scholarly journals Pandemic effect on body composition. Single center analysis of 2.771 cases.

Author(s):  
Fabricio Braga ◽  
Roberto Zagury ◽  
Cristiane Perroni ◽  
Victor Hugo Domecg

Background: The COVID-19 pandemic has led to a dramatic increase in the levels of sedentary lifestyle and unhealthy dietary habits. A worsening in populational obesity levels and body composition (BC) is strongly awaited but so far not documented. Objective: To compare BC profile measured by bioelectrical impedance analysis (BIA) between pre-pandemic (P1-03/15th/2017 to 03/16th/2020) and pandemic (P2-3/17th/2020 to 3/10th/2021) period of time. Materials and Methods: BIA were grouped according to the time it was performed. Two comparisons were done: an independent sample comparison (ISC) and a paired sample comparison (PSC) considering patients with at least one BIA in P1 and P2. Age, height, gender, weight, body mass index (BMI), body fat mass (BFM), free fat mass (FFM), skeletal muscle mass (SMM), percentage of body fat (PBF), visceral fat area (VFA) were compared. Statistical significance level was defined for a p value<0.05. Results and Discussion: A total of 3.358 BIA were performed, and 2.771 and 112 were selected for IS and PS, respectively. In ISC, despite an unchanged weight, BFM, FFM, PBF and VFA increased and SSM decreased on P2(p<0.015 for all). A multivariated linear regression model using PBF as dependent variable showed P2 as an independent predictor (β=0.38 95%CI 0.19 to 0.56). In the PSC, PBF also increased from P1 to P2 (p=0.015). To our knowledge this is the first documentation of worsening BC after pandemic. Health authorities should be alert for this phenomenon and their clinical consequences in the days to come.

2021 ◽  
Vol 10 (15) ◽  
pp. 3445
Author(s):  
Sophia Marie-Therese Schmitz ◽  
Lena Schooren ◽  
Andreas Kroh ◽  
Alexander Koch ◽  
Christine Stier ◽  
...  

Obese patients often suffer from sarcopenia or sarcopenic obesity (SO) that can trigger inflammatory diseases including non-alcoholic steatohepatitis (NASH). Sarcopenia and SO can be diagnosed through measuring parameters of body composition such as skeletal muscle mass (SMM), skeletal muscle index (SMI) and fat mass (FM) obtained by bioelectrical impedance analysis (BIA). The aim of this study was to assess the relationship of body composition and NASH in patients with obesity. A total of 138 patients with obesity that underwent bariatric surgery were included in this study. BIA was used to estimate body composition. A liver biopsy was taken intraoperatively and histological assessment of NASH was performed. A total of 23 patients (17%) were classified as NASH and 65 patients (47%) met the criteria for borderline NASH. Body mass index (BMI) was significantly higher in patients with NASH compared to borderline NASH and no NASH (56.3 kg/m2 vs. 51.6 kg/m2 vs. 48.6 kg/m2, p = 0.004). Concerning body composition, FM, but also SMM and SMI were significantly higher in patients with NASH (p-values 0.011, 0.005 and 0.006, resp.). Fat mass index (FMI) and weight-adjusted skeletal muscle index (SMI_weight) failed to reach statistical significance (p-values 0.067 and 0.661). In patients with obesity, higher FM were associated with NASH. Contrary to expectations, SMM and SMI were also higher in patients with NASH. Therefore, higher body fat, rather than sarcopenia and SO, might be decisive for development of NASH in patients with obesity.


2019 ◽  
Vol 8 ◽  
Author(s):  
George PrayGod ◽  
Andrea M. Rehman ◽  
Jonathan C. K. Wells ◽  
Molly Chisenga ◽  
Joshua Siame ◽  
...  

