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PubMed2003

Prevalence of malnutrition in 1760 patients at hospital admission: a controlled population study of body composition.

OBJECTIVE: Malnutrition, defined as low or excessive body weight, is associated with increased hospital length of stay and cost of care. The purpose of this study was to determine if fat-free mass (FFM) and body fat (BF) differed between patients at hospital admission in Geneva and Berlin and healthy volunteers, and if there is a difference in the prevalence of low FFM (percentile P<10) and high BF (percentile P>90) between patients and volunteers. METHODS: In total, 1760 patients (Geneva: 525 men, 470 women; Berlin: 397 men, 368 women) were evaluated for malnutrition by BMI, serum albumin, and FFM and BF, determined by bioelectrical impedance analysis (BIA), and compared to 1760 healthy volunteers matched for age and height, and further compared to FFM and BF percentiles, previously determined in 5225 healthy adults. RESULTS: The prevalence of FFM P<10 was greater in patients than controls. The prevalence of albumin<35 g/l (14.9% and 11.2% in Geneva and Berlin patients, respectively) and BMI<20.0 kg/m(2) was lower than the prevalence of low FFM (31.3% and 17.3%, respectively). The prevalence of high BF in Berlin patients was three-fold the prevalence of volunteers. Twelve and twenty percent of Geneva and Berlin patients, respectively, with normal BMI had high BF, compared to 4% of volunteers. CONCLUSIONS: Geneva and Berlin patients had lower FFM and higher BF than age-and height-matched volunteers and a higher prevalence of low FFM and high BF. Serum albumin and BMI underestimated the prevalence of malnutrition in patients at hospital admission. Body composition measurements identified patients with low FFM and low or high BF reserves.

Adipose Tissue↗

PubMed1992

Body mass index, body composition and the chronic energy deficiency classification of rural adult populations in Guatemala.

The present study tested the hypotheses that: (a) individual body composition estimates obtained with the Durnin-Womersley (D-W) equations have low validity in certain populations in developing countries; (b) there exists a poor relationship between the body mass index (BMI) and body composition estimates (fat mass (BFM) and fat-free mass (FFM)), and (c) BMI cut-off estimates (fat mass (BFM) and fat-free mass (FFM)), and (c) BMI cut-off points provide an invalid classification of chronic energy deficiency (CED) in adults. The study involved four samples of rural men and women in Guatemala, who had mean BMI of approximately 21 kg/m2. Body composition estimates were obtained by densitometry in three of the samples. Mean body fat (%) and mean FFM (kg) were: men: 11.6 (+/- 4.7) and 47.7 (+/- 4.9); and women: 21.6 (+/- 5.3) and 35.8 (+/- 3.5), respectively. The D-W equations based on various combinations of skinfold measurements consistently overestimated body fat content with low precision and validity. The BMI was more related to BFM and FFM than to fat proportion, but explained little of the variation in both body components, particularly at low BMI levels. A small number of men and women had BMI values below 18.5 kg/m2, and only one woman fell below 16 kg/m2. The power coefficients of height in the weight/height ratio which provided the strongest correlations with BFM and FFM were: BFM: women: 1.0; men: 1.5; FFM: 0.5 for both women and men. We conclude that the Quetelet index should not be recommended as a universally valid indicator to classify CED in adult groups similar to the study population.

Adipose Tissue↗

PubMed2006

Parental determinants of neonatal body composition.

BACKGROUND: The prevalence of both childhood and adult obesity is rising in the developed world, and there is increasing interest in its underlying causes. A number of studies suggest a positive relationship between birth weight and childhood body mass index, but less is known about specific prenatal environmental influences on more direct measures of obesity. We used data from the Southampton Women's Survey to investigate parental influences on neonatal body composition ascertained by dual x-ray absorptiometry. METHODS: Participating mothers were characterized in detail (anthropometry, lifestyle, diet) before and during pregnancy; information was also obtained on their partners. The offspring underwent assessment of fat and lean body mass by dual x-ray absorptiometry within 2 wk of birth. Linear regression methods were used to explore the parental determinants of neonatal body composition. RESULTS: Complete data were available for 448 mother-offspring pairs. Taller women and those with higher parity had offspring with increased birth weight, fat, and lean mass (P < 0.05). Mothers who were taller, of greater parity, had greater fat stores, or walked more slowly also had offspring with greater proportionate body fat at birth (all P < 0.05). There was a weaker trend toward lower percentage fat and greater percentage lean in the offspring of mothers who smoked during pregnancy. CONCLUSION: Maternal size, parity, smoking history, walking speed, and fat stores are independent determinants of neonatal body composition. If these influences are shown to have persisting effects on body composition through to adulthood, they point to novel public health interventions early in life to prevent later obesity.

