scholarly journals Ultrasound assessment of muscle mass in the diagnosis of sarcopenia in cardiovascular patients

2021 ◽  
Vol 20 (3) ◽  
pp. 2699
Author(s):  
A. S. Erokhina ◽  
E. D. Golovanova ◽  
M. A. Miloserdov
Keyword(s):  
Body Mass Index ◽  
Muscle Mass ◽  
Body Mass ◽  
Lower Leg ◽  
The Body ◽  
Russian Society ◽  
Speed Test ◽  
European Working ◽  
Class 1 ◽  
Artery Disease

Aim. To study the advantages of ultrasound versus anthropometric assessment of muscle mass for early diagnosis of sarcopenia in patients >45 years of age.Material and methods. The study included 79 patients aged 4589 years with coronary artery disease (CAD), hypertension, type 2 diabetes, heart failure, class 1-3 obesity. Diagnosis of hypertension was carried out according to the European (2018) and Russian (2019) guidelines; CAD — according to Russian Society of Cardiology (2020) guidelines. Sarcopenia was diagnosed according to 2010 European Working Group on Sarcopenia in Older People (EWGSOP) criteria and 2018 EWGSOP2 guidelines. Muscle mass (MM) was determined by two methods: 1 — by measuring the rectus abdominis muscle (RAM) thickness using the ultrasound; 2 — by measuring the arm and lower leg circumference. Muscle strength was determined by wrist dynamometer. Muscle function was assessed using the 4-m gait speed test.Results. The study showed that in patients aged >45 years admitted to the emergency cardiology department, the body mass index exceeded 25 kg/m2 in 88,6% of cases. The incidence of sarcopenia of varying severity was 55,7% (n=44). The differences in RAM thickness, arm and lower leg circumference between the groups of patients with/without sarcopenia were significant (p<0,001), but were less than the threshold only for RAM thickness. RAM thickness levels progressively decreased with increasing severity of sarcopenia and significantly differed at all stages compared to patients without sarcopenia (p<0,001), regardless of body mass index. A decrease in lower leg circumference below the threshold values determining a MM decrease was observed only in severe sarcopenia, and arm circumference — in both men and women only in severe sarcopenia. There were no significant differences for arm and lower leg circumference depending on sarcopenia stages in overweight and obese patients.Conclusion. MM assessment by measuring RAM thickness with ultrasound in comparison with the anthropometric method makes it possible to diagnose sarcopenia in patients >45 years of age with cardiovascular diseases and obesity at earlier stages and to promptly recommend preventive measures.

Abstract 15861: The Role of Body Mass Index in Cryoballoon Ablation Outcomes for Paroxysmal Atrial Fibrillation

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Abhishek Bose ◽  
Parag A Chevli ◽  
Zeba Hashmath ◽  
Ajay K Mishra ◽  
Gregory Berberian ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Body Mass Index ◽  
Body Mass ◽  
Paroxysmal Atrial Fibrillation ◽  
Surrogate Marker ◽  
The Body ◽  
Cryoballoon Ablation ◽  
Class 1 ◽  
Study Population ◽  
One Year

