scholarly journals Accuracy of Waist Circumference Measurement Using the WHO versus NIH Protocol in Predicting Visceral Adiposity Using Bioelectrical Impedance Analysis among Overweight and Obese Adult Filipinos in a Tertiary Hospital

Author(s):  
Leslie Daphne Kawaji ◽  
◽  
Joy Arabelle Fontanilla
2020 ◽  
Author(s):  
Zhong-Hui Liu ◽  
Gui-Xi Zhang ◽  
Hao Zhang ◽  
Li Jiang ◽  
Yang Deng ◽  
...  

Abstract ObjectivesSome studies have reported that visceral fat volume measured by computed tomography (CT) was a risk factor for colorectal adenoma (CRA). However, CT is not a good method for risk stratification in clinical use for its radiation. Bioelectrical impedance analysis (BIA) is a non-invasive method for assessment of body composition. The aim of current study was to evaluate the association of body fat measured by BIA with occurrence of CRA.Patients and methods:A total of 410 participants who had underwent screening colonoscopy from Jul 2017 to Dec 2019 in our center were recruited, including 230 with adenoma and 180 without adenoma detected. Body fat of participants were measured by BIA, including body fat mass (BFM), body fat percent (BFP), and waist-to-hip fat ratio. Parameters of metabolic syndrome (MetS) were also measured, including waist circumference, blood pressure, fasting blood glucose, blood level of triglyceride, cholesterol and high-density lipoprotein.ResultsAccording to univariate analysis, age, male proportion, BMI, waist circumference, body fat mass, waist-to-hip fat ratio, blood pressure, and FBG were higher in adenoma group than adenoma-free group, p < 0.05. On multivariate analysis (adjusted for age, sex, smoking, drinking, family history of CRC, etc.), High waist-to-hip fat ratio measured by BIA was associated with occurrence of CRA (compared with normal waist-to-hip fat ratio, OR 1.84; 95% CI, 1.09–3.09; p = 0.02). High waist circumference, as a component of MetS, was also independently associated with CRA (OR 1.90; 95% CI 1.17–3.08, p = 0.01).ConclusionBody fat distribution measured by BIA is associated with occurrence of CRA. Central obesity is a risk factor for CRA.Trial registration: This study was prospectively registered in Chinese Clinical Trials Registry (www.chictr.org.cn; registry number: ChiCTR-RRC-17010862).


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Aleksandra Bebnowicz ◽  
Adam Nowosad

AbstractIntroductionProblem of overweight and obesity is more and more common in nowadays. Prevalence of overweight and obesity could have long-range consequences in case of organisation where good health and physical efficiency are requested for personnel to perform their professional roles effectively. Many times soldiers need to maintain very high levels of physical activity to perform their duties and to complete demanding missions, which have a huge physical exertion. Because of that soldiers should stay in an excellent health and stamina.Materials & methodsA total of 355 men soldiers from units with diverse specialisation underwent the examination. The most common criterions to estimate abdominal obesity are waist circumference and waist-to-hip ratio. The evaluation was based on determination of body composition measuring fat tissue percentage and antrophometric indexes: weight, height, waist-to-hip ratio (WHR) and waist circumference (WC). Soldiers were classified to abdominal obesity according to WHR (WHR > 1) and WC (WC > 94). The amount of fat tissue was measured using bioelectrical impedance analysis.ResultsSoldiers were aged 34,56 ± 7,07 years. Median weight and height were respectively 86,04 ± 11,92 kg and 179,14 ± 6,02 cm. 160 soldiers (45%) had a waist circumference higher than 94 cm. The waist-to-hip ratio was higher than 1 for 19% of soldiers. Conducted bioelectrical impedance analysis showed that for 46% of soldiers percentage of fat tissue exceeded 20%.DiscussionThe results showed that the problem of overweight and obesity exists also in military populations. In many cases it is connected with incorrect nutritional behaviours. Soldiers require more proactive approach, because the potentially deleterious health outcomes connected with weight gain may have a negative influence on their work. The biggest effort should be put on a proper nutritional education.


