A comparative study of methods for diagnosis of obesity in an urban mixed-race population in Minas Gerais, Brazil

2007 ◽  
Vol 10 (9) ◽  
pp. 883-890 ◽  
Author(s):  
Silvia Nascimento de Freitas ◽  
Waleska Teixeira Caiaffa ◽  
Cibele Comini César ◽  
Ana Paula Carlos Cândido ◽  
Valéria Andrade Faria ◽  
...  

AbstractBackgroundObesity is defined as an excess of total body fat and may be assessed by different methods. The objective of the present study was to establish the discriminatory power of anthropometric data in determining obesity.MethodsThe subjects comprised 685 individuals, aged 20–79 years, sampled from a population-based survey. The following indicators were used: body mass index (BMI), waist circumference (WC) and total body fat percentage estimated with both Siri's equation (%BF Siri) and foot-to-foot bioelectrical impedance analysis (%BF BIA). Sensitivity and specificity of different cut-off points for each method were determined using %BF BIA as reference.ResultsOf 685 participants, 57.6% were aged ≥ 40 years, 69.9% were women and 72.6% self-referred themselves as non-white. To classify obesity based on sex and age among women aged < 40 years, the cut-off points were BMI of 26.0 kg m− 2, WC of 84.0 cm and %BF Siri of 34.0%; in those aged ≥ 40 years, the cut-off points were 28.0 kg m− 2, 90.0 cm and 37.4%, respectively. The cut-off points among men aged < 40 years were BMI of 26.3 kg m− 2, WC of 86.0 cm and %BF Siri of 22.5%, and in those aged ≥ 40 years, 26.3 kg m− 2, 89.0 cm and 24.5%, respectively. BMI was the method with the largest area under the curve (AUC) independent of sex and sex/age, yet no differences were observed in AUC between BMI and WC (P>0.05). Classifying according to skin colour did not change cut-off points in any indicator.ConclusionBMI and WC better discriminate obesity among women and men aged ≥ 40 years from a mixed-race population.

2016 ◽  
Vol 17 (2) ◽  
Author(s):  
Aleksandra Stachoń ◽  
Jadwiga Pietraszewska ◽  
Anna Burdukiewicz ◽  
Justyna Andrzejewska

AbstractThe appropriate percentage of body fat is essential for women’s health and biological condition. Both accumulation of fat and distribution pattern of adipose tissue are connected with health risk, which justifies the investigation and permanent monitoring of their diversity in different sub-populations. The aim of the study was to evaluate the percentage of body fat and its distribution in female students representing different physical activity levels.Fat proportion was estimated with use of classic anthropometric method and bioelectrical impedance analysis (BIA). The distribution of subcutaneous fat was calculated including waist and hip circumferences, and extremities and trunk skinfolds. The participants’ level of physical activity was determined according to the IPAQ questionnaire.Analysis showed that female students with medium level of physical activity had 26.5 ± 5.1% of total body fat estimated by BIA, whereas in the most active females almost 3% lower total body fat values were common. The bioelectrical impedance analysis indicated about 8% higher body fat content than classic anthropometry. Examined skinfolds revealed a tendency to decrease with increasing physical activity. The distribution pattern of subcutaneous fat varied according to level of activity.The study showed that estimation of fat content in young women differed depending on the applied method and the level of physical activity. We emphasize the need to select adequate reference data for measurement methods and consider the level of physical activity during fat percentage assessment. Another conclusion is that the high level of physical activity is connected with masculinization of subcutaneous fat pattern, both in extremities/trunk fat proportion and waist/hip proportion.


2020 ◽  
Author(s):  
Katongo Hope Mutengo ◽  
Peter J. Chipimo ◽  
Duncan M. Chanda ◽  
Benson M. Hamooya ◽  
Sikhulile Moyo ◽  
...  

