Personalized Diet in Obesity: A Quasi-Experimental Study on Fat Mass and Fat-Free Mass Changes

Considering that the prevalence of overweight and obesity in Southeast of Spain is high, the aim of this work was to analyze the relation between the adherence to a personalized diet and the effectiveness of changes in the body composition in overweight and obese adults in this region. This quasi-experimental study presents the following selection criteria: attendance at the consultation between 2006 and 2012, subjects ≥ 19 years of age with overweight or obesity. In total, 591 overweight or obese individuals were involved in this study, attending 4091 clinic consultations in total. Most of the sample consisted of subjects who attended >3 consultations (>1.5 months), and were females aged 19–64 years who obtained clinically significant changes in fat mass (FM, ≥5%) and recommended changes in fat-free mass (FFM, ≥0%). Based on the results obtained and the experience gained from this research, the following recommendations are established: (i) record fat mass and fat-free mass index as a complement to body mass index; (ii) use FM and FFM to evaluate effectiveness of interventions with the aim of obtaining body composition changes; (iii) use personalized diet to achieve significant changes in FM and avoid non-recommended changes in FFM.

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Seasonal and Longitudinal Changes in Body Composition by Sport-Position in NCAA Division I Basketball Athletes

Sports ◽

10.3390/sports6030085 ◽

2018 ◽

Vol 6 (3) ◽

pp. 85 ◽

Cited By ~ 5

Author(s):

Jennifer Fields ◽

Justin Merrigan ◽

Jason White ◽

Margaret Jones

Keyword(s):

Body Composition ◽

Body Mass ◽

Body Fat ◽

Fat Mass ◽

Ncaa Division I ◽

The Body ◽

Fat Free Mass ◽

Strength And Conditioning ◽

Air Displacement Plethysmography ◽

Within Subjects

The purpose of this study was to assess the body composition of male and female basketball athletes (n = 323) across season, year, and sport-position using air displacement plethysmography. An independent sample t-test assessed sport-position differences. An analysis of variance was used to assess within-subjects across season (pre-season, in-season, and off-season), and academic year (freshman, sophomore, and junior). For both men and women basketball (MBB, WBB) athletes, guards had the lowest body fat, fat mass, fat free mass, and body mass. No seasonal differences were observed in MBB, but following in-season play for WBB, a reduction of (p = 0.03) in fat free mass (FFM) was observed. Across years, MBB showed an increase in FFM from freshman to sophomore year, yet remained unchanged through junior year. For WBB across years, no differences occurred for body mass (BM), body fat (BF%), and fat mass (FM), yet FFM increased from sophomore to junior year (p = 0.009). Sport-position differences exist in MBB and WBB: Guards were found to be smaller and leaner than forwards. Due to the importance of body composition (BC) on athletic performance, along with seasonal and longitudinal shifts in BC, strength and conditioning practitioners should periodically assess athletes BC to ensure preservation of FFM. Training and nutrition programming can then be adjusted in response to changes in BC.

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Obesity, smoking status and their relationships in selected population groups

Roczniki Państwowego Zakładu Higieny ◽

10.32394/rpzh.2021.0173 ◽

2021 ◽

pp. 291-299

Keyword(s):

