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PubMed1988

Body composition research at the University of Auckland--some implications for modern surgical practice.

The fundamental changes in body composition which accompany surgical illness are loss of body protein, gain in extracellular water, and erosion of body fat stores. The rate at which each of these processes occurs and the balance between them determine the clinical picture observed and an understanding of them opens the door to intelligent management of many complex disorders. Recent advances in technology have lent impetus to body composition research and a number of new findings have major implications for clinical practice. In this review, some of the work from the body composition laboratories in the University Department of Surgery at Auckland Hospital will be described with special emphasis on that which is directly relevant to the practising surgeon.

Adult↗

PubMed2005

Pedometer-determined walking and body composition variables in African-American women.

PURPOSE: This study evaluated the relationship between pedometer-determined physical activity and body composition variables in middle-aged, African-American women. METHODS: Height, weight, waist circumference, hip circumference, and percent body fat were measured in 69 African-American females (mean age 51.4 +/- 5.4 yr). Subjects wore a pedometer for seven consecutive days, and average steps per day (i.e, walking volume) were compared with each anthropometric variable. Caloric intake was assessed by a 3-d diet record. The subjects were categorized into three different groups based on their physical activity level: <5000, 5000-7499, and > or =7500 steps per day. A one-way analysis of variance (ANOVA) was performed to examine the body composition variables among the three groups. Partial correlation coefficients controlling for age and caloric intake were calculated for walking volume and body composition variables (BMI, percent body fat, waist and hip circumferences, and WHR). Significance was set at P < 0.05 for all tests. RESULTS: There were significant differences between the least active and most active group for age (P = 0.013), BMI (P = 0.005), percent body fat (P < 0.001), waist circumference (P = 0.004), and hip circumference (P = 0.043). When a partial correlation controlling for age and caloric intake was used to compare steps per day with body composition variables, significant negative correlations still existed for each variable except WHR. These correlations were significant for BMI (P < 0.001), percent body fat (P < 0.001), waist circumference (P = 0.002), and hip circumference (P = 0.017). CONCLUSIONS: Middle-aged, African-American women who accumulate more ambulatory activity have significantly lower body fat percentages, BMI values, waist circumferences, and hip circumferences.

Adult↗

PubMed1992

Total bone mineral content and body composition by x-ray densitometry in newborns.

Measurement of total body bone mineral content and body composition has not previously been convenient in the newborn. X-ray densitometry, otherwise known as dual-energy x-ray absorptiometry (DEXA), has been used in adults to assess with accuracy and precision the total body mineral content, lean mass, and fat. Body composition measurements were determined in vivo by DEXA in term newborns, and they were compared with values reported by chemical analysis of the cadaver, with skin-fold thickness measurements, and with bone mineral content measured by single photon absorptiometry. The intermeasurement coefficient of variation was < or = 2.5% for bone mineral content, and < or = 1% for fat and lean mass. The values for bone mineral content, fat, and lean mass fall within the ranges expected based on the reported values measured by chemical analysis of the infant cadaver. Triceps and quadriceps skin-fold measurements were best correlated with total body fat as measured by DEXA. The bone mineral content of the distal third radius site as measured by single photon absorptiometry in newborns showed significant correlation with total body bone mineral content. DEXA provides a reproducible and convenient method for the determination of body composition in newborns.

Absorptiometry, Photon↗

PubMed2005

Hormonal determinants of regional body composition in adolescent girls with anorexia nervosa and controls.