Introduction: Cryoballoon ablation (CBA) is recommended for patients with paroxysmal atrial fibrillation (AF) refractory to anti-arrhythmic drugs. However, only 70% of patients benefit from an initial CBA. Obesity is a known risk factor for development of AF but its role in predicting outcomes following CBA for paroxysmal AF remains unclear. Methods: We followed 103 patients (Age 60.6 ± 9.1, 29% women) with paroxysmal AF undergoing CBA for one year post procedure. Recurrence was assessed by documented atrial arrhythmias (AA) on EKG or any form of long-term cardiac rhythm monitoring. Using the body mass index (BMI) as a surrogate marker for obesity, we divided patients into five groups: normal <24.9 kg/m 2 , overweight 25-29.9 kg/m 2 , class 1 obesity 30-34.9 kg/m 2 , class 2 obesity 35-39.9 kg/m 2 and class 3 obesity ≥40 kg/m 2 . A multivariable cox proportional hazard model was used to assess if BMI predicted risk of AA recurrence. Results: Among our study population, 7 (6.7%) had normal BMI and 34 were overweight (33%) while 17 (16.5%), 14 (13.5%) and 8 patients (7.7%) were categorized as class 1, 2 and 3 obesity respectively. After a one year follow up, 19 (18.4%) participants developed recurrence of AA. Baseline demographics were similar between the two groups except for a higher incidence of hypertension in the class 3 obesity group. On a multivariable model adjusted for baseline demographics and risk factors for AF, neither obesity nor overweight predicted recurrence of AA following CBA (Table, p=0.18). Similarly, on Kaplan-Meier analysis, BMI did not effect time to first recurrence of AA (Figure, p=0.07). Conclusion: Obesity is strongly associated with the risk of development of AF. However, in our study population increasing BMI had no influence on the recurrence of AA following CBA for paroxysmal AF.

Beyond Body Mass Index. Is the Body Cell Mass Index (BCMI) a useful prognostic factor to describe nutritional, inflammation and muscle mass status in hospitalized elderly?

2018 ◽  
Vol 37 (3) ◽  
pp. 934-939 ◽  
Author(s):  
Mariangela Rondanelli ◽  
Jacopo Talluri ◽  
Gabriella Peroni ◽  
Chiara Donelli ◽  
Fabio Guerriero ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Prognostic Factor ◽  
Muscle Mass ◽  
Body Mass ◽  
Cell Mass ◽  
The Body ◽  
Body Cell Mass ◽  
Body Cell ◽  
Hospitalized Elderly

scholarly journals The Relationship between Physical Activity, Body Mass Index and Body Composition among Students at a Pre-University Centre in Malaysia

2020 ◽  
Vol 19 (2) ◽  
Author(s):  
You HW ◽  
Tan PL ◽  
Mat Ludin AF
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Composition ◽  
University Students ◽  
Muscle Mass ◽  
Body Mass ◽  
Fat Mass ◽  
The Body ◽  
Study Results ◽  
The Relationship

INTRODUCTION: Physical activity is an essential element in our daily life that leads to long-term health benefits. Physical activity refers to movement of the body that requires energy. Body mass index (BMI) indicates a ratio of body weight to squared height, which is a useful health indicator. On the contrary, body composition describes the body by measuring percentages of fat and muscle in human bodies. MATERIALS AND METHODS: This cross-sectional study aimed to determine the relationship between physical activities, BMI and body composition among pre-university students from one of the universities in Selangor, Malaysia. Stratified random sampling was employed to recruit 70 pre-university students into this study. RESULTS: From the study, 50% of the respondents are categorized as minimally active. In addition, there is significant difference between the physical activity levels of male and female respondents. The relationship between physical activity and BMI indicates a very weak negative correlation. Similarly, the correlation between physical activity and fat mass is a weak negative relationship. Meanwhile, there is a weak positive correlation between physical activity and muscle mass. CONCLUSION: Therefore, it can be concluded that when physical activity increases, BMI and body fat mass will decrease, while muscle mass will increase. Moreover, it was shown that there was a significant relationship between physical activity and body composition. 

scholarly journals Using body mass index ignores the intensive training of elite special force personnel

2019 ◽  
Vol 244 (11) ◽  
pp. 873-879 ◽  
Author(s):  
Erwin Tafeit ◽  
Gerhard Cvirn ◽  
Manfred Lamprecht ◽  
Markus Hohensinn ◽  
Reinhard Moeller ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Muscle Mass ◽  
Body Mass ◽  
Body Fat ◽  
Task Force ◽  
Large Body ◽  
Overweight And Obesity ◽  
The Body ◽  
Body Fatness ◽  
Intensive Training