Abstract Objective Dyslipidaemia and obesity have a synergistic effect on the development of cardiovascular diseases (CVDs). Anthropometric measurements have often been used as surrogate markers for obesity indices with diverse results. We evaluated the best obesity index for predicting dyslipidaemia among anthropometric measurements and body fat measurements with bio-electric impedance analysis (BIA). Results Among 116 adults, 62 (53.4%) were female. The median age was 39 years (quartile (Q)1, Q3: 20.8, 65.4). Waist circumference (odds ratio (OR) 4.54; 95% CI 1.56, 13.19; p=0.005) and total body fat percentage (OR 0.34; 95% CI 0.13, 0.91; p=0.031) measurements of obesity indices were significantly associated with dyslipidaemia.


2006 ◽  
Vol 84 (12) ◽  
pp. 1712-1720 ◽  
Author(s):  
Erika L. Barthelmess ◽  
Monica L. Phillips ◽  
Michael E. Schuckers

We developed a predictive model to estimate body fat stores in a population of North American porcupines, Erethizon dorsatum (L., 1758). We trapped porcupines in the autumn of 2004 and spring of 2005. After collecting morphometric measurements on each animal, we used a plethysmograph to perform bioelectrical impedance analysis (BIA). We euthanized the subjects, measured two components of body composition (body fat, body water) via direct chemical analysis, and calculated lean dry mass to compare with BIA data. With regression we found the best predictive models for total body water, total body fat, percent body fat, and lean dry mass. We also estimated body condition for each animal using six different condition indices and compared the ability of the condition indices and our regression model to predict total body fat. Our model for total body fat accounted for 84% of the variation in fat measured by direct chemical analysis, and our model for percent body fat accounted for 78% of the variation. Two condition indices were significantly related to total body fat in porcupines and explained 45%–49% of the variation in observed body fat. We recommend BIA as a useful technique for estimating body fat stores in field studies of free-ranging porcupines and suggest abandonment of the use of condition indices as analogues of body fat stores in animal studies unless the indices can first be validated.


Author(s):  
Carly Welch ◽  
Zeinab Majid ◽  
Isabelle Andrews ◽  
Zaki Hassan-Smith ◽  
Vicky Kamwa ◽  
...  

Abstract Background Ultrasonography is an emerging non-invasive bedside tool for muscle quantity/quality assessment; Bioelectrical Impedance Analysis (BIA) is an alternative non-invasive bedside measure of body composition, recommended for evaluation of sarcopenia in clinical practice. We set out to assess impact of position and exercise upon measures towards protocol standardisation. Methods Healthy volunteers aged 18–35 were recruited. Bilateral Anterior Thigh Thickness (BATT; rectus femoris and vastus intermedius), BATT: Subcutaneous Ratio (BATT:SCR), and rectus femoris echogenicity were measured using ultrasound and BIA was performed; 1) lying with upper body at 45° (Reclined), 2) lying fully supine at 180o (Supine), 3) sat in a chair with upper body at 90o (Sitting), and 4) after exercise Reclined. Variability of Skeletal Muscle Mass (SMM) by two different equations from BIA (SMM-Janssen, SMM-Sergi), phase angle, fat percentage, and total body (TBW), extracellular (ECW), and intracellular water (ICW) were assessed. Results Forty-four participants (52% female; mean 25.7 years-old (SD 5.0)) were recruited. BATT increased from Reclined to Sitting (+ 1.45 cm, 1.27–1.63), and after exercise (+ 0.51, 0.29–0.73). Echogenicity reduced from Reclined to Sitting (− 2.1, − 3.9 – -0.26). SMM-Sergi declined from Reclined to Supine (− 0.65 kg, − 1.08 – − 0.23) and after exercise (− 0.70 kg, − 1.27 – -0.14). ECW increased from Reclined to Sitting (+ 1.19 L, 0.04–2.35). There were no other statistically significant changes. Conclusion Standardisation of protocols is especially important for assessment of muscle quantity by ultrasonography; BIA measurements may also vary dependent on the equations used. Where possible, participants should be rested prior to muscle ultrasonography and BIA, and flexion of the knees should be avoided.


Medicine ◽  
2017 ◽  
Vol 96 (39) ◽  
pp. e8126 ◽  
Author(s):  
Yiu-Hua Cheng ◽  
Yu-Chung Tsao ◽  
I-Shiang Tzeng ◽  
Hai-Hua Chuang ◽  
Wen-Cheng Li ◽  
...  

