scholarly journals Gender Differences in rhGH-Induced Changes in Body Composition in GH-Deficient Adults

2001 ◽  
Vol 86 (9) ◽  
pp. 4161-4165 ◽  
Author(s):  
Jan P. T. Span ◽  
Gerlach F. F. M. Pieters ◽  
Fred G. J. Sweep ◽  
Ad R. M. M. Hermus ◽  
Anthony G. H. Smals
Keyword(s):  
Gender Differences ◽  
Body Composition ◽  
Fat Mass ◽  
Total Body Water ◽  
Body Water ◽  
Fat Free Mass ◽  
Time Intervals ◽  
Rhgh Therapy ◽  
Igf I ◽  
Total Body

In GH-deficient adults, rhGH has pronounced effects on total body water, fat free mass, and fat mass. Recently, we observed a gender difference in IGF-I responsivity to rhGH that was sex steroid dependent. The aim of the present study was to assess the effect of rhGH therapy on body composition parameters with due attention to the gender differences in biological responsiveness to rhGH. Forty-four women [36.9 ± 11.9 yr (mean ± sd)] and 33 men (37.2 ± 13.8 yr) with GH deficiency were studied every 6 months during 2 yr. The treatment goal was to achieve IGF-I levels within the age-adjusted normal range. Total body water, fat free mass, and fat mass were measured by bioimpedantiometry. To reach the treatment goal, the daily rhGH dose (IU/kg/d) had to be significantly higher in women than in men at all time intervals. During rhGH therapy, total body water and fat free mass increased significantly in both men and women (P ≤ 0.01 by ANOVA), but changes were more pronounced in men. Fat mass decreased during rhGH treatment and reached its nadir at 6 months, which was more pronounced in men than in women (P = 0.02 by ANOVA). After the initial decrease, fat mass increased again and reached baseline values after 2 yr of treatment. In both men and women, the total body water and fat free mass increases were closely related to the IGF-I increments (P < 0.001 by Pearson’s correlation test). The decrease in fat mass correlated significantly with the increase in IGF-I in men (r = −0.89, P < 0.001), not in women. Confirming our earlier data, IGF-I responsivity to rhGH was significantly higher in men than in women at all time intervals (P < 0.01 by ANOVA). Total body water and fat free mass responsivities were also higher in men than in women (P < 0.01 by ANOVA). In conclusion, gender differences in IGF-I responsivities to rhGH are accompanied by gender differences in the extent of body composition changes to rhGH. Probably because of these gender differences in IGF-I responsivity, the increases of total body water and fat free mass to rhGH replacement were greater in men than in women. Remarkably, however, in men, only total body water and fat free mass responses relative to changes in IGF-I increased during the 2 yr of rhGH therapy (P= 0.02 and 0.01, respectively, by ANOVA). In our opinion, this phenomenon might be explained by the increasing target organ sensitivity to IGF-I over time.

scholarly journals Body composition indices and cardiovascular risk in type 2 diabetes. CV biomarkers are not related to body composition

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 309-316 ◽  
Author(s):  
Aleksandra Markova ◽  
Mihail Boyanov ◽  
Deniz Bakalov ◽  
Adelina Tsakova
Keyword(s):  
Type 2 Diabetes ◽  
Body Composition ◽  
Fat Mass ◽  
Total Body Water ◽  
Body Water ◽  
Fat Free Mass ◽  
Cardiovascular Risks ◽  
Total Body ◽  
Cardiovascular Biomarkers

