scholarly journals Body composition in patients with early rheumatoid arthritis

2021 ◽  
Vol 59 (1) ◽  
pp. 70-74
Author(s):  
Yu. N. Gorbunova ◽  
L. V. Kondratyeva ◽  
T. V. Popkova ◽  
N. V. Demin ◽  
A. V. Smirnov ◽  
...  

Aim of the study was to clarify the body composition in patients with early rheumatoid arthritis before starting therapy with synthetic basic anti-inflammatory drugs, genetically engineered biological drugs and glucocorticoids using dual-energy X-ray absorptiometry and to assess the effect of inflammation and metabolic syndrome on body composition.Material and methods. The study included 37 patients (31 women and 6 men) with early rheumatoid arthritis. The control group consisted of 19 healthy donors without rheumatic diseases. Patients with rheumatoid arthritis and the control group were measured by waist size, height and weight, and body mass index was calculated. Body composition was determined by means of dual-energy X-ray absorptiometry using the “Whole Body” program on the HOLOGIC device (USA). The presence of metabolic syndrome was assessed according to the criteria of the International Diabetes Federation (IDF).Results. Patients with early rheumatoid arthritis had less lean tissue mass, which was negatively correlated with inflammatory markers (ESR and C-reactive protein levels). Overweight and obesity were diagnosed in 24% and 27% of patients with early rheumatoid arthritis, respectively. Patients with rheumatoid arthritis and metabolic syndrome had a higher body weight, body mass index, waist size, and adipose tissue mass than patients without metabolic syndrome. With the help of instrumental methods, it is shown that in rheumatoid arthritis there is a redistribution of fat mass in the body, its predominant accumulation in the trunk area and a parallel decrease in the volume of muscle tissue.Conclusion. Rheumatoid inflammation and metabolic syndrome affect body composition of patients with early rheumatoid arthritis before the start of antirheumatic therapy.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1432.2-1432
Author(s):  
N. Toroptsova ◽  
O. Dobrovolskaya ◽  
N. Demin ◽  
L. Shornikova

Background:Rheumatoid arthritis (RA) is a complex inflammatory disease that modifies body composition. Using the dual-energy x-ray absorptiometry (DXA) in RA patients could be a method for body composition changes detection.Objectives:To study the body composition using DXA in patients with RA.Methods:The study involved 79 women with RA, median age 60 [55; 65] years. The bone mineral density (BMD) was measured by dual-energy x-ray absorptiometry using «Discovery A» (Hologic, USA). Assessment of body composition was carried out, using the program «Whole body». Sarcopenia (SP) was diagnosed as a decrease in appendicular mass index (AMI) <6.0 kg/m2. Osteoporosis (OP) was diagnosed as a decrease in T-score <-2.5 SD. Osteosarcopenia was determined when T-score was <-1.0 SD, AMI was <6.0 kg/m2, osteosarcopenic obesity - T-score was <-1.0 SD, AMI was <6.0 kg/m2and total fat was >35%.Results:The mean duration of RA was 9 [3; 11] years. The mean body mass index (BMI) was 27.6±4.8 kg/m2. Disease activity score in 28 joints-erythrocyte sedimentation rate was 4.5±1.3 points for the group. 39 (49.3%) patients used oral glucocorticoids continuously. Appendicular muscle mass and AMI were on average 17.8±3.0 kg and 6.8±1.0 kg/m2, respectively. AMI <6 kg/m2was detected in 20 (25.3%) patients. 56 (70.9%) women with RA had total fat > 35%, while only 22 (27.8%) of women with RA had obesity according to BMI (BMI >30 kg/m2). Isolated OP was found in 13 (16.5%), osteosarcopenia in 7 (8.9%) and osteosarcopenic obesity in 13 (16.5%) patients RA. No cases with isolated sarcopenia or sarcopenic obesity were detected. Only 3 (3.8%) patients did not have appendicular muscle mass, AMI and BMD decrease and overfat or obesity.Conclusion:About 97% women with RA had abnormal body composition phenotype: 16,5% - OP, 8.9% -osteosarcopenia, 16,5% - osteosarcopenic obesity and 54,4% - overfat.Disclosure of Interests:None declared


2020 ◽  
Vol 60 (16) ◽  
pp. 1959
Author(s):  
Camila Angelica Gonçalves ◽  
Nilva Kazue Sakomura ◽  
Miryelle Freire Sarcinelli ◽  
Letícia Graziele Pacheco ◽  
Letícia Soares ◽  
...  

Context Genetic improvements in modern strains have led to continuous increments in broiler growth rates, which, as a consequence, have resulted in higher economic returns for broiler producers over the last decades. Aim The present study was conducted to characterise the potential growth of the body and feathers of Cobb 500, Hubbard Flex and Ross 308 male and female broilers, as well as to assess the changes in chemical composition that occur up to 16 weeks of age. Methods Birds were fed isoenergetic diets divided in four phases and formulated to marginally exceed the nutritional requirements of the strains throughout the growing period. They were maintained in a controlled environment so as not to limit growth. A dual energy X-ray absorptiometry (DXA) scanner was used to follow the in vivo body composition of 12 broilers of each strain and sex (total of 72 broilers), and the feather weight and composition was determined in four birds of each strain and sex selected at intervals during the growing period (total of 288 broilers) through comparative slaughter with later chemical analysis. Key results Parameters of Gompertz growth curve to describe the strains were estimated for body and feather weight as well as for the growth of their chemical components. Conclusion Differences in the growth rates between strains were evident, indicating the possible differences in selection methods used by geneticists in the different breeding companies. These genetic parameters would explain part of the variation on broiler´s performance which impacts on the way they should be fed and housed during growth. Implications The accurate description of genetic growth potential is useful information to be associated with factorial models that predict nutritional and feed intake requirements of birds. The main advantage of DXA technology is to decrease the variation of body deposition on the Gompertz model, resulting from the use of the same bird throughout its life. Despite the speed of obtaining chemical values of the body, the method is unsuitable for measuring the growth of feathers, which is also important data to be collected and related to the broiler strains.


