Abstract P246: Lean Body Mass, Percent Body Fat, and HbA1c in the U.S. Population: The National Health and Nutrition Examination Survey (NHANES 1999-2006)

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Julie K Bower ◽  
Rachel Brackett ◽  
Meredith C Foster ◽  
Randi E Foraker
Keyword(s):  
Weight Loss ◽  
Waist Circumference ◽  
Lean Body Mass ◽  
Body Mass ◽  
Body Fat ◽  
Lean Mass ◽  
Diabetes Prevention ◽  
Percent Body Fat ◽  
Race Ethnicity ◽  
Diagnosed Diabetes

Introduction: Weight loss is an important component of diabetes prevention and management because of the known effect of adiposity on insulin resistance. While both muscle (lean mass) and fat mass are known to serve important metabolic functions, most studies of obesity and diabetes use proxy measures for overall or abdominal obesity without accounting for the composition of that mass. The aim of this study was to examine the association of total and trunk lean body mass and fat mass with hemoglobin A1c (HbA1c) - an indicator of glucose control in persons with diabetes and a risk marker in non-diabetic populations - in the general U.S. population. Methods: We conducted a cross-sectional analysis of data from the NHANES collected in 1999-2006 in participants aged 18-69 years. Lean body mass and percent body fat were determined using dual energy x-ray absorptiometry (DXA); analyses were weighted and multiple imputation was applied to account for missing DXA data. Associations of body composition with HbA1C were evaluated using multiple linear regression. Results: The study sample included 1,085 participants with diagnosed diabetes (mean age 56 years, 50% male, mean HbA1c=7.6%) and 15,597 participants without diabetes (mean age 40 years, 51% women, mean HbA1c=5.3%). Trunk lean mass and total lean mass were significantly associated with lower HbA1c in adults without diabetes, independent of body mass index (BMI) and waist circumference. After adjustment for age, sex, race/ethnicity, and waist circumference, each 10 kg increase in trunk lean mass was associated with 0.07-% points lower HbA1c (95% CI: -0.09, -0.03). After adjustment for age, sex, race/ethnicity, and BMI, each 10kg increase in total lean mass was associated with 0.03-% points lower HbA1c (95% CI: -0.05, -0.0). Each 5% increase in trunk fat was associated with 0.5-% point higher HbA1c (95% CI: 0.45, 0.55) and each 5% increase in total fat was associated with 0.05-% point higher HbA1c (95% CI: 0.05, 0.06). Lean mass and percent body fat were not associated with HbA1c in participants with diagnosed diabetes (p > 0.05). Conclusions: Lean mass is independently associated with HbA1c in adults without diabetes. Interventions that target both weight loss where warranted and increasing lean mass via resistance training may have the most beneficial impact for diabetes prevention.

scholarly journals Trends in obesity and adiposity measures by race or ethnicity among adults in the United States 2011-18: population based study

BMJ ◽  
2021 ◽  
pp. n365
Author(s):  
Buyun Liu ◽  
Yang Du ◽  
Yuxiao Wu ◽  
Linda G Snetselaar ◽  
Robert B Wallace ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Ethnic Groups ◽  
Body Mass ◽  
Body Fat ◽  
Lean Mass ◽  
The United States ◽  
Population Based ◽  
Body Fat Percentage ◽  
Fat Percentage

AbstractObjectiveTo examine the trends in obesity and adiposity measures, including body mass index, waist circumference, body fat percentage, and lean mass, by race or ethnicity among adults in the United States from 2011 to 2018.DesignPopulation based study.SettingNational Health and Nutrition Examination Survey (NHANES), 2011-18.ParticipantsA nationally representative sample of US adults aged 20 years or older.Main outcome measuresWeight, height, and waist circumference among adults aged 20 years or older were measured by trained technicians using standardized protocols. Obesity was defined as body mass index of 30 or higher for non-Asians and 27.5 or higher for Asians. Abdominal obesity was defined as a waist circumference of 102 cm or larger for men and 88 cm or larger for women. Body fat percentage and lean mass were measured among adults aged 20-59 years by using dual energy x ray absorptiometry.ResultsThis study included 21 399 adults from NHANES 2011-18. Body mass index was measured for 21 093 adults, waist circumference for 20 080 adults, and body fat percentage for 10 864 adults. For the overall population, age adjusted prevalence of general obesity increased from 35.4% (95% confidence interval 32.5% to 38.3%) in 2011-12 to 43.4% (39.8% to 47.0%) in 2017-18 (P for trend<0.001), and age adjusted prevalence of abdominal obesity increased from 54.5% (51.2% to 57.8%) in 2011-12 to 59.1% (55.6% to 62.7%) in 2017-18 (P for trend=0.02). Age adjusted mean body mass index increased from 28.7 (28.2 to 29.1) in 2011-12 to 29.8 (29.2 to 30.4) in 2017-18 (P for trend=0.001), and age adjusted mean waist circumference increased from 98.4 cm (97.4 to 99.5 cm) in 2011-12 to 100.5 cm (98.9 to 102.1 cm) in 2017-18 (P for trend=0.01). Significant increases were observed in body mass index and waist circumference among the Hispanic, non-Hispanic white, and non-Hispanic Asian groups (all P for trend<0.05), but not for the non-Hispanic black group. For body fat percentage, a significant increase was observed among non-Hispanic Asians (30.6%, 29.8% to 31.4% in 2011-12; 32.7%, 32.0% to 33.4% in 2017-18; P for trend=0.001), but not among other racial or ethnic groups. The age adjusted mean lean mass decreased in the non-Hispanic black group and increased in the non-Hispanic Asian group, but no statistically significant changes were found in other racial or ethnic groups.ConclusionsAmong US adults, an increasing trend was found in obesity and adiposity measures from 2011 to 2018, although disparities exist among racial or ethnic groups.

