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PubMed2002

Osteoporosis and other adverse body composition changes during androgen deprivation therapy for prostate cancer.

Osteoporosis and other body composition changes are important complications of androgen deprivation therapy (ADT) for prostate cancer. Bilateral orchiectomy and gonadotropin-releasing hormone agonist treatment decrease bone mineral density and increase fracture risk. Other factors including diet and lifestyle may contribute tobone loss in men with prostate cancer. Estrogens play an important role in male bone metabolism. Androgen deprivation therapy with estrogens probably causes less bone loss than bilateral orchiectomy or gonadotropin-releasing hormone agonist treatment. Bicalutamide monotherapy increases serum estrogen levels and may also spare bone. Lifestyle modification including smoking cessation, moderation of alcohol use, and regular weight bearing exercise are recommended to decrease treatment-related bone loss. Supplemental calcium and vitamin D are also recommended. Pamidronate (Aredia), an intravenous bisphosphonate, prevents bone loss during ADT. Other bisphosphonates are probably effective but have not been studied in hypogonadal men. Androgen deprivation therapy increases fat mass and decreases muscle mass. These body composition changes may contribute to treatment-related decreases in physical capacity and quality of life.

Androgen Antagonists↗

PubMed2006

Influence of methods used in body composition analysis on the prediction of resting energy expenditure.

OBJECTIVE: There are considerable differences in published prediction algorithms for resting energy expenditure (REE) based on fat-free mass (FFM). The aim of the study was to investigate the influence of the methodology of body composition analysis on the prediction of REE from FFM. DESIGN: In a cross-sectional design measurements of REE and body composition were performed. SUBJECTS: The study population consisted of 50 men (age 37.1+/-15.1 years, body mass index (BMI) 25.9+/-4.1 kg/m2) and 54 women (age 35.3+/-15.4 years, BMI 25.5+/-4.4 kg/m2). INTERVENTIONS: REE was measured by indirect calorimetry and predicted by either FFM or body weight. Measurement of FFM was performed by methods based on a 2-compartment (2C)-model: skinfold (SF)-measurement, bioelectrical impedance analysis (BIA), Dual X-ray absorptiometry (DXA), air displacement plethysmography (ADP) and deuterium oxide dilution (D2O). A 4-compartment (4C)-model was used as a reference. RESULTS: When compared with the 4C-model, REE prediction from FFM obtained from the 2C methods were not significantly different. Intercepts of the regression equations of REE prediction by FFM differed from 1231 (FFM(ADP)) to 1645 kJ/24 h (FFM(SF)) and the slopes ranged between 100.3 kJ (FFM(SF)) and 108.1 kJ/FFM (kg) (FFM(ADP)). In a normal range of FFM, REE predicted from FFM by different methods showed only small differences. The variance in REE explained by FFM varied from 69% (FFM(BIA)) to 75% (FFM(DXA)) and was only 46% for body weight. CONCLUSION: Differences in slopes and intercepts of the regression lines between REE and FFM depended on the methods used for body composition analysis. However, the differences in prediction of REE are small and do not explain the large differences in the results obtained from published FFM-based REE prediction equations and therefore imply a population- and/or investigator specificity of algorithms for REE prediction.

Absorptiometry, Photon↗

PubMed2004

[Body composition analysis using bioelectrical and anthropometric parameters].

