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Evidence-based position statements and best practice guidelines

Best Practice Protocols for DXA assessment of body composition

The monitoring of body composition is common amongst athletic populations, as a means of providing insight into health and/ or performance variables, as well as to monitor changes in response to growth and maturation, or specific training and nutrition programs.  The impact on performance likely varies between sports, but even in those sports in which there is a clear association between body composition and performance, it’s important to recognise it’s just one factor of many that may need to be considered. Overemphasizing the impact of body composition on performance is inappropriate, detracting attention from far more important priorities.

Amongst athletic populations, two (2) methods of assessing body composition are commonly used... either DXA or surface anthropometry (refer to Physique Assessment Decision Tree below). In general, DXA is best used when you require an estimate of absolute body composition, either at the whole-body level, or a specific body region, including legs, arms or torso. Surface anthropometry is best when wanting to track longitudinal changes in body composition in response to training and or dietary adjustments. Testing usually includes skinfolds, with or without girth measurements, to interpret body composition. The assessment of skinfolds merely measures the thickness of skin and fat that lies directly underneath this at specific sites on your body.

When undertaking DXA scans for the assessment of body composition, it is important to adhere to Best Practice Protocols relating to the acquisition and analysis of DXA data. Best practice also takes into consideration, and prioritises, the physical and emotional well-being of the athlete throughout the process.

Physique Assessment Decision Tree

This resource is designed to assist practitioners in determining the most appropriate physique assessment practice to best support high-performance athletes.

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Practitioner Best Practice Guidelines for DXA Assessment of Body Composition

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These Best Practice Guidelines aim to support Performance Support Practitioners within the Australian High Performance Sport System who may be interested in acquiring estimates of body composition via DXA. They provide higher level information for Practitioners to aid decisions relating to body composition assessment and subsequent interpretation, particularly for athletes in the NIN and NSOs. Detailed information is also provided on the critical role played by Practitioners in facilitating the capture of the highest quality data, especially as it relates to athlete guidance in advance of a scan.

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High Performance Toolkit

To complement the Best Practice Guidelines, the following resources have been developed to support Practitioners.

Technician Best Practice Protocols for DXA Assessment of Body Composition – GE Lunar

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These Best Practice Protocols aim to support optimal assessment of body composition via DXA of athletes in the Australian HP Sports System, particularly athletes associated with the NIN and NSOs. They are targeted to the DXA Technician and provide information on acquisition and analysis of total body composition scans. This summary is specific to GE Lunar DXA machines, including the iDXA and Prodigy. These protocols also contain important considerations for the Technician that are not manufacturer specific. These address relevant issues including radiation safety, precision error, hygiene practices, athlete engagement, informed consent, plus athlete preparation and presentation.

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This video has been developed to support DXA Technicians in the use of Best Practice Protocols when providing DXA services to Australian high-performance athletes.

Athlete Resources – DXA assessment

It is important that athletes feel truly informed as part of any measurement, test or assessment that they are agreeing to participate in.  The following videos have been designed to be shared with athletes prior to their DXA assessment, for improved awareness on what to expect as part of a DXA scan, and how to best prepare for a DXA scan to ensure high quality, accurate and reliable data capture.

What to expect during your DXA assessment

How to prepare for your upcoming DXA scan

Athlete Resources – Anthropometry Assessment

It is important that athletes feel truly informed as part of any measurement, test or assessment that they are agreeing to participate in.  The following videos have been designed to be shared with athletes prior to their anthropometry assessment, for improved awareness on what to expect as part of the assessment, and how to arrive best prepared to ensure high quality, accurate and reliable data capture.

What to expect during your anthropometry assessment

How to prepare for your upcoming anthropometry assessment

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