Body Composition ◽

Lipid Profile ◽

Fat Mass ◽

Severe Obesity ◽

Overweight And Obesity ◽

Fat Free Mass ◽

Chronic Obstructive ◽

Average Value ◽

Copd Patients ◽

The Mean

Background. Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. Obesity is associated with many chronic diseases, including cardiovascular disease and diabetes, and recently the role of overweight and obesity in lung disease has received new interest. Chronic obstructive lung disease is the third-leading cause of death globally, and both obesity and diet appear to play roles in its pathophysiology. Cross-sectional studies have demonstrated an inverse association between obesity and the prevalence of chronic obstructive pulmonary disease (COPD). Objective. This study aims to evaluate the relationship between smoking, lipid profile and obesity (body composition changes) in a selected groups of population (30 non-smokers, 30 smokers and 60 COPD patients). Material and Methods. We evaluated fat mass, fat free mass, body mass index and lipid profile in a group of 120 randomly selected probands (60 COPD patients; 30 smokers without COPD; 30 non-smokers without COPD) to identify possible negative relationships of smoking to body composition. To the measurement of fat mass (FM) and fat free mass (FFM) was used a device Bodystat Quadscan 4000 (Bodystat Ltd, British Isles). The device works by using four-frequency bioelectrical impedance analysis. Laboratory parameters as total cholesterol (T-C), high-density cholesterol (HDL-C), low-density cholesterol (LDL-C) and triacylglycerols (TG) were investigated by automated clinical chemistry analyzer LISA 200th. The measured values were statistically processed and evaluated in a statistical program STATISTICA Cz. Version 7.1. (Kruskall-Wallis test). Results. A comparison of the mean fat mass we found statistically highly significant differences between the group of COPD patients and non-smokers (P <0.001) and insignificant differences (P ≥ 0.05) between the other groups of our experiment. A comparison of the mean fat mass values of all three groups of the experiment shows a steady increase in fat from non-smokers (17.66 ± 10.04 kg) to COPD patients with the highest mean value (25.08 ± 10.14 kg). In the group of COPD patients we recorded the lowest average value of FFM (51.76 ± 13.84 kg), in group of smokers the middle (56.06 ± 10.76 kg) and in non-smokers the highest average value of FFM (59.91 ± 9.90 kg) at relatively the same body weight in the groups. Based on calculated body mass index (BMI), we found in group of COPD patients overweight in 15 cases (25%), obesity in 7 patients (11.67%), severe obesity in 14 patients (23.3%) and morbid obesity in 2 patients (3.33%); in the group of smokers overweight in 16 cases (53.33%), obesity in 5 cases (16.6%) and severe obesity in 1 case (3.33%); in non-smokers we recording overweight in 14 cases (46.67%), obesity in 5 cases (16.67%) and severe obesity in 2 cases (6.67%). In the lipid profile of the monitored groups of probands, we observed statistically significant differences only for LDL cholesterol (LDL-C). There was a statistically significant difference (P <0.001) between the group with COPD and smokers, as well as between the group of smokers and non-smokers (P < 0.05). Conclusions. In the vast majority of patients with COPD, the lung damage that leads to COPD is caused by long-term cigarette smoking. The presence and absence of risk factors such as smoking, inappropriate lipid profile and obesity (amount of fat mass) in selected population groups were observed. Additional studies to explore both the quantitative and qualitative changes in body composition with disease process of COPD are required.

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Overweight and obesity in a Swiss city: 10-year trends

Public Health Nutrition ◽

10.1017/s136898000765798x ◽

2007 ◽

Vol 10 (9) ◽

pp. 914-919 ◽

Cited By ~ 5

Author(s):

Ursula G Kyle ◽

Michel P Kossovsky ◽

Laurence Genton ◽

Claude Pichard

Keyword(s):

Fat Mass ◽

Leisure Time ◽

Developed Countries ◽

Overweight And Obesity ◽

The Body ◽

Fat Free Mass ◽

Multiple Regression Equation ◽

Chi Square ◽

Time Activity ◽

Leisure Time Activity

AbstractBackgroundIncreased rates of overweight/obesity have been reported in recent years in developed countries. This population study of healthy subjects evaluated the changes in overweight/obesity prevalence in 2003, compared with 1993, and determined the association of age, sex and leisure-time activity with body mass index (BMI), fat-free mass index (FFMI) and fat mass index (FMI).DesignTwo transversal samples of convenience.ParticipantsHealthy volunteers (1993, n = 802; 2003, n = 1631).MethodsFat-free mass was determined using the bioelectrical impedance multiple regression equation. Multivariable linear regression, including confounding variables (age, sex, leisure-time activity), was used to model the body composition evolution between the 1993 and the 2003 subjects.ResultsBMI and FMI were higher in 2003 than in 1993, P < 0.001. FFMI was not higher in 2003 than in 1993, P = 0.38. More subjects were overweight/obese in 2003 than in 1993 (27.5 versus 17.2%, chi-square P < 0.001), and had a high FFMI (30.2 versus 21.8%, chi-square P < 0.001) and high FMI (28.0 versus 20.3%, chi-square P < 0.001). Multivariate linear regressions showed that leisure-time activity was negatively, and sex, age and inclusion year were positively associated with BMI, FFMI and FMI (the exception was a negative association with sex) (P < 0.001).ConclusionOverweight prevalence increased between 1993 and 2003 in a Swiss city, and was associated with a higher fat mass. This observation remained statistically significant after adjustment for age, sex and leisure-time activity.