Adipose Tissue↗

PubMed2004

Body composition and nutrient intake of hypertensive elders and middle-aged men and women in Nigeria.

Body composition of eighty hypertensive patients (43 middle-aged, 30-59 years and 37 elders, 60-80 years) was determined by anthropometry alongside their dietary intake. The mean body weight and height of female elders were 54.1 +/- 14.6 kg and 157.0 +/- 7.0 cm while that of male elders were 61.8 +/- 13.5 kg and 167.1 +/- 9.0 cm. Corresponding values for middle-aged subjects were also determined. The middle-aged subjects were heavier and taller than the elders in both sexes. Among the elders BMI values 21.7 (females) and 22.1 (males) were normal, but the female had higher percentage body fat (28.0 +/- 0.1%) than males (20.8 +/- 5.2%). Other body composition parameters determined included lean body mass, optimum body weight, body water, skin-fold thickness and arm muscle diameter. BMI was significantly correlated with high blood pressure. The mean energy and nutrient intake of the subjects were inadequate except for the female elders.

Adipose Tissue↗

PubMed1986

Changes in selected cardiorespiratory responses to exercise and in body composition following a 12-week aerobic dance programme.

Cardiorespiratory and body composition changes were evaluated in 25 sedentary females, aged 18 to 30 years, following 12 weeks of aerobic dance training (3 days a week, 45 min a session). Fifteen subjects, from the same population, comprised a control group: they maintained their normal activity and dietary habits over the course of the study. Analysis of variance of the values for selected cardiorespiratory responses revealed that the aerobic dance programme produced training effects in the experimental group. These training effects were indicated by significant improvements in O2 pulse, VE, heart rate and perceived exertion during submaximal exercise. Significant improvements were also noted in VO2 max, maximal O2 pulse, VE max, maximal heart rate and maximal running time on the treadmill. Additionally, increases in lean body mass and body density, together with decreases in percentage body fat and the sum of four skinfold thicknesses were found to be significant for the experimental group. No significant improvements in any of these variables were found for the control group. It was concluded that this 12-week aerobic dance programme was successful in promoting beneficial changes in cardiorespiratory fitness and body composition.

Adolescent↗

PubMed1993

Efficacy of heavy-resistance training for active women over sixty: muscular strength, body composition, and program adherence.

OBJECTIVE: To determine the effects of resistance training on muscular strength, body composition (percent fat and lean tissue mass), and program adherence in active women over 60 years of age. DESIGN: This study was designed as a stratified, randomized, non-blinded trial. Subjects were stratified into rank-ordered pairs by level of physical activity according to the Blair Seven-Day Recall, then randomly assigned into either a weight-training (WT, n = 18) or control (CON, n = 18) group. PARTICIPANTS AND SETTING: Thirty-six women over the age of 60 (67.1 +/- 1.5, chi +/- SE) were recruited from the San Diego community. All subjects had to be engaging in some form of aerobic exercise at least 3 days each week for a minimum of 6 months. MEASUREMENTS AND INTERVENTION: Subjects engaged in isotonic training 3 days/week on Polaris machines at a target intensity of 80% of the 1 repetition maximum (1 RM) for three sets of seven exercises selected to train major muscle groups of the trunk and upper and lower body. The 1 RM was re-tested every 6 weeks in WT and the workload adjusted to maintain target intensity. The 1 RM was tested at 0, 12, and 24 weeks in CON. Body fatness and lean tissue mass, excluding skeletal mass, were assessed at 0 and 24 weeks by dual energy radiography using a total body scan. RESULTS: Increases in muscle strength of the weight trainers were significant for all seven exercises (5%-65%), with the greatest gains in the shoulder and trunk muscles. Percent body fat of weight trainers decreased significantly (from 38.8% to 37.9%, P < 0.05), while lean tissue mass increased by 1.5 kg (P < 0.01). No changes in body composition were observed in control subjects. Overall program adherence was 83% (15 weight trainers and 15 control women completed the study). Monthly attendance averaged 86.8 +/- 3.3%, with no incidence of injury during the training sessions. CONCLUSIONS: These data indicate that heavy-resistance weight training is safe and enjoyable for older women and that meaningful gains in muscular strength and body composition can be made even in women who are already highly active.