We have previously demonstrated that girls with anorexia nervosa (AN) have higher levels of GH and cortisol and lower levels of estradiol than healthy adolescents. The effects of endocrine alterations on regional body composition in AN, however, have not been reported. We, therefore, enrolled 23 adolescent girls with AN and 20 healthy girls of comparable maturity in a study examining regional body composition. Levels of estradiol and IGF-I, as well as measures of GH and cortisol concentration (using cluster analysis of data obtained from frequent sampling q30' for 12 h overnight) were examined to determine hormonal determinants of regional body composition in adolescent girls with AN and controls. Girls with AN were followed for 1 yr and examined again at weight recovery (10% increase in body mass index) (n = 11). Percent trunk fat and trunk to extremity fat ratio (T/E fat) were significantly reduced in girls with AN compared with healthy adolescents (P = 0.001 and 0.01, respectively). Percent trunk lean mass and trunk to extremity lean mass ratio (T/E lean) were higher in AN than in controls (P = 0.01 and 0.009); percent extremity lean mass was lower in AN (P = 0.009). In healthy controls, total area under the curve (AUC) for GH correlated inversely with percent trunk fat and T/E fat (r = -0.66, P = 0.002 and r = -0.62, P = 0.003). Similar correlations were observed between other measures of GH concentration (mean and nadir) and percent trunk fat and T/E fat. No relationship was observed between GH concentration and regional lean mass or between cortisol concentration and regional body composition. In contrast, GH concentration did not predict regional body composition in adolescents with AN on regression analysis. However, nadir cortisol concentration correlated inversely with percent extremity lean mass (r = -0.49; P = 0.02) and positively with percent trunk lean mass and T/E lean (r = 0.48, P = 0.03; and r = 0.49, P = 0.02) in girls with AN. A similar trend was observed between other measures of cortisol concentration (mean cortisol and AUC) and percent trunk lean mass and T/E lean in AN. Trunk fat was lowest in girls with AN who had high GH but low cortisol levels (based on median values), whereas some preservation of trunk fat was observed in girls with low GH and high cortisol levels. Weight recovery occurred in seven of 11 girls with low GH and high cortisol values; however, only two of the nine girls with high GH and low cortisol recovered weight. High GH with lower cortisol levels may thus be a marker of greater severity of AN. Our results suggest that in healthy controls, GH concentration predicts regional body composition and favors a redistribution of body fat such that T/E fat ratio decreases. In AN, however, high levels of GH and cortisol have contrasting associations with fat mass. High cortisol levels in AN predict a redistribution of lean body mass such that extremity lean mass decreases. Further studies are necessary to better understand the implications of these data.

Adolescent↗

PubMed2004

Relationship between accumulated walking and body composition in middle-aged women.

PURPOSE: The purpose of this study was to examine the relationship between objectively determined physical activity (pedometer counted steps per day) and body composition variables in middle-aged women. METHODS: Height, weight, body fat percentage (%BF), waist circumference, and hip circumference were measured on eighty women (50.3 +/- 6.8 yr). For 7 d after testing, each subject wore a pedometer throughout the day while following her normal daily routine. Each morning the pedometer was reset to zero, and each evening the subject recorded the steps accumulated during the day. Pearson product moment correlations were used to examine the relationship between average steps per day and body composition variables. Subjects were placed in groups to reflect different levels of physical activity: inactive (<6000 steps x d), somewhat active (6000-9999 steps x d), and regularly active (> or = 10,000 steps x d). ANOVA was utilized to determine whether body composition variables varied across activity groups. Significance was set at P < 0.05 for all tests. RESULTS: : A significant correlation was found between average steps per day and %BF (-0.713, P < 0.0001); body mass index (BMI) (-0.417, P < 0.0001); waist circumference (-0.616; P < 0.0001); hip circumference (-0.278; P = 0.013); and waist-to-hip ratio (-0.652; P < 0.0001). There was a significant difference in body composition variables among activity groups, with higher values found in the less active groups. CONCLUSION: This is the first study to specifically examine the relationship between steps per day and body composition in middle-aged women. Although the cross-sectional nature of this study does not allow causal relationships to be determined, women who walked more had lower %BF. Additionally, the average BMI of women who accumulated 10,000+ steps x d was in the normal range.

Adult↗

PubMed2005

Impact of ethnicity upon body composition assessment in Sri Lankan Australian children.

OBJECTIVES: Obesity is a disease with excess body fat where health is adversely affected. Therefore it is prudent to make the diagnosis of obesity based on the measure of percentage body fat. Body composition of a group of Australian children of Sri Lankan origin were studied to evaluate the applicability of some bedside techniques in the measurement of percentage body fat. METHODS: Height (H) and weight (W) was measured and BMI (W/H(2)) calculated. Bioelectrical impedance analysis (BIA) was measured using tetra polar technique with an 800 microA current of 50 Hz frequency. Total body water was used as a reference method and was determined by deuterium dilution and fat free mass and hence fat mass (FM) derived using age and gender specific constants. Percentage FM was estimated using four predictive equations, which used BIA and anthropometric measurements. RESULTS: Twenty-seven boys and 15 girls were studied with mean ages being 9.1 years and 9.6 years, respectively. Girls had a significantly higher FM compared to boys. The mean percentage FM of boys (22.9 +/- 8.7%) was higher than the limit for obesity and for girls (29.0 +/- 6.0%) it was just below the cut-off. BMI was comparatively low. All but BIA equation in boys under estimated the percentage FM. The impedance index and weight showed a strong association with total body water (r(2)= 0.96, P < 0.001). Except for BIA in boys all other techniques under diagnosed obesity. CONCLUSIONS: Sri Lankan Australian children appear to have a high percentage of fat with a low BMI and some of the available indirect techniques are not helpful in the assessment of body composition. Therefore ethnic and/or population specific predictive equations have to be developed for the assessment of body composition, especially in a multicultural society using indirect methods such as BIA or anthropometry.

