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The relative contribution of body fat and fat pattern to blood pressure level.

Although the association between body weight and blood pressure is irrefutable, body fat mass and blood pressure level may not necessarily be directly related. To clarify the relative contribution of fat mass to blood pressure level, we analyzed data on 399 adults consecutively entering a weight control program. Although most subjects were notably overweight (mean ideal body weight 177%), the population represented a wide spectrum of body weights and blood pressure levels. Study parameters included body fat mass (by total body water, 40K, and Steinkamp formula), lean body mass, body build (chest to height ratio), fat cell number and size from bilateral buttock biopsy specimens, upper fat pattern by arm to thigh circumference ratio, and central fat pattern by subscapular to triceps skinfold ratio. Our results concurred with previously noted correlations between obesity and blood pressure (as mean arterial pressure): weight (r = 0.44), percentage of body fat (r = 0.19), and absolute fat mass (r = 0.38; all p less than 0.01); however, lean body mass, age, and body build correlated highly with both fat mass and mean arterial pressure, thereby confounding this relationship. Multivariate analysis was performed to evaluate the relative contribution of fat mass to mean arterial pressure in the presence of these and other potentially confounding variables. Lean body mass, age, body build, and an upper body fat pattern were found to contribute significantly to the variation in mean arterial pressure (p less than 0.01). In their presence, percentage of body fat, absolute fat mass, central fat pattern, fat cell characteristics, and age of onset of obesity did not significantly improve the predictability of mean arterial pressure.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue

Reversible achalasia-like motor pattern of esophageal body secondary to postoperative stricture of gastroesophageal junction.

Two cases are presented of benign stenosis of the cardia secondary to fibrosis following antireflux surgery in which the patients developed a motor alteration in the esophageal body similar to that of achalasia of the cardia. There was a complete absence of contractions in one patient, which had developed over a long period of time, and a vigorous pattern in the other patient, which had evolved over a short period. In both cases, after surgical treatment of the stenosis, normal motility in the esophageal body returned.

Adult

Regional deposition of aerosolized pentamidine. Effects of body position and breathing pattern.

OBJECTIVE: To evaluate the effects of varying body position and breathing pattern on overall lung distribution of aerosolized pentamidine. DESIGN: Nonrandomized control trial with four weekly inhalational treatments. SETTING: The nuclear medicine department of a voluntary hospital. PATIENTS: Sixteen men with the acquired immunodeficiency syndrome (AIDS) or positive serology for the human immunodeficiency virus (HIV). Thirteen patients (81%) completed the study. INTERVENTIONS: Patients inhaled a solution of either saline and technetium-99m bound to diethylenetriamine penta-acetic acid or sterile water, pentamidine (60 mg), and technetium-99m bound to human serum albumin. On weekly visits, the patients inhaled the aerosol solution using four methods: sitting, supine, sitting with an abdominal binder, and sitting and breathing from residual volume with a shallow inspiration. MEASUREMENTS AND MAIN RESULTS: Deposition scans, obtained after each aerosol inhalation, were superimposed on each patient's equilibrium xenon scan, and a frequency distribution histogram was constructed. An asymmetry index was determined from this histogram. The lower the asymmetry index, the more homogeneous the aerosol distribution. Only use of the supine position showed a significant decrease in the asymmetry index (mean, 0.34 +/- 0.02 in the supine position, 0.48 +/- 0.03 in the sitting position; P less than 0.001). CONCLUSIONS: Aerosol distribution in the lungs was more uniform when administered to patients in the supine position. Patients receiving aerosolized pentamidine may benefit from inhalation in the supine position; these results should be verified by clinical study.

Adult

Relationship between percent body fat and menstrual patterns in athletes and nonathletes.