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Composição Corporal de Adultos Com Síndrome de Down e Excesso de Peso Atendidos em Hospital Universitário

Ensaios e Ciência C Biológicas Agrárias e da Saúde ◽

10.17921/1415-6938.2018v22n1p47-52 ◽

2018 ◽

Vol 22 (1) ◽

pp. 47

Author(s):

Leiliane Cruz Reis ◽

Livia Maria Machado Nunes ◽

Maria Edilma Da Silva Bezerra ◽

Rosilene Reis Della Noce

Keyword(s):

Body Composition ◽

Down Syndrome ◽

Overweight And Obesity ◽

The Body ◽

Fat Free Mass ◽

University Hospital ◽

Normal Range ◽

Cross Sectional ◽

The Mean ◽

The City

Pessoas com Síndrome de Down podem, frequentemente, apresentar doença cardíaca congênita, hipotireoidismo, distúrbios gastrointestinais e tendência ao sobrepeso e obesidade, comprometendo gravemente a saúde. O objetivo deste trabalho foi descrever a composição corporal de adultos com Síndrome de Down - SD e excesso de peso, atendidos em um Hospital Universitário. Trata-se de um estudo transversal e descritivo realizado na cidade de Belém do Pará, no ano de 2017, onde os participantes com SD, foram avaliados para determinação da composição corporal com a utilização do aparelho de bioimpedância elétrica InBody230. Foram avaliados 13 indivíduos de ambos os sexos com idades variando entre 20 e 40 anos. A média de peso dos indivíduos do sexo masculino e feminino foi de 71,8 kg e 69,2 kg respectivamente, a média de Índice de Massa Corporal - IMC foi de 31,27 kg/m² para os homens e 34,08 kg/m² para as mulheres, classificada em obesidade. A maioria dos indivíduos apresenta Massa Muscular Esquelética - MME e Massa Livre de Gordura - MLG dentro da faixa de normalidade, porém os valores de Massa de Gordura (MG), assim como a Relação Cintura Quadril - RCQ de todos os indivíduos estão elevados. O acompanhamento individualizado da composição corporal, por meio da bioimpedância elétrica, mostrou ser um instrumento eficaz para avaliação do estado nutricional dessa população.Palavras-chave: Síndrome de Down. Composição Corporal. Bioimpedância Elétrica.AbstractPeople with Down Syndrome can often have congenital heart disease, hypothyroidism, gastrointestinal disorders, and tendency to overweight and obesity severely compromising health. The objective of this study was to describe the body composition in adults with Down Syndrome and overweight treated in a University Hospital. This is a cross-sectional and descriptive study carried out in the city of Belém do Pará in 2017, where the participants with DS, were evaluated to determine the body composition with the use of InBody 230 electric bioimpedance device. Eight individuals of both sexes with ages varying between 20 and 40 years were evaluated. The mean weight of the male and female subjects was 71.8 kg and 69.2 kg respectively, the mean Body Mass Index (BMI) was 31.27 kg / m² for men and 34.08 kg / m² for women, classified as obesity. The majority of individuals had a Skeletal Muscle Mass (MME) and Fat Free Mass (MLG) within the normal range, but the values of Mass of Fat (MG), as well as the Hip Waist Ratio (WHR) of all individuals are high. The individualized monitoring of body composition through electric bioimpedance proved to be an effective tool for assessing the nutritional status of this population.Keywords: Down Syndrome. Body composition. Electric impedance.

