scholarly journals Body composition in children with cerebral palsy and its relationship with dynamic muscle strength, balance and energy cost of ambulation

2021 ◽  
Vol 12 (2) ◽  
pp. 176-181
Author(s):  
U.M. Badaru ◽  
L.S. Dabo ◽  
J.H. Nuhu ◽  
R.Y. Ahmad ◽  
M.A. Abba ◽  
...  

Cerebral palsy (CP) causes walking disability in children which could lead to profound changes in body composition. This study assessed relationship between body composition and each of dynamic muscle strength, mobility and energy cost of ambulation (ECA) among children with CP. The cross sectional survey, recruited participants from a secondary and a tertiary hospitals in Kano. Body composition was assessed with BMI for age charts and skin fold calipher. Dynamic muscle strength, balance and ECA were assessed with step-up test, time-up-and-go test and physiological cost index respectively. Data was analysed with Pearson Product Moment Correlation and unpaired t test at alpha level of P<0.05 using SPSS version 20 and Microsof excel. Twenty four children took part in the study, 13 (54.2%) females and 11(45.8%) males. Their mean age was 10.0 ± 4.6 years. Majority of them 17 (70.8%) were underweight. The mean percent body fat score was 11.78±3.85, with females having significantly higher amount of body fat than males (t=-3.37; P=0.003). There were no significant correlations between body compositon and each of dynamic muscle strength, balance and ECA (p>0.05). It was concluded that about two-thirds of the children with CP in the study are underweight and having low percent body fat. Body composition may not have significant influence on the muscle strength, stability and the energy expended during walking function. Paediatricians and physiotherapists should encourage caregivers of children with CP to feed them with balanced diet in order to avoid diseases associated with malnutrition.

2021 ◽  
Vol 20 (2) ◽  
pp. 219-228
Author(s):  
Yi-Cheng Hou ◽  
Jing-Hui Wu ◽  
Ching-Feng Cheng ◽  
Chan-Yen Kuo ◽  
I-Shiang Tzeng

A health belief model is used to evaluate people's beliefs about health problems and predict engagement in health-promoting behaviors. Overweight and obesity are health problems that could be corrected by healthier diet. Eighty-seven employees of the Taipei Tzu Chi Hospital participated in a month-long program that offered 500-calorie vegetarian meals. The health belief model questionnaire was designed and administered. Body composition (weight, body mass index, body fat, body water, and muscle mass) was measured weekly. Additionally, the number of meals taken and visits to nutrition consultants were analyzed. Overall, a higher perceived susceptibility was related to a decrease in weight, body fat, and muscle. Higher perceived benefits or higher perceived barriers were both related to a decrease in weight and body fat, but to an increase in body water and muscle. In the overweight or obese group, a significant correlation was found between perceived barriers and weight. No significant relationship was found between the health belief model and the total number of meals or number of visits to nutrition consultants. Perceived benefits and barriers were significantly related to changes in weight, body fat, body water, and muscle. With vegetarian meal plans as the cue for action, the health belief model can be utilized to predict changes in body composition.


2004 ◽  
Vol 89 (7) ◽  
pp. 3486-3495 ◽  
Author(s):  
Madhusmita Misra ◽  
Karen K. Miller ◽  
Cecilia Almazan ◽  
Kavitha Ramaswamy ◽  
Avichal Aggarwal ◽  
...  

