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Outcomes · Body composition · continued

Second pass at: Circumference measurements as a poor man's composition estimate posts 31–60

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

MH
ms_hollowayTL4Mass spectrometrist25 Dec 2025#31
a.kowalski, post #10: Picking up post #7: that is the part I would want checked first. Genuine question rather than a rhetorical one: has anyone here actually observed Circumference measurements, as opposed to read about it? The thread is long and I cannot tell. Go to post

Neither method is capable of detecting the month-to-month changes that people report detecting month to month.

0 likes in reply to #10 7mo
YA
y.adebayoTL227 Dec 2025#32

On post #28 — agreed on the reasoning, with one qualification.

If someone has run Circumference measurements properly I would rather read that than my own reconstruction of it. Posting mine only because the thread has gone quiet.

3 likes 7mo
DV
dr.villanuevaTL3Physician30 Dec 2025#33

That is a fair summary of where the discussion has got to.

15 likes 7mo
CC
ch.correiaTL21 Jan 2026#34

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.

One more caveat and then I will stop qualifying: the sample selected itself.

30 likes 7mo
AR
a.reyesTL4 Admin3 Jan 2026#35
OTeixeira, post #8: Building on post #7 rather than restating it. Nothing here is medical advice and none of these measurements is diagnostic on its own. I have said this before in a thread nobody could find, so it is worth repeating. Go to post

Lean mass in these measurements includes water, so a change in hydration appears as a change in lean mass.

I am reporting what happened, not recommending it.

1 like in reply to #8 7mo
LS
l.salinasTL26 Jan 2026 · edited#36

Circumference measurements is well covered in the tag pages, and the older discussions are better than the recent ones because they were argued out properly. Worth twenty minutes before adding to this one.

6 likes 7mo
SL
s.leclercTL4 Moderator8 Jan 2026#37

Post #34 is right about the mechanism and I think understates the practical bit.

The reason Circumference measurements keeps being re-asked is that the answer is conditional and people quote it without the condition. It is not that the answer is unknown.

21 likes 7mo
NS
n.silvaTL210 Jan 2026#38

Photographs under fixed lighting and posture are a genuine record and are the hardest of these to standardise.

Written in the hope of being told what I have missed.

0 likes 7mo
BS
b.solbergTL213 Jan 2026#39
Rodrigues, post #21: Post #19 and I disagree about the size of the effect, not about the direction. The bit of Circumference measurements that nobody enjoys is that the answer changes depending on what you are trying to decide with it. Say what the decision is and the thread will converge. Go to post

Taking post #38 at face value and following it one step further.

Nothing here is medical advice and none of these measurements is diagnostic on its own.

Not the whole picture, but the part of it I can speak to.

31 likes in reply to #21 6mo
HM
h.mbekiTL215 Jan 2026#40
c.chowdhury, post #30: Post #27 is the version of this I will quote in future. One addition. Circumference measurements came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction. Go to post

Comparing a body composition result against a population reference is a different exercise from tracking your own change, and the second is what most people want.

Speaking for myself and not for anyone else who has posted here.

0 likes in reply to #30 6mo
TL
t.lindqvistTL217 Jan 2026#41
g.haaland, post #4: Post #3 is the version of this I will quote in future. One addition. Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone. The general answer and the answer for your case may diverge here. Go to post

I had written a reply contradicting post #37 and deleted it. Here is what survived.

Changes during titration: measuring body composition during active titration is less useful than measuring after dose is stable. Titration causes fluid shifts that confound body composition.

1 like in reply to #4 6mo
M
MSaarinenTL3Regular19 Jan 2026#42

Confirming post #41 from a second method, which matters more than confirming it from a second person.

Circumference measurements at marked sites, taken consistently, track composition change better than most people expect for the cost.

0 likes 6mo
IB
i.brobergTL222 Jan 2026#43

Reframing Circumference measurements slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.

23 likes 6mo
JD
j.delacroixTL3Regular24 Jan 2026#44

Percentage body fat is a ratio, so it changes when either component changes. A rising percentage during weight loss is arithmetic before it is physiology.

This is the sort of thing that ought to be settled and apparently is not.