The relationship between body fat percentage and menstrual patterns was examined in a longitudinal study of 25 collegiate athletes and 41 college-aged nonathletic control subjects. The athletes were training in gymnastics, figure skating, synchronized swimming, volleyball, or track. Data were collected each month concerning cycle, flow length, weight, and skinfold thicknesses (iliac crest, triceps, and subscapular). Height was determined once. Body fat percentage was estimated using the Sloan and Weir (1970) nomogram. Total energy expenditure was estimated for athletes according to sport. Mean body fat percentages of controls and athletes differed significantly, t = 4.4, p less than .01, but no significant difference was found in cycle length, F = 3.3, p = .078. Multiple regression analysis revealed no clear relationship between length of menstrual cycle and height, weight, skinfold thickness, or total energy expenditure. No significant relationship existed between body fat percentage and menstrual cycle length as tested with the Pearson correlation coefficient. This study confirmed that menstrual phenomena cannot be defined as normal or pathologic by rhythmic occurrence alone. Rather, an individual's menstrual cycle length may be more suitably evaluated according to a multivariable continuum of menstrual patterns.

Adipose Tissue

Patterns of reciprocity in auditory thalamocortical and corticothalamic connections: study with horseradish peroxidase and autoradiographic methods in the rat medial geniculate body.

The patterns of reciprocity between retrogradely labeled thalamocortical cells of origin and anterogradely projecting corticothalamic axon terminals were studied in the subdivisions of the adult rat medial geniculate body following auditory cortical injections of mixtures of horseradish peroxidase and [3H]leucine. The labeling produced by each method was examined independently, both qualitatively and quantitatively, in adjacent series of tetramethylbenzidine-processed sections and in autoradiographs after 24-96 hour survivals. The distribution and number of labeled cells and axon terminals were assessed separately for each method and compared systematically throughout the rostro-caudal extent of the medial geniculate complex. The principal finding was that zones containing many retrogradely labeled neuronal somata are not completely coextensive with areas of heavy terminal labeling within the medial geniculate body, although there is a gross congruence of thalamocortical-corticothalamic projections. Conversely, we found many zones of autoradiographic silver grains without retrogradely labeled somata in the adjacent sections; in general, the autoradiographic zones of non-reciprocity were more extensive and marked than were retrograde zones of non-reciprocity. The rat medial geniculate complex could be subdivided on the basis of its neuronal organization, cytoarchitecture, fiber architecture, and thalamocortical and corticothalamic connections into three major parts: the ventral, dorsal, and medial divisions. This pattern of organization was comparable, though not identical, to that of the corresponding subdivisions in the cat medial geniculate body (Winer: Adv. Anat. Embryol. Cell Biol. 86:1-98, '85). While the retrograde labeling appeared to mark many of the different types of neurons in each of the three divisions, there were distinct local and quantitative and qualitative differences in the distribution of autoradiographic terminal labeling. The ventral division received the heaviest cortical input, the medial division the least labeling, while the dorsal division was intermediate. Thus, corticogeniculate projections to the ventral division often produced values 20-100 times above background (absolute values: 2,001-10,000 silver grains/14,400 micron2; background: less than 100 silver grains/14,400 micron2); the same projection to the dorsal division usually resulted in grain counts no more than 5-20 times above background (501-2,000/14,400 micron2), while in the medial division the number of silver grains rarely exceeded two to five times the background (201-500/14,400 micron2).(ABSTRACT TRUNCATED AT 400 WORDS)

Animals

[Amino acid pattern in the bodies and several organs of broilers fed different provisions with tryptophan and neutral amino acids].

Carcasses and organs of 36 broiler chicks originating from an extensive fattening experiment with differing proportions of tryptophan (0.65 and 0.93 g/16 g N) to the neutral amino acids (15.2, 18.3 and 22.0 g/16 g N) in feed were analyzed for amino acid contents. Aside from the whole carcasses, a selected muscle (M. fibularis longus), liver, small intestine, and brain were prepared from the animals and analyzed. The organ weights differed according to the live-weights with the exception of the brain, where no group differences were measured. The patterns of amino acids of carcasses and organs remained nearly constant with differing amino acid supply. The only remarkable effect was the increase of the proportions of proline and hydroxyproline in the carcass protein from 6.4 to 7.4 and from 1.6 to 1.8%, respectively, with the higher tryptophan supply indicating increasing proportions of connective tissue. No relationship between weight gain and collagen content (calculated from hydroxyproline content) could be detected. The frequently supposed antagonism between tryptophan and the neutral amino acids, especially at the border of blood and brain, caused no reduction in tryptophan content of brain with increasing supply of neutral amino acids. There was, however, a significant depression of the development of the animals and the other inner organs.

