scholarly journals Physical and Metabolic Changes after Ileal Pouch-Anal Anastomosis: A Case Study

2020 ◽  
Vol 5 (4) ◽  
pp. 77
Author(s):  
Jacob Erickson ◽  
Patrick Harty ◽  
Paul Molling ◽  
Richie Stecker ◽  
Chad Kerksick ◽  
...  

This case study examined changes in body composition, resting metabolic rate (RMR), aerobic capacity, and daily physical activity in a patient who had ulcerative colitis and underwent ileal pouch-anal anastomosis (IPAA) surgery. Body composition, RMR, and peak oxygen consumption (VO2peak) were assessed prior to surgery and four, eight, and 16 weeks after IPAA surgery. Daily physical activity data were extracted from a wrist-worn activity tracker preoperatively and 16 months postoperatively. At baseline, total body mass was 95.3 kg; body fat, 11.6%; lean body mass, 81.1 kg; RMR, 2416 kcal/d; and VO2peak, 42.7 mL/kg/min. All values decreased from baseline at four weeks postoperatively, body mass was 85.2 kg (−10.5%); body fat, 10.9% (−6.0%); lean body mass, 73.1 kg (−9.9%); RMR 2210 kcal/d (−8.5%) and VO2peak, 25.5 mL/kg/min (−40.3%). At 16 weeks postoperatively, most parameters were near their baseline levels (within 1–7%), exceptions were VO2peak, which was 20.4% below baseline, and RMR, which increased to nearly 20% above baseline. After the patient had IPAA surgery, his total and lean body masses, RMR, and aerobic capacity were markedly decreased. Daily physical activity decreased postoperatively and likely contributed to the decreased aerobic capacity, which may take longer to recover compared to body composition and RMR parameters.

Author(s):  
Jacob Erickson ◽  
Patrick Harty ◽  
Paul Molling ◽  
Richie Stecker ◽  
Chad Kerksick ◽  
...  

This case study examined changes in body composition, resting metabolic rate (RMR), aerobic capacity, and daily physical activity in a patient who had ulcerative colitis who underwent ileal pouch‒anal anastomosis (IPAA) surgery. Body composition, RMR, and VO2 peak were assessed prior to, 4, 8, and 16 weeks after IPAA surgery. Daily physical activity data was extracted from a wrist-worn activity tracker preoperatively and 16 months postoperatively. At baseline, total body mass was 95.3 kg; body fat, 11.6 %; lean body mass, 81.1 kg; RMR, 2,416 kcal/d; and V̇O2peak, 42.7 mL/kg/min. All values decreased from baseline at 4 weeks postoperatively, body mass was 85.2 kg (-10.5%); body fat, 10.9% (-6.0%); lean body mass, 73.1 kg (-9.9%); RMR 2,210 kcal/d (-8.5%) and V̇O2peak, 25.5 mL/kg/min (-40.3%). At 16 weeks postoperatively, most parameters were near their baseline levels (within 1%-7%); exceptions were V̇O2peak, which was 20.4% below baseline, and RMR, which increased to nearly 20% above baseline. After the patient had an IPAA surgery, his total and lean body masses, RMR, and aerobic capacity were markedly decreased. Daily physical activity decreased postoperatively and likely contributed to the decreased aerobic capacity, which may take longer to recover compared to body composition and RMR parameters.


2020 ◽  
Vol 13 (4) ◽  
pp. 1-7
Author(s):  
Agata Mroczek ◽  
Magdalena Chawałek

Background: Physical activity is an excellent form of prevention of modern diseases. The most popular form of physical activity chosen by women is group fitness activities. Women are most likely to focus on exercises for the lower parts of the body (thighs, buttocks, abdomen). In recent years, dance classes (e.g. Zumba) or exercises on mini trampolines have become very popular. Regular fitness training contributes to positive changes in the proportions and body composition. Aim of the study: The aim of the study was to assess the proportions and body composition of a woman via a 3-month group fitness training program. Case report: The study involved a woman aged 26, participating in fitness classes three times a week for a period of three months. The woman participated in the following training cycle: twice a week (Monday and Wednesday) in the Jumping Frog interval training on a trampoline; twice a week (Monday and Friday) in ZUMBA® classes; and once a week (Wednesday) in ABT classes (abdomen, buttocks, thighs). Her height and weight, waist and hips circumference, and the thickness of three skinfolds (subscapular, triceps, abdominal) were measured. Body mass index (BMI) and waist to hip ratio (WHR) were calculated and body composition analysis (% of body fat, lean body mass) was performed. Two measurements were made: the first at the beginning of the training cycle, the second on completion. After three months of training, there were a decrease in body weight (2.2 kg), BMI (0.77 kg/m2), waist circumference (4 cm), hip circumference (2 cm), WHR (0.03), subscapular, abdominal and triceps skinfold (1 mm, 3 mm, 3 mm), body fat (2.6%) and perimeters, and an increase in lean body mass (1 kg). Conclusions: This study shows a positive effect of fitness training on body proportions and body composition.