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Safety and Feasibility of Fasting-Mimicking Diet and Effects on Nutritional Status and Circulating Metabolic and Inflammatory Factors in Cancer Patients Undergoing Active Treatment

Cancers ◽

10.3390/cancers13164013 ◽

2021 ◽

Vol 13 (16) ◽

pp. 4013

Author(s):

Francesca Valdemarin ◽

Irene Caffa ◽

Angelica Persia ◽

Anna Laura Cremonini ◽

Lorenzo Ferrando ◽

...

Keyword(s):

Body Composition ◽

Growth Factors ◽

Nutritional Status ◽

Cancer Patients ◽

Fat Mass ◽

Negative Impact ◽

The Body ◽

Fat Free Mass ◽

Nutritional Risk ◽

Inflammatory Factors

In preclinical studies, fasting was found to potentiate the effects of several anticancer treatments, and early clinical studies indicated that patients may benefit from regimes of modified fasting. However, concerns remain over possible negative impact on the patients’ nutritional status. We assessed the feasibility and safety of a 5-day “Fasting-Mimicking Diet” (FMD) as well as its effects on body composition and circulating growth factors, adipokines and cyto/chemokines in cancer patients. In this single-arm, phase I/II clinical trial, patients with solid or hematologic malignancy, low nutritional risk and undergoing active medical treatment received periodic FMD cycles. The body weight, handgrip strength and body composition were monitored throughout the study. Growth factors, adipokines and cyto/chemokines were assessed by ELISA. Ninety patients were enrolled, and FMD was administered every three weeks/once a month with an average of 6.3 FMD cycles/patient. FMD was largely safe with only mild side effects. The patients’ weight and handgrip remained stable, the phase angle and fat-free mass increased, while the fat mass decreased. FMD reduced the serum c-peptide, IGF1, IGFBP3 and leptin levels, while increasing IGFBP1, and these modifications persisted for weeks beyond the FMD period. Thus, periodic FMD cycles are feasible and can be safely combined with standard antineoplastic treatments in cancer patients at low nutritional risk. The FMD resulted in reduced fat mass, insulin production and circulating IGF1 and leptin. This trial was registered on Clinicaltrials.gov in July 2018 with the identifier NCT03595540.

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Body composition among long distance runners

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.66.2.180 ◽

2020 ◽

Vol 66 (2) ◽

pp. 180-186

Author(s):

Joana Rosado ◽

João P. Duarte ◽

Paulo Sousa-e-Silva ◽

Daniela C. Costa ◽

Diogo V. Martinho ◽

...

Keyword(s):

Body Composition ◽

Fat Mass ◽

Adult Male ◽

Bioelectrical Impedance ◽

The Body ◽

Fat Free Mass ◽

Body Density ◽

Distance Runners ◽

Long Distance ◽

Air Displacement Plethysmography

SUMMARY OBJECTIVE The current study aimed to examine the body composition of adult male ultra-trail runners (UTR) according to their level of participation (regional UTR-R, vs. national UTR-N). METHODS The sample was composed of 44 adult male UTR (aged 36.5±7.2 years; UTR-R: n=25; UTR-N: n=19). Body composition was assessed by air displacement plethysmography, bioelectrical impedance, and dual-energy X-ray absorptiometry. In addition, the Food Frequency Questionnaire (FFQ) was applied. A comparison between the groups was performed using independent samples t-test. RESULTS Significant differences between groups contrasting in the competitive level were found for chronological age (in years; UTR-R: 38.8±8.2 vs. UTR-N: 33.5±4.1); body density (in L.kg-1; UTR-R: 1.062±0.015 vs. UTR-N: 1.074±0.009); and fat mass (in kg; UTR-R: 12.7±6.8 vs. UTR-N: 7.6±2.7). CONCLUSION UTR-N were younger, presented higher values for body density, and had less fat mass, although no significant differences were found for fat-free mass. The current study evidenced the profile of long-distance runners and the need for weight management programs to regulate body composition.

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Body Composition Changes After Very-Low-Calorie Ketogenic Diet in Obesity Evaluated by 3 Standardized Methods

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2016-2385 ◽

2016 ◽

Vol 102 (2) ◽

pp. 488-498 ◽

Cited By ~ 50

Author(s):

Diego Gomez-Arbelaez ◽

Diego Bellido ◽

Ana I. Castro ◽

Lucia Ordoñez-Mayan ◽

Jose Carreira ◽

...

