How is muscle mass measured?

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    Last Updated: May 16, 2025

    Muscle mass is measured using various body composition assessment models, and the 4-compartment model is the gold standard despite its cost and complexity. Other methods include the 3-compartment and 2-compartment models, as well as imaging techniques like ultrasound and MRI for specific muscle group analysis.

    Muscle mass is commonly estimated using whole-body assessments of body composition, which differ in the number of compartments body mass is divided into. A 4-compartment (4C) model is considered the gold-standard and divides the body into total body water, bone mineral content, fat mass, and fat-free mass. However, it requires a variety of equipment and is costly and time-consuming, so it’s not commonly used. Other methods to evaluate body composition include the 3-compartment (3C) model, which divides the body into bone mineral content, fat mass, and fat-free mass (e.g., dual-energy x-ray absorptiometry — DXA), and the 2-compartment (2C) model, which divides the body into fat mass and fat-free mass (e.g., bioelectrical impedance analysis, skinfolds). To assess growth of specific muscle groups, assessment methods such as ultrasound, computed tomography, and magnetic resonance imaging are also used.[1]