BACKGROUND: Interest in the study of body composition in childhood is increasing. Bioelectrical impedance analysis (BIA) is an accurate and reliable method. OBJECTIVES: To determine anthropometric parameters, fat-free body mass and fat body mass using BIA and anthropometry, and to establish their relationship. MATERIAL AND METHOD: A total of 365 healthy children (188 boys, 177 girls) aged 6.0 to 14.9 years were studied. Weight, height, arm circumference, skinfolds (bicipital, tricipital, subscapular and suprailiac) and bioelectrical parameters were measured. Body density was calculated from the four skinfold measurements using Brook's formula. Bioelectrical impedance was measured with a BIA-101 S (RJL Systems) using a fixed frequency (50 kHz). Fat-free body mass from BIA was calculated using Deurenberg's equation (FFM = 0.82 x height2/resistance). RESULTS: We present the mean, standard deviation and 3rd, 5th, 10th, 25th, 50th, 75th, 90th, 95th and 97th percentiles of anthropometric variables and fat mass and fat-free mass estimated using BIA. Correlations were found between fat-free mass estimated using BIA and anthropometric variables. The reliability of BIA in estimating fat mass was assessed with intraclass correlation coefficients, which were excellent (0.948 in boys, and 0.945 in girls). CONCLUSIONS: BIA is an easy, low-cost, and highly reliable method, making it a useful technique for studying human body composition. This method shows excellent correlation with anthropometric variables.

Adolescent↗

PubMed2007

Insulin-like growth factor-1, leptin, body composition, and clinical status interactions in children with cystic fibrosis.

BACKGROUND/AIMS: Children with cystic fibrosis (CF) are of increased risk of reduced fat body mass (FBM) and lean body mass (LBM). Serum concentrations of insulin-like growth factor-1 (IGF-1)and leptin could be markers of LBM and/or FBM depletion. To evaluate the relationships between disease activity, body composition, IGF-1 and leptin concentrations in CF children. METHODS: A cross-sectional study with 26 CF children aged 5.0-15.5 years and 33 healthy controls, mean age 9.4 years. Body composition was evaluated by dual-energy X-ray absorptiometry. Fasting blood samples were analyzed for leptin, IGF-1 and IGFBP-3. RESULTS: FBM standard deviation score (SDS; CF boys -0.02 +/- 0.88 vs. 0.78 +/- 0.65, p < 0.01; CF girls -0.37 +/- 1.15 vs. 0.70 +/- 0.97, p < 0.05), leptin concentration (CF boys 2.07 +/- 0.79 vs. 3.07 +/- 1.28 ng/ml, p < 0.05; CF girls 2.71 +/- 0.86 vs. 5.00 +/- 2.95 ng/ml, p < 0.05) and IGF-1SDS (CF boys -1.43 +/- 1.50 vs. -0.32 +/- 0.88, p < 0.05; CF girls -0.66 +/- 1.66 vs. 0.64 +/- 0.57, p < 0.01) were lower in CF children compared to controls. Shwachman score was the strongest predictor of lean body mass (R = 0.63). Leptin levels explain 60% of the variability in FBM. CONCLUSION: Serum concentrations of IGF-1 and leptin are decreased in children with CF and are associated with clinical conditions and body composition.

Adipose Tissue↗

PubMed1993

Multicomponent models in body composition research: opportunities and pitfalls.

This paper presents theoretical, methodological, and statistical considerations in the evaluation of multicomponent body composition models. The opportunities for multicomponent approaches to validate new body composition methods, to provide definitive references for FFB composition values of different populations, and to evaluate changes in various components of the body with age and interventions are well-recognized. The pitfalls of the multicomponent approach, however, limit the success of past research efforts. If future investigations evaluate in the same study design the theoretical, methodological and statistical approaches presented, improved multicomponent approaches will be developed, and present controversies surrounding the variability in composition of FFB as well as the validity of new methodologies such as DXA will be resolved.

Adipose Tissue↗

PubMed2003

Age-related pattern in body composition changes for 18-69 year old women.

