Body Composition: Skin-Fold Measurements 

Measurement Sites | Equations

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The development of skinfold (anthropometric) measurements came as the result of investigations for simpler and less expensive methods of estimating body composition. Body circumferences and/or skinfold thickness are used in a regression equation, of which there are many available, for prediction of body composition. Among the most commonly employed are the generalized equations for use with skinfold measurements developed for adult males and females by Jackson and Pollock (1978) and Jackson, Pollock, and Ward (1980), respectively. They are termed generalized because they are most accurate in predicting body composition of people with average amounts of body fat. Generalized equations tend to be less accurate with the very lean (e.g. athletes), obese, young old, or other special populations. Other, more appropriate, equations have been developed for such populations which increase their accuracy for prediction of body composition.

The major source of error in anthropometry lies in the actual skinfold measurement. Making accurate skinfold measurements is more than simply pinching the skin somewhere around a particular area and measuring the thickness. There are precise sites on which the measurements are to be taken. A well-trained technician can obtain results that approach the precision of underwater weighing. Unfortunately, most people who take skinfold measurements are not well trained. Obtaining consistently accurate skinfold measurements requires training and experience.

To take a skin-fold measurement, first determine the correct measurement site. Grab the skin with the thumb and forefinger about 0.5 inch from the measurement site following the natural fold of the skin. Lift the skin up from the muscle, apply the calipers and wait for 4 seconds before reading the calipers. Fat is compressible, so reading the scale before or after the 4-sec delay may affect the results.

 

Measurement Sites

Triceps | Chest | Abdominal | Suprailiac | Thigh 

Triceps Skinfold 

Along the midline on the back of the triceps of the right arm, determine the midpoint located between the top of the acromial process (top of the shoulder) to the bottom of the olecranon process of the ulna (elbow). Pinch the skin so that the fold is running vertically.

 

 

 

Pectoral (Chest) Skinfold

Using a line from the fold of the axillary (armpit) to the nipple, determine the midpoint. Pinch the skin with the fold running in the same direction of the line.

 

 

 

Abdominal Skinfold

Select a site on the right side about 1 inch lateral from and 0.5 inch below the umbilicus (bellybutton). Lift a horizontal fold of skin for the measurement. NOTE: The Jackson and Pollock (1978) and Jackson, Pollock, and Ward (1980) abdominal skinfolds were made using a vertical fold. Consequently, one should stay consistent with how the original equations were validated when using these equations.

 

 

Suprailiac Skinfold

Determine the midaxillary line and palpate for the iliac crest (top of the hip bone). Grasp the skin that follows the natural fold which will follow a line of approximately from the suprailiac to the umbilicus (bellybutton), an angle of approximately 30 degrees.

 

 

 

 

Thigh Skinfold

Determine the midline of the front of the thigh and measure midway between the inguinal crease (the natural crease between the thigh and hip which is at an approximate 45 degrees) and the top of the patella (kneecap). Grasp a vertical fold of skin for the measurement.

 

 

 

 

 

 

 

 

Equations 

Estimation of Body Density

There are two calculation steps for determining percent fat; determining body density and then using body density to estimate percent fat. All the skinfold equations estimate body density from the measurements which is then used to estimate percent fat. Two generalized equations that have withstood the test of numerous cross-validation studies are ones published by Jackson and Pollock (1978) for men and Jackson, Pollock, and Ward (1980) for women. Each study developed numerous equations based on different skinfold measurements, although they all were similar in prediction error. Listed below are a single equation from each study based on the sum of three skinfold measurements. Standard errors of their formulae ranged from 3.6% to 3.8%. The potential errors are increased if these equations are used on the young or old, very lean and muscular or obese. Other, population specific equations are available and more suitable for these groups.

Females:

Body Density = 1.0994921 - 0.0009929*sum + 0.0000023*sum2 - 0.0001392*age

 

(triceps, suprailiac, thigh skinfold measurements)

Males:

Body Density = 1.1093800 - 0.0008267*sum + 0.0000016*sum2 - 0.0002574*age

 

(chest, abdominal, thigh skinfold measurements)

 

Estimation of Percent Fat

The two most commonly used equations for estimating percent fat from body density are the Siri (1961) and Brozek (1963) formulae. A limitation to these formulae is that they assume the density of fat-free mass to remain a constant across the population when in fact is varies. Thus, the actual percent fat tend to be slightly higher than the measured percent fat in the lean, muscular individual and the opposite effect in obese individuals.

Siri

Percent Fat = [(495 / Body Density) -450] * 100

Brozek

Percent Fat = [(4.570 / Body Density) - 4.142] * 100