Abstract Anorexia nervosa (AN) is associated with very low levels of leptin, a cytokine secreted by adipose tissue and known to suppress appetite. Leptin may play a permissive role in onset of puberty and in resumption of gonadal function in conditions of undernutrition. The soluble leptin receptor (sOB-R) is the main leptin binding protein, and the ratio of serum leptin to sOB-R provides a measure of the free leptin index (FLI), which may be a more accurate determinant of leptin function. Determinants of sOB-R and FLI have not been examined in an adolescent population. We examined levels of sOB-R, leptin, and FLI, and body composition and hormonal determinants of these variables in 23 adolescent girls with AN and 21 healthy adolescent girls of comparable maturity prospectively over 1 yr. Measures of insulin resistance and adiponectin were also examined. We determined changes in levels of sOB-R, leptin, and FLI with weight recovery (defined as an increase in body mass index of ≥10%, n = 11), and with resumption of menstrual cycles (n = 13). Girls with AN had significantly higher levels of sOB-R (P = 0.0008) and significantly lower levels of leptin and FLI (P &lt; 0.0001 for both) than healthy controls, and levels of FLI were reduced more than levels of leptin in girls with AN compared with controls. An inverse correlation was noted between levels of leptin and sOB-R for the group as a whole (r = −0.64, P &lt; 0.0001) but not in girls with AN considered alone. The most important predictor of levels of sOB-R was cortisol in the group as a whole (r = 0.61, P &lt; 0.0001) and in girls with AN considered alone (r = 0.66, P = 0.0008). Other independent predictors of sOB-R levels for the entire group were percent body fat (r = −0.44, P = 0.003) and levels of IGF-I (r = −0.37, P = 0.01). The most important predictors of leptin and FLI were body mass index and percent body fat. An inverse relationship was noted between measures of insulin resistance and sOB-R levels, whereas a positive association was noted between these measures and leptin and FLI. Adiponectin values did not differ in girls with AN compared with healthy controls and did not correlate with sOB-R, leptin, or FLI. Weight recovery resulted in significant decreases in levels of the sOB-R (24.7 ± 1.7 to 17.6 ± 1.2 U/ml, P = 0.004), and increases in levels of leptin (4.4 ± 1.0 to 13.7 ± 2.9 μg/liter, P = 0.02). Resumption of menstrual function, but not weight recovery alone, was associated with significant increases in FLI (0.19 ± 0.04 to 0.50 ± 0.09 μg/U × 10−3, P = 0.02). We demonstrate an increase in levels of sOB-R and a decrease in the FLI in adolescent girls with AN, and also demonstrate that cortisol is the most important predictor of levels of sOB-R in this condition. Levels of leptin and FLI, conversely, are primarily predicted by body composition. Weight recovery is associated with a decrease in sOB-R and an increase in leptin. Resumption of menses is associated with significant increases in the FLI, suggesting that free leptin may be an important determinant of menstrual recovery.


2009 ◽  
Vol 2009 ◽  
pp. 1-7 ◽  
Author(s):  
Alex Kojo Anderson

Research studies have produced conflicting results of the impact of breastfeeding on overweight/obesity. This study evaluated the impact of infant feeding on infant body composition. There were two groups of mother-infant pairs (exclusive breastfeeding [EBF;n=27] and mixed feeding [MF;n=13]) in this study. At baseline, participants were similar in their demographic characteristics except prepregnancy weight, where MF mothers tended to be heavier than their EBF counterparts (67.3 kg versus 59.9 kg;P=.034). Infant birth weight was slightly higher among the MF group than their EBF counterparts (3.5 kg versus 3.4 kg), although the differences were not statistically significant. At 3 months postpartum, mean infant FMI (4.1 kg/m2versus 3.8 kg/m2) and percent body fat (24.4% versus 23.1%) were slightly higher among EBF infants than MF infants. In terms of growth velocity, EBF infants gained weight faster than their MF counterparts, although the differences were not statistically significant. The findings from this study suggest that EBF may promote faster weight gain and increase in both fat mass index (FMI) and percent body fat in the early postpartum period in addition to the numerous health benefits enjoyed by the infant and the mother who exclusively breastfeeds her newborn.


1985 ◽  
Vol 5 (9) ◽  
pp. 755-760 ◽  
Author(s):  
Nancy J. Rothwell ◽  
Michael J. Stock

Female dystrophic mice (mdx on C57 Black background) gained weight more rapidly than age-matched controls and had a higher body fat content (% body weight), a slightly lower protein content and a reduced mass of muscle. Chronic treatment (21 d) of the mice with the β2-agonist clenbuterol stimulated weight gain in both genotypes without affecting energy intake. Clenbuterol increased the mass of the gastrocnemius and soleus muscle by 13% and 29% in normal and dystrophic mice, respectively, and raised body protein but depressed body fat. Body water and energy content were unaffected by clenbuterol, but the ratio of protein to fat in the carcasses was enhanced by 17% in normal and 56% in dystrophic mice following clenbuterol treatment. Thus, the β2-agonist restored the body composition of dystrophic mice to normal and enhanced the protein to fat ratio in both these and normal mice.


2019 ◽  
Vol 28 (2) ◽  
pp. 126-132 ◽  
Author(s):  
Bailey Peck ◽  
Timothy Renzi ◽  
Hannah Peach ◽  
Jane Gaultney ◽  
Joseph S. Marino