AIM: The aim of this study was to describe the age-related pattern in body composition changes for women 18-69 years old. A secondary objective was to assess the relationship between accumulated physical activity and body composition. METHODS: Anthropometric measures, including height, body mass, waist and hip circumference and skinfolds thickness, were taken from 441 healthy women placed in 5 age groups (group 1: 18-29 years, n=71; group 2: 30-39 years, n=69; group 3: 40-49 years, n=159; group 4: 50-59 years, n=92 and group 5: 60-69 years, n=50). Physical activity was assessed with a questionnaire. A 1-way ANOVA, with group 1 as the control and Pearson correlation coefficient were employed for statistical analysis. RESULTS: Body Mass Index, fat mass and waist to hip ratio were all higher in the age groups of 40-49 years and above (21.8+/-0.4 kg/m(2), 14.7+/-0.6 kg, 0.73+/-0.01 for age group 18-29 years and 24.7+/-0.3 kg/m(2), 20.8+/-0.4 kg and 0.76+/-0.01 for age group 40-49 years, respectively; means+/-S.E.M; p<0.01 for all variables). In contrast, fat free mass remained unchanged in the age spectrum studied. Central adiposity, as indicated by the trunk to extremity skinfold ratio, increased after 50-59 years compared with the 18-29 years old group (p<0.01). Body fatness and central adiposity were associated with aging (r=0.16 to 0.46, p<0.05), but not with accumulated physical activity. CONCLUSION: The results of this cross-sectional study showed an age-related increase in body fatness and central adiposity with no detectable change in fat free mass in these women. These changes were not associated with physical activity.

Adolescent↗

PubMed2002

Bench/step training with and without extremity loading. Effects on muscular fitness, body composition profile, and psychological affect.

BACKGROUND: To study the effect of bench/step group exercise with and without extremity loading on muscular fitness, body composition, and psychological affect. METHODS EXPERIMENTAL DESIGN: a prospective training study. SETTING: general community fitness center. PARTICIPANTS: 44 healthy adult females (age: 21-51 yrs). INTERVENTIONS: 12 weeks of bench/ step exercise (3 sessions/week, 50 min/session, 60-90% HRmax). Subjects were randomly assigned to groups that trained with (WT, n=16) and without (NWT, n=16) 0.68 kg/ankle and 1.36 kg/hand weights while 12 subjects served as non-training controls (NTC). MEASURES: Pre- and postintervention muscular strength and endurance for knee and elbow flexion and extension, and for shoulder abduction and adduction were examined by isokinetic dynamometry. Body composition was assessed with hydrostatic weighing and psychological affect by questionnaire. RESULTS: Thirty-two subjects completed the study. ANOVA revealed that pre- to postintervention changes for body fat (2.6%), fat-free weight (+0.7 kg), fat weight (-1.9 kg), and knee flexion peak torque were significantly different in the bench/step exercise trained (WT+NWT) compared to the NTC study group. Specific comparisons of muscle strength and endurance change scores of WT+NWT relative to NTC, and of WT relative to NWT revealed no other significant differences between groups. Positive and negative affective states were similar among study groups before and after the intervention. CONCLUSIONS: Participation in bench/step group exercise improved body composition but was of limited or no value as a modality to change muscular fitness and psychological affect in healthy adult females. The use of ankle and hand weights failed to enhance training adaptations.

Adult↗

PubMed1997

Effects of hydroxyurea administration on the body weight, body composition and exercise performance of patients with sickle-cell anaemia.