Adolescent↗

PubMed2001

The potential of near infra-red interactance for predicting body composition in children.

OBJECTIVE: To establish whether near infra-red interactance (NIRI) has potential for use instead of skinfold thickness (SFT) measurements in the assessment of body composition in young children. DESIGN: Strengths of relationships were established between NIRI or SFT measurements and four-component model (4-CM) assessments of body composition. SUBJECTS: Nineteen boys and 19 girls, aged 8-12 y. MEASUREMENTS: 4-CM estimates of body composition were obtained from measurements of body weight, body volume, bone mineral content and total body water. SFT and NIRI were measured at the same four recognized sites (biceps, triceps, subscapular and suprailiac). RESULTS: All children subjectively expressed a preference for NIRI rather than SFT calipers. Although SFTs were slightly more strongly and consistently related to 4-CM estimates, NIRI measurements at the biceps, subscapular and sum of four sites were significantly related to body composition indices. Subscapular NIRI measurements were as successful as subscapular SFTs in ranking subjects relative to 4-CM fatness, both techniques being most successful at lower levels of fatness. CONCLUSION: NIRI has potential for use instead of SFT for estimating body composition in young children. Its contribution may prove to be greatest in sick children in whom SFT measurements may be unwelcome, and weight-for-height indices of little value due to abnormalities of water distribution. However, greater numbers are required to develop child-specific prediction equations and the viability and validity of NIRI in pediatric patients is still to be evaluated.

Adipose Tissue↗

PubMed1978

Changes in the body composition of monkeys during long-term exposure to high acceleration fields.

Adult, 10-14 kg, male pig-tailed monkeys (Macaca nemestrina) were subjected to continuous centrifugation for 7 months in acceleration fields up to 2.5 g. Several major parameters of body composition, body-fluid distribution, and hematology were evaluated at various levels of high g by in vivo analytical techniques. Statistically significant decreases in total body mass, lean body mass, total body water, extracellular water content and interstitial water content proportional to the level of high g were also demonstrated. Body cell mass, total body fat, dry body mass, lean body solids, and red cell volume did not change significantly. Significant decreases in red cell count, blood hemoglobin level and venous hematocrit value accorded with the plasma volume and red cell volume findings. Total plasma protein concentration did not change significantly. The results indicate a substantial loss of total body mass in the form of body water. The loss apparently occurred from the interstitial spaces of the body in the face of a sizeable increase in plasma volume. Physiological significance of the body composition and fluid distribution changes at high g is discussed and compared to the changes described for astronauts at low g. Current theory of fluid-balance physiology favors the concept that interstitial volume and blood volume are tightly coupled and change in the same direction. However, it appears that the changes which occur where the ambient acceleration field is varied may represent an exception to the general hypothesis for the regulation of the extracellular fluid volume.

Acceleration↗

PubMed2002

Use of fan beam dual energy x-ray absorptiometry to measure body composition of piglets.

A piglet model was used to determine whether the fan beam dual energy X-ray absorptiometry technique (DXA) could be adapted for the measurement of body composition of small subjects. Commercial domestic swine piglets (n = 14) with weights between 1.95 and 21.1 kg had duplicate fan beam-DXA scans followed by chemical analysis of body composition. Each scan required 2-3 min to complete. DXA-measured total body weight was validated against scale weights of the piglets (with and without blanket and other covering), DXA bone mineral content validated against carcass ash and calcium, and DXA lean and fat mass validated against chemical lean and fat contents. Measurements from duplicate DXA scans were highly reproducible with adjusted r(2) values from 0.992 to 1.000. Each DXA measurement was highly predictive of the scale weight or specific chemical body composition with adjusted r(2) values from 0.974 to 0.999. The intraclass reliability coefficient among measurements from individual scans with scale weight or the weight of individual chemical components was extremely high at > or =0.99 for all comparisons. The SD of residuals for DXA prediction of scale weights (with and without covering) were 168 and 157 g, respectively, and were 27, 8.8, 122 and 72 g for the prediction of carcass ash, calcium, lean and fat tissue content, respectively. We conclude that rapid scan acquisition, accurate and precise prediction of scale weight and components of body composition would support the use of fan beam-DXA for body composition studies in growing humans or animals.

