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Last week, in Part
1 of this article, author Jason Norcross talked about the
different ways commonly used to determine if you're more pork than
loin, if you catch our drift. Unfortunately, most of the methods
usually used to determine body fat are woefully inadequate and rife
with potential problems.
If you really
want to know how much fat you're packin', the tried-and-true
skinfold measurement is the way to go.
Here's everything
you ever wanted to know about skinfold measurements.
Skinfold measurements are
probably one of the most misunderstood body composition methods.
It's true that most skinfold body fat equations have been derived by
those used for HW (hydrostatic weighing), but unlike HW, which is
markedly affected by day to day fluctuations in hydration, skinfold
measurements of %BF aren't nearly as affected by hydration. Skinfold
calipers are also inexpensive. There are several different models
available for less than $60 and a couple of different models that
will run you $20. Both the Accu-Measure™ and Slim-Guide® cost
about $20 and will do the trick for most people. Pictured below are
the reference grade Harpenden calipers (black model) and the white
plastic Accu-Measure™ calipers.
Skinfold measurements can be done
by yourself using a 3-site method or with assistance from someone
else using a 7-site method, although women will have to have a
partner to do both the 3 and 7-site methods. (Women can get the
thigh and suprailiac measurement by themselves, but it's pretty
tough for them to get a good tricep measurement by themselves. It's
possible with some calipers like the Fat-Track, but with most
calipers, it's very difficult. Inclusion of the triceps measurement
is pretty important, too, as many women store a fair amount of fat
there. )
Anyhow, after you practice a bit,
you'll find that your measurement technique will get pretty good.
You won't have a lot of variability if you’re only measuring
yourself or someone else.
Unfortunately, once you take the
measurements, you'll have to plug the numbers into equations. Even
though I recommend you use either one of two different equations,
there are actually hundreds of equations, so feel free to use
another one if you like. I'll present the equations later on, but in
the meantime, just remember a few things:
1.
More sites = better reliability and less variability
2.
More samples per site (3 is minimum) = better reliability and less
variability
3.
Practice makes perfect. For the first week or two, measure
yourself or your partner every single day or until your day to day
%BF values don’t vary more than 1%. You might think that the
standard error of measurement is about 4%, but remember that
you're only measuring one person (yourself or your partner) and in
my opinion, you should be able to replicate that measurement with
little variation.
4.
Measure yourself every week and preferably on the same day and at
the same time. One week may not be enough to see a change, but
being able to make a graph that plots 52 measurements over a year
will clearly show you the picture.
5.
Finally, the leaner you are, the more reliable skinfold
measurements become. Any measure over 20mm is subject to a lot of
variability. If you keep seeing several of these high
measurements, then fat loss needs to become a priority right away.
1.
All measurements should be made on the same side of the body.
While it probably doesn't matter all that much, small differences
may occur between opposite sides of the body.
2.
The calipers should be placed 1/2 inch below where you pinch the
thumb and finger, perpendicular to the skinfold and halfway
between the crest and base (the part that is closest to your
fingertips is the base and the part that is closest to your hand
is the crest).
3.
The pinch should be maintained while reading the caliper (unless
using a model like the Accu-Measure™ where you read the number
after you hear it click).
4.
Wait 1-2 seconds (no longer) to take and read the measurement.
5.
Rotate through the different sites to give the skin adequate time
to return to normal. (This one's very important because it forces
you to also learn the anatomical landmarks for skinfold
measurement.)
6.
Take a minimum of 3 measurements at each site and average the
measurements; then add the averages together and plug them into
the equations presented later on in this article.
1. Abdominal:
vertical fold, 1-inch to the right of the umbilicus.
This one is very straightforward.
You can have someone measure it for you (left picture) or you can do
it yourself (right picture). One thing to note is the different hand
position when you do it yourself. The key is to measure the same
point each time so stay in line with the umbilicus.
2. Triceps:
vertical fold, posterior midline of upper arm, halfway between the
olecranon (elbow) and the acromion processes (bony point on top of
the shoulder).