1. As an ancillary study carried out during the recently completed Multicenter Study of Hydroxyurea, we examined the effect of hydroxyurea on the body weight, body composition and exercise capacity of adult patients with sickle-cell anaemia. 2. The subjects received either hydroxyurea (six males and four females) or placebo (eight males and six females). Data for each subject were generated during four separate 24 h admissions to the General Clinical Research Center. These admissions occurred at baseline and then at 6, 12 and 18 months after the start of study drug (hydroxyurea or placebo) administration. During each admission, body composition was measured by using a dual X-ray absorptiometer, and exercise testing was performed by cycle ergometry. Anaerobic performance was assessed according to a 'Wingate' protocol (20 s at maximal intensity against a cycling resistance of 7.5% body weight). Aerobic performance was examined using a steady state submaximal exercise protocol (10 min cycling time). 3. At baseline, no significant difference in any parameter was found between the hydroxyurea- and placebo-treated groups. At 18 months, the hydroxyurea-treated subjects exhibited an average weight gain of 3.16 kg. The mean weight gain in the placebo-treated subjects was 1.82 kg. Body composition analysis showed that the additional weight in both groups involved both lean and fat body mass components. In anaerobic performance, the subjects given hydroxyurea showed an increase in peak muscle power of 104.9 W. The placebo group also showed an increase, but theirs was a more modest gain of 57.7 W. The most marked improvement in anaerobic performance was observed in the hydroxyurea-treated men (P < 0.05). In aerobic performance, the hydroxyurea-treated subjects exhibited a decrease in peak heart rate response to a standardized workload of 15.2 beats/min, as compared with a decrease of only 4.3 beats/min in the placebo-treated patients. 4. Taken together, the overall weight gain, combined with increases in both anaerobic muscular performance and aerobic cardiovascular efficiency, provides objective data to support the subjective impression that hydroxyurea administration produces an improvement in the physical capacity of patients with sickle-cell anaemia.

Adult↗

PubMed1979

Changes in body composition after thermal injury in the rat.

1. The effects on body composition, measured by direct techniques, of a controlled 25% body-surface-area thermal injury have been studied in two groups of forty male Wistar rats. 2. The extent of weight loss in the animals was directly related to their energy deficit resulting from a combination of injury, food intake and rat of wound healing. 3. Body fat proved the most labile source of tissue energy, decreasing to a minimum of approximately 30 g/kg body-weight. 4. Relationships between water and fat, and water and protein seen in control animals were not significantly different in the traumatized group.

Animals↗

PubMed2004

Regional body composition changes exhibit opposing effects on coronary heart disease risk factors.

OBJECTIVE: We investigated how regional body composition measured by dual-energy X-ray absorptiometry (DXA) is associated with risk factors for coronary heart disease (CHD) during weight reduction in obese women. METHODS AND RESULTS: Data were gathered from 128 overweight and obese women, aged 34 to 66 years, during a 14-week intervention study with diet and exercise. Regional (arms, legs, and trunk) fat tissue (FT) and lean soft tissue (LST) were measured by DXA. The FT change in legs correlated negatively with changes in diastolic blood pressure, low-density lipoprotein cholesterol (LDL-C), fasting plasma glucose (FPG), and the number of CHD risk factors per subject (r=-0.17, P<0.05 to -0.26, P<0.01) in response to weight reduction, whereas truncal FT change had positive correlations with changes in triglycerides, LDL-C, FPG, and the number of CHD risk factors per subject (r=0.17, P<0.05 to 0.25, P<0.01). LST change in legs correlated negatively with changes in systolic blood pressure, FPG, and the number of risk factors (r=-0.20 to -0.21, P<0.05). CONCLUSIONS: Regional body composition information is important for evaluating improvement of CHD risk factors during weight-reduction treatment for obesity; differential FTs had opposing effects on CHD risk factors during weight reduction in obese women.

Abdomen↗

PubMed2001

The effects of supplementation with 19-nor-4-androstene-3,17-dione and 19-nor-4-androstene-3,17-diol on body composition and athletic performance in previously weight-trained male athletes.

The purpose of this study was to determine the effects of 8 weeks of norsteroid supplementation on body composition and athletic performance in previously weight-trained males. Subjects were weight and percent body fat matched and randomly assigned to receive either 100 mg of 19-nor-4-androstene-3,17-dione (N-dione) and 56 mg of 19-nor-4-androstene-3,17-diol (N-diol; 156 mg total norsteroid per day), or a placebo (a multivitamin). Each subject participated in resistance training 4 days/week for the duration of the study. Body composition was assessed via dual-energy X-ray absorptiometry. Circumference measures were taken of a relaxed and flexed arm (maximum circumference of the arm), waist (level of umbilicus), and thigh (15 cm proximal to the patella). Strength was determined with a one-repetition maximum bench press, while force and power were determined with a dumbbell bench press (60% body weight) on a Stratec Galileo force platform. Profile of mood states scores were evaluated for vigor and fatigue. There were no significant changes in any of the parameters measured. In conclusion, low-dose supplementation with N-dione and N-diol does not appear to alter body composition, exercise performance, or mood states.