GYMNASIUM ◽  
2019 ◽  
Vol XIX (2) ◽  
pp. 64
Author(s):  
Pavol Čech ◽  
Pavel Ružbarský ◽  
Ľubomír Paučír ◽  
Dalibor Dzugas

The aim of the presented study was to assess changes in body composition and intersexual differences among children at pre-pubertal and early-pubertal age. The research was designed as a non-randomized cross-section study. The screened sample consisted of 136 girls and 212 boys assigned into three groups according to their age. Body composition was measured using a direct segmental multi-frequency bioelectrical impedance analysis (DSM-BIA). To examine the association between obesity and selected health-related parameters, Kruskal-Wallis ANOVA and Eta2 were used. For evaluation of intersexual differences, Mann-Whitney U-test was used. The presented article is the part of VEGA 1/0840/17 project. From the perspective of age, neither in the group of girls nor boys we recorded any differences in indicators of body composition, namely in body fat mass index, body fat percentage and, in addition, in the group of girls in the waist to hip ratio parameter.


2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Brigitta A. Tendean ◽  
Damajanty H. C. Pangemanan ◽  
Ivonny M. Sapulete

Abstract: Physical activity is a body movement produced by skeletal muscles which requires energy. Lack of physical activity has a negative impact, one of which is an increase in body fat percentage above the normal threshold or often associated with obesity. Zumba is one of the popular aerobic exercises in the form of dancing. This study was aimed to compare the percentage of body fat before and after undertaking Zumba exercise in adult woman. This was an experimental field study with the one group pretest-posttest design. Samples were obtained by using total sampling technique. Zumba exercise was undertaken for 4 weeks, 3 times a week for 60 minutes. The percentage of body fat was measured by using an instrument based on Bioelectrical Impedance Analysis. Data were analyzed with the Wilcoxon Signed Rank test. The results showed that l6 subjects were involved in this study. The mean percentage of body fat percentage before Zumba exercise was 39.300% (SD±8.1041) meanwhile the mean percentage of body fat percentage after Zumba exercise was 39.031% (SD±7.9232). The statistical analysis to compare the body fat percentage before and after doing Zumba exercise obtained a P value of 0.065. Conclusion: There was no significant difference in body fat percentage before and after undertaking 4-week Zumba exercise among adult females.Keywords: body fat percentage, Zumba exercise Abstrak: Aktivitas fisik merupakan gerakan tubuh yang dihasilkan otot rangka yang memer-lukan energi. Kurangnya aktivitas fisik seperti olahraga memiliki dampak negatif, salah satunya peningkatan persentase lemak tubuh di atas ambang normal atau obesitas. Olahraga yang sedang popular belakangan ini ialah senam Zumba, yaitu latihan aerobik dalam bentuk tarian. Penelitian ini bertujuan untuk mengetahui perbandingan persentase lemak tubuh sebelum dan setelah melakukan senam zumba pada wanita dewasa. Jenis penelitian ialah eksperimental lapangan dengan desain one group pretest-posttest. Teknik sampling yang digunakan ialah total sampling. Senam Zumba dilakukan selama 4 minggu dengan frekuensi 3 kali seminggu yang berdurasi 60 menit. Persentase lemak tubuh diukur menggunakan alat berbasis bioelectrical impedance analysis. Data penelitian dianalisis dengan uji Wilcoxon Signed Rank Test. Hasil penelitian mendapatkan 16 subjek. Rerata persentase lemak tubuh sebelum senam Zumba yaitu 39,300% (SD±8,1041). Rerata persentase lemak tubuh setelah senam Zumba yaitu 39,031% (SD±7,9232). Hasil uji perbandingan persentase lemak tubuh sebelum dan setelah melakukan senam zumba menunjukkan nilai P=0,065. Simpulan: Tidak terdapat perbedaan bermakna dari persentase lemak tubuh sebelum dan setelah melakukan senam zumba selama 4 minggu pada wanita dewasa.Kata kunci: persentase lemak tubuh, senam Zumba


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