Validitas Pengukuran Lemak Tubuh yang Menggunakan Skinfold Caliper di 2, 3, 4, 7 Tempat terhadap Cara Bod Pod

Abstract: Early in the new millennium there is an epidemic of the metabolic syndrome world wide with obesity as the main factor.  Obesity will be accompanied by pathologic conditions like hypertension, glucose intolerance, dyslipidemia and cardiovascular disease. Obesity is excess body fat and body fat can be measured by using Bod Pod which has an accuracy near DEXA’s accuracy. The body fat can also be measured by skinfold caliper with lower accuracy than Bod Pod.  Obesity will always be accompanied by impairment of lipid metabolism, so that blood lipids profile will be abnormal as well. The aims of this research is validating body fat measurement with skinfold method in 2, 3, 4, 7, sites with Bod Pod method and obtain the correlation between body fat and blood lipids profile.  Also to find out body fat measurement with skinfold method that is accurate enough and reliable.  The subjects are 52 premenopausal woman, with mean age of 38.1 years (sd=8.41 years), height 152.4 cm (sd=6 cm), weight 60.41 kg (sd=4.27 kg), BMI 25.94 kg/m2 (sd=4.27 kg/m2). They underwent weight, height and body fat measurement. The study design is analytic observational and  cross sectional design with correlational analysis and the data is analyzed with Wilcoxon Signed Ranks Test, Spearman’s Rho coefficient correlation and  Fisher Zr transformation , all test is set with α = 5%. The result of body fat measurement by Bod Pod method = 36.2% (sd = 5.54%), by F21 equation = 31% (sd = 5.95%), by F22 equation   = 36.3% (sd = 9.71%), by F31 equation = 34.4% (sd = 4.59%), by F32 equation = 35.8% (sd = 5.78%),  by F33 equation = 34.5% (sd = 4.84%), by F41 equation = 34.8% (sd = 5.73%), by F42 equation = 39.8% (sd = 4.06%), by F43 equation = 35.6% (sd = 5.95%), by F7 equation = 37% (sd = 5.71%). This study resulted in  four  equations for body fat measuring using skinfold method, which  are valid according to Wilcoxon Signed Ranks Test (p > 0.05) and all of the 9 equations are reliable according to Spearman’s Rho with Bod Pod method (p < 0.000).  These 4 equations have the same strength and same high correlation with Bod Pod method according to Fisher Zr transformation (p < 0.05). This study obtained four equations for body fat measurement with skinfold method, which are valid, reliable and have the same strength relationship with Bod Pod method. These four equations are, one equation with two sites on triceps and subscapula; one equation with three sites on triceps, suprailiaca and thigh; one equation with four sites on triceps, suprailiaca, abdomen and thigh and one equation with seven sites on triceps, subscapula, suprailiaca, abdomen, thigh, chest and midaxillary.
Keywords: Validity, Body Fat, Skinfold, Bod Pod
Penulis: Iwan Budiman
Kode Jurnal: jpkedokterandd080013

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