AbstractBackgroundThis study aims to explore the correlations of body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR) and body composition with levels of asymmetric dimethylarginine (ADMA), endothelin 1(ET-1), N-terminal brain natriuretic pro-peptide (NT-proBNP) and calculated cardiovascular risks.Methods102 women and 67 men with type 2 diabetes participated. Serum levels of NT-proBNP were measured by electro-hemi-luminescence while ELISA were used for ADMA and ET-1. Cardiovascular risks were calculated using the Framingham Risk Score (FRS), the UKPDS 2.0 and the ADVANCE risk engines. Statistical analysis was performed on an IBM SPSS 19.0.ResultsThe BMI outperformed all other indices of obesity (WC, WHtR, WHR), as well as body composition parameters (body fat%, fat mass, fat free mass and total body water) in relation to the estimated risks for coronary heart disease and stroke, based on different calculators. The correlations of the obesity indices with the serum cardiovascular biomarkers were not significant except for BMI and fat mass versus ET-1, and for fat free mass and total body water versus ADMA.ConclusionsThe WC, WHR, WHtR, BF%, FM and FFM apparently do not add significant information related to the levels of cardiovascular biomarkers or the calculated CV-risks.

scholarly journals Body Composition and Postural Stability in Goalkeepers of the Polish National Junior Handball Team

2018 ◽  
Vol 25 (3) ◽  
pp. 23-28
Author(s):  
Jacek Wilczyński
Keyword(s):  
Body Composition ◽  
Fat Mass ◽  
Total Body Water ◽  
Postural Stability ◽  
Body Water ◽  
The Body ◽  
Fat Free Mass ◽  
Average Load ◽  
Load Point ◽  
Total Body

Abstract Introduction. The aim of the study was to assess the relationship between the body composition and postural stability of goalkeepers representing the Polish National Junior Handball Team. Material and methods. Body composition was assessed by means of bioelectrical impedance analysis. Postural stability was examined using the AccuGait AMTI force platform. Results. The body composition of the subjects was correct. All of the subjects had very good postural stability. Postural sway was higher in the sagittal plane than in the frontal one. Path Length and Average COP Speed were significantly increased during the closedeyes trial. Only Fat Mass (%) and Fat Mass (kg) were significantly directly correlated with Area Ellipse (cm2) (OE, open eyes). Inverse correlations occurred between Fat-Free Mass (kg) and Average Load Point Y (cm) (OE) as well as Average Load Point Y (cm) (CE, closed eyes). Muscle Mass (kg) was significantly inversely correlated with Average Load Point Y (cm) (OE) and also with Average Load Point Y (cm) (CE). Body Mass Index correlated negatively only with Average Load Point Y (cm) (CE). Total Body Water (kg) was significantly inversely correlated with Average Load Point Y (cm) (OE) and also with Average Load Point Y (cm) (CE). However, Total Body Water (%) only correlated negatively with Area Ellipse (cm2) (OE). Conclusions. Postural stability was determined by the composition and structure of the body. Single-sided sports specialisation can lead to static disorders of the body during the developmental period discussed. Therefore, systematic tests are needed to monitor the body composition and postural stability of handball goalkeepers.

scholarly journals The Effect of Tibolone on Fat Mass, Fat-Free Mass, and Total Body Water in Postmenopausal Women

Endocrinology ◽  
2001 ◽  
Vol 142 (11) ◽  
pp. 4813-4817 ◽  
Author(s):  
Ingrid B. Meeuwsen ◽  
Monique M. Samson ◽  
Sijmen A. Duursma ◽  
Harald J. Verhaar
Keyword(s):  
Postmenopausal Women ◽  
Fat Mass ◽  
Total Body Water ◽  
Body Water ◽  
Fat Free Mass ◽  
Total Body

scholarly journals Between-laboratory comparison of densitometry and bio-electrical impedance measurements

1994 ◽  
Vol 71 (3) ◽  
pp. 309-316 ◽  
Author(s):  
Paul Deurenberg ◽  
Klaas R. Westerterp ◽  
Erica J. M. Velthuis-Te Wierik
Keyword(s):  
Body Composition ◽  
Body Fat ◽  
Total Body Water ◽  
Electrical Impedance ◽  
Normal Weight ◽  
Body Water ◽  
Fat Free Mass ◽  
Lower Amount ◽  
Total Body ◽  
The Relationship