2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Satoshi Tanaka ◽  
Kei Ando ◽  
Kazuyoshi Kobayashi ◽  
Taisuke Seki ◽  
Shinya Ishizuka ◽  
...  

Objectives. The importance of preventive medicine in an aging society is increasing. Locomotive syndrome (LS) is attracting increasing attention. Recently, advances in bioelectrical impedance analysis (BIA) devices have made it possible to automatically measure waist circumference (WC). Nevertheless, there have been no reports evaluating the agreement or interchangeability between WC measured manually and using BIA. Therefore, we aimed to perform these analyses in the context of health checkups and investigated the associations with LS risk. Methods. We enrolled 597 participants who underwent the following: two-step tests and stand-up tests; evaluations using a 25-question geriatric locomotive function scale for the LS risk test; anthropometric marker measurements including WC measured by manual and BIA; and measurements of total cholesterol and triglycerides. We used Bland–Altman analysis to calculate agreement and interchangeability of the WC measurement using BIA and the manual method. A statistical comparative study was then conducted between normal and LS risk groups. Subsequently, significant risk factors for LS were investigated using multivariate analysis. Results. The Bland–Altman analysis showed that bias (BIA-manual) was negative overall (−2.024), for males (−1.418) and for females (−2.460), suggesting underestimation using BIA compared with manual measurements. Interchangeability was found between WC measurement by BIA and by manual methods, because the percentage error was less than 15% overall (12.3%), for males (10.2%) and for females (13.8%). Univariate analysis showed that WC was significantly higher in the LS risk group than in the normal group. Multivariate analysis adjusted for confounding factors showed that increase in WC significantly correlated with LS risk. Conclusions. BIA and manual methods for measuring WC are interchangeable. The increase in WC measured by BIA was significantly associated with LS risk. It is important to continue focusing on increased WC and early detection of LS risk.


2021 ◽  
Vol 6 (4) ◽  
pp. S52
Author(s):  
D. BASNAYAKE ◽  
A. Nayanamali ◽  
H. Amarathunga ◽  
N. Erandika ◽  
J. Pathiraja ◽  
...  

1999 ◽  
Vol 19 (8) ◽  
pp. 1179-1188 ◽  
Author(s):  
Sufia Islam ◽  
Iqbal Kabir ◽  
Mohammad A. Wahed ◽  
Michael I. Goran ◽  
Dilip Mahalanabis ◽  
...  

2021 ◽  
pp. 1-10
Author(s):  
Ryo Miyachi ◽  
Nana Koike ◽  
Suzu Kodama ◽  
Junya Miyazaki

BACKGROUND: Although trunk muscles are involved in many important functions, evaluating trunk muscle strength is not an easy task. If trunk muscle mass and thickness could be used as indicators of trunk muscle strength, the burden of measurement would be reduced, but the relationship between trunk muscle strength and trunk muscle mass and thickness has not been clarified. OBJECTIVE: The purpose of this study was to clarify the relationship between trunk muscle strength and trunk muscle mass by bioelectrical impedance analysis and trunk muscle thickness by ultrasound imaging in healthy adults. METHODS: One hundred and twenty-one healthy university students were included in this study. Trunk flexion/extension muscle strength and trunk muscle mass by bioelectrical impedance analysis, and trunk muscle thickness by ultrasound imaging were measured. RESULTS: Both trunk flexion strength and trunk extension strength were significantly correlated with trunk muscle mass and oblique and rectus abdominis muscle thickness. Multiple regression analysis showed that trunk extension muscle strength had an independent relationship with trunk muscle mass. CONCLUSIONS: This study demonstrated that trunk muscle mass or trunk muscle thickness can be used as an alternative means for evaluating trunk muscle strength, making the evaluation of trunk muscles less burdensome.


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