2021 ◽  
pp. 1-27
Author(s):  
Masoome Piri Damaghi ◽  
Atieh Mirzababaei ◽  
Sajjad Moradi ◽  
Elnaz Daneshzad ◽  
Atefeh Tavakoli ◽  
...  

Abstract Background: Essential amino acids (EAAs) promote the process of regulating muscle synthesis. Thus, whey protein that contains higher amounts of EAA can have a considerable effect on modifying muscle synthesis. However, there is insufficient evidence regarding the effect of soy and whey protein supplementation on body composition. Thus, we sought to perform a meta-analysis of published Randomized Clinical Trials that examined the effect of whey protein supplementation and soy protein supplementation on body composition (lean body mass, fat mass, body mass and body fat percentage) in adults. Methods: We searched PubMed, Scopus, and Google Scholar, up to August 2020, for all relevant published articles assessing soy protein supplementation and whey protein supplementation on body composition parameters. We included all Randomized Clinical Trials that investigated the effect of whey protein supplementation and soy protein supplementation on body composition in adults. Pooled means and standard deviations (SD) were calculated using random-effects models. Subgroup analysis was applied to discern possible sources of heterogeneity. Results: After excluding non-relevant articles, 10 studies, with 596 participants, remained in this study. We found a significant increase in lean body mass after whey protein supplementation weighted mean difference (WMD: 0.91; 95% CI: 0.15, 1.67. P= 0.019). Subgroup analysis, for whey protein, indicated that there was a significant increase in lean body mass in individuals concomitant to exercise (WMD: 1.24; 95% CI: 0.47, 2.00; P= 0.001). There was a significant increase in lean body mass in individuals who received 12 or less weeks of whey protein (WMD: 1.91; 95% CI: 1.18, 2.63; P<0.0001). We observed no significant change between whey protein supplementation and body mass, fat mass, and body fat percentage. We found no significant change between soy protein supplementation and lean body mass, body mass, fat mass, and body fat percentage. Subgroup analysis for soy protein indicated there was a significant increase in lean body mass in individuals who supplemented for 12 or less weeks with soy protein (WMD: 1.48; 95% CI: 1.07, 1.89; P< 0.0001). Conclusion: Whey protein supplementation significantly improved body composition via increases in lean body mass, without influencing fat mass, body mass, and body fat percentage.


Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Patricia E Longmuir ◽  
Mary Corey ◽  
Guy Faulkner ◽  
Jennifer L Russell ◽  
Brian W McCrindle

Introduction: This cross-sectional study evaluated the healthy, active lifestyle capacity (daily physical activity, strength, flexibility, body composition) of children after Fontan, which was hypothesized to be lower than healthy peers. Methods: Participants (n=64, 25 female) were 9 ± 2 years of age. Fontan completion occurred at 3 ± 1 years of age. Canadian Health Measures Survey protocols assessed aerobic endurance (walking up/down steps at set pace), strength (handgrip dynamometry), flexibility (sit and reach), body composition (body mass index) and daily moderate-to-vigorous physical activity (7-day accelerometry). Participant versus published norm differences were evaluated with t-tests. Linear regression evaluated associations with age/gender/demographic factors. Results: Children after Fontan had strength scores similar (mean difference 1 kg) to their peers, were less likely to be obese (mean difference of body mass index = 1.1 ± 2.5, p=.001) and performed 50 minutes of moderate-to-vigorous activity per day. Estimated maximal aerobic endurance (mean difference = 21 ± 3 ml/kg/min or 61% of expected) and flexibility (mean difference = 9 ± 8 cm or 64% of expected) were lower than peers(p<.001). Participants performed fewer minutes of daily activity (mean difference from normal 12 ± 17 minutes/day, p<.001), but almost all (60/63) demonstrated the capacity for at least 20 minutes per day. Daily activity was higher with Fontan completion at a younger age (4 ± 2 mins/year) and for those taking antithrombotic medication (7 ± 18 and 22 ± 17 fewer minutes/day for those taking/not taking antithrombotics, respectively). Conclusions: Children after Fontan demonstrate the capacity to successfully perform the daily physical activity associated with optimal health. They have similar levels of strength and good body composition. We recommend that children after Fontan be counselled to expect that they can successfully participate in physically active peer play.


