scholarly journals Effect of position and exercise on measurement of muscle quantity and quality: towards a standardised pragmatic protocol for clinical practice

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Carly Welch ◽  
Zeinab Majid ◽  
Isabelle Andrews ◽  
Zaki Hassan-Smith ◽  
Vicky Kamwa ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Skeletal Muscle Mass ◽  
Rectus Femoris ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Upper Body ◽  
Fat Percentage ◽  
Non Invasive ◽  
Vastus Intermedius ◽  
Total Body

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.

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 ◽  
...  
Keyword(s):  
Body Fat ◽  
Area Under The Curve ◽  
Bioelectrical Impedance ◽  
Mixed Race ◽  
Impedance Analysis ◽  
Population Based ◽  
Fat Percentage ◽  
Total Body Fat ◽  
Total Body ◽  
Population Based Survey

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.

scholarly journals Body Composition of Children in the Pre-pubertal and Early-pubertal Period: Are There Some Age-related and Intersexual Differences?

GYMNASIUM ◽  
2019 ◽  
Vol XIX (2) ◽  
pp. 64
Author(s):  
Pavol Čech ◽  
Pavel Ružbarský ◽  
Ľubomír Paučír ◽  
Dalibor Dzugas
Keyword(s):  
Body Composition ◽  
Body Fat ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Body Fat Percentage ◽  
Fat Percentage ◽  
Age Related ◽  
Health Related ◽  
Wallis Anova ◽  
Vega 1

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.

scholarly journals Underestimated Value of Sarcopenia in Gastric Cancer Surgery

2020 ◽  
Vol 19 (1-2) ◽  
pp. 12-19
Author(s):  
Martynas Lukšta ◽  
Raminta Lukšaitė-Lukštė ◽  
Augustinas Baušys ◽  
Kęstutis Strupas
Keyword(s):  
Gastric Cancer ◽  
Clinical Trials ◽  
Clinical Practice ◽  
Treatment Strategies ◽  
Significant Risk ◽  
Bioelectrical Impedance ◽  
Significant Risk Factor ◽  
Impedance Analysis ◽  
Routine Clinical Practice ◽  
Gastric Cancer Treatment

Surgery remains the only potentially curative option for gastric cancer, although it is related to high postoperative morbidity and mortality rate. Approximately every second gastric cancer patient is diagnosed with sarcopenia, which is a significant risk factor for postoperative complications and poor long-term outcomes. However, sarcopenia is underestimated in routine clinical practice, since it remains the interest of clinical trials. Sarcopenia diagnostic criteria are not fully standardized, but it consists of tests for muscle strength, quantity and quality. They include grip strength, chair stand test, computed tomography, magnetic resonance imaging, ultrasound, bioelectrical impedance analysis and densitometry tests. Regarding the growing evidence for sarcopenia impact on surgical gastric cancer treatment results, it is a high probability that sarcopenia assessment will come to routine clinical practice. Although, until then there is a need for further clinical trials to standardize the diagnostic and to find effective treatment strategies.

scholarly journals Perbandingan Persentase Lemak Tubuh Sebelum dan Setelah Melakukan Senam Zumba pada Wanita Dewasa

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Brigitta A. Tendean ◽  
Damajanty H. C. Pangemanan ◽  
Ivonny M. Sapulete
Keyword(s):  
Body Fat ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Analysis Data ◽  
Rank Test ◽  
Body Fat Percentage ◽  
Fat Percentage ◽  
Percentage Of Body Fat ◽  
Before And After ◽  
Signed Rank Test

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

Comparison of different BMI cut-offs to screen for child and adolescent obesity in urban China

2020 ◽  
Vol 23 (14) ◽  
pp. 2485-2493
Author(s):  
Kun Qian ◽  
Linglin Tan ◽  
Shijian Li ◽  
Ziang Li ◽  
Feng Yu ◽  
...  
Keyword(s):  
Task Force ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Child And Adolescent ◽  
Adolescent Obesity ◽  
Urban China ◽  
Fat Percentage ◽  
Cross Sectional ◽  
Worst Case ◽  
Community Healthcare

AbstractObjectives:To determine which set of BMI cut-offs is the most appropriate to define child and adolescent obesity in urban China.Design:A cross-sectional study was carried out between 1 November and 31 December in 2017.Setting:Community Healthcare Center in Minhang District, Shanghai, China.Participants:A total of 12 426 children and adolescents aged 7–17 years were selected by cluster random sampling. Bioelectrical impedance analysis was the gold standard to measure body composition.Results:Comparisons of three sets of BMI cut-offs by sensitivity and κ value revealed that the Working Group on Obesity in China (WGOC) (sensitivity 39·9–84·0 %; κ 0·51–0·79) and WHO (sensitivity 25·5–74·5 %; κ 0·35–0·78) cut-offs were not superior to the International Obesity Task Force (IOTF) (sensitivity 47·9–92·4 %; κ 0·58–0·85) cut-offs across all subgroups. The WGOC and WHO cut-offs yielded higher misclassification rates, in the worst case, categorising 11·2 % of girls with high adiposity as normal and 44·4 % of them as overweight, while the IOTF cut-offs categorised 2·3 % as normal and 30·7 % as overweight. Individuals who were classified by the IOTF cut-offs as overweight had the lowest ratios of high adiposity (4·2–41·6 %) than by the BMI cut-offs for each subgroup. Among pubertal girls, none of the BMI-based cut-offs indicated excellent agreement with body fat percentage, and κ value of the WHO cut-offs (0·35 (95 % CI 0·29, 0·41)) was lower than the other two sets of BMI cut-offs (all P < 0·001).Conclusions:The IOTF cut-offs for Asian should be recommended for child obesity screening in urban China. Pubertal individuals need a more accurate indicator of obesity screening.

Detection of Hydration Status by Total Body Bioelectrical Impedance Analysis (BIA) in Patients on Hemodialysis

1997 ◽  
Vol 20 (7) ◽  
pp. 371-374 ◽  
Author(s):  
B. Oe ◽  
W.M. De Fijter ◽  
C.W.H. De Fijter ◽  
B. Straver ◽  
P.L. Oe ◽  
...  
Keyword(s):  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Dry Weight ◽  
Impedance Analysis ◽  
Hydration Status ◽  
Fluid Loss ◽  
Nutritional Analysis ◽  
Total Body ◽  
Segmental Bioelectrical Impedance ◽  
Simultaneous Assessment

The purpose of the present study was to investigate whether total body bioelectrical impedance analysis (BIA) could be appropriate to assess normohydration (i.e. dry weight) in hemodialysis patients. This study is warranted, because the simultaneous assessment of both hydration and nutritional status by BIA requires the presence of a situation of normohydration in order to guarantee valid conclusions about the nutritional analysis. Segmental bioelectrical impedance was performed to classify patients according to their hydration status. BIA measurements revealed significant differences in TBW, ECW and ICW/ECW between three hydration subgroups (under-, normo-, and overhydration), whereas ICW was similar. Therefore, TBW, ECW and ICW/ECW appear appropriate variables to assess hydration status in patients on hemodialysis. Hemodialysis diminished ECW significantly, whereas ICW did not change, suggesting that a decrease of ECW explains the fluid loss during hemodialysis.

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