AbstractLipid-based nutrient supplements (LNS) may be beneficial for malnourished HIV-infected patients starting antiretroviral therapy (ART). We assessed the effect of adding vitamins and minerals to LNS on body composition and handgrip strength during ART initiation. ART-eligible HIV-infected patients with BMI <18·5 kg/m2 were randomised to LNS or LNS with added high-dose vitamins and minerals (LNS-VM) from referral for ART to 6 weeks post-ART and followed up until 12 weeks. Body composition by bioelectrical impedance analysis (BIA), deuterium (2H) diluted water (D2O) and air displacement plethysmography (ADP), and handgrip strength were determined at baseline and at 6 and 12 weeks post-ART, and effects of LNS-VM v. LNS at 6 and 12 weeks investigated. BIA data were available for 1461, D2O data for 479, ADP data for 498 and handgrip strength data for 1752 patients. Fat mass tended to be lower, and fat-free mass correspondingly higher, by BIA than by ADP or D2O. At 6 weeks post-ART, LNS-VM led to a higher regain of BIA-assessed fat mass (0·4 (95 % CI 0·05, 0·8) kg), but not fat-free mass, and a borderline significant increase in handgrip strength (0·72 (95 % CI −0·03, 1·5) kg). These effects were not sustained at 12 weeks. Similar effects as for BIA were seen using ADP or D2O but no differences reached statistical significance. In conclusion, LNS-VM led to a higher regain of fat mass at 6 weeks and to a borderline significant beneficial effect on handgrip strength. Further research is needed to determine appropriate timing and supplement composition to optimise nutritional interventions in malnourished HIV patients.


2020 ◽  
Author(s):  
Nam Hoon Kim ◽  
Yousung Park ◽  
Nan Hee Kim ◽  
Sin Gon Kim

Abstract Background Age-related changes in body composition include decreased muscle mass and preserved or increased fat mass. There is no anthropometric index to assess both muscle and fat mass. Methods Using a cross-sectional sample of 602 participants aged ≥65 years from the Ansan Geriatric study, we evaluated the association of weight-adjusted waist index (WWI) with muscle and fat mass and compared these with body mass index (BMI) and waist circumference (WC). WWI was calculated as WC (cm) divided by the square root of body weight (kg). Body composition was measured using bioelectrical impedance analysis, dual-energy X-ray absorptiometry and abdominal computed tomography. Results WWI positively correlated with total abdominal fat area (TFA) (r = 0.421, P &lt; 0.001), visceral fat area (VFA) (r = 0.264, P &lt; 0.001), and percentage of total tissue fat (r = 0.465, P &lt; 0.001), but negatively correlated with appendicular skeletal muscle mass (ASM) (r = −0.511, P &lt; 0.001) and ASM/height2 (r = −0.324, P &lt; 0.001). Mean ASM was highest in the first quartile of WWI (17.85 kg/m2) and showed a decreasing trend, with the lowest value in the fourth WWI quartile (13.21 kg/m2, P for trend &lt;0.001). In contrast, mean TFA was lowest in the first quartile and highest in the fourth WWI quartile (P for trend &lt;0.001). The probability of combined low muscle mass and high fat mass was &gt;3× higher in the fourth WWI quartile than in the lowest quartile (odds ratio 3.22, 95% confidence interval 1.32–7.83). Conclusions WWI is an anthropometric index positively associated with fat mass and negatively associated with muscle mass in older adults.


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.


2005 ◽  
Vol 33 (06) ◽  
pp. 851-858 ◽  
Author(s):  
Ho-Jun Kim ◽  
Dympna Gallagher ◽  
Mi-Yeon Song