2017 ◽  
Vol 57 (4) ◽  
pp. 279-285 ◽  
Author(s):  
Maria Fernanda B. Resende Guimarães ◽  
Maria Raquel da Costa Pinto ◽  
Renata G. Santos Couto Raid ◽  
Marcus Vinícius Melo de Andrade ◽  
Adriana Maria Kakehasi

2019 ◽  
Vol 18 (1) ◽  
pp. 33-40
Author(s):  
Aline S. Reis ◽  
Laisa L. Paineiras-Domingos ◽  
Eloá Moreira-Marconi ◽  
Márcia C. Moura-Fernandes ◽  
Hervé Quinart ◽  
...  

Introduction: Metabolic syndrome (MetS) is characterized bya group of cardiovascular risk factors, such as hypertension,hyperglycemia, hypercholesterolemia, low high-density cholesteroland increased abdominal fat. Over the years, changesin body composition occur, with accelerated loss of lean massand increased fat mass, favoring cardiometabolic disorders.A strong relationship exists between physical inactivity andthe presence of multiple risk factors for MetS. Thus, physicalexercise has been recommended for the prevention of cardiovascular,chronic and MetS diseases. Whole-body vibration(WBV) exercise can be considered to be an exercise modalitythat benefits the muscular strength and cardiovascular healthof elderly, sick and healthy people. Individuals with MetSare unmotivated to perform physical exercise regularly and,therefore, new approaches to intervention for this populationare desirable. Objectives: The aim of this study is to presenta protocol to verify the effect of WBV exercise on the bodycomposition of MetS individuals. Methods: Randomized controlledtrial with MetS individuals that will be allocated to anintervention group (WBVG) and a control group (CG). Participantswill be placed barefoot on the base of a side alternatingvibrating platform, with 130º knee flexion. Individuals (WBVGand CG) will perform the protocol for 12 weeks, twice a week.The CG subjects will perform the exercises at 5Hz throughoutthe intervention and those from the WBVG will perform the5Hz exercises in the first session, adding 1Hz per session, endingthe protocol at 16Hz. The body composition will be evaluatedbefore and after the protocol using bioelectrical impedanceanalysis. Discussion: Studies involving WBV exercise haveshown improvement in composition in individuals withdifferent conditions (healthy and unhealthy). Conclusion: Theproposed protocol will permit the acquisition of findings thatwill be relevant in the evaluation of the effect of the WBV onthe body composition of MetS individuals due to its ease ofrealization, low cost and safety.Keywords: Whole body vibration exercise; Metabolic syndrome;Physical activity.


2020 ◽  
Author(s):  
Kyung-Wan Baek ◽  
Ji-Seok Kim ◽  
Jin Sung Park ◽  
So-Jeong Kim ◽  
Yong-Chan Ha ◽  
...  

Abstract Background: As an instrument for measuring body composition in experimental animals, dual-energy X-ray absorptiometry (DXA) is ideal for accuracy, cost, and measurement efficiency. However, there is too little insight into the effectiveness of the various aspects of applying DXA to experimental animals. Therefore, we investigated whether to compare and verify the precision and accuracy of DXA and nuclear magnetic resonance (NMR) animal body composition analyzers. We used 30 ICR mice in the study. First, in order to evaluate the reproducibility of DXA and NMR, we did repeated measurements by repositioning each mouse in anesthesia and euthanasia states. Subsequently, the accuracy of each device was evaluated by comparing the weight measured before the experiment, the weight of the tissue extracted from the mice after the experiment, and the measured DXA and NMR. In addition, when measuring the body composition of animals, we compared the time and the measurable body composition parameters and summarized the advantages and disadvantages of the two devices.Results: Compared to NMR, DXA had the advantage of a fast measurement of bone composition and rapid image analysis. In addition, DXA showed a higher correlation (> 95%) with FM, body weight, and fBMC baseline than did NMR (> 85%).Conclusion: In conclusion, DXA was confirmed to have higher precision and measurement accuracy than did NMR. Therefore, DXA is an effective method for evaluating the body composition of experimental animals.


2012 ◽  
Vol 22 (5) ◽  
pp. 313-322 ◽  
Author(s):  
Alisa Nana ◽  
Gary J. Slater ◽  
Will G. Hopkins ◽  
Louise M. Burke

Dual-energy X-ray absorptiometry (DXA) is becoming a popular tool to measure body composition, owing to its ease of operation and comprehensive analysis. However, some people, especially athletes, are taller and/or broader than the active scanning area of the DXA bed and must be scanned in sections. The aim of this study was to investigate the reliability of DXA measures of whole-body composition summed from 2 or 3 partial scans. Physically active young adults (15 women, 15 men) underwent 1 whole-body and 4 partial DXA scans in a single testing session under standardized conditions. The partial scanning areas were head, whole body from the bottom of the chin down, and right and left sides of the body. Body-composition estimates from whole body were compared with estimates from summed partial scans to simulate different techniques to accommodate tall and/or broad subjects relative to the whole-body scan. Magnitudes of differences in the estimates were assessed by standardization. In simulating tall subjects, summation of partial scans that included the head scan overestimated whole-body composition by ~3 kg of lean mass and ~1 kg of fat mass, with substantial technical error of measurement. In simulating broad subjects, summation of right and left body scans produced no substantial differences in body composition than those of the whole-body scan. Summing partial DXA scans provides accurate body-composition estimates for broad subjects, but other strategies are needed to accommodate tall subjects.


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