Body Composition

The Impact of Physical Activity and Nutritional Patterns on Phase Angle in Healthy Adolescents.

TL;DR

In healthy adolescents, habitual free-time physical activity is the main modifiable factor of phase angle, with male sex and higher free-time physical activity independently associated with higher phase angle values.

Key Findings

The median phase angle in the study sample of healthy adolescents was 5.16°.

  • Study conducted in 56 adolescents with a median age of 16 years.
  • Phase angle was measured via bioelectrical impedance analysis (BIA) at 50 kHz.
  • Median PhA was 5.16° with an interquartile range of 4.88–5.46°.
  • Phase angle reflects cellular integrity and nutritional status as a non-invasive parameter.

Male sex was independently associated with higher phase angle in multivariable models.

  • Regression coefficient for male sex: B = 0.96, p < 0.001.
  • This association was retained after adjustment for other variables in the multivariable model.
  • Sex was identified alongside free-time physical activity as a primary determinant of PhA.

Higher free-time physical activity was independently associated with higher phase angle in a graded fashion.

  • Moderate free-time physical activity was associated with higher PhA compared to low activity: B = 0.42, p = 0.004.
  • High free-time physical activity was associated with higher PhA compared to low activity: B = 0.55, p = 0.001.
  • Both moderate and high activity levels retained significance after multivariable adjustment.
  • The association showed a graded effect with increasing activity level.

Penalized logistic models confirmed that moderate and high free-time physical activity were associated with lower odds of having a low phase angle.

  • Moderate free-time activity was associated with lower odds of low PhA: OR 0.13, 95% CI: −3.66 to −0.56.
  • High free-time activity was associated with even lower odds of low PhA: OR 0.01, 95% CI: −9.15 to −1.87.
  • Both comparisons were made versus the low free-time physical activity reference group.

Dietary indices and individual food items did not independently predict phase angle after multivariable adjustment.

  • Lifestyle and diet were assessed using a validated questionnaire.
  • Diet quality indices and selected food intake frequencies were included in the analysis.
  • Dietary variables did not retain statistical significance after adjustment in multivariable models.
  • Physical activity level was assessed separately for school time and free time.

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Citation

Przytula A, Glibowski P, Popiolek-Kalisz J. (2026). The Impact of Physical Activity and Nutritional Patterns on Phase Angle in Healthy Adolescents.. Nutrients. https://doi.org/10.3390/nu18030516