Context: Professional football linemen are at risk for sleep-disordered breathing (SDB) compared with other types of athletes. It is currently unknown whether college football linemen display a similar risk profile. Objective: (1) To determine for the first time whether college football linemen show risk for SDB and (2) test the hypothesis that SDB risk is higher in college football linemen compared with an athletic comparison group. Design: Descriptive laboratory study. Setting: The Health Risk Assessment Laboratory. Participants: Male football linemen (n = 21) and track (n = 19) Division I athletes between the ages of 18 and 22 years. Interventions: Participants completed the Multivariable Apnea Prediction Index and Epworth Sleepiness Scale surveys, validated measures of symptoms of sleep apnea and daytime sleepiness, respectively. Neck and waist circumferences, blood pressure, Modified Mallampati Index (MMPI), and tonsil size were determined, followed by body composition assessment using dual-energy X-ray absorptiometry. Main Outcome Measures: Scores from surveys, anthropometric data, MMPI, and body composition. Results: Survey data demonstrated a deficiency in sleep quality and efficiency, coinciding with increased self-reported symptoms of apnea (Multivariable Apnea Prediction Index = 0.78) in college linemen relative to track athletes. Neck circumference (44.36 cm), waist circumference (107.07 cm), body mass index (35.87 kg/m2), and percent body fat (29.20%), all of which exceeded the clinical predictors of risk for obstructive sleep apnea, were significantly greater in linemen compared with track athletes. Multivariable Apnea Prediction variables were significantly correlated with MMPI, neck circumference, percent body fat, body mass index, and systolic blood pressure (r ≥ .31, P < .05), indicating that college football linemen are at increased risk for SDB. Conclusions: Risk factors for SDB recognized in professional football linemen are also present at the college level. Screening may minimize present or future risk for SDB, as well as the downstream risk of SDB-associated metabolic and cardiovascular disease.


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Nandita Nury Latifah ◽  
Ani Margawati ◽  
Ayu Rahadiyanti

Komposisi tubuh yang tidak optimal dapat menurunkan kesegaran jasmani atlet sehingga dapat terjadi penurunan performa ketika bertanding. Tujuan dari penelitian ini adalah mengetahui hubungan persen lemak tubuh, persen massa otot, dan somatotype dengan kesegaran jasmani pada atlet hockey. Desain penelitian yaitu cross-sectional dengan jumlah subjek 35 atlet di Pelatihan Hockey Universitas Negeri Semarang dan Universitas Negeri Yogyakarta yang dipilih dengan purposive sampling. Data persen lemak tubuh dan persen massa otot diukur menggunakan bioelectrical impedence analysis (BIA). Data somatotype menggunakan metode antropometri Heath-Carter dan data kesegaran jasmani berupa nilai VO2max diambil menggunakan metode Balke. Analisis data menggunakan uji Pearson, Rank Spearman dan uji regresi linier. Sebagian besar atlet hockey (54,3%) memiliki nilai VO2max dengan kategori baik. Nilai persen lemak tubuh terendah 6,8% dan nilai tertinggi 35%. Nilai persen massa otot terendah 23,9% dan nilai tertinggi 40,9%. Nilai rata-rata dari nilai endomorph, mesomorph, dan ectomorph adalah (-0,04)±0,3; 4,2±0,9; dan 2,3±1,2. Ada hubungan yang signifikan antara persen lemak tubuh (p<0,001), persen massa otot (p<0,001), nilai endomorph (p<0,001), dan nilai ectomorph (p=0,016) dengan nilai VO2max. Variabel yang paling berkaitan dengan nilai VO2max adalah persen lemak (p<0,001). Correlation of body composition with physical fitness of hockey athletes AbstractSuboptimal body composition could reduce the physical fitness and performance of athletes. This study analyzed the relationship of percent body fat, percent muscle mass and somatotype on physical fitness in hockey athletes. This study was a cross-sectional study with 35 athletes in Pelatihan Hockey Universitas Negeri Semarang and Universitas Negeri Yogyakarta which selected by purposive sampling. Percent body fat and percent muscle mass were measured using bioelectrical impedance analysis (BIA). Somatotype measurement used the anthropometric Heath-Carter method and physical fitness (VO2max) measurement by the Balke method. Data were analyzed using the Pearson test, Rank-Spearman test, and Linear Regression test. Most hockey athletes (54.3%) had good VO2max value. The lowest percentage of body fat was 6.8%. The highest percentage of muscle mass was 40.9%. The average value of the endomorph, mesomorph, and ectomorph values were (-0.04) ± 0.3; 4.2 ± 0,9; and 2.3 ± 1.2.  There were a significant relationship between percent body fat (p <0.001), percent muscle mass (p <0.001), endomorph value (p <0.001), and ectomorph value (p = 0.016) with VO2max value. Percent of body fat was the most related variable to VO2max (p<0.001).


