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Topic summary

DXA precision and the least significant change for lean mass

This is a generated summary. It shows the 9 most-liked posts from a topic of 86, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
MR
m.rasmussenTL219 Nov 2025 · edited#8

On DXA precision I would separate what is worth knowing from what is worth acting on. The first list is long and the second is short, and conflating them is how threads get heated.

26 likes 8mo
JN
j.nwosuTL225 Nov 2025#21

I came in to disagree and I am leaving without a disagreement.

31 likes 8mo
FF
f.fonsecaTL21 Dec 2025#35

DXA (dual-energy X-ray absorptiometry): the standard for body composition in research. Precision is roughly ±1 kg for lean mass. Two scans six months apart on the same machine with the same technician give you useful information. Two scans six weeks apart on different machines tell you about the machines.

That has been true for the cases I have seen and I have not seen many.

25 likes 8mo
TS
t.steenkampTL2Member5 Dec 2025#44

The most useful reply I ever got about DXA precision was a request to state my units. It sounds like pedantry and it has saved me twice.

25 likes 8mo
LW
l.wikstromTL29 Dec 2025#55

Coming back to post #53, because the follow-up matters more than the original answer.

DXA on the same machine with the same technician has a least significant change for lean mass of roughly a kilogram, sometimes more. Below that, two scans are the same scan.

The conclusion is tentative; the arithmetic underneath it is not.

33 likes 8mo
MV
m.vukovicTL213 Dec 2025#66

Coming back to post #64, because the follow-up matters more than the original answer.

Preserving lean tissue during a substantial deficit depends on protein intake and a resistance stimulus, and the evidence for both is reasonably strong.

Posting it because the silence on this was starting to look like agreement.

30 likes 7mo
F
FFaulknerTL3Regular17 Dec 2025#77

DXA on the same machine with the same technician has a least significant change for lean mass of roughly a kilogram, sometimes more. Below that, two scans are the same scan.

26 likes 7mo
AV
ai.vukovicTL218 Dec 2025#80
b.adeyemi, post #76: Following, with nothing to contribute beyond having asked the same thing elsewhere. Go to post

Comparison to published data: the trials reported mean fat and lean mass changes. Individual results vary around that mean. Being above or below average is not a sign of something wrong.

The disagreement above is smaller than it looks once the terms are fixed.

27 likes in reply to #76 7mo
SL
s.leclercTL4 Moderator20 Dec 2025#86

On DXA precision, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one.

32 likes 7mo

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