IMPACT OF BODY COMPOSITION ON PHYSICAL PERFORMANCE TASKS IN OLDER OBESE WOMEN UNDERGOING A MODERATE WEIGHT LOSS PROGRAM

2013 ◽  
pp. 1-6
Author(s):  
G.D. MILLER ◽  
S.L. ROBINSON

Background: Although obesity is a recognized risk factor for impaired physical function in olderadults, there is still debate on whether older obese adults should undergo intentional weight loss due to concern ofloss in lean body mass, including appendicular lean soft tissue mass. This may put them at risk for worseningmuscle strength and mobility. Objectives:Therefore, the purpose of this study was to examine the effect of aweight loss intervention on body composition and physical function in obese older women. Design:Womenwere randomized into either a weight stable (WS) (n=20) or an intensive weight loss (WL) (n=26) group.Setting:The study setting was at a university research facility. Participants:Women (age, 67.8±1.3 yrs; BMI,34.9 (0.7) kg/m2; mean±standard error of the mean) were recruited. Intervention:The WL intervention was for 6months and included moderate dietary energy restriction and aerobic and strength exercise training.Measurements:Variables were obtained at baseline and 6-months and included body weight, dual energy x-rayabsorptiometry (DXA), 6-minute walk distance, stair climb time, and concentric knee extension muscularstrength. Results:Estimated marginal means (SEM) for weight loss at 6-months was -8.5 (0.9)% for WL and +0.7(1.0)% for WS. There was a significant loss of body fat mass, lean body mass, appendicular lean soft tissue mass,relative muscle mass, and skeletal muscle index for WL vs. WS at 6-months. However, improvements for WLvs. WS were seen in 6-minute walk distance and stair climb time, and trends for improved relative strength andleg muscle quality. Change in body fat mass was positively related to improved physical function and musclestrength and quality. Conclusion:These results further support the use of a sound intentional weight loss programincorporating moderate dietary energy restriction and exercise training in older obese women to improve physicalfunction. Although lean soft tissue mass was lost, over the 6-month program there was no deleterious effect onmuscle strength or muscle quality.

Author(s):  
Daisy Arauz ◽  
Rolando Reyna López

<p><strong></strong>[Oligatory Esthesioneuroblastoma: Presentation of a Case.]</p><p>Resumen<br />Se presenta un caso de una paciente con pérdida de peso, congestión nasal epistaxis, aumento de volumen en cuello con disfagia a sólidos y líquidos de 1 mes de evolución. <br /><br />La tomografía de cuello muestra una masa de tejidos blandos en la base de cuello con erosión del esfenoides con extensión a la fosa craneal media, con erosión del clivus, el esfenoides y la silla turca. El diagnostico histopatológico es un estesioneuroblastoma. <br /><br />Abstract<br />We present a case of a patient with weight loss, nasal congestion, epistaxis, increase neck volume with dysphagia to solids and liquids of 1 month of evolution. <br /><br />The neck tomography shows a soft tissue mass at the base of the neck with erosion of the sphenoid with extension to the middle cranial fossa, with erosion of the clivus, the sphenoid and the sella turcica. The histopathological diagnosis is an esthesioneuroblastoma.<br /><br /><br /></p>


2007 ◽  
Vol 36 (12) ◽  
pp. 1177-1177 ◽  
Author(s):  
Tomoya Sakabe ◽  
Hiroaki Murata ◽  
Yukiko Tokumoto ◽  
Kazutaka Koto ◽  
Takaaki Matsui ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Isabelle Morin ◽  
Catherine Bégin ◽  
Julie Maltais-Giguère ◽  
Alexandra Bédard ◽  
André Tchernof ◽  
...  

Weight loss has been associated with changes in eating behaviors and appetite sensations that favor a regain in body weight. Since traditional weight loss approaches emphasize the importance of increasing cognitive dietary restraint (CDR) to achieve negative energy imbalance, it is difficult to untangle the respective contributions of energy restriction and increases in CDR on factors that can eventually lead to body weight regain. The present study aimed at comparing the effects of energy restriction alone or in combination with experimentally induced CDR on eating behavior traits, appetite sensations, and markers of stress in overweight and obese women. We hypothesized that the combination of energy restriction and induced CDR would lead to more prevalent food cravings, increased appetite sensations, and higher cortisol concentrations than when energy restriction is not coupled with induced CDR. A total of 60 premenopausal women (mean BMI: 32.0 kg/m2; mean age: 39.4 y) were provided with a low energy density diet corresponding to 85% of their energy needs during a 4-week fully controlled period. At the same time, women were randomized to either a condition inducing an increase in CDR (CDR+ group) or a condition in which CDR was not induced (CRD− group). Eating behavior traits (Three-Factor Eating Questionnaire and Food Craving Questionnaire), appetite sensations (after standardized breakfast), and markers of stress (Perceived Stress Scale; postawakening salivary cortisol) were measured before (T = 0 week) and after (T = 4 weeks) the 4-week energy restriction, as well as 3 months later. There was an increase in CDR in the CDR+ group while no such change was observed in the CDR− group (p=0.0037). No between-group differences were observed for disinhibition, hunger, cravings, appetite sensations, perceived stress, and cortisol concentrations. These results suggest that a slight increase in CDR has no negative impact on factors regulating energy balance in the context of energy restriction.


PEDIATRICS ◽  
1971 ◽  
Vol 48 (4) ◽  
pp. 511-522 ◽  
Author(s):  
Herbert C. Miller ◽  
Khatab Hassanein

Measurements of crown-heel length, head circumference, and birth weight were made on a large number of newborn infants. Birth weight by itself was frequently not a valid measure of fetal growth impairment. By including measurements of body length and head size along with birth weight, four distinct patterns of fetal growth impairment were identified. The four patterns included infants who had abnormally short body lengths for dates, infants who had evidence of disproportionate growth between body length and head circumference, infants who accumulated excessive amounts of soft-tissue mass, and infants who accumulated too little soft-tissue mass. Criteria for diagnosing each pattern were obtained prospectively and have been presented with allowances made for the effects of race, sex, fetal age, and parity on each pattern. The separate identification of the four patterns provided a more precise description of fetal growth impairment than could be obtained from birth weight and calculated gestational age.


2006 ◽  
Vol 130 (3) ◽  
pp. e35-e36
Author(s):  
Einas Alkuwari ◽  
Denis H. Gravel

2003 ◽  
Vol 127 (7) ◽  
pp. e309-e310
Author(s):  
Abul Ala Syed Rifat Mannan ◽  
Sonika Dahiya ◽  
Arvind Kumar ◽  
Mehar Chand Sharma

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