Aged↗

PubMed1998

Average daily gain, blood metabolites, and body composition at first conception in Hereford, Senepol, and reciprocal crossbred heifers on two levels of winter nutrition and two summer grazing treatments.

Hereford (n = 48), Senepol (n = 42), and reciprocal crossbred (n = 34) heifers from two consecutive calf crops were stratified by breed, age, and BW to receive bahiagrass (Paspalum notatum) hay offered free choice and 150 mg monensin x heifer(-1) x d(-1) in addition to either 2.27 kg x heifer(-1) x d(-1) of a 75% cracked corn and 25% soybean meal mixture (CS) or .91 kg x heifer(-1) x d(-1) of soybean meal (SBM). Heifers in each treatment were divided into two winter pasture replicates and exposed to fertile bulls. In spring of each year, one-half of the heifers from each winter treatment were allotted to either a continuous (CONT) or rotational (ROTA) grazing system on bahiagrass pastures for the summer phase of the study. Heifers supplemented with CS had higher ADG from the beginning of the study to first conception than heifers fed SBM (.39 vs .31 +/- .02 kg/d; P < .01). Heifers fed CS were younger at first conception than SBM heifers (500 vs 563 +/- 32 d of age; P < .05) but had similar BW (312 vs 317 +/- 7 kg; P > .10). During the 2-yr study, a subset of Hereford (n = 12), Senepol (n = 15), and reciprocal crossbred (n = 14) heifers were subjected to urea space measurements to determine body composition at first conception. Change in body composition over time was analyzed by regression and body composition at first conception was predicted from these regressions. At first conception, percentage of empty body fat was not affected by treatment or year; however, percentage of empty body fat tended to be higher in crossbred than in Hereford and Senepol heifers (16.6 vs 14.3 and 14.4 +/- .94%; P < .10). Stepwise regression of BW, body condition score (BCS), fat thickness (determined by ultrasound), and body composition at first conception on age at first conception revealed that BCS and BW accounted for 55% of the variation in age at first conception (P < .01).

Animal Feed↗

PubMed1991

Relationship of selected body composition and training variables to 17 B-estradiol in eumenorrheic runners.

Although the relationships among body composition, training, and physical characteristics and 17 B-estradiol (estradiol) have been described in active amenorrheic women, little is known about these relationships in eumenorrheic women. This study examined the relationship between selected body composition and training variables, physical characteristics, maximal oxygen consumption (VO2max), luteinizing hormone (LH) and estradiol in eumenorrheic runners. Fifteen women (25.8 +/- 0.8 years) running 19.8 +/- 1.8 miles per week were studied during the midluteal phase of the menstrual cycle. Estradiol and LH were determined by radioimmunoassay. Body composition was measured by hydrostatic weighing. Age, Ponderal Index, and menstrual cycle length (days) were inversely related to estradiol (r = -0.56, r = -0.55, r = -0.52, respectively, p less than 0.05). A significant relationship (R2 = 0.91; p less than 0.05) was found among age, menstrual cycle length, LH (mIU/ml), VO2max (ml/kg/min), weight training (hr/wk), miles run per week, height (cm), additional aerobic training (hr/wk), relative body fat (%), and Ponderal Index and estradiol (pg/ml). These data suggest the midluteal concentration of estradiol in moderately trained eumenorrheic runners is the result of a complex interaction of many factors.

Adult↗

PubMed1997

Comparative evaluation of body composition in medically stable elderly.