Amino Acids

Precursors of essential hypertension. The role of body fat distribution pattern.

Progression from normotension between 1964 and 1972 to essential hypertension by age 55 years was documented in 1,031 adult members of the Kaiser Permanente Medical Care Program (Northern California region) from computerized multiphasic health checkup records and medical record review. Each case was matched to a persistently normotensive control on age, sex, race, number, and dates of multiphasics. In 609 pairs with baseline measurements of subscapular and triceps skinfolds, mean interval from baseline to the case's first hypertensive multiphasic was 5.7 years, and mean age at onset of hypertension was 47 years. Baseline measures of body mass index, subscapular skinfold, and triceps skinfold were each predictive of development of hypertension (odds ratios 3.85, 3.75, and 2.29 respectively, comparing highest with lowest quintiles, p less than 0.0001 for each). When both skinfolds were included in the same model, subscapular skinfold was highly predictive and triceps skinfold was no longer related to risk. When the authors controlled for overall obesity (body mass index), subscapular skinfold remained highly predictive (p less than 0.0001). In 330 pairs who also had skinfold measurements at the hypertensive multiphasic, weight gain was a strong predictor of hypertension. Increase in subscapular skinfold conferred a small increase in risk in women only. The authors conclude that centrally deposited body fat increases risk for developing essential hypertension independent of the overall level of obesity, while peripherally deposited fat does not.

Adipose Tissue

Relationship of body fat distribution pattern to atherogenic risk factors in NIDDM. Preliminary results.

Because recent knowledge indicates that the distribution of fat deposits in men may be a better predictor of cardiovascular disease than the degree of obesity alone, some risk factors for atherosclerosis were evaluated in 51 middle-aged men with non-insulin-dependent diabetes mellitus. Abdominal adiposity (waist/hip ratio, WHR) was related to parameters of metabolic control, lipid parameters, and known vascular complications in three different groups. In groups with abdominal obesity, mean annual hemoglobin A1 was significantly (P less than .01) higher than in patients without an abdominal fat distribution. Atherogenic index was significantly increased in the group with the highest WHR and high-density lipoprotein cholesterol (HDL-chol) levels were significantly decreased in both groups with upper-body fat distribution. The frequency of peripheral vascular disease, coronary ischemic heart disease, and hypertension was most prominent in diabetic subjects with an abdominal fat mass distribution. A highly significant (P less than .001) correlation was present between WHR and HDL-chol and WHR and the total-cholesterol/HDL-chol ratio; this significant correlation remains after correction for body mass index. A similar correlation could be found between WHR and systolic and diastolic blood pressures. These results demonstrate an association of excess abdominal fat, even without manifest obesity, with worse diabetes metabolic control, cardiovascular complications, and blood lipid levels actually considered to play an important role in atherogenesis.

Abdomen

Diagnostic body surface potential map patterns in left ventricular hypertrophy during PQRST.

