PFLPhysiological Fitness Landscape

Biomarkers · Anthropometric

Fat-Free Mass

Higher values go with lower risk of death. Not measured in our NHANES panel. The curve is drawn from the published study (source below).

Fat-Free Mass and risk of death

Published curve higher than the NHANES fitNHANES fit higher

Risk of death relative to the curve's reference value, drawn from the published study (source below).

Published risk of death1.42×low versus high fat-free mass (study-specific categories) (95% CI 1.30–1.55) · Meta-analysis of 49 observational cohorts of community-dwelling adults (FFM by CT, DXA, BIA or anthropometry)

Fat-Free Mass by age and sex

Each bar runs from the 5th to the 95th percentile, the darker part from the 25th to the 75th, and the tick is the median. Not a reference range or a target.

The percentiles as a table
Each row is one sex and age band: the values below which 5%, 25%, 50%, 75% and 95% of people fall (kg), from the survey named in the row. Not a reference range or a target.
SexAge5th25thMedian75th95thnCycle / source
All20-3935.444.454.264.477.51,504NHANES 2005-2006
All40-5937.244.155.264.478.31,433NHANES 2005-2006
All60-6934.642.750.761.474.4647NHANES 2005-2006
Allall36.044.054.164.077.53,584NHANES 2005-2006
Men20-3949.056.562.870.083.3797NHANES 2005-2006
Men40-5950.258.364.070.882.3712NHANES 2005-2006
Men60-6946.555.961.468.275.9324NHANES 2005-2006
Menall48.857.363.370.281.91,833NHANES 2005-2006
Women20-3933.638.543.949.459.7707NHANES 2005-2006
Women40-5935.639.844.650.761.5721NHANES 2005-2006
Women60-6933.438.643.948.558.7323NHANES 2005-2006
Womenall34.339.244.249.960.51,751NHANES 2005-2006

What studies found when this marker was changed

They describe what happened in those study groups, not a recommendation. See all catalogued interventions.

Measured changes in Fat-Free Mass, study by study

4 effects with a numeric size, each from one study arm: the dot is the reported change, the line its 95% interval where one was given. Green points move the marker the way lower risk of death lies; amber the other way. Study results in the groups studied, not predictions for a person.

Each row is one study: what was changed, the effect it reported on this marker, and the source.
TypeInterventionReported effectEvidenceSource
supplementDietary protein supplementation during >=6 weeks of resistance exercise training in healthy adultsAdditional FFM gain of 0.30 kg (95% CI 0.09-0.52) during resistance trainingmeta-analysisMorton RW, et al. Br J Sports Med. 2018. A systematic review, meta-analysis and…
supplementCreatine monohydrate (~7 g or 0.3 g/kg/day) combined with resistance training in adults under 50Lean body mass +1.14 kg (95% CI 0.69-1.59) vs resistance training alone; fat mass -0.73 kgmeta-analysisDesai I, Wewege MA, Jones MD, et al. J Strength Cond Res. 2024.

Things that worsen it

Each row is one study: what was changed, the effect it reported on this marker, and the source.
TypeCondition or exposureReported effectEvidenceSource
dietRestricting eating to a 10-hour window daily for 8 weeks in college-age adults with overweight/obesityFat-free mass -2.3 kg with TRE alone over 8 weeks; +1.6 kg with resistance training; maintained with TRE+RTRCTCui T, et al. J Int Soc Sports Nutr. 2025. Efficacy of time restricted eating…
pharmacologicGLP-1 receptor agonist therapy in adults with diabetes and/or overweight/obesity (22 RCTs)Lean mass -0.86 kg (95% CI -1.30 to -0.42), about 25% of total weight lost (-3.55 kg)meta-analysisKarakasis P, Patoulias D, Fragakis N, et al. Metabolism. 2025.

What else moves this marker

They describe those study groups, not an individual, and an association is not a cause.

Environmental and occupational exposures

Each row is one study: what it compared and the change it reported in this marker.
WhatEffect on the markerComparison · populationSource
↑ Fetal cannabis exposure · any cannabinoid detected in maternal urine at ~27 weeks' gestation+1.2 kg (95% CI 0.4 to 2)exposed vs non-exposed offspring at mean age 4.7 years · 103 mother-child pairs from the Healthy Start cohort, Colorado; ~15% exposedprospective cohort · PMID 35357471