Body mass index is a common and well-known measure in daily life. A body mass index higher than 25 is assumed to be an indicator for overweight and obesity and a high amount of total body fat. But body mass index overestimates body fat in subjects with high muscle mass and underestimates it in persons with a low lean body mass, especially in elderly and diseased persons. In the present study, we investigate the performance of the body mass index as a measure of body fatness and its ability to distinguish between well-trained and untrained subjects. Twenty-one well-trained male members of a police task force named “Cobra” and 38 non-active controls, matched by age, weight and height were participants of the study. The age range of these subjects was between 30 and 45 years. Subcutaneous adipose tissue thicknesses and body fat distributions were measured non-invasively by an optical device named the “Lipometer.” Statistics were performed with SPSS. We found that the body mass index did not show a difference between the two groups, whereas all Lipometer results were able to discriminate significantly between the trained and untrained subjects. Furthermore, the receiver operating characteristic curve analysis was calculated and all Lipometer measurements provided significant results up to a correct classification of all subjects of 86.4%, which was for the lateral thigh body site. In conclusion, the body mass index was not able to recognize the difference between trained and untrained participants, while body fat distribution measured with the Lipometer was able to distinguish more clearly the large body fat differences between these two groups. Impact statement Body mass index (BMI) is a common measure of body fatness but overestimates body fat in subjects with high muscle mass. We have developed previously a device named “Lipometer,” an alternative way to measure body fatness. We show herein that the Lipometer is able to distinguish more clearly (than the BMI) the large body fat differences between well-trained and untrained subjects. Thus, the Lipometer is superior to BMI with respect to body fat measurements.

scholarly journals Study of body mass index in physically active young people

2021 ◽  
Vol 20 (1) ◽  
pp. 31-36
Author(s):  
Dmitry S. Korolev ◽  
Dmitry A. Pustovalov ◽  
Oleg P. Karazhelyaskov ◽  
Anna N. Arkhangelskaya ◽  
Victoria A. Zaborova ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Muscle Mass ◽  
Body Mass ◽  
Fat Mass ◽  
Lean Mass ◽  
Cell Mass ◽  
The Body ◽  
Active Cell ◽  
Hip Circumference

BACKGROUND: One of the indicators for assessing the state of human health is the body mass index. But this indicator does not give an objective picture, for example, it does not reflect the features of a person's physique. To assess the type of obesity, the ratio of waist circumference to hip circumference is used. This can lead to an incorrect assessment of the nutritional status, and, accordingly, incorrect recommendations for the prevention of non-communicable human diseases. АIMS: To evaluate the indicators: body mass index and the ratio of waist circumference to hips, the results were compared with the data of a bioimpedance study. MATERIALS AND METHODS: 154 people of different physical fitness were examined (105 people are athletes, 49 are not engaged in sports). All the surveyed are men, from 15 to 25 years old. The results were obtained for the following indicators: body mass index, waist-to-hip ratio, bioimpedance study (assessment of fat mass, lean mass, active cell mass, dry muscle mass, total, extracellular and intracellular water). RESULTS: Тhe body mass index significantly correlates with such indicators as fat mass, lean mass, dry muscle mass, as well as the water content in the body. The correlation relationship with fat mass is positive, with other indicators ― negative. There is no reliable correlation with the active cell mass. The ratio of waist circumference to hips had a reliable relationship with all the indicators we evaluated. A negative correlation was noted with the fat mass, and a positive correlation was observed for the rest of the indicators. In people who are actively engaged in sports, the relationship between the body mass index and the content of adipose tissue in the body is more pronounced. The body mass index and the ratio of waist circumference to hip circumference in athletes are more correlated with the data of the bioimpedance study. A reliable relationship between the body mass index and the ratio of the waist circumference to the hips has not been established. Thus, it is necessary to conclude that when assessing the state of the body, it is necessary to take into account both indicators. None of these parameters can be used to determine the risks of developing non-communicable diseases. CONCLUSION: Body mass index indicators, as well as the ratio of waist circumference to hips, significantly correlate with the results of bioimpedance examination, with the exception of active cell mass. It is advisable to use the body mass index and the ratio of waist circumference to hips as one of the simplest ways to determine risk groups for the development of non-communicable diseases during a mass screening study.