Body composition was measured in nine healthy, normal-weight, weight-stable subjects in three different research centres. In each centre the usual procedures for the measurements were followed. It revealed that the measurement procedures in the three centres were comparable. Body composition was measured in each centre between 09.00 and 13.00 hours after a light breakfast by densitometry (underwater weighing) and bio-electrical impedance. A single, total-body-water determination by D2O dilution was used as a reference value. Body fat determined by densitometry was significantly lower in one centre, which, however, could be completely explained by a lower body weight, probably due to water loss (the subjects refrained for a longer time from food and drinks before the measurements in that centre) and, thus, by violation of the assumptions of Siri's (1961) formula. Also, body impedance was slightly higher in that centre, indicating a lower amount of body water. Mean body fat from densitometry was also slightly lower in that centre compared with body fat determined by D2O dilution. Individual differences between body fat from densitometry and from total body water were relatively large, up to 7% body fat. The relationship between fat-free mass from densitometry and bio-electrical impedance was not different between the centres. It is concluded that differences in the relationship between body composition and bio-electrical impedance, as reported in the literature, may be due to differences in standardization procedures and/or differences in reference population.

scholarly journals Validation of Bioelectrical Impedance Spectroscopy to Measure Total Body Water in Resistance-Trained Males

2015 ◽  
Vol 25 (5) ◽  
pp. 494-503 ◽  
Author(s):  
Ava Kerr ◽  
Gary Slater ◽  
Nuala Byrne ◽  
Janet Chaseling
Keyword(s):  
Body Composition ◽  
Impedance Spectroscopy ◽  
Total Body Water ◽  
Reference Model ◽  
Reference Method ◽  
Bioelectrical Impedance ◽  
Compartment Model ◽  
Body Water ◽  
Fat Free Mass ◽  
Total Body

The three-compartment (3-C) model of physique assessment (fat mass, fat-free mass, water) incorporates total body water (TBW) whereas the two-compartment model (2-C) assumes a TBW of 73.72%. Deuterium dilution (D2O) is the reference method for measuring TBW but is expensive and time consuming. Multifrequency bioelectrical impedance spectroscopy (BIS SFB7) estimates TBW instantaneously and claims high precision. Our aim was to compare SFB7 with D2O for estimating TBW in resistance trained males (BMI >25kg/m2). We included TBWBIS estimates in a 3-C model and contrasted this and the 2-C model against the reference 3-C model using TBWD2O. TBW of 29 males (32.4 ± 8.5 years; 183.4 ± 7.2 cm; 92.5 ± 9.9 kg; 27.5 ± 2.6 kg/m2) was measured using SFB7 and D2O. Body density was measured by BODPOD, with body composition calculated using the Siri equation. TBWBIS values were consistent with TBWD2O (SEE = 2.65L; TE = 2.6L) as were %BF values from the 3-C model (BODPOD + TBWBIS) with the 3-C reference model (SEE = 2.20%; TE = 2.20%). For subjects with TBW more than 1% from the assumed 73.72% (n = 16), %BF from the 2-C model differed significantly from the reference 3-C model (Slope 0.6888; Intercept 5.093). The BIS SFB7 measured TBW accurately compared with D2O. The 2C model with an assumed TBW of 73.72% introduces error in the estimation of body composition. We recommend TBW should be measured, either via the traditional D2O method or when resources are limited, with BIS, so that body composition estimates are enhanced. The BIS can be accurately used in 3C equations to better predict TBW and BF% in resistance trained males compared with a 2C model.

scholarly journals Validity of Bioimpedance Spectroscopy in the Assessment of Total Body Water and Body Composition in Wrestlers and Untrained Subjects

2020 ◽  
Vol 17 (24) ◽  
pp. 9433
Author(s):  
Keisuke Shiose ◽  
Emi Kondo ◽  
Rie Takae ◽  
Hiroyuki Sagayama ◽  
Keiko Motonaga ◽  
...  
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Compartment Model ◽  
Body Water ◽  
Fat Free Mass ◽  
Hydration Status ◽  
Dilution Method ◽  
Bioimpedance Spectroscopy ◽  
Japanese Male ◽  
Total Body

