Evidence map›Paper›PMID 33806245›Full record

ReviewNutrients2021

Come Back Skinfolds, All Is Forgiven: A Narrative Review of the Efficacy of Common Body Composition Methods in Applied Sports Practice.

Andreas M Kasper, Carl Langan-Evans, James F Hudson, Thomas E Brownlee, Liam D Harper, Robert J Naughton, James P Morton, Graeme L Close

Abstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Body fat of competitive volleyball players: a systematic review with meta-analysis.Journal of the International Society of Sports Nutrition · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Observational
  13. Article
  14. Skinfolds Measurement Protocols and Standards: A Narrative Review.Advances in nutrition (Bethesda, Md.) · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andreas M KasperResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.
Carl Langan-EvansResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.ORCID 0000-0003-1120-6592
James F HudsonResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.
Thomas E BrownleeResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.ORCID 0000-0002-3355-1867
Liam D HarperSchool of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.ORCID 0000-0002-2089-4799
Robert J NaughtonSchool of Human and Health Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.ORCID 0000-0002-9878-0396
James P MortonResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.
Graeme L CloseResearch Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool L3 3AF, UK.ORCID 0000-0002-7210-9553

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whilst the assessment of body composition is routine practice in sport, there remains considerable debate on the best tools available, with the chosen technique often based upon convenience rather than understanding the method and its limitations. The aim of this manuscript was threefold: (1) provide an overview of the common methodologies used within sport to measure body composition, specifically hydro-densitometry, air displacement plethysmography, bioelectrical impedance analysis and spectroscopy, ultra-sound, three-dimensional scanning, dual-energy X-ray absorptiometry (DXA) and skinfold thickness; (2) compare the efficacy of what are widely believed to be the most accurate (DXA) and practical (skinfold thickness) assessment tools and (3) provide a framework to help select the most appropriate assessment in applied sports practice including insights from the authors' experiences working in elite sport. Traditionally, skinfold thickness has been the most popular method of body composition but the use of DXA has increased in recent years, with a wide held belief that it is the criterion standard. When bone mineral content needs to be assessed, and/or when it is necessary to take limb-specific estimations of fat and fat-free mass, then DXA appears to be the preferred method, although it is crucial to be aware of the logistical constraints required to produce reliable data, including controlling food intake, prior exercise and hydration status. However, given the need for simplicity and after considering the evidence across all assessment methods, skinfolds appear to be the least affected by day-to-day variability, leading to the conclusion 'come back skinfolds, all is forgiven'.

Indexed as

AthletesBody CompositionSkinfold ThicknessAbsorptiometry, PhotonDensitometryElectric ImpedanceHumansPlethysmographyReproducibility of ResultsSpectrum AnalysisSportsUltrasonographyathletebioelectricaldensitometryDXAexerciseimpedancemonitoringplethysmographyscanningultrasound

Identifiers

PMID33806245
PMCPMC8065383

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.