1991 ◽  
Vol 70 (3) ◽  
pp. 994-997 ◽  
Author(s):  
G. B. Forbes

We assessed changes in body composition in 41 young adults who engaged in various exercise and/or training programs on ad libitum diets. Most of those who gained weight sustained an increase in lean body mass (LBM), and most of those who lost weight lost LBM as well as fat. The change in LBM was directly related to the change in weight, with a regression slope of 0.500. An analysis of published data confirms these findings and, in concert with our data, provides the additional information that the magnitude of the change in body composition in exercising individuals is influenced by body fat content, just as it is for nonexercising individuals.


Medicina ◽  
2020 ◽  
Vol 56 (9) ◽  
pp. 464
Author(s):  
Armando Raimundo ◽  
Zelinda Charrua ◽  
Nuno Batalha ◽  
Catarina Pereira ◽  
Jose Parraca ◽  
...  

Background and objectives: Peritoneal dialysis (PD) patients are expected to present lower levels of physical activity, unhealthy changes at the body composition level, and low levels of strength. Firstly, this study aimed to report the sex differences in physical activity, body composition and muscle strength and the relations among these variables. Secondly, we analyze the relationship between physical activity and biochemical parameters. Materials and Methods: Thirty-four patients (13 women and 21 men) participated in this study. Body composition was assessed by bioimpedance and dual-energy X-ray absorptiometry (DXA), and maximum isokinetic unilateral strength, analytical parameters and physical activity levels were evaluated. Results: The men showed higher values for weight, height, lean body mass, bone mineral content, bone mineral density (BMD) and total body water, while women showed higher values for the percentage of fat mass and hydration of lean body mass (p < 0.05). No differences between the sexes were found in different levels of physical activity; however, males registered significantly higher values for isokinetic strength variables except for knee extensor strength. BMD was positively related to sedentary activity and negatively related to moderate and vigorous activity (r = 0.383 and r = −0.404, respectively). Light physical activity was negatively correlated with albumin (r = −0.393) and total protein (r = −0.410) levels, while moderate/vigorous activity was positively correlated with urea distribution volume (r = 0.446) and creatinine clearance (r = 0.359) and negatively correlated with the triglyceride level (r = −0.455). Conclusions: PD patients with higher levels of physical activity present better results in terms of body composition and biochemical parameters. Additional studies should be conducted to clarify the relation between physical activity level and BMD.


2011 ◽  
Vol 106 (S1) ◽  
pp. S57-S59 ◽  
Author(s):  
Kathryn E. Michel ◽  
Wendy Anderson ◽  
Carolyn Cupp ◽  
Dorothy P. Laflamme

Body condition scoring (BCS) systems primarily assess body fat. Both overweight and underweight animals may have loss of lean tissue that may not be noted using standard BCS systems. Catabolism of lean tissue can occur rapidly, may account for a disproportionate amount of body mass loss in sick cats and can have deleterious consequences for outcome. Therefore, along with evaluation of body fat, patients should undergo evaluation of muscle mass. The aims of the present study were first to evaluate the repeatability and reproducibility of a 4-point feline muscle mass scoring (MMS) system and second to assess the convergent validity of MMS by dual-energy X-ray absorptiometry (DXA). MMS was as follows: 3, normal muscle mass; 2, slight wasting; 1, moderate wasting; 0, severe wasting. For the first aim, forty-four cats were selected for evaluation based on age and BCS, and for the second aim, thirty-three cats were selected based on age, BCS and MMS. Cats were scored by ten different evaluators on three separate occasions. Body composition was determined by DXA. Inter- and intra-rater agreement were assessed using kappa analysis. Correlation between MMS and BCS, age, percentage lean body mass and lean body mass (LBM) was determined using Spearman's rank-order correlation. The MMS showed moderate inter-rater agreement in cats that scored normal or severely wasted (κ = 0·48–0·53). Intra-rater agreement was substantial (κ = 0·71–0·73). The MMS was significantly correlated with BCS (r 0·76, P < 0·0001), age (r − 0·75, P < 0·0001), LBM (g) (r 0·62, P < 0·0001) and percentage LBM (r − 0·49, P < 0·0035). Additional investigation is needed to determine whether the MMS can be refined and to assess its clinical applicability.