Absorptiometry, Photon↗

PubMed1997

Effects of porcine somatotropin on the chemical body composition and fat quality in growing-finishing pigs.

Seventy eight growing-finishing pigs (male castrates and females) of the cross-breed Pietrain x (Large White x German Landrace) were used to investigate the effects of pST treatment on the chemical composition of the body, the growth of adipocytes, and the fatty acid profile of the backfat. Intramuscular injections (1 or 3 mg pST) were administered daily from an average weight of 65 kg up to slaughter. After pST treatment significant changes in all studied characteristics were observed in barrows, whereas the females exhibited very small responses. The pST caused an increase of water and protein contents and a simultaneous decrease of lipid content especially in body parts rich in fat. Furthermore, the proportion of unsaturated fatty acids increased and the fat cell diameter decreased in the backfat.

Adipocytes↗

PubMed1991

Body composition in Pima Indians: validation of bioelectrical resistance.

To assess the validity of bioelectrical resistance (BR) in an obese population, body composition was determined by both hydrostatic weighing and by BR in 156 Pima Indian volunteers representing a wide range of body weight (46.1-202.6 kg) and body composition (11-52% fat). A predictive equation was derived by use of data on height, BR, weight, age, and sex from 130 randomly selected volunteers and was applied to the remaining 26 volunteers. When compared with the manufacturer's software, the new equation increased correlations with hydrostatic weighing for predicting percent body fat and fat-free mass (FFM) from 0.70 to 0.92 and 0.79 to 0.97, respectively. The manufacturer's software underestimated FFM by 5.3 +/- 8.6 kg (P less than 0.05) when compared with FFM derived from hydrostatic weighing whereas the new equation improved the accuracy to -0.1 +/- 3.3 kg (NS). There were no significant effects of fluid intake (700 mL) or breakfast consumption on body composition as determined by BR. BR represents a simple and accurate way to assess body composition in Pima Indians with our newly derived equation.

Adipose Tissue↗

PubMed1999

Four-component model of body composition in children: density and hydration of fat-free mass and comparison with simpler models.

BACKGROUND: Body composition in children is generally measured by 2-component (2C) models, which are subject to error arising from variation in fat-free mass (FFM) composition. The 4-component (4C) model, which divides body weight into fat, water, mineral, and protein, can overcome these limitations. OBJECTIVE: The aims of our study were to 1) describe 4C model data for children aged 8-12 y; 2) evaluate interindividual variability in the hydration, bone mineral content, and density of FFM; 3) evaluate the success with which 2C models and bedside techniques measure body composition in this age group with use of the 4C model as a reference. DESIGN: Dual-energy X-ray absorptiometry, underwater weighing, deuterium dilution, bioelectrical impedance analysis, and anthropometry were used to determine body composition in 30 children. The contribution of methodologic error to the observed variability in the hydration and density of FFM was evaluated by using propagation of error. RESULTS: Mean (+/-SD) FFM density and hydration were 1.0864+/-0.0074 kg/L and 75.3+/-2.2%, respectively, and were significantly different from adult values (P < 0.02). Relative to the 4C model, deuterium dilution and dual-energy X-ray absorptiometry showed no mean bias for fatness, whereas underwater weighing underestimated fatness (P < 0.025). Fatness determined by using skinfold-thickness and bioelectrical impedance analysis measurements along with published equations showed poor agreement with 4C model data. CONCLUSIONS: Biological variability and methodologic error contribute equally to the variability of FFM composition. Our findings have major implications for bedside prediction methods used for children, traditionally developed in relation to underwater weighing.

Adipose Tissue↗

PubMed2005

Effects of different types of exercise on body composition and fat distribution in HIV-infected patients: a brief review.

