500905.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2023\/1500905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T22:36:47Z","timestamp":1722897407000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2023\/1500905"}},"subtitle":[],"editor":[{"given":"Jose A.","family":"Parraca","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1155\/2023\/1500905"],"URL":"https:\/\/doi.org\/10.1155\/2023\/1500905","archive":["Portico"],"relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"2022-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"1500905"}}