scholarly journals Body Morphometrics in NAFLD Population

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Harkeerat Dhami ◽  
Niharika Samala
Keyword(s):  
Lean Body Mass ◽  
Body Mass ◽  
Body Fat ◽  
Fat Mass ◽  
Percent Body Fat ◽  
Composition Analysis ◽  
Processed Meat ◽  
Body Fat Mass ◽  
High Sodium ◽  
Obstructive Sleep

Introduction: NAFLD is one of the common causes of liver disease in the US and is commonly associated with metabolic syndrome. Among obese, prevalence of NAFLD is 7090%. We wanted to determine body morphometrics in NAFLD. Methods: All individuals presenting to Indiana University Hospital with NAFLD were approached to participate in cross-sectional study. All participants were offered beverage, diet (REAP) questionnaires and body composition analysis using InBody 570, which utilizes bioelectrical impedance. Results: Of the 321 NAFLD individuals enrolled, 256 completed body morphometric analysis. Mean age of the cohort was 51.58 ± 13.54, 58% were female, 297 White and had a mean BMI of 35.92. 76% were obese, 48% had type 2 diabetes, 49.2% had hypertension, 38.6% had dyslipidemia, and 20.5% had obstructive sleep apnea. Despite having similar BMI, females had lower lean body mass (51.01 vs 70.51) and skeletal muscle mass (28.05 vs 39.70), higher body fat mass (46.71 vs 41.04) and percent body fat (46.59 vs. 35.7). Regular coffee consumers had lower BMI (35.3 vs 38, p=0.038), but lower body fat mass (39.9 vs 46.2, p=0.01), percent body fat (41.1 vs 44.4, p=0.05) and higher lean body mass % (58.8 vs 55.5, p=0.049). Processed meat consumption was associated with higher BMI (39 vs 35.3, P=0.01), percent body fat (45.5 vs 42, p=0.04), and lower lean body mass percentage (54.5 vs 58.2, P=0.04). Similar trends were seen with consumption of high sodium processed foods and watching television for ≥ 2 hours/day. Conclusion: Among individuals with NAFLD, we saw a higher female preponderance, who were found to have unfavorable body morphometrics despite similar BMI as males. Consumption of high sodium processed food and meat and excess screen time have unfavorable, while regular coffee drinkers have favorable body morphometrics, which offer modifiable measures for risk factors associated with NAFLD.

scholarly journals Efficacy of vitamin D alone or in combination with weight-reduction programs in weight loss among adults with above-normal BMI: a systematic review and meta-analysis

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
J R B Guevara ◽  
A R Velilia ◽  
S A K Tiu ◽  
A C Ti ◽  
K A F Tinio ◽  
...  
Keyword(s):  
Vitamin D ◽  
Weight Loss ◽  
Waist Circumference ◽  
Body Fat ◽  
Meta Analysis ◽  
Vitamin D Supplementation ◽  
Percent Body Fat ◽  
Waist To Hip Ratio ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Abstract Introduction The impact of Vitamin D supplementation on weight loss has been demonstrated in several randomized controlled trials (RCT), but there is still lack of consensus regarding its efficacy. This study aims to assess the efficacy and safety of Vitamin D in weight reduction in terms of changes in weight loss, BMI, neck circumference, mid-upper arm circumference, waist circumference, waist-thigh ratio, waist-to-hip ratio, and percent body fat, as well as reported adverse effects. Methodology MEDLINE (PubMed), Google Scholar, WHO database, Herdin, Cochrane Database and EMBASE were searched for literature published from 2005–2020. A systematic search was conducted for RCTs on the efficacy of Vitamin D (alone or in combination with Calcium, or with a weight-loss program, or with both) in weight loss among participants 18–75 years old with above-normal BMI, and with a study duration of 4–12 weeks. Sixteen RCTs were included in this systematic review and meta-analysis. Screening and selection were based on the eligibility criteria, while appraisal included checking for the risk of bias, assessing the validity of the results of the study, and its methodological quality. Outcomes of eligible studies were obtained directly from the studies, if available, or summarized and calculated from the available data. For continuous data, mean differences were compared. Results When compared with placebo, Vitamin D supplementation showed a significant reduction in weight loss (mean difference [MD] = −0.92; 95% confidence interval [95% CI], −1.52 to −0.31; P=0.003), BMI (MD = −0.52; 95% CI: −0.73 to −0.31; P=0.02), waist circumference (MD = −1.35; 95% CI: −2.21 to −0.33 P=0.0006) and percent body fat (MD = −0.82; 95% CI; −1.40 to −0.25; P=0.005) but no significant effect on reduction of waist-to-hip ratio (MD = −0.01, 95% CI; −0.01 to 0.00; P=0.17). None of the studies reported outcomes for neck circumference, mid-upper arm circumference, and waist-thigh ratio. Heterogeneity was addressed using random effects model in analysis. Out of the 16 studies included, only two reported adverse events, which include constipation after intake of Vitamin D and calcium supplements and other multiple non-serious adverse events. Conclusion and recommendations Vitamin D as an adjunct showed a significant effect on weight loss, BMI reduction, decrease in waist circumference and percent body fat among adults after a short-term intake of oral Vitamin D, thus Vitamin D supplementation may be recommended as an adjunct treatment for weight loss among adults, but the study results should be used with caution as significant heterogeneity was observed. Further conduction of local RCTs and meta-analysis is recommended for further elucidation of data in order to determine its efficacy among Filipinos. FUNDunding Acknowledgement Type of funding sources: None. Effect of Vit D on waist circumference

Sign in / Sign up

Export Citation Format

Share Document