HIV infection and its treatment is associated with unfavourable metabolic and morphological abnormalities. These metabolic abnormalities, particularly alterations in body composition and fat distribution, may increase the risk for cardiovascular and metabolic complications, as well as reduce functional independence and lower self-esteem. Thus there is an urgent need to develop interventions intended to manage secondary side effects of HIV or antiretroviral therapy-related complications. In poly-treated patients, nonpharmacological interventions are a logical first step. Exercise training in particular may help alleviate some of the metabolic adverse effects associated with antiretroviral therapy by favourably altering body composition and patterns of body fat distribution. Studies have shown that exercise training, particularly aerobic training, can help reduce total body and visceral fat, as well as normalizing lipid profiles in HIV-infected patients. The results for resistance training, however, are less conclusive. Knowledge of the use of resistance and aerobic training and its attendant effects on insulin resistance and adipocytokines may represent an effective nonpharmacologic means for treating metabolic complications of HIV-infected persons who are receiving appropriate antiretroviral therapy. In this brief review we examine the effects of aerobic and resistance training on body composition, body fat distribution, and selected metabolic outcomes.

Adipose Tissue↗

PubMed2002

Differential effects of oral estrogen versus oral estrogen-androgen replacement therapy on body composition in postmenopausal women.

Menopause is associated with decreased lean body mass and increased fat due to aging and declining hormone secretion. Estrogens or estrogen-progestins have been used to alleviate vasomotor symptoms. However, estrogen-androgen (E/A) therapy is also used for vasomotor symptom relief and has been shown to increase lean body mass while decreasing fat mass. The objective of this 16-wk, double-blind, randomized, parallel group clinical trial was to compare esterified estrogen plus methyltestosterone (1.25 mg estrogen + 2.5 mg methyltestosterone/d; E/A group) vs. esterified estrogen alone (1.25 mg/d; E group) on body composition. Forty postmenopausal women (mean age, 57 yr) participated. Compared with estrogen treatment alone, women in the E/A group increased their total lean body mass and reduced their percentage fat for all body parts (P < 0.05). After E/A treatment, there were statistically significant increases in lean body mass by 1.232 kg [0.181 +/- 0.004, 0.81 +/- 0.057, and 0.24 +/- 0.009 kg in the upper body (P = 0.021), trunk (P = 0.001), and lower body (P = 0.047), respectively]. In the E group, the increase was 0.31 +/- 0.004, 0.021 +/- 0.03, and 0.056 +/- 0.05 kg in the upper body, trunk, and lower body, respectively. In the E/A group, body fat was reduced by 0.90 kg (P = 0.18 for the trunk only), and percentage body fat declined by 7.4% (P < or = 0.05 for all body parts). Lower body strength increased by 23.1 kg (51 lb) in the E/A group vs. only 11 kg (24.25 lb) in the E group (P = 0.002 between groups). A statistically significant increase in weight (2.7 +/- 5.1 vs. 0.1 +/- 4.6 lb; P < 0.05) was observed in the E/A group compared with the E group. When subjects were given self-reporting questionnaires, more improvement was noted in sexual functioning and quality of life in the E/A group when compared with patients receiving E alone. There were no noteworthy side effects. In conclusion, E/A replacement therapy can improve body composition, lower-body muscle strength, quality of life, and sexual functioning in postmenopausal women.

Administration, Oral↗

PubMed1999

Age-related changes in body composition of 3- to 6-year-old Japanese children.

This study was undertaken to establish an approach for the investigation of age-related changes in indices of body composition during childhood in Japan. It provides current reference values for total body fat mass (TBFM) and lean body mass (LBM) as indices of body composition in an urban population of 3- to 6-year-old Japanese children. Moreover, we assessed the age-specific patterns of body fat distribution [subcutaneous fat mass (SFM) and internal fat mass (IFM)] during childhood. Measurements of body composition by bioelectrical impedance were made in 141 boys and 139 girls, all apparently healthy, aged 3-6 years. Determinations of impedance were made using a four-terminal impedance analyzer (TP-95K; Toyo Physical, Inc., Fukuoka, Japan). LBM was calculated using the equation of Kushner et al. (1992) and Goran et al. (1993). SFM was calculated using a modification of the equation derived by Skerjl et al. (1953). IFM was calculated as the difference between TBFM and SFM. From ages 3 through 6 years, the mean LBM increased with age in boys and girls, and showed significant age differences. Between the ages of 3 and 6, the average increment in LBM was 5.1 kg in boys and 4.4 kg in girls. On average, boys gained 0.5 kg of TBFM each year, whereas girls gained 0.4 kg of TBFM each year. Furthermore, both groups gained 0.3 kg of SFM each year. Percentage body fat decreased in both genders until approximately the age of 5, and increased again slightly at the age of 6. The age-specific pattern of fat accumulation during childhood was characterized by an almost linear increase in SFM in girls, but a transient decrease in IFM in boys. We conclude that further research is required, including longitudinal assessment of body composition variables, in order to unravel the dynamics of body composition change in Japanese children.