Using your hands as a measurement
tool, find the midpoint of the triceps. Spread your thumb and middle
finger from both hands to the maximum distance. Lock one of the
digits on the top and bottom anatomical landmarks. Then bring them
together in the middle of the triceps to find the skinfold site.
Mark that site and have the person flex their triceps. By flexing,
the subject separates the muscle from the fat. This isn't usually a
problem for most well-conditioned men and women, but it’s a nice
trick to know anyway. As the person relaxes their triceps, grab the
skinfold and take the measurement.
3. Chest
(men): diagonal fold, halfway between the anterior axillary
line (on the front of the body at the point where the arm inserts
into the torso) and the nipple.
There isn't much to explain here
other than to make sure you're on the lateral aspect of the pectoral
muscle. These pictures show me using both types of calipers. This
will probably be the toughest measurement to do on yourself, so
here's a tip: If you're right handed, grab the skinfold of your left
pectoral with your left hand and take the measurement with your
right.
4. Chest
(women): diagonal fold, 1/3 of the distance from the anterior
axillary line to the nipple
5.
Midaxillary: vertical fold, on the midaxillary line (a
vertical line descending directly from the center of the armpit) at
the level of the xiphoid process (the bony nub at the bottom of the
sternum)
The "X" on the chest is
the xiphoid process and the other "X" is the junction of
the mid-axillary line with the horizontal line coming from the
xiphoid process. It's helpful to have your subject place his arm on
top of his head while taking this measurement.
6. Subscapula:
diagonal fold, 1/2 to 1-inch below and in line with the inferior
(lower, inside) angle of the scapula.
The longer line marks the inside
edge of the scapula. The other line is drawn to demonstrate where
the bottom tip of the scapula is. This one's also pretty
straightforward. Just don’t try to do this one by yourself; it’s
virtually impossible unless you’re a hyperflexible circus freak.
7. Suprailiac:
diagonal fold, in line with the natural angle of the iliac crest
(hip), just above the the iliac crest at the anterior axillary line
(an imaginary line down the front of the body from where the arm
inserts into the torso).
The "X" marks the
anterior superior iliac spine (ASIS) and can easily be found. Just
feel for the bony prominence near the front of the pelvis. You
should feel it just before the pelvis begins to slope upward (as
demonstrated by the line in the first picture). Find the anterior
axillary line, grab and measure the fold right above the pelvic
line. Be careful with this one. The closer you are to the ASIS, the
smaller the measurement, but as you travel along the pelvic line,
the folds will only get bigger. Just try for utmost consistency from
week to week.
8. Thigh:
vertical fold, on the anterior (front) midline of the thigh, half
the distance between the proximal (nearest to body) aspect of the
patella and the inguinal crease (line where leg inserts into trunk)
It helps to have the subject rest
the foot of the leg being measured on a box, chair, or Smith machine
bar. (See, the Smith Machine does have some utility!) Once you find
the vertical midpoint, make sure that you're even from a horizontal
standpoint and not shifted medially or laterally. You can have the
subject push down with the elevated foot to separate muscle from fat
and then grab the fold and measure it.
Skinfold measurements change
primarily when there is a change in skinfold thickness (i.e., you
gain or lose fat). A minor problem to watch for is dehydration,
because this will decrease skinfold thickness also. You can minimize
this potential for error by measuring in a hydrated state and by
measuring at the same time of day each week.
Another advantage of skinfolds is
the tangible feeling of grabbing on to your body fat, which you
don’t get with any of the other methods. Finally, skinfold
calipers are also cheaper, readily available and more convenient.
For instance, try scheduling a weekly or even monthly appointment
with the same tester at the same time of day for HW or Bod Pod!
It'll take a lot of effort and financially it would add up very
quickly. That’s money better used on good food and supplements.
Don't worry. If you're
mathematically challenged, go to this great site to have all your
calculations done for you:
www.enforcergraphics.f2s.com/bodyfat.htm.
However, if you're a "hands-on" guy, here are the
equations:
NOTES:
SUMS refers to the sum of the average skinfold
thickness (mm) of the prescribed skinfold sites. Db refers
to body density.