10 likes 6mo
MM
m.malinowskiTL226 Jan 2026#45
j.delacroix, post #44: Percentage body fat is a ratio, so it changes when either component changes. A rising percentage during weight loss is arithmetic before it is physiology. This is the sort of thing that ought to be settled and apparently is not. Go to post

Circumference measurements has a well-known answer and a correct answer, and the interesting work is establishing that they are the same. Nobody has done that here yet.

0 likes in reply to #44 6mo
HM
h.mukherjeeTL1Member28 Jan 2026#46
a.reyes, post #35: Lean mass in these measurements includes water, so a change in hydration appears as a change in lean mass. I am reporting what happened, not recommending it. Go to post

Post #45 is right about the mechanism and I think understates the practical bit.

The documentation on Circumference measurements is better than this thread and I say that as someone who has posted in the thread.

32 likes in reply to #35 6mo
AA
a.almeidaTL230 Jan 2026#47

On post #45 — agreed on the reasoning, with one qualification.

Report the method with the number, always. A composition figure without the method is not comparable to anything, including your own previous figure.

16 likes 6mo
PS
p.silvaTL22 Feb 2026#48

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.

6 likes 6mo
CK
c.kuuselaTL24 Feb 2026#49

My position on Circumference measurements is current rather than settled. I have revised it once already and I expect to again, so treat it accordingly.

0 likes 6mo
TF
taper_fileTL3Regular6 Feb 2026#50

Bone mineral density changes with substantial weight loss are measurable and slow, and are one of the better reasons to have a baseline scan.

A guess, clearly labelled as one.

24 likes 6mo
BF
b.friskTL28 Feb 2026#51

Building on post #48 rather than restating it.

I would keep Circumference measurements and the decision it usually gets used for separate in this thread. They are related and they are not the same question, and merging them is why the last one went badly.

4 likes 6mo
TK
t.kulkarniTL3Regular10 Feb 2026#52

Post #50 put the caveat in the right place and I want to underline it.

Circumference measurements looks different depending on whether you are reading the primary literature or the summaries of it, and the difference is not in our favour.

11 likes 6mo
VB
v.bergstromTL212 Feb 2026#53
RJ
r.jhannsdttirTL3Regular15 Feb 2026#54
m.malinowski, post #45: Circumference measurements has a well-known answer and a correct answer, and the interesting work is establishing that they are the same. Nobody has done that here yet. Go to post

Second this, and I would have said it less carefully.

0 likes in reply to #45 5mo
ND
n.duarteTL217 Feb 2026 · edited#55
e.pires, post #9: On post #7 — agreed on the reasoning, with one qualification. Adding a reference point for Circumference measurements. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be discounted appropriately. Go to post

Post #52 is the version of this I will quote in future. One addition.

Careful with the language on Circumference measurements. "Not detected" and "not present" are different findings and the first is a statement about the method.

1 like in reply to #9 5mo
V
VPoulsenTL3Regular19 Feb 2026#56

Resting metabolic rate: body composition affects metabolic rate. As fat mass decreases and lean mass is maintained, metabolic rate is usually maintained better than with simple weight loss alone.

I would put the burden of proof on the interesting explanation, not the dull one.

7 likes 5mo
KA
k.asanteTL221 Feb 2026#57

Posting my Circumference measurements numbers with the method attached so they can be discounted properly. Uncontrolled, unblinded, and collected by someone who wanted a particular answer.

18 likes 5mo
CC
crossref_checkTL3Wiki editor23 Feb 2026#58
r.jhannsdttir, post #54: Second this, and I would have said it less carefully. Go to post

Circumference measurements: I have looked for the primary source twice and failed twice. Either it does not exist or it is somewhere I do not know to look, and I would like to know which.

0 likes in reply to #54 5mo
KB
ka.batistaTL225 Feb 2026#59
n.rahimi, post #16: Circumference measurements at marked sites, taken consistently, track composition change better than most people expect for the cost. Noting that the question and the thing people usually mean by it are different. Go to post

Nothing here is medical advice and none of these measurements is diagnostic on its own.

That has held every time I have looked, which is not the same as always.

0 likes in reply to #16 5mo
SF
sterile_fileTL3Regular27 Feb 2026#60

An update on my earlier Circumference measurements post: the pattern held for another six weeks and then stopped, which I did not predict and cannot explain.

4 likes 5mo