Whole body composition was measured at year 22 using a Hologic QDR 4500A DXA machine and analysed using Apex software version 4.0.2 (Hologic Inc., Bedford, USA). All scans were performed according to standard procedures by a trained technician. The machine was calibrated daily using a phantom spine, and coefficients of variation during the course of the study were <2% for total fat mass, and 1% for fat-free soft tissue mass. All standard DXA measurements were analysed using Hologic APEX 3.1 software (Hologic). Whole body (excluding head) fat free soft tissue mass (FFSTM) and fat mass were recorded. Abdominal visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) were measured according to previously described methodology [22 (link)].
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