2018 ◽  
Vol 23 (1) ◽  
pp. 4-8 ◽  
Author(s):  
F. Askari ◽  
F. Rahmaninia

Objectives : The aim of this study was to examine the effects of 8 weeks beta-alanine (BA) supplementation with resistance training on some components of physical fitness and body composition in young males. Methods : Twenty healthy young men volunteered to participate for the study and divided into two groups and performed 8-week resistance training while supplementing with either BA or placebo (4.8 g per day). The subjects were evaluated for 1 repetition maximum (1RM) bench press and leg press, vertical jump (VJ), anaerobic power (RAST) prior to and after training intervention. In addition, body composition variables such as percent body fat, and BMI were assessed per and post training period. Results : Both the groups showed significant increases in 1RM bench press and leg press, VJ, and anaerobic power (RAST), and also the BA supplementation group showed greater gains compared with the placebo. In addition, percent body fat decreased significantly in BA and placebo groups, while no statistically significant changes were seen in BMI for the BA supplementation group and placebo group. Conclusions : The results indicated that resistance training improved physical performance and BA supplementation induced greater gains and therefore it could be recommend to coaches and athletes who use this supplementation to greater gains in physical fitness variables.


1999 ◽  
Vol 31 (Supplement) ◽  
pp. S369
Author(s):  
M. A. Ito ◽  
M. A. Sharp ◽  
J. F. Patton ◽  
R. P. Mello ◽  
J. J. Knapik ◽  
...  

2019 ◽  
Vol 4 (2) ◽  
pp. 23 ◽  
Author(s):  
Antonio ◽  
Kenyon ◽  
Ellerbroek ◽  
Carson ◽  
Burgess ◽  
...  

The purpose of this investigation was to compare two different methods of assessing body composition (i.e., a multi-frequency bioelectrical impedance analysis (MF-BIA) and dual-energy x-ray absorptiometry (DXA)) over a four-week treatment period in exercise-trained men and women. Subjects were instructed to reduce their energy intake while maintaining the same exercise regimen for a period of four weeks. Pre and post assessments for body composition (i.e., fat-free mass, fat mass, percent body fat) were determined via the MF-BIA and DXA. On average, subjects reduced their energy intake by ~18 percent. The MF-BIA underestimated fat mass and percentage body fat and overestimated fat-free mass in comparison to the DXA. However, when assessing the change in fat mass, fat-free mass or percent body fat, there were no statistically significant differences between the MF-BIA vs. DXA. Overall, the change in percent body fat using the DXA vs. the MF-BIA was −1.3 ± 0.9 and −1.4 ± 1.8, respectively. Our data suggest that when tracking body composition over a period of four weeks, the MF-BIA may be a viable alternative to the DXA in exercise-trained men and women.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Cydne Perry ◽  
Gary Van Guilder

Abstract Objectives To determine the effect of beef consumption as a part of the DASH diet on measures of anthropometric and muscle health in adults 65 and older. Methods Twenty-eight older adults were randomly assigned to consume either 3 oz. (n = 14) or 6 oz. (n = 14) of fresh, lean beef as a part of the DASH diet for 12-wks. Anthropometrics and muscle strength were measured at wks 0, 3, 6, 9, and 12 throughout the study. The seven-day cyclical DASH menu contained fresh lean beef. Other red meats, poultry and seafood were excluded. Breakfast, lunch and dinner were provided every day for 12-wks and all food items were purchased, prepared and weighed to the nearest gram by the research staff. The portions of beef were evenly distributed throughout each meal provided every day. Results Changes in body composition and muscle strength were observed during the 12-wk study regardless of beef intake. Significant time effects were detected for: body weight (P < 0.001); BMI (P < 0.001); waist circumference (P < 0.001); hip circumference (P < 0.001); %body fat (P < 0.001); absolute fat mass (P < 0.001); systolic blood pressure (P < 0.001); and diastolic blood pressure (P < 0.001) such that a decrease was observed over the 12-wk intervention. Time effects were detected for sit-to-stand (P < 0.001) such that an increase was observed over the 12-wk intervention. Body weight decreased (P = 0.001) by 6.7% from baseline (90 kg) to study-end (84 kg); BMI decreased (P < 0.001) from baseline (31.2) to study-end (29.4); waist circumference decreased (P < 0.001) from baseline (98.1 cm) to study-end (94.4 cm); %body fat decreased (P < 0.001) from baseline (36.1%) to study-end (34.2%); absolute fat mass decreased (P < 0.001) from baseline (33.1 kg) to study-end (29.4 kg); systolic blood pressure decreased (P < 0.001) from baseline (134 mmHg) to study-end (118 mmHg). Handgrip strength and REE were well-maintained (P > 0.05) despite the weight loss. Of the obese participants, 33% were overweight and 29% of the overweight participants were normal weight by study-end. Conclusions The results of this highly-controlled dietary intervention study indicate that daily consumption of high-quality protein as a part of the DASH diet positively influences body composition and muscle strength in older adults. These results also suggest that beef can be included in healthy dietary patterns. Funding Sources South Dakota Beef Industry Council.


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