Body surface potential maps were recorded from 117 thoracic sites and 3 limb electrodes in 173 normal subjects older than 30 years of age and 122 patients with clinically "pure" left ventricular (LV) hypertrophy. Typical LV hypertrophy map patterns were identified at successive instants during the PQRST waveform by removing from sequential LV hypertrophy maps the corresponding normal variability range at each electrode site. The presence in individual patients of 1 or more patterns typical in time and location of LV hypertrophy allowed retrospective assignment to the LV hypertrophy group. The most consistent discriminant patterns were excessive negative voltages in the anterior torso with reciprocal excess of positive voltages in the upper right chest during the second half of the P wave, excessive negative voltages in the lower right anterior torso at mid-QRS and excessive negative voltages in the left precordium with reciprocal excess of positive voltages in the upper right chest throughout ST-T. Best classification results were achieved with ST-T features, followed by features from the P wave, the QRS waveform and the PR segment. Cumulative use of ST-T and P features yielded a specificity of 94% with a sensitivity of 88%. Little improvement was obtained by the addition of QRS and PR information. The discriminant map criteria were applied to body surface potential maps from 169 new subjects (77 normal subjects ages 20 to 30 years and 92 patients with complicated LV hypertrophy). Little modification in specificity (93%) and sensitivity (90%) was observed. The performance of commonly used standard lead criteria was also tested.(ABSTRACT TRUNCATED AT 250 WORDS)

Action Potentials

Growth patterns of rat body, brain, and cerebellum in fetal alcohol syndrome.

Pregnant Sprague-Dawley rats were offered protein- and vitamin-enriched, nutritionally balanced, liquid ethanol diet, providing 35% of calories as ethanol, beginning on day 6 of gestation. Control animals were pair-fed identical liquid diet except that maltose-dextrins were substituted for ethanol. At birth the pups of both ethanol exposed and pair-fed mothers were surrogate-fostered by normal dams. Plasma concentrations of ethanol and thyroxine were determined in dams of experimental and control groups. Thyroxine concentrations were significantly reduced in ethanol-fed dams compared with pair-fed. Pups of both groups were killed at 0-1, 5, 7, 10, 14, 21, 28, 35, and 42 postnatal days. The crown-rump, crown-tail lengths, and weights of body, brain, and cerebellum were significantly reduced in ethanol-exposed pups compared with controls at all time sequences studied.

Animals

Quantitative measurement of human physiological age by profiling of body fluids and pattern recognition.

Quantitative correlations with human age are demonstrated for 60 substances from a group of 200 substances measured in the urine of 235 men. Simplified pattern recognition calculations are used to combine these correlations into patterns of human age and to demonstrate their utility for the quantitative measurement of human physiological age and aging rate. The empirical use of these techniques for the extension of human life-span and diminution of human suffering from degenerative diseases is discussed. Current experimental limitations of this method are demonstrated and evaluated. The application of these techniques can form the basis for a significant advance in the quality of human life.

Adult

Patterns of basal body addition in ciliary rows in Tetrahymena.

Most naked basal bodies visualized in protargol stains on the surface of Tetrahymena are new basal bodies which have not yet developed cilia. The rarity of short cilia is explained by the rapid development of the ciliary shaft once it begins to grow. The high frequency of naked basal bodies (about 50 percent) in log cultures indicates that the interval between assembly of the basal body and the initiation of the cilium is long, approximately a full cell cycle. Naked basal bodies are more frequent in the mid and posterior parts of the cell and two or more naked basal bodies may be associated with one ciliated basal body in these regions. Daughter cells produced at division are apparently asymmetric with respect to their endowment of new and old organelles.

Animals

The changing pattern of whole body protein metabolism in aging humans.

Dynamic aspects of whole body protein (nitrogen) metabolism were explored in healthy young adults and elderly men and women. Measurements were made of the rate of whole body protein breakdown, with the aid of 15N-glycine, and the rate of muscle protein breakdown, as estimated from urinary N tau-methylhistidine excretion. The results also were evaluated in relation to obligatory (endogenous) urinary nitrogen losses, previously determined in this laboratory for the two age groups. Rates of whole body and muscle protein breakdown, per unit body weight, were lower in elderly subjects than in young adults. Muscle accounted for a mean of 27% of whole body protein breakdown in young adults and 20% or less (p less than 0.01) in elderly subjects. Daily obligatory N loss was positively correlated (p less than 0.01) with whole body protein breakdown. It was calculated that muscle contributed less to the obligatory N output in elderly subjects than in young adults. These results indicate a change in the distribution of whole body protein metabolism during aging in human subjects, with muscle making a lower contribution to total body protein metabolism in elderly subjects compared with young adults.

Adolescent