Adult↗

PubMed2001

Total and regional body composition across age in healthy Hispanic and white women of similar socioeconomic status.

BACKGROUND: Indirect measures of body composition suggest that Hispanic women have an excess prevalence of overweight and obesity compared with white women. Socioeconomic status (SES) is a potentially confounding factor in such studies. OBJECTIVE: Our aim was to determine whether Hispanic ethnicity is associated with higher total and regional adiposity and lower fat-free mass (FFM) in healthy women across the adult age range. DESIGN: We used a prospective cross-sectional design to examine total and regional body composition in 54 Hispanic women (primarily of Mexican descent) and 56 white women of similar SES. RESULTS: The groups were not significantly different in mean age, body mass, or SES, although the Hispanic women were shorter (P<0.05). Body mass index (in kg/m(2); 25.2+/-0.5 compared with 23.9+/-0.5; P<0.05), percentage body fat (38.4+/-0.8% compared with 34.9+/-1.3%; P<0.05), and total fat mass (25.0+/-1.0 compared with 23.0+/-1.2 kg; P = 0.10) were or tended to be higher in the Hispanic women. The greater total adiposity of the Hispanic women was primarily the result of higher percentage fat and fat mass in the trunk (P<0.05); within the trunk region, abdominal and subscapular skinfold thicknesses were 30-40% greater in the Hispanic women (P<0.01). Total FFM was slightly but significantly lower in the Hispanic women (38.9+/-0.6 compared with 40.9+/-0.6 kg; P = 0.01), primarily because of a smaller FFM in the trunk region (P<0.05). CONCLUSION: Among healthy women, Hispanic (Mexican American) ethnicity may be associated with modestly higher levels of adiposity and slightly lower amounts of FFM overall and in the trunk region in particular.

Adipose Tissue↗

PubMed1995

Practical techniques for assessing body composition in middle-aged and older adults.

The purpose of this study was to compare the relationships of anthropometric, bioelectrical impedance analysis (BIA), and near infrared interactance (NIR) measurements with a multiple-component (MC) criterion estimate of body composition derived from body density (D), body water (W), and bone mineral (B) in 48 white adults aged 49-80 yr. Relative errors of predicting the MC criterion from the practical measurements were determined by simple regressions within gender and calculated as the SEE divided by the criterion mean and expressed as a percentage. Relative errors were lowest for the BIA variable, height2/resistance (4.8-5.0%), higher for body mass index and the sum of 10 skinfold thicknesses (7.0-14.5%), and highest for NIR-derived optical density readings at the biceps and the sum of 10 sites (10.8-15.8%). Due to the low relative prediction error for height2/resistance, sex-specific BIA formulas for estimating fat-free mass from D, W, and B (FFM-DWB) were developed. The SEEs for predicting FFM-DWB from BIA, weight, and age were both 1.5 kg in women and men. Because BIA is not limited to ambulatory subjects, it is concluded that BIA may be a particularly useful, practical technique for estimating body composition in older adults.

Aged↗

PubMed2001

Body composition of anorexia nervosa patients assessed by underwater weighing and skinfold-thickness measurements before and after weight gain.