Keyword(s):

Weight Loss ◽

Body Composition ◽

Fat Mass ◽

Bioelectrical Impedance ◽

Fat Free Mass ◽

Obese Patients ◽

Body Composition Assessment ◽

Visceral Mass ◽

Low Calorie ◽

Composition Changes

Abstract Context: Common concerns when using low-calorie diets as a treatment for obesity are the reduction in fat-free mass, mostly muscular mass, that occurs together with the fat mass (FM) loss, and determining the best methodologies to evaluate body composition changes. Objective: This study aimed to evaluate the very-low-calorie ketogenic (VLCK) diet-induced changes in body composition of obese patients and to compare 3 different methodologies used to evaluate those changes. Design: Twenty obese patients followed a VLCK diet for 4 months. Body composition assessment was performed by dual-energy X-ray absorptiometry (DXA), multifrequency bioelectrical impedance (MF-BIA), and air displacement plethysmography (ADP) techniques. Muscular strength was also assessed. Measurements were performed at 4 points matched with the ketotic phases (basal, maximum ketosis, ketosis declining, and out of ketosis). Results: After 4 months the VLCK diet induced a −20.2 ± 4.5 kg weight loss, at expenses of reductions in fat mass (FM) of −16.5 ± 5.1 kg (DXA), −18.2 ± 5.8 kg (MF-BIA), and −17.7 ± 9.9 kg (ADP). A substantial decrease was also observed in the visceral FM. The mild but marked reduction in fat-free mass occurred at maximum ketosis, primarily as a result of changes in total body water, and was recovered thereafter. No changes in muscle strength were observed. A strong correlation was evidenced between the 3 methods of assessing body composition. Conclusion: The VLCK diet-induced weight loss was mainly at the expense of FM and visceral mass; muscle mass and strength were preserved. Of the 3 body composition techniques used, the MF-BIA method seems more convenient in the clinical setting.

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Dietary habits in the context of body composition of young adult females

Anthropological Review ◽

10.2478/anre-2019-0025 ◽

2019 ◽

Vol 82 (4) ◽

pp. 339-347

Author(s):

Tereza Sofková ◽

Michaela Hřivnová ◽

Marie Chrásková

Keyword(s):

Body Composition ◽

Body Mass ◽

Body Fat ◽

Visceral Fat ◽

Dietary Habits ◽

Overweight And Obesity ◽

The Body ◽

Fat Free Mass ◽

Fat Percentage ◽

Daily Frequency

Abstract Appropriate dietary habits and healthy nutrition play a part in weight control. Set positive principles make precondition for satisfactory state of the body and its composition. Body mass index (BMI) is most commonly used to assess optimal body mass in relation to health risks. However, BMI does not enable the representation of individual body components and may lead to misdiagnosis in one person. The aim of our study was to evaluate dietary habits and selected body composition parameters based on BMI. Moreover, we evaluated these parameters in relation to the daily frequency of meals. The research group consisted of 318 female students of pedagogical disciplines of Palacký University in Olomouc, aged between 18 and 30 years. (22.3±2.5 years). The survey was conducted in March 2018 and 2019. Data on dietary habits were acquired through a questionnaire survey that focused on the daily frequency of meals. Multi-frequency bioimpedance analysis using InBody 720 analyser was used to determine body composition parameters. In the normal weight BMI (BMI_N) category, the selected parameters (BFP: body fat percentage, VFA: visceral fat, FFM: fat-free mass) based on general recommendations for body composition are met. In the overweight and obesity (BMI_O) category, the mean BFP values fall, as expected, into the obesity category (≥35%). We may conclude that statistically significantly lower relative risk of damage to health assessed by the body fat and visceral fat (BFM, BFP, VFA, BFMI) was found to be significantly lower in women who consume 5 meals per day compared to women who consume 4 or less daily portions of food. The differences between the BMI categories for individual meals during the day were statistically insignificant for the group we investigated. We evaluate the dietary habits positively based on the low frequency of skipping meals.