Bioimpedance spectroscopy (BIS) is an easy tool to assess hydration status and body composition. However, its validity in athletes remains controversial. We investigated the validity of BIS on total body water (TBW) and body composition estimation in Japanese wrestlers and untrained subjects. TBW of 49 young Japanese male subjects (31 untrained, 18 wrestlers) were assessed using the deuterium dilution method (DDM) and BIS. De Lorenzo’s and Moissl’s equations were employed in BIS for TBW estimation. To evaluate body composition, Siri’s 3-compartment model and published TBW/fat-free mass (FFM) ratio were applied in DDM and BIS, respectively. In untrained subjects, DDM and BIS with de Lorenzo’s equation showed consistent TBW estimates, whereas BIS with Moissl’s equation overestimated TBW (p < 0.001 vs. DDM). DDM and BIS with de Lorenzo’s equation estimated FFM and percent of fat mass consistently, whereas BIS with Moissl’s equation over-estimated and under-estimated them (p < 0.001 vs. DDM). In wrestlers, BIS with de Lorenzo’s and Moissl’s equations assessed TBW similarly with DDM. However, the Bland–Altman analysis revealed a proportional bias for TBW in BIS with de Lorenzo’s equation (r = 0.735, p < 0.001). Body composition assessed with BIS using both equations and DDM were not different. In conclusion, BIS with de Lorenzo’s equation accurately estimates the TBW and body composition in untrained subjects, whereas BIS with Moissl’s equation is more valid in wrestlers. Our results demonstrated the usefulness of BIS for assessing TBW and body composition in Japanese male wrestlers.

scholarly journals Interdependence of lean body mass and total body water, but not quality of life measures, during low dose GH replacement in GH-deficient adults

2005 ◽  
Vol 153 (5) ◽  
pp. 661-668 ◽  
Author(s):  
Annice Mukherjee ◽  
Judith E Adams ◽  
Linda Smethurst ◽  
Stephen M Shalet
Keyword(s):  
Quality Of Life ◽  
Body Composition ◽  
Lean Body Mass ◽  
Body Mass ◽  
Total Body Water ◽  
Body Water ◽  
Gh Replacement ◽  
Igf I ◽  
Total Body

Lean body mass (LBM) and total body water (TBW) are reduced in GH-deficient (GHD) adults and alter with GH replacement. Whether these parameters are interdependent and whether alterations in their homeostasis contribute to the perceived quality of life (QOL) deficit in GHD remains unclear. In this study, IGF-I, body composition by whole-body dual-energy X-ray absorptiometry, TBW by deuterium dilution (D2O) and two validated QOL instruments - psychological general well-being schedule (PGWB, generic, 6 domains; lower score worse QOL) and assessment of GH deficiency in adults (AGHDA, disease orientated; higher score worse QOL) were studied at baseline and after 3 and 6 months of GH replacement in thirty GHD adults. Patients with diabetes insipidus, and cardiac and renal failure were excluded. Median age-adjusted IGF-I standard deviation score increased from −3.40 (−6.40 to −1.60) to −0.2 (−1.88 to 0.78) (P < 0.0001) at a median daily GH dose of 0.4 mg. During treatment, LBM increased from 47.4 ± 10.7 kg at baseline to 49.5 ± 10.8 kg at 6 months (P = 0.0008), and fat mass decreased from 28.0 ± 12.1 kg at baseline to 27.2 ± 12.6 kg at 6 months (P = 0.0004). A non-significant trend towards an increase in TBW was observed (mean 1.7 kg, P = 0.08). The PGWB score increased from 62.9 ± 20.6 to 73.7 ± 21.7 (P = 0.0006). The AGHDA score decreased from 13.7 ± 7.3 to 8.75 ± 7.75 (P = 0.0002). At each time point, a linear correlation between LBM and TBW was demonstrated, defined by TBW = (0.972 × LBM)–10.6. However, only a weakly positive correlation existed between the percentage changes in these variables (R = 0.40, P = 0.04). No correlations were demonstrated between QOL measures and body composition. The change in LBM with physiological GH replacement correlates weakly with change in TBW, therefore factors other than TBW may also contribute to the LBM changes. Improved QOL with GH replacement is not explained by favourable changes in body composition.