2020 ◽  
Vol 5 (5) ◽  
pp. 313-318
Author(s):  
N. Vdovenko ◽  
◽  
E. Maydaniuk ◽  
M. Imas ◽  
S. Sharafytdinova ◽  
...  

The compositional content of the body of athletes is one of the factors that can affect the effectiveness of sports activity, being an important component of the training process of football players. In turn, the composition of the body depends on the orientation, intensity and volume of training loads. Physical activity and exercise are known to lead to a decrease in body fat and an increase in lean body mass. The purpose of the study was to determine the significance of body composition for functional readiness of football players. Material and methods. The research involved 81 football players (Ukrainian Premier League), aged 20-30 years. During the research, the following methods were used: chronometry, ergometry, spirometry, gas analysis, heart rate monitoring, anthropometry and impedance measurement, biochemical research methods, and mathematical statistics methods. Results and discussion. As a result of the study, we established the influence of the body composition, in particular the percentage of body fat, on the level of functional readiness of football players. The probable correlations between the values of the level of functional readiness and indicators of the composition of the body were revealed. We found probable correlation between lean body mass and absolute power (r = 0.90; p ≤ 0.05), lean mass and VO2max (r = 0.44; p ≤ 0.05). A probable correlation between the percentage of fat and specific power (r = - 0.45; p ≤ 0.05), the percentage of fat and speed (r = - 0.50; p ≤ .05) was also revealed. An increase in body fat mass can negatively affect the specific power, speed and aerobic capabilities of athletes; it manifests itself in a decrease in the VO2max, speed and power of football players with an increase in body weight due to the fat component. Conclusion. The highest values of maximum power and VO2max were achieved by football players with adipose tissue content in the range from 9.0 to 16.0%. An increase in the level of functional readiness of football players is possible by optimizing the compositional composition of the body of athletes, namely, the percentage of body fat


2015 ◽  
Vol 22 (2) ◽  
pp. 64-68 ◽  
Author(s):  
Krzysztof Lipecki ◽  
Bartosz Rutowicz

Abstract Introduction. The aim of the study was to assess the impact of 10 weeks of bodyweight training on selected elements of body composition (body mass, muscle mass, and the percentage of body fat and water) and components of physical fitness (strength, strength endurance, flexibility, and aerobic capacity) of women aged 21-23 years who do not practise sports professionally. Material and methods. The study involved 15 women whose mean age was 22 years 2 months. Their body mass and composition were assessed using a TANITA BC-1000 scale, and the following parameters of physical fitness were measured: the strength and power of the upper and lower extremities; the strength endurance of the shoulders, shoulder girdle, and trunk; as well as their flexibility and physical capacity. The assessment was performed twice, that is before and after the completion of the 10-week programme. Results. The study revealed that the 10-week bodyweight training programme had caused a minor increase in body mass (1.16%) and body fat percentage (2.43%), while muscle mass and body water percentage had not changed. As far as physical fitness is concerned, the bodyweight exercises had had a positive impact on all of the elements of physical fitness which were measured, including statistically significant increases in the explosive strength of the lower extremities (5.6%; p<0.01), strength endurance of the trunk (10.7%; p<0.01), and aerobic capacity (33.3%; p<0.05). Conclusions. Without a properly balanced diet and nutrition control, the bodyweight training programme had a small impact on the parameters of body composition. It was, however, an effective way of enhancing general physical fitness: apart from improving muscle strength and endurance, it also increased physical capacity and flexibility.


Sign in / Sign up

Export Citation Format

Share Document