OBJECTIVE: Accurate assessment is needed to identify the nutritional status of elderly persons. Anthropometric data were collected to describe body composition of the sample, including blacks and whites aged 55 to 89 years, and to explore the usefulness of several methods of body composition measurement. DESIGN: Baseline measurements were made as part of a longitudinal study. Body composition variables, particularly lean and lean-to-height measures, were used. SUBJECTS/SETTING: One hundred twenty-nine free-living medically stable elderly at senior community centers were self-selected into the study. STATISTICAL ANALYSIS: Descriptive statistics were generated for all variable by gender, race, and age (< 65, 65 to 74, and > or = 75 years). Actual height was correlated with estimated height using published equations. Analysis of variance revealed the effect of gender, race, or age on outcome variables. RESULTS: White women, black women, and white men made up 54%, 23%, and 23% of the sample, respectively. Most gender differences were expected. Black women had greater weight, body mass index, arm muscle circumference, and ratio of lean to height but lower percent lean body mass than white women. Subjects over 75 years old were shorter, lighter, and had lower ratio of lean to height. Gender and age had the greatest effect on ratio of lean to height. CONCLUSIONS/APPLICATIONS: A lean-to-height index appears to be a useful tool for tracking the status of lean mass in the elderly. Knee height may be especially useful because it, unlike stature, does not decrease with age. Furthermore, some published equations for estimating stature from knee height need adjustment, specifically for elderly black women.

Age Factors↗

PubMed2000

Body composition changes induced by chronic ethanol abuse: evaluation by dual energy X-ray absorptiometry.

OBJECTIVE: Nutritional disorders in alcoholics remain one of the most relevant medical problems in Western societies. As ethanol can supply >50% of the dietary energy in alcoholics, body composition alterations may easily occur. The aim of the present study was to evaluate the influence of chronic alcohol consumption on body composition in alcoholics compared to healthy social drinkers. METHODS: A total of 34 alcoholics defined according to DSM III R criteria, aged 41.6 +/- 9.3 yr and with a body mass index (BMI) 23.8 +/- 3.2 kg/m2, were consecutively enrolled in the study. In addition, 43 healthy male social drinkers were used as controls. Body composition was assessed using dual energy x-ray absorptiometry (DXA), and dietary habits were determined by a 3-day food diary. RESULTS: Mean daily alcohol intake was 194 +/- 62.4 g/day in alcoholics and 35.7 +/- 5.2 in healthy subjects (p < 0.0001). Body weight did not differ between alcoholics and controls (70.1 +/- 9.9 vs 71.8 +/- 6.4 kg). Alcoholics had a lower percent body fat (PBF) than control subjects (18.7 +/- 3.7 vs 23.9 +/- 3.9%; p < 0.01), as well as a lower fat mass content (13.4 +/- 3.8 vs 17.0 +/- 3.7 kg; p < 0.01). BMI was highly correlated with PBF in the patient population studied (R = 0.79; p < 0.0001). Significantly higher waist-to-hip ratios were found in alcoholics than in healthy subjects (p < 0.01). No correlation was found between dose of ethanol or duration of alcohol abuse and any of the variables examined. CONCLUSIONS: Alcoholics showed a reduced fat mass and a good preservation of lean body mass with respect to control subjects, and duration of alcohol use and alcohol dose did not seem to influence body composition. These data suggest that, unlike control subjects, alcoholics cannot store the calories provided by ethanol as fat deposits.

Absorptiometry, Photon↗

PubMed1992

Differences in skeletal muscle and bone mineral mass between black and white females and their relevance to estimates of body composition.

This study tested the hypothesis that black females have an increase in skeletal muscle and bone mineral mass compared with white females matched for age (+/- 5 y), weight (+/- 2 kg), height (+/- 3 cm), and menstrual status. Conventional [underwater weighing, whole body 40K counting (WBC), 3H2O dilution] and newly developed (dual-photon absorptiometry) techniques were used to provide ethnicity-independent estimates of body composition in 28 pairs of matched subjects. Black females had greater appendicular skeletal muscle (P less than 0.001), bone mineral (P less than 0.001), and total body potassium (TBK) (P = 0.05) compared with white females. Two classic coefficients used in body composition research [density of fat-free mass (FFM) for underwater weighing and TBK/FFM for WBC] differed significantly (P less than 0.05) between black and white females; currently applied coefficients underestimated fat in black females. This study confirms that black and white females differ in body composition and that errors in fat estimates occur when ethnicity is not accounted for in body composition models.

Absorptiometry, Photon↗

PubMed2001

Body composition in children after renal transplantation.