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Effect of combined aerobic and resistance training in body composition of obese postmenopausal women

Motriz Revista de Educação Física ◽

10.1590/s1980-65742015000100008 ◽

2015 ◽

Vol 21 (1) ◽

pp. 61-67 ◽

Cited By ~ 2

Author(s):

Fabrício E. Rossi ◽

Camila Buonani ◽

Juliana Viezel ◽

Eduardo P. da Silva ◽

Tiego A. Diniz ◽

...

Keyword(s):

Body Composition ◽

Resistance Training ◽

Postmenopausal Women ◽

Fat Mass ◽

Training Group ◽

The Body ◽

Fat Free Mass ◽

Control Group ◽

P Value ◽

Training Protocol

The aim of this study was to investigate the effects of a 16-week program of combined aerobic and resistance training on the body composition of postmenopausal women who are obese. The participants were divided into two groups: training group (TG, n = 37) and non-trained control group (CG, n = 18). The trunk fat, fat mass, percentage of fat mass and fat-free mass were estimated using DXA. Three nonconsecutive 24-hour dietary recalls were conducted. The training protocol consisted of 50 minutes of resistance training followed by 30 minutes of aerobic training. After the 16-week training program, differences were observed in trunk fat (CG= 0.064 x TG= -0.571 Kg; p-value = .020), fat mass (CG= -0.088 x TG= -1.037 Kg; p-value = .020) and fat-free mass (CG= -0.388 x TG= 1.049 Kg; p = .001). Therefore, a 16-week program of systematic combined aerobic and resistance training in obese postmenopausal women was effective in improving fat-free mass and decreasing both whole and abdominal adiposity.

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Body composition in professional female netball players within and between seasons: a cohort study

BMC Sports Science Medicine and Rehabilitation ◽

10.1186/s13102-021-00287-z ◽

2021 ◽

Vol 13 (1) ◽

Author(s):

Luke Hogarth ◽

Ava Farley ◽

Max McKenzie ◽

Brendan Burkett ◽

Mark McKean

Keyword(s):

Body Composition ◽

Body Mass ◽

Fat Mass ◽

Lean Mass ◽

The Body ◽

Limited Information ◽

Mineral Density ◽

Preparation Period ◽

Total Body ◽

Composition Changes

Abstract Background There is limited information on the physique attributes of female netball players from the highest playing standards and the typical body composition changes that occur with training and competition in these athletes. The purpose of this study was to examine the body composition of professional female netball players and changes that occur within and between national premier netball seasons. Methods Dual-energy X-ray absorptiometry (DXA) assessments were conducted in 20 female netball players (age = 26.5 [4.7] years, body mass = 77.3 [9.7] kg, stature = 182.7 [9.5] cm) contracted to a Suncorp Super Netball team. Total body lean mass, fat mass, bone mass and bone mineral density were derived for 127 assessments collected over three seasons. Linear mixed effects modelling was used to examine changes in body composition measures within and between seasons. Results Goal circle players were heavier (12.3 [3.5] kg, p < 0.001, g = 1.51) and taller (15.0 [2.7] cm, p < 0.001, g = 2.30) than midcourt players, and midcourt players had greater lean mass (3.1 [1.6] %, p = 0.07, g = 0.85) and less fat mass (-3.3 [1.7] %, p = 0.06, g = -0.84) than goal circle players when values were normalised to body mass. Players achieved increases in lean mass (2,191 [263] g, p < 0.01, g = 0.45) and decreases in fat mass (-835 [351] g, p = 0.09, g = -0.16) following a preseason preparation period. There were no changes in lean mass (-394 [295] g, p = 0.54, g = 0.07) or fat mass (102 [389] g, p = 0.99, g = 0.04) from the start to the end of the 14-week competition period. Conclusions Professional female netball players achieve small changes in lean mass and fat mass during preseason preparation and maintain their physique over the competitive season. The results of this study can inform practitioners on the training content necessary to promote or maintain desired body composition changes in these athletes.

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