Total body water measurement using the 2H dilution technique for the assessment of body composition of Kuwaiti children

2014 ◽  
Vol 18 (2) ◽  
pp. 259-263 ◽  
Author(s):  
Tareq Al-Ati ◽  
Tom Preston ◽  
Suad Al-Hooti ◽  
Nawal Al-Hamad ◽  
Jameela Al-Ghanim ◽  
...  
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Isotope Ratio ◽  
Normal Weight ◽  
Body Water ◽  
Fat Free Mass ◽  
Dilution Technique ◽  
Isotope Ratio Mass Spectrometer ◽  
Kuwaiti Children ◽  
Total Body

AbstractObjectiveThe 2H dilution technique is the reference method to estimate total body water for body composition assessment. The aims of the present study were to establish the total body water technique at the Kuwait Institute for Scientific Research and assess body composition of Kuwaiti children.DesignThe isotope ratio mass spectrometer was calibrated with defined international reference water standards. A non-random sampling approach was used to recruit a convenience sample of Kuwaiti children. A dose of 2H2O, 1–3 g, was consumed after an overnight fast and 2H enrichment in baseline and post-dose urine samples was measured. Total body water was calculated and used to estimate fat-free mass. Fat mass was estimated as body weight minus fat-free mass.SettingThe total body water study was implemented in primary schools.SubjectsSeventy-five boys and eighty-three girls (7–9 years).ResultsMeasurements of the isotope ratio mass spectrometer were confirmed to be accurate and precise. Children were classified as normal weight, overweight or obese according to the WHO based on BMI-for-age Z-scores. Normal-weight and overweight girls had significantly higher percentage body fat (median (range): 32·4 % (24·7–39·3 %) and 38·3 % (29·3–44·2 %), respectively) compared with boys (median (range): 26·5 % (14·2–37·1 %) and 34·6 % (29·9–40·2 %), respectively). No gender difference was found in obese children (median 46·5 % v. 45·6 %).ConclusionsThe establishment of a state-of-the-art stable isotope laboratory for assessment of body composition provides an opportunity to explore a wide range of applications to better understand the relationship between body size, body composition and risk of developing non-communicable diseases in Kuwait.

Estimating body composition in late gestation: a new hydration constant for body density and total body water

1995 ◽  
Vol 268 (1) ◽  
pp. E153-E158 ◽  
Author(s):  
P. M. Catalano ◽  
W. W. Wong ◽  
N. M. Drago ◽  
S. B. Amini
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Body Water ◽  
Fat Free Mass ◽  
Late Gestation ◽  
Body Density ◽  
Independent Variables ◽  
Significant Difference ◽  
Nitrogen Dilution ◽  
Total Body

Twenty women underwent body density (DB) measurements using underwater weighing with correction of residual lung volume by nitrogen dilution and total body water (TBW) using isotope dilution of 18O to estimate body composition at 30 wk of gestation. DB and TBW were used as independent variables in the same equation. The hydration constant (HC) of fat-free mass (FFM) was estimated as 0.762; based on this HC, new body composition equations for both DB and TBW were derived. These equations were prospectively tested in an additional 20 women at 30 wk of gestation. No significant differences were detected between estimates of percent body fat (%F) using either the newly derived DB or TBW equations and estimates of %F using both DB and TBW. Ten of these forty women were evaluated postpartum. There was no significant difference in %F estimated by either TBW or DB compared with standard equations (hydration of FFM = 0.72) and %F using both DB and TBW. These results highlight the importance of either measuring both DB and TBW or using an appropriate hydration constant for FFM in estimating body composition during pregnancy or conditions associated with increased body water.

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