Two DEXA scans eleven months apart: down 24kg total, of which the scan says 6kg was lean. I want to know whether that ratio is bad, normal, or simply what happens.
What I am trying to establish is whether resistance training and protein change the ratio or only the absolute amount.
I have searched first, so if this is covered somewhere point me at it and I will read it.
This one has a reasonably settled answer, so here it is. There is also a quality change that the scan cannot see. Weight loss shifts fiber-type distribution toward Type I and improves mitochondrial density and insulin-stimulated glucose uptake per fiber — so the muscle you keep is metabolically better even though there is less of it. That does not make the loss irrelevant, but it explains why function often holds up better than the number suggests.
Happy to go further on any of that.
PharmacoVig_BOS said:There is also a quality change that the scan cannot see.
Agreed on the ranges, with the condition that a single DEXA is not a measurement, it is one draw from a distribution. Hydration status moves the lean compartment by a kilogram or more between scans, so any comparison of scans done at different times of day or different hydration states is noise.
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View Resultshyun_seoul said:Two DEXA scans eleven months apart: down 24kg total, of which the scan says 6kg was lean.
Same position here, arrived at the long way round. The intervention that works is boring and well evidenced: resistance training two to three times a week at a genuine effort, protein at 1.4 to 2.0 g/kg of reference body weight, and not making the deficit larger than the training can support. Cardio does not protect lean mass and in a deep deficit competes with recovery.
From the other side of the consultation, briefly.
Body composition tracking via bioimpedance on lean mass (InBody scan every 3 months):
| Metric | Baseline | Month 3 | Month 6 | Month 9 |
|---|---|---|---|---|
| Skeletal Muscle (lbs) | 76 | 66 | 67 | 70 |
| Body Fat (lbs) | 98 | 80 | 52 | 40 |
| Body Fat % | 38% | 34% | 25% | 20% |
| Visceral Fat (cm²) | 163 | 118 | 83 | 63 |
Note: skeletal muscle mass dipped initially then recovered with consistent resistance training + high protein. The visceral fat reduction is where the metabolic magic happens.