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Objectives: To determine the ability of handgrip strength combined with body mass index (BMI, kg/m2) to estimate body fat percentage (BF%) in middle-aged and older Asian adults.  Methods: Middle-aged and older Asian adults (n=459, males=197) were randomly divided into a validation and model development group (n=303) and cross-validation group (n=156). A whole-body scan using dual energy x-ray absorptiometry measured BF%. Bland-Altman plots, standard error of the estimates, total errors and mean absolute errors were used to compare prediction equations. Stepwise regression analysis was used to determine a new prediction equation for middle-aged and older Asian adults. Right and left handgrip strength, age, sex and BMI were included in the analysis.  Results: A previously developed prediction equation that included handgrip strength poorly predicted BF% in our current sample with the mean difference being -6.0 ± 4.2%. Predicted BF% values were significantly lower than measured BF% values (22.7% vs. 28.7%, p&lt;0.05). A new prediction equation was developed that included sex, BMI, left handgrip strength and age. Validation of the new equation revealed a constant error of 0.2 ± 3.9% with there being no significant difference between measured and predicted BF% (28.2% vs. 28.5%, p=0.467). Previously developed BF% equations using BMI, but not handgrip strength, had similar constant errors and mean absolute errors compared to the new prediction equation.  Conclusion: Handgrip strength does not appear to improve the estimation of body fat percentage from BMI prediction equations in middle and older-aged Asian adults.

ESTIMATING BODY FAT PERCENTAGE THROUGH BODY MASS INDEX AND HANDGRIP STRENGTH IN MIDDLE AND OLDER-AGED ASIAN ADULTS