Adipose Tissue↗

PubMed2000

Measurement precision of body composition variables using the lunar DPX-L densitometer.

The objective of the study was to determine the precision of total- and regional-body composition measurements from a total-body scan using dual-energy X-ray absorptiometry (DXA). This is critical information necessary to determine the smallest change from baseline that could be detected with statistical significance when conducting longitudinal measurements of body composition variables in an individual. Twenty volunteers were scanned once each day for 4 consecutive days using a Lunar DPX-L densitometer and manufacturer-supplied software (version 1.3z). Coefficients of variation (CV, %) derived from data using the (preferred) extended research mode of analysis were 0.62, 1.89, 0.63, 2.0, 1.11, 1.10, and 1.09% for total-body bone mineral density (BMD), total percentage fat, total body tissue mass, fat mass, lean mass, bone mineral content (BMC), and total bone calcium, respectively. Regional measurements (arm, leg, trunk, pelvis, and spine) were less precise than total body measurements, with CVs in the range of 1% to 3% (but fat mass for arms was 4.26%, trunk 3.08%, BMC 3.65%). Small but statistically significant differences in mean values for most body composition variables were found when data were compared between extended and standard modes of analysis. Inconsistent use of analysis mode in a cohort or when following a patient longitudinally may negatively affect precision. We conclude that the measurement precision of total and regional body composition variables was generally comparable to the precision limits typically associated with lumbar spine and proximal femur BMD data.

Absorptiometry, Photon↗

PubMed1991

Physiological and thermal responses of males with varying body compositions during immersion in moderately cold water.

The effect of body composition on the thermal and metabolic responses of 24 male volunteers (20 to 35 years) was examined during 90 min of moderately cold (18, 22, or 26 degrees C) water immersion to the first thoracic vertebrae. Body composition was determined via underwater densitometry. Subjects were divided with respect to body fat (high fat (HF) = 18-22%, n = 12; Low fat (LF) = 8-12%, n = 12) and randomly assigned to one of three water temperatures. Rectal temperature (degree C) after 90 min of immersion did not differ in LF and HF at 18 degrees C (35.9 vs. 36.2), 22 degrees C (36.0 vs. 36.0), and 26 degrees C (36.0 vs. 36.3). Oxygen uptake (VO2, ml-kg-1.min-1) was greater in LF than in HF in all water temperatures. Oxygen uptake at 90 min was greater for LF than HF in 18 degrees C (11.48 vs. 9.19), 22 degrees C (9.79 vs. 4.70), and 26 degrees C (6.21 vs. 5.44). Mean skin temperature in LF and HF approached water temperature within the first 5 min. Despite the thermal strain of cold water immersion, the LF subjects were able to maintain a similar Tre compared to the HF due to a significantly greater shivering thermogenesis.

Adipose Tissue↗

PubMed2000

DXA body composition studies are not affected by extracellular water measurements using stable sodium bromide dilution.

Body composition studies using dual energy x-ray absorptiometry (DXA) are being increasingly reported in the literature. When DXA body composition measurements are combined with body water studies, stable bromide is often administered to measure extracellular water. Bromine attenuates x-rays significantly more than soft tissue and so could affect DXA body composition analysis. DXA scans were performed on 26 adults (12 F, 14 M) before and after the intravenous injection of 3 g sodium bromide (NaBr). No significant differences were noted pre- and post-NaBr infusion for whole-body fat mass, fat-free soft tissue mass and bone mineral content. These findings were supported by a simple mathematical analysis of the likely effect of the sodium bromide infusion. This showed that when 3 g NaBr was introduced into the body, the effect on fat mass estimates was expected to be marginally less than the precision of the DXA technique.

Absorptiometry, Photon↗