Can we use the Jackson and Pollock equations to predict body density/fat of obese individuals in the 21st century?

OBJECTIVE: Jackson and Pollock's (JP) ground-breaking research reporting generalized body density equations to estimate body fat was carried out in the late 1970s. Since then we have experienced an 'obesity epidemic'. Our aim was to examine whether the original quadratic equations established by Jackson and co-workers are valid in the 21st century. METHODS: Reanalyzing the original JP data, an alternative, more biologically sound exponential power-function model for body density is proposed that declines monotonically, and hence predicts body fat to rise monotonically, with increasing skin-fold thicknesses. The model also remains positive irrespective of the subjects' sum-of-skinfold thicknesses or age. RESULTS: Compared to the original quadratic model proposed by JP, our alternative exponential power-function model is theoretically and empirically more accurate when predicting body fat of obese subjects (sums of skinfolds >120mm). A cross-validation study on 14 obese subjects confirmed these observations, when the JP quadratic equations under estimated body fat predicted using dual energy x-ray absorptiometry (DXA) by 2.1% whereas our exponential power-function model was found to underestimate body fat by less than 1.0%. Otherwise, the agreement between the DXA fat (%) and the two models were found to be almost identical, with both coefficients of variation being 10.2%. CONCLUSIONS: Caution should be exercised when predicting body fat using the JP quadratic equations for subjects with sums of skinfolds>120 mm. For these subjects, we recommend estimating body fat using the tables reported in the present manuscript, based on the more biologically sound and empirically valid exponential power-function model.