This study examines changes in body composition after renal transplantation (Tx) in 16 children who underwent dual-energy X-ray absorptiometry examination within 6 months preceding Tx; the examination was then repeated every 6 to 12 months after Tx. Body composition was analyzed with regard to whole-body bone mineral content (BMC), lean body mass (LBM), and fat body mass (FBM). Median BMC decreased from the initial value of +0.98 standard deviation scores (SDS) to -0.55 SDS during the first 3 months after Tx, and a further decrease was noted at the end of month 6 (M6; -1.34 SDS) and M12 after Tx (-1.32 SDS). Improvement was observed during the second year after Tx (P for global changes < 0.0001). LBM and FBM also changed significantly during the 2 years after Tx (P = 0.006 and P = 0.0001, respectively). LBM decreased during the first 3 months after Tx (median change, 0.71 SDS) and remained less than 0 SDS in all but 4 patients. Median LBM did not decrease to less than -1 SDS during the entire study period. Conversely, median FBM increased by a median of 3.73 SDS during the first 3 months and remained elevated during the first 12 months after Tx, with a subsequent decrease at 2 years after Tx. No significant correlation was found between cumulative doses of prednisone and BMC, FBM, or LBM at any interval if absolute values were considered. However, relative changes in FBM correlated significantly with relative changes in prednisone cumulative doses.

Absorptiometry, Photon↗

PubMed1990

Return to normal body composition after ileoanal J-pouch anastomosis for ulcerative colitis.

In 16 patients with ulcerative colitis, total body fat, total body protein, and total body water were measured before and two weeks, three months, and twelve months after the establishment of an ileoanal J-pouch anastomosis. The 16 patients underwent elective surgery for their inflammatory bowel disease but were significantly protein depleted before surgery when their body composition was first measured. Twelve months later, all patients were in good health, back to work, and had normally functioning pouches (average stool frequency 4.3 +/- 1.4 per day). As a group, their stores of body protein and hydration state had returned to normal limits although their body fat stores were increased. Over the postoperative period there were significant losses of weight, protein, fat, fat-free mass, and total body water. These levels had returned to preoperative values (but not to normal) three months later. It is concluded that protein depleted patients with ulcerative colitis presenting for major surgery continue to have distorted body composition for several months after surgery but after approximately 12 months, when they have returned to work and feel well, body composition has returned to normal.

Adult↗

PubMed2005

Comparison of air displacement plethysmograph and bioelectrical impedance for assessing body composition changes during weight loss in Japanese women.

OBJECTIVE: To investigate the difference between air displacement plethysmograph (ADP) and bioelectrical impedance (BI) for assessing body composition changes during weight loss in Japanese women. DESIGN: Cross-sectional and longitudinal investigation study. SUBJECTS: In a first cross-sectional study, we used data of 7380 Japanese women aged 14-83 years [body mass index (BMI): 22.6 +/- 3.7 kg/m(2)] at baseline. Among the participants, we used data of 54 women (BMI: 25.9 +/- 3.9 kg/m(2)) for a 5-month follow-up study. MEASUREMENTS: Body fat percentage was evaluated by ADP and BI, and body fat (kg) and lean body mass (kg) were calculated. Anthropometric parameters, such as height, weight, BMI, waist circumference, hip circumference and waist hip ratio, were also measured. In a second longitudinal study, they were also investigated before and after the study. RESULTS: In a first cross-sectional study, body fat percentage was 31.2 +/- 7.0% in ADP and 25.7 +/- 6.8% in BI. A significant relationship was observed between ADP and BI (r = 0.761, p < 0.01). In a second longitudinal study, body weight was significantly reduced. There were significant method (ADP vs. BI) and time (pre and post) effects but no interactions in assessing body fat percentage. There was a significant relationship between ADP and BI in body fat percentage, body fat and lean body mass. Delta body fat percentage (r = 0.386, p < 0.01) and delta body fat (r = 0.556, p < 0.01) measured by ADP were weakly correlated with those measured by BI. However, delta lean body mass measured by ADP was not correlated with that measured by BI. CONCLUSION: There was a discrepancy between ADP and BI for assessing body composition changes in Japanese women. ADP is preferentially recommended for evaluating body composition.

Adolescent↗

PubMed2006

Associations among body composition, androgen levels, and human immunodeficiency virus status in adolescents.