Male 3-Site Equation (SUM3 =
chest, abdomen, thigh)
Db =
1.10938 - (0.0008267 * SUM3) + (0.0000016 * SUM32) -
(0.000257 * AGE)
%BF = [(4.57/ Db) -
4.142] * 100
Male 7-Site
Equation (SUM7 = chest, midaxillary, tricep, subscapula, abdomen,
suprailiac, thigh)
Db = 1.112 -
(0.00043499 * SUM7) + (0.00000055 * SUM72 ) -
(0.00028826 * AGE)
%BF = [(4.57/ Db)
- 4.142] * 100
Female 3-Site Equation (SUM3 =
tricep, suprailiac, thigh)
Db =
1.0994921 - (0.0009929 * SUM3) + (0.0000023 * SUM32) -
(0.0001392 * AGE)
%BF = [(4.57/ Db) -
4.142] * 100
Female 7-Site
Equation (SUM7 = chest, midaxillary, tricep, subscapula, abdomen,
suprailiac, thigh)
Db = 1.097 -
(0.00046971 * SUM7) + (0.00000056 * SUM72 ) -
(0.00012828 * AGE)
%BF = [(4.57/ Db)
- 4.142] * 100
Why is age included in these
formulas? As normal people (not T-mag readers!) age, there's an
increase in intra-abdominal fat, a decrease in total muscle mass,
and a decrease in bone density (12). These equations try to account
for these changes by adding body fat as we age. Of course, this
doesn't apply nearly as much to people who train with weights.
Anyhow, whether you choose to put your actual age or choose to call
yourself a 20-year old is up to you. Personally, I think anybody who
trains hard with weights would do better to plug 20 in as their age,
as it more accurately reflects your true muscle mass.
Let me put it this way: if your
sum of seven skinfolds was 50mm when you were 25 and is still 50mm
now that you're 35, then I’m pretty confident that your body fat
hasn't increased markedly. You could still use 25 years in the
equation. I suggest that you use the age at which you started to
seriously train. Once again, it’s up to you, just be consistent
with what you do.
In conclusion, most methods are
expensive, inconvenient, unreliable and don’t improve on the
accuracy of skinfolds. Skinfolds allow you to track your body
composition as often as you want without burning a hole in your
wallet. Just remember to pick one skinfold equation and stick with
it. If that doesn’t suit you for some reason, pick up a higher end
Tanita™ bioimpedance scale and follow my recommendations form part
1 of this article. Finally, don't ever go back and forth between
methods unless you want frustration and bad data.
Good luck and happy measuring!
1. Lukaski,
H.C. Methods for the assessment of human body composition:
traditional and new. Am. J. Clin. Nutr. 46:537-56, 1987.
2. Behnke, A.R.
Comment on the determination of whole body density and a resume of
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Composition. J. Brozek and A. Henschel (Editors). Washington DC:
NASNRC, 1961, pp. 118-133.
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and E.R. Buskirk. Body volume measurement by underwater weighing:
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Drinkwater. Human body composition: A review of adult dissection
data. Am. J. Hum. Biol. 11:167-174, 1999.
7. Martin. A.D. and
D.T. Drinkwater. Variability in the measures of body fat.
Assumptions or technique? Sports Med. 11:277-288, 1991.
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Evaluation of body composition: current issues. Sports Med.
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9. National
Institutes of Health (NIH). Bioelectrical Impedance Analysis in
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ta/015/015ta_statement.pdf
10. Jackson, A.S.
and M.L. Pollack. Practical Assessment of body composition.
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11. American
College of Sports Medicine. ACSM’s Guidelines For Exercise
Testing and Prescription 5th Ed. Media, PA: Williams
& Wilkins, 1995, pp 56-57
12. Bemben, M.G.,
B.H. Massey, D.A. Bembem, R.A. Boileau and J.E. Misner.
Age-related patterns in body composition for men aged 20-79. Med.
Sci. Sports Exerc. 27(2):264-269, 1995.
Jason Norcross is a
clinical exercise physiologist working in the California Bay
Area/Silicon Valley. After receiving his B.S. and M.S. in Exercise
Science from UC-Davis, Jason began working on life science research
for NASA. He is currently working for BaySport as a specialist in
metabolic testing and can be contacted at norcrossjason@aol.com.
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