Why the study?
Obesity is a chronic health problem, but screening for the obesity phenotype is limited by the availability of practical methods.
Does a smartphone-based machine learning analysis of 2D digital images accurately estimate total and abdominal fat mass compared to DXA in adults?
Does a smartphone-based machine learning analysis of 2D digital images accurately estimate total and abdominal fat mass compared to DXA in adults?
A smartphone-based machine learning analysis of 2D lateral standing images provides an accurate and reproducible estimation of total and abdominal fat mass compared to the DXA reference standard.
Should not yet change practice for fat mass assessment; leaves open prospective validation in clinical populations.
Background: Obesity is chronic health problem. Screening for the obesity phenotype is limited by the availability of practical methods. Methods: We determined the reproducibility and accuracy of an automated machine-learning method using smartphone camera-enabled capture and analysis of single, two-dimensional (2D) standing lateral digital images to estimate fat mass (FM) compared to dual X-ray absorptiometry (DXA) in females and males. We also report the first model to predict abdominal FM using 2D digital images. Results: Gender-specific 2D estimates of FM were significantly correlated (p < 0.001) with DXA FM values and not different (p > 0.05). Reproducibility of FM estimates was very high (R2 = 0.99) with high concordance (R2 = 0.99) and low absolute pure error (0.114 to 0.116 kg) and percent error (1.3 and 3%). Bland−Altman plots revealed no proportional bias with limits of agreement of 4.9 to −4.3 kg and 3.9 to −4.9 kg for females and males, respectively. A novel 2D model to estimate abdominal (lumbar 2−5) FM produced high correlations (R2 = 0.99) and concordance (R2 = 0.99) compared to DXA abdominal FM values. Conclusions: A smartphone camera trained with machine learning and automated processing of 2D lateral standing digital images is an objective and valid method to estimate FM and, with proof of concept, to determine abdominal FM. It can facilitate practical identification of the obesity phenotype in adults.
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Farina et al. (2022) studied this question.
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