STEP 2: Please analyze the data from the body composition report using the following structure, tone and technical guidance.
Please write the body composition analysis note following these instructions exactly. Please help me write a focused and actionable analysis for the patient. The goal is to create a document that is both clinically precise and narratively engaging, providing a complete picture of the patient's obesity medicine journey while maintaining medical professionalism and accuracy.
TONE AND COMMUNICATION GUIDELINES:
- Maintain a direct, scientifically precise tone while making complex concepts accessible
- Emphasize the science of body composition and metabolism rather than aesthetic goals
- Frame changes in terms of metabolic health and functional improvements
- Use specific numbers but always provide context for what they mean clinically
- Acknowledge both positive changes and areas needing attention with a solutions-focused approach
- Include brief educational components that help patients understand the "why" behind the numbers
- Keep the focus on data trends and physiological adaptations rather than judgmental language about weight
- When discussing areas for improvement, frame them as opportunities for metabolic optimization
- Use terms like "body composition" and "metabolic health" rather than weight-centric language
- Ground recommendations in clear scientific rationale, briefly explaining the mechanisms behind each suggestion
- Reflect that these reports are tests I have performed on real patients who understand that I am a kind and compassionate physician who uses the data of the body composition testing to tell an empowering and clear story of their health so as to motivate them
The analysis should read like a clinician who:
- Has deep expertise in metabolism and body composition
- Views the data as a scientific tool for optimizing health
- Prioritizes education alongside analysis
- Recognizes that body composition changes are complex metabolic processes
- Maintains clinical objectivity while acknowledging the human experience
- Focuses on sustainable metabolic health rather than quick fixes
When analyzing InBody 970 body composition results, create a patient-friendly narrative following this structure. The body composition section must follow this exact template with this exact wording, only replacing the [variables] with patient-specific values from their body composition results.
IMPORTANT: This template must be followed exactly, word-for-word, with only the numerical values and ranges being replaced with patient-specific data. Explanatory text should only be modified to reflect whether the values are unexpected versus expected, and why that may be the case.
Start with a brief introduction acknowledging the test completion and its value beyond basic scale measurements. Write this exactly:
“The body composition assessment provides valuable information beyond what a standard scale can tell us, helping to create a precise map of your body's composition and metabolism.”
Then provide detailed analysis of key findings in this order:
Sub-sub-Header: Your Most Important Numbers
ICW in lb (Intracellular Water): [indicate if below, above or within expectations based on test result or reference ranges]
ECW in lb (Extracellular Water): [indicate if below, above or within expectations based on test result or reference ranges]
ECW/TBW (Extracellular Water/Total Body Water): [indicate if below, above or within expectations based on test result or reference ranges]
VFA in cm² (Visceral Fat Area): [indicate if below, above or within expectations based on test result or reference ranges]
Weight in lb: [indicate if below, above or within expectations based on test result or reference ranges]
Skeletal Muscle Mass in lb: [indicate if below, above or within expectations based on test result or reference ranges]
Body Fat Mass in lb: [indicate if below, above or within expectations based on test result or reference ranges]
Height in feet and inches: [indicate if below, above or within expectations based on test result or reference ranges]
BMI (Body Mass Index): [indicate if below, above or within expectations based on test result or reference ranges]
Percent Body Fat in %: [indicate if below, above or within expectations based on test result or reference ranges]
Basal Metabolic Rate in calories and expected range in brackets: (expected range: x–x) [indicate if below, above or within expectations based on test result or reference ranges]
Bone Mineral Content in lb and expected range in brackets: (expected range: X–X) [indicate if below, above or within expectations based on test result or reference ranges]
SMI in kg/m² (Skeletal Muscle Index): [indicate if below, above or within expectations based on test result or reference ranges, ensuring that you are using the obesity cut offs only for people with a BMI of greater than or equal to 35]
Whole Body Phase Angle in degrees: [indicate if below, above or within expectations based on test result or reference ranges]
Segmental Analysis
• Right Arm Lean mass in %: [indicate if below, above or within expectations based on test result or reference ranges]
• Left Arm Lean mass in %: [indicate if below, above or within expectations based on test result or reference ranges]
• Trunk Lean mass in %: [indicate if below, above or within expectations based on test result or reference ranges]
• Right Leg Lean mass in %: [indicate if below, above or within expectations based on test result or reference ranges]
• Left Leg Lean mass in %: [indicate if below, above or within expectations based on test result or reference ranges]
Sub-Sub-Header: Body Mass Distribution
Ensure you're using the correct reference ranges for the gender of the person measured in the report.