PURPOSE: To investigate whether factors influencing body composition may be unique for male and female adolescents with horizontal transmission of human immunodeficiency virus (HIV). METHODS: HIV infected and uninfected youth (aged 13-18 years) participating in the multi-center project REACH (Reaching for Excellence on Adolescent Health Care) had at baseline anthropomorphic measurements including height, weight, bicep, tricep, subscapular and suprailiac skinfold measurements and midarm circumference. Body mass index, muscle mass, fat free body mass, and fat mass were calculated and predictors of these measures were assessed using multiple variable linear regression. Predictors included contraception, HIV status and related variables (CD4 counts, treatment status, and viral load), substance use, androgen levels as well as appetite changes, and bone age. RESULTS: In multiple variable linear regression analysis, female adolescents' body composition was associated with HIV status, CD4 + T cell counts, and free testosterone levels. HIV status was found associated with higher fat and lean body mass, however lower CD4+T cell counts were associated with lower fat and lean body mass. Higher testosterone levels were associated with higher lean and fat mass. For adolescent males, higher total testosterone levels but not free testosterone levels were associated with lower lean and fat mass. CONCLUSIONS: HIV status was not associated with a lower muscle or fat mass. Different factors influenced body composition for females than males. Higher testosterone levels may be protective against loss in lean and fat mass in females.

Adolescent↗

PubMed1998

The role of body composition measurements in wasting syndromes.

Wasting is a state of nonvolitional weight loss that frequently afflicts patients with cancer or those infected with the human immunodeficiency virus. Body composition measurements afford a more clinically relevant assessment of an individual's functional capacity, energy stores, and prognosis. Several techniques of body composition measurements exist, each with selected advantages and disadvantages. This review summarizes the methods and the utility of body composition analysis.

Anthropometry↗

PubMed2003

Plasma orexin-A levels and body composition in COPD.

STUDY OBJECTIVE: To study the role of orexins in regulating body composition in patients with COPD. DESIGN: Prospective study. PATIENTS AND MEASUREMENTS: We measured the plasma concentration of orexin-A in 20 patients with COPD and compared the results to those obtained from 10 age-matched control subjects. Patients with COPD were classified into two groups based on their body mass index (BMI): a normal weight (NW) group (BMI > 20) and an underweight (UW) group (BMI < 20). RESULTS: The plasma orexin-A level was significantly lower in patients with COPD than in control subjects. In patients with COPD, the level was significantly lower in the UW group than in the NW group. Plasma orexin-A levels significantly correlated with BMI and fat mass values, but there was no significant relationship between plasma orexin-A levels and the fat-free mass of patients with COPD. CONCLUSION: These results suggest that orexin-A levels are altered with weight loss and changes in body composition in patients with COPD.

Body Composition↗

PubMed2004

Early sexual maturation, body composition, and obesity in African-American girls.

OBJECTIVE: To describe associations between sexual maturation and body composition in a sample of African-American girls who were participants in phase 1 pilot interventions of the Girls Health Enrichment Multisite Studies. RESEARCH METHODS AND PROCEDURES: Stature, weight, and waist circumference were measured. Pubic hair and breast development were assessed, and body composition was measured by DXA for 147 African-American girls who were 8 to 10 years of age from three field centers. Participants had BMI > or =25th percentile for age (one site) or BMI > or =50th percentile for age. RESULTS: Girls Health Enrichment Multisite Studies girls had greater BMI, fat mass, and percentage body fat than national norms and relatively earlier initiation of breast development and pubic hair. Increasing stages of breast development, but not stages of pubic hair, were related to increased stature, waist circumference, BMI, lean mass, fat mass, and percentage of body fat. Pubescent girls (breast stage > or = 2) were greater than six times as likely to be classified as at risk of overweight (BMI > or = 85th percentile) and greater than eight times as likely to be classified as overweight (BMI > or = 95th percentile) as prepubescent counterparts. Adjusted odds ratios for advanced breast development [breast stage > or = 2 (8 years) or > or = 3 (9 and 10 years)] were 3.6 for risk of overweight and for overweight compared to girls with average or less than average breast development. DISCUSSION: Sexual maturation is important to consider in understanding the classification of overweight and the development of obesity during adolescence. Breast development and pubic hair development should be considered separately for their associations with growth and body composition.

Black or African American↗