BACKGROUND: Weight restoration is a crucial element in the treatment of patients with anorexia nervosa. Therefore, the validity of different methods for measuring body composition is important. OBJECTIVE: We tested the concurrent validity of hydrodensitometry (underwater weighing) and anthropometry (12 skinfold thicknesses) and assessed body composition and subcutaneous fat before and after a refeeding program and a multifaceted program of therapy in a specialized inpatient unit for eating disorders. DESIGN: The body composition of a large sample of anorexia nervosa patients (97 restricting type, 33 binging-purging type) was studied by using 2 methods both before and after weight gain. We applied a behavioral contract for weight restoration with a minimum weekly gain of 700 g and a maximum of 3 kg. Bland-Altman analysis of agreement, Pearson correlation analysis, t tests, and analysis of covariance were used. RESULTS: There was good agreement between the results obtained by underwater weighing and by skinfold-thickness measurement (r = 0.76, P < 0.001); the results produced by the 2 methods did not differ significantly. On average, a significant weight gain (11.9 kg) was observed, composed of 6.6 kg fat and 5.3 kg fat-free mass. CONCLUSIONS: Body fat estimation by skinfold-thickness equation appeared to be as accurate as underwater weighing. The refeeding program led to a significant increase in body weight, of which 55.5% was body fat. The mean ratio of fat-free mass to fat mass at the end of the treatment was 3.4:1.

Adipose Tissue↗

PubMed1997

Body composition analysis by DEXA by using dynamically changing samarium filtration.

Dual-energy X-ray absorptiometry (DEXA) has a high accuracy for body composition analysis but is influenced by beam hardening and other error sources in the extremes of measurement. To compensate for beam hardening, the Norland XR-36 introduces a dynamically changing samarium filtration system, which depends on the current-absorber thickness. With this system we found a good agreement (r = 0.99) between reference and measured amounts of tissue or fat percentages in a plastic phantom and in smaller (approximately 0.5-4 kg) and larger (approximately 5-20 kg) piles of tissue (ox muscle and lard). Scans of six healthy volunteers covered with combinations of beef and lard (approximately 5-15 kg) showed a good agreement (r = 0.99) between reference and DEXA values of added soft tissue mass and fat percentage. We conclude that the DEXA method (and, in particular, the Norland XR-36 using dynamic filtration) has a high accuracy for body composition analysis. It has a potential for gaining status as a reference method in the future and may presently be used as a supplement to the traditional methods for body composition analysis.

Absorptiometry, Photon↗

PubMed2001

Dehydroepiandrosterone replacement in women with adrenal insufficiency: effects on body composition, serum leptin, bone turnover, and exercise capacity.

Studies in animals and humans using supraphysiological doses of dehydroepiandrosterone (DHEA) reported significant changes in body composition and carbohydrate metabolism. To investigate the metabolic action of a physiological DHEA replacement dose, we studied 24 women with adrenal insufficiency (AI; mean +/- SD age, 42.3 +/- 9.3 yr; duration of disease, 9.2 +/- 8.4 yr; body mass index, 23.4 +/- 4.0 kg/m(2)) in a double blind, placebo-controlled, randomized, cross-over design. They received 50 mg DHEA/day and placebo orally for 4 months each, with a 1 -month washout period. Measurements included fasting serum glucose, insulin, leptin, bone markers, anthropometric parameters determined by bioimpedance analysis, and exercise capacity as assessed by an incremental cycling test. DHEA did not induce any change in body mass index (placebo vs. DHEA, 23.3 +/- 4.1 vs. 23.2 +/- 3.9 kg/m(2); P = 0.39), parameters of body composition, or exercise capacity. However, compared with placebo, DHEA replacement led to a significant decrease in serum leptin (absolute change after 4 months, DHEA vs. placebo, -5.3 +/- 8.0 vs. 1.1 +/- 5.7 ng/mL; P = 0.01). This is most likely the result of the DHEA-induced normalization of circulating androgens. DHEA had no effect on fasting glucose, insulin, or the glucose/insulin ratio. Compared with placebo, serum osteocalcin increased slightly, but significantly, during DHEA treatment (absolute change after 4 months DHEA vs. placebo, +1.6 +/- 5.3 vs. -1.2 +/- 6.2 ng/mL; P = 0.02). However, urinary cross-links excretion did not change. In conclusion, replacement of DHEA in a physiological dose in patients with pathological DHEA deficiency does not have a significant effect on carbohydrate metabolism, body composition, or exercise capacity. The biological relevance of the changes in leptin and osteocalcin levels remains to be determined.