191: Does the Body Mass Index Affect the Outcome Following Reconstruction of Orthotopic Neobladder?

2007 ◽  
Vol 177 (4S) ◽  
pp. 64-64
Author(s):  
Murugesan Manoharan ◽  
Martha A. Reyes ◽  
Alan M. Nieder ◽  
Bruce R. Kava ◽  
MarkS Soloway
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
The Body ◽  
Orthotopic Neobladder

EFFECT OF BODY MASS INDEX ON PEAK EXPIRATORY FLOW RATE

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
K. Subramanyam ◽  
Dr. P. Subhash Babu
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Peak Expiratory Flow ◽  
Flow Rate ◽  
Peak Expiratory Flow Rate ◽  
Normal Weight ◽  
The Body ◽  
Health Care Centre ◽  
Expiratory Flow ◽  
Group B

Obesity has become one of the major health issues in India. WHO defines obesity as “A condition with excessive fat accumulation in the body to the extent that the health and wellbeing are adversely affected”. Obesity results from a complex interaction of genetic, behavioral, environmental and socioeconomic factors causing an imbalance in energy production and expenditure. Peak expiratory flow rate is the maximum rate of airflow that can be generated during forced expiratory manoeuvre starting from total lung capacity. The simplicity of the method is its main advantage. It is measured by using a standard Wright Peak Flow Meter or mini Wright Meter. The aim of the study is to see the effect of body mass index on Peak Expiratory Flow Rate values in young adults. The place of a study was done tertiary health care centre, in India for the period of 6 months. Study was performed on 80 subjects age group 20 -30 years, categorised as normal weight BMI =18.5 -24.99 kg/m2 and overweight BMI =25-29.99 kg/m2. There were 40 normal weight BMI (Group A) and 40 over weight BMI (Group B). BMI affects PEFR. Increase in BMI decreases PEFR. Early identification of risk individuals prior to the onset of disease is imperative in our developing country. Keywords: BMI, PEFR.

449-P: Impact of Body Mass Index (BMI) and Waist Circumference (WC) on Coronary Artery Disease (CAD) in Japanese with and without Diabetes Mellitus (DM)

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 449-P
Author(s):  
TAKESHI KOMATSU ◽  
KAZUYA FUJIHARA ◽  
MAYUKO H. YAMADA ◽  
TAKAAKI SATO ◽  
MASARU KITAZAWA ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Coronary Artery Disease ◽  
Body Mass Index ◽  
Coronary Artery ◽  
Waist Circumference ◽  
Body Mass ◽  
Artery Disease

Visual body processing’s associations to Body Mass Index and internalization of societal beauty ideals

2020 ◽  
Author(s):  
Valentina Cazzato ◽  
Elizabeth Walters ◽  
Cosimo Urgesi
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Visual Processing ◽  
The Body ◽  
Configural Processing ◽  
Cultural Ideals ◽  
Beauty Ideals ◽  
Female Bodies ◽  
Processing Mechanisms ◽  
Attention To Detail

We examined whether visual processing mechanisms of the body of conspecifics are different in women and men and whether these rely on westernised socio-cultural ideals and body image concerns. Twenty-four women and 24 men performed a visual discrimination task of upright or inverted images of female or male bodies and faces (Experiment 1) and objects (Experiment 2). In Experiment 1, both groups of women and men showed comparable abilities in the discrimination of upright and inverted bodies and faces. However, the genders of the human stimuli yielded different effects on participants’ performance, so that male bodies and female faces appeared to be processed less configurally than female bodies and male faces, respectively. Interestingly, altered configural processing for male bodies was significantly predicted by participants’ Body Mass Index (BMI) and their level of internalization of muscularity. Our findings suggest that configural visual processing of bodies and faces in women and men may be linked to a selective attention to detail needed for discriminating salient physical (perhaps sexual) cues of conspecifics. Importantly, BMI and muscularity internalization of beauty ideals may also play a crucial role in this mechanism.

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