Report skeletal muscle mass in lbs with context about expected range for height and percentage of total weight
The generally accepted ranges for skeletal muscle mass as a percentage of total body weight are:
- Males: Normal range 32-40%, Athletic 40-45%
- Females: Normal range 30-37%, Athletic 37-42%
Contextualize this as the body's metabolically active tissue that helps maintain healthy metabolism
Report body fat mass in lbs and body fat percentage
Report bone mineral content in lbs with expected range, clarifying this measures mineral content not density (which requires DXA)
Sub-Sub-Header: Segmental Lean Analysis Interpretation
Segmental Balance (right vs. left comparison):
Present the percentages as comparisons to height/gender-matched reference population
Highlight that 100% represents average for their height/gender
Values above 100% indicate more muscle than average
Values below 100% indicate less muscle than average
Right-to-left differences:
Normal difference is typically less than 3-4% between corresponding limbs
Dominant side naturally may have 1-2% more muscle mass
Differences >5% may indicate muscle imbalances that could affect movement
Significant asymmetry could suggest injury, occupational adaptations, or movement compensations
Sub-Sub-Header: Visceral Fat Assessment
Report VFA in cm²
- VFA target: <100 cm² is considered metabolically healthier
- 100-150 cm²: Moderately elevated with increased metabolic risk
- >150 cm²: Significantly elevated with substantial metabolic risk
Frame this as internal fat surrounding organs rather than visible fat
Explain this measures internal organ fat and its metabolic significance
Sub-Sub-Header: Body Water Balance
Report intracellular and extracellular water in lb
Include ECW/TBW ratio with target range (0.36-0.39)
Values >0.39 may indicate fluid retention, inflammation, or edema
Values <0.36 are uncommon but may indicate dehydration
Emphasize the significance of this ratio for cellular health and inflammation status
Comment on hydration status based on these values
Sub-Sub-Header: Sarcopenia Analysis
SMI in kg/m2 to evaluate for sarcopenia in the presence of obesity.
Ensure you're using the correct reference ranges for the gender of the person measured in the report.
The usual reference ranges used to define sarcopenia using SMI (Skeletal Muscle Index):
For general population:
Males: Normal >10.75 kg/m², Moderate sarcopenia 8.51-10.75 kg/m², Severe sarcopenia ≤8.50 kg/m²
Females: Normal >6.75 kg/m², Moderate sarcopenia 5.76-6.75 kg/m², Severe sarcopenia ≤5.75 kg/m²
When interpreting SMI values, apply the obesity-specific cutoffs for patients with BMI ≥35 kg/m². These newer cutoffs have been validated specifically for patients with severe obesity and may better reflect sarcopenia risk in this population. Ensure you use the obesity cut offs only for people with a BMI ≥35 kg/m². For people with BMI < 35 kg/m², use the cutoffs for the general population.
For patients with obesity (BMI ≥35 kg/m² with complications or BMI ≥40 kg/m²), use these updated cutoffs:
Males: <11.3 kg/m² indicates sarcopenia
Females: <9.2 kg/m² indicates sarcopenia
Explain how sarcopenia can coexist with obesity and impact metabolic health and mobility
Explain implications for the treatment of obesity, nutrition and movement planning.
Explain implications for risks related to aging, heart failure, frailty.
Sub-Sub-Header: Metabolic Rate
Ensure you're using the correct reference ranges for the gender of the person measured in the report.
Report BMR in calories/day
Include expected range based on age/gender/muscle mass
Note if value is lower, higher, or within expected range
Explain implications for nutrition and movement planning
Sub-Sub-Header: Whole Body Phase Angle
Whole Body Phase Angle is a Cellular Health Indicator
Phase angle expected range: 5.5-7.0°
Report phase angle in degrees
Higher values generally indicate better cellular health and integrity
Lower values may suggest cellular breakdown or poorer nutritional status
Explain this as a measure of cellular health and resilience
Follow with a summary section:
Sub-Header: Why This Matters:
Explain how these measurements help create a detailed body composition map
Explain that the major value of body composition testing is to create a trend over time, and to avoid focus on the weight alone which can obscure critical changes to overall health
Explain any ways in which BIA assessment limitations may be relevant to this particular test for this particular patient
Technical guidance:
Ensure numerical values are interpreted with precision, addressing whether they are above, below, or within expected ranges with explanations.
BOLD any values that are outside their reference ranges or appear concerning.
Ensure you're using the correct reference ranges for the gender of the person measured in the report
Expand actionable strategies tied to the patient’s unique circumstances and test results.
Integrate clinical reasoning (e.g., metabolic adaptation) into patient-facing narratives.
Follow the provided structure exactly, ensuring sections and content mirror the requested format and depth.
Use clear, non-technical language
Provide context for all numerical values
Maintain supportive, non-judgmental tone
Focus on functionality and health rather than appearance
Emphasize this as baseline data for monitoring progress
Variables to replace:
All numerical values from InBody results
Expected ranges based on patient demographics
Specific recommendations based on out-of-range values
Action items tailored to patient's specific results
For all assessments, frame findings in terms of metabolic health and function rather than appearance.
Connect abnormal values to potential health implications while maintaining a supportive, non-judgmental tone.