Adrenal Insufficiency↗

PubMed2005

Changes in body composition, physical performance and cardiovascular risk factors after a 3-week integrated body weight reduction program and after 1-y follow-up in severely obese men and women.

OBJECTIVE: To investigate the short- and medium-term (ie, at 1-y follow-up) effects of a hospital-based body weight reduction (BWR) program lasting 3 weeks in severely obese individuals. DESIGN: Longitudinal, clinical intervention study entailing energy-restricted diet, tailored aerobic-strength exercise, psychological counselling and nutritional education during a 3-week period followed by 49 weeks of indirect supervision at home. SUBJECTS: In all, 45 women and 19 men aged 30.2 +/- 7.2 y (mean +/- s.d.) with severe obesity (BMI: 41.3 +/- 4.3 kg/m(2)), classified as weight losers (final < initial weight) and regainers (final> or =initial weight). INTERVENTIONS: Body composition, physical performance and cardiovascular risk factors before and after the BWR program and at follow-up. RESULTS: The large majority of the experimental subjects obtained a clinical success after the 1-y period, and the rate was higher in females (n = 37/45, ie, 82.2%) than in males (n = 11/19, ie, 57.9%). At follow-up, weight losers had higher percent fat-free mass, muscle strength, HDL-cholesterol and self-reported physical activity level and lower total cholesterol and glucose levels than weight regainers (P < 0.05-0.01). Males displayed significantly larger fat-free mass losses than females at post-BWR and at follow-up. CONCLUSIONS A 3-week hospital-based integrated BWR program resulted in a high rate of clinical success in severely obese individuals at 1-y follow-up (particularly in females), that was associated with increased levels of self-reported physical activity and improved muscle strength and lipid profile. Further research is needed to establish the long-term effects (ie, at 2-5 y) associated to this treatment.

Adult↗

PubMed2005

Effects of circuit training on body composition and peak cardiorespiratory responses in patients with moderate to severe traumatic brain injury.

OBJECTIVE: To examine the time course of the changes in body composition and peak cardiorespiratory fitness resulting from routine brain injury rehabilitation program (BIRP) activities and circuit training in patients with moderate to severe traumatic brain injury (TBI). DESIGN: Time-series design spanning 18 weeks. Trials T1 and T2 were completed in weeks 1 and 2, respectively, to establish reliability of the measurements, followed by trial 3 (T3) 4 weeks later to evaluate changes resulting from the BIRP. SETTING: A BIRP in a community rehabilitation hospital. PARTICIPANTS: Fourteen inpatients with moderate to severe acquired TBI (Glasgow Coma Scale score, 4.6+/-1.4; time since injury, 17.2+/-17 mo). INTERVENTIONS: Twelve-week circuit-training program designed to enhance muscular strength and endurance and aerobic fitness. Subjects were tested midway (T4) through the program and at the end (T5) of 12 weeks. The patients completed an average of 32 supervised sessions, each lasting 1 hour. MAIN OUTCOME MEASURES: Changes in body composition and peak cardiorespiratory responses. RESULTS: No significant changes were observed in the body mass or percentage body fat during the study. The peak values of power output, oxygen uptake, and ventilation rate increased significantly as a result of training, with no concomitant increases in peak heart rate or blood lactate (T5>T3, T2, T1; P <.05). No significant changes were evident midway through training. CONCLUSIONS: In a heterogeneous sample of patients with moderate to severe TBI, (1) body composition and peak cardiorespiratory responses remained fairly stable during 6 weeks of BIRP activities, (2) improvements in peak cardiorespiratory fitness required more than 6 weeks of circuit training, and (3) a 12-week course of circuit training without controlling caloric intake was not effective in reducing body weight or percentage body fat.

Body Composition↗