Bioelectrical impedance analysis (BIA), a device that analyzes the current conduction differences between the fat and water components is widely used for reasons that include convenience of use, non-invasiveness, safety, and low cost. Dual energy X-ray absorptiometry (DXA) allows for the assessment of total body and regional lean and fat tissues and bone mineral content (BMC). The objective of this study was to compare body composition assessments by BIA and DXA before and after a 6-week herbal diet intervention program in 50 pre-menopausal women [mean ± SD: age 30.58 ± 6.15, body mass index (BMI) 31.72 ± 3.78]. Waist-to-hip ratio (WHR) was measured by BIA and anthropometry. Lean body mass (LBM), body fat (BF), BMC and percent body fat (%BF) were measured by BIA and DXA. Highly significant correlations were observed between BIA and DXA measurements for LBM, BF, BMC and %BF (r = 0.73, 0.93, 0.53, 0.79, respectively) before the intervention. Differences between BIA and DXA measurements were observed in LBM, BF, %BF and BMC before intervention ( p < 0.01) where WHR by BIA was significantly higher compared to anthropometry before ( p < 0.01) and after the intervention ( p < 0.01). BIA underestimated LBM by 1.85 kg and overestimated BF by 2.54 kg compared to DXA before the intervention. Although BIA and DXA showed highly significant correlations for LBM, BF, BMC and %BF before the intervention, they did not produce statistically comparable results in pre-menopausal Korean women and therefore should not be used interchangeably when measuring body composition.


2020 ◽  
Vol 11 (1) ◽  
pp. 26-30
Author(s):  
Maria Alessandra Gammone ◽  
Nicolantonio D’Orazio

AbstractBackgroundYoung ballet dancers are at risk of health issues associated with altered nutritional status and of relative energy deficiency in sport compared to the general population.AimTo evaluate the nutritional status and body composition in ballet dancers.Materials and methodsThe study group consisted of 40 young ballet dancers (mean age 19.97 years). Height and weight were measured and body mass index was calculated in all subjects (mean BMI value 19.79 kg/m2, SD: 2.051). Body composition was estimated using the bioelectrical impedance method.ResultsThe dancers’ fat-free mass was 47.33 kg (SD: 5.064) and, on the average, body fat represented the 15.92% (SD: 16.91) of their body weight.ConclusionsBallet dancers, who usually show significantly lower BMI values compared to the general population, also displayed body fat values under the suggested range. Some screening for altered nutritional status should be performed. In addition, education programs should be recommended in young ballet dancers, in order to inform about energy and nutrition requirements for health and training and to prevent malnutrition-related problems.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Nandita Nury Latifah ◽  
Ani Margawati ◽  
Ayu Rahadiyanti

Komposisi tubuh yang tidak optimal dapat menurunkan kesegaran jasmani atlet sehingga dapat terjadi penurunan performa ketika bertanding. Tujuan dari penelitian ini adalah mengetahui hubungan persen lemak tubuh, persen massa otot, dan somatotype dengan kesegaran jasmani pada atlet hockey. Desain penelitian yaitu cross-sectional dengan jumlah subjek 35 atlet di Pelatihan Hockey Universitas Negeri Semarang dan Universitas Negeri Yogyakarta yang dipilih dengan purposive sampling. Data persen lemak tubuh dan persen massa otot diukur menggunakan bioelectrical impedence analysis (BIA). Data somatotype menggunakan metode antropometri Heath-Carter dan data kesegaran jasmani berupa nilai VO2max diambil menggunakan metode Balke. Analisis data menggunakan uji Pearson, Rank Spearman dan uji regresi linier. Sebagian besar atlet hockey (54,3%) memiliki nilai VO2max dengan kategori baik. Nilai persen lemak tubuh terendah 6,8% dan nilai tertinggi 35%. Nilai persen massa otot terendah 23,9% dan nilai tertinggi 40,9%. Nilai rata-rata dari nilai endomorph, mesomorph, dan ectomorph adalah (-0,04)±0,3; 4,2±0,9; dan 2,3±1,2. Ada hubungan yang signifikan antara persen lemak tubuh (p<0,001), persen massa otot (p<0,001), nilai endomorph (p<0,001), dan nilai ectomorph (p=0,016) dengan nilai VO2max. Variabel yang paling berkaitan dengan nilai VO2max adalah persen lemak (p<0,001). Correlation of body composition with physical fitness of hockey athletes AbstractSuboptimal body composition could reduce the physical fitness and performance of athletes. This study analyzed the relationship of percent body fat, percent muscle mass and somatotype on physical fitness in hockey athletes. This study was a cross-sectional study with 35 athletes in Pelatihan Hockey Universitas Negeri Semarang and Universitas Negeri Yogyakarta which selected by purposive sampling. Percent body fat and percent muscle mass were measured using bioelectrical impedance analysis (BIA). Somatotype measurement used the anthropometric Heath-Carter method and physical fitness (VO2max) measurement by the Balke method. Data were analyzed using the Pearson test, Rank-Spearman test, and Linear Regression test. Most hockey athletes (54.3%) had good VO2max value. The lowest percentage of body fat was 6.8%. The highest percentage of muscle mass was 40.9%. The average value of the endomorph, mesomorph, and ectomorph values were (-0.04) ± 0.3; 4.2 ± 0,9; and 2.3 ± 1.2.  There were a significant relationship between percent body fat (p <0.001), percent muscle mass (p <0.001), endomorph value (p <0.001), and ectomorph value (p = 0.016) with VO2max value. Percent of body fat was the most related variable to VO2max (p<0.001).


Author(s):  
Jasmina Pluncević Gligoroska ◽  
Sanja Mančevska ◽  
Niki Matveeva ◽  
Elizabeta Sivevska ◽  
Žarko Kostovski

The aim of the paper was to asses changes in body composition using bioelectrical impedance analysis (BIA) methodology in members of national karate team after teen week preparatory training period. The investigation was carried out on 11 male karate contestants, aged 18 to 28 years mean age (21.82± 3.58). The body composition was analyzed with In Body 720. The BIA outcomes were divided in 3 group of variables: body fluid and body composition variables, obesity diagnose variables and segmental analysis variables. All BIA variables were insignificantly higher at second measuring (p>005). Only Body mass index (BMI=24.1 vs 24.55); mineral (4.69 kg vs 4.77 kg) and osseous (3.85 kg vs 3.92 kg), were significantly higher (p≤0.05) after preparatory period. Body fat mass (BFM=10.34 kg vs 10.75 kg, p=0.329) and body fat percent (BF%= 12.73 vs13.22%) insignificantly increased after preparatory period. The skeletal mass has changed from 40.03kg to 40.55kg (p=0.276). Body composition analysis, changes in weight, BMI and body fluids are essential for weight categories dependent sports such as karate. Positive changes in body components and in body fluids suggest that the training process during the preparatory period did not show negative effects on body components and the hydration of the karate athletes.


2019 ◽  
Author(s):  
minfang tao ◽  
yang zhou ◽  
fei liu ◽  
changbin li ◽  
yanwei zheng ◽  
...  

Abstract Background: Little attention has been paid to whether snoring frequency is associated with body composition in menopausal women, particularly in China. This study objected to investigate the association between self-reported snoring and body composition in (peri-post) menopausal Chinese women as well as glucose/lipid metabolic indicators. Methods: This cross-sectional study enrolled 715 participants aged 40-67 years from the Menopause Clinic in the Shanghai Sixth People’s Hospital. Participants were categorized into four subgroups stratified by self-reported snoring frequency: never, rarely (<1 night per week), occasionally (1-2 nights per week), regularly (≥3 nights per week), while body composition was measured using bioelectrical impedance analysis(BIA).Besides, blood sample were collected to test the glycolipid indicators. Results: In our sample of investigation, regular snoring (≥3 nights per week) was found to be an independent risk factor for higher fat mass (total, upper limbs, trunk), with the highest risk of 2.4 times for fat mass of trunk after adjusting for glucose/lipid metabolic confounders(p=0.003). Meanwhile, regular snoring was independently associated with higher fat mass (total and each segment) only in the menopausal transition (p=0.023). Conclusion: We suggested that self-reported regular snoring may be taken as a simple alternative to predict higher fat mass (≥17.11kg, upper quartile) in menopausal women. Similarly, body composition should be attached to the great importance to those who in menopausal transition in order to help to prevent obstructive sleep apnea(OSA).


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