scholarly journals Public health semantics of the YY paradox

Author(s):  
Mili Mishra ◽  
Anup K Srivastava ◽  
Vinod K Srivastava

Background: Body Mass Index (BMI) has lost its credibility as an indicator of fatness. 3D scan and body composition details of Yajnik and Yudnik, the authors with similar BMI but very different body fat percentage was labelled as ‘YY paradox’. 3D scanners are not widely available; as such dependence on less specific tools is still high. It was assumed that such paradoxes may frequently occur in anthropometrically derived body composition indices and paucity of such information prompted us to explore the nature and usage of YY paradox. Methods: Body composition of 89 medical students from North India was studied using bioelectric-impedance fat monitor and anthropometric techniques. YY phenomenon were identified and studied in 1) same BMI but different body fat (Classic YY), 2) same BVI but different BMI (yy BVI~BMI), 3) same Skeletal mass/body fat but different body volume (yy SKM/BF ~ BV) and 4) same Lean Body mass/body fat but different body volume (yy LBM/BF ~ BV). Results: The study population comprised young adults aged 18 -26 years. Males comprised 51.7 % of the study group. YY phenomenon was found in 44 individuals with respect to same BMI but different body fat; 47 individuals of same BVI but different BMI. Of all the indices studied, lowest number of YYs were found in yy LBM/BF ~ BV index. 14.6% study subjects had high visceral fat. Odds Ratio (OR) for high visceral fat in all the studied indices among subjects showing yy-phenomenon and those not showing yy-phenomenon revealed an OR of 1.09 (CI 0.3-3.7) for yy LBM/BF ~ BV index. This suggests that high visceral fat (VF) is the same in both groups and implies that there is no difference between the two arms i.e., YY and non-YY group contains approximately similar proportion of subjects with high VF. Conclusion: We found a high frequency of such paradoxes in this population and also demonstrated that these are not normally distributed. It is also suggested that a deeper look in this issue could be used for deriving predictive models for disease linked anthropometric markers.

2015 ◽  
Author(s):  
Mili Mishra ◽  
Anup K Srivastava ◽  
Vinod K Srivastava

Background: Body Mass Index (BMI) has lost its credibility as an indicator of fatness. 3D scan and body composition details of Yajnik and Yudnik, the authors with similar BMI but very different body fat percentage was labelled as ‘YY paradox’. 3D scanners are not widely available; as such dependence on less specific tools is still high. It was assumed that such paradoxes may frequently occur in anthropometrically derived body composition indices and paucity of such information prompted us to explore the nature and usage of YY paradox. Methods: Body composition of 89 medical students from North India was studied using bioelectric-impedance fat monitor and anthropometric techniques. YY phenomenon were identified and studied in 1) same BMI but different body fat (Classic YY), 2) same BVI but different BMI (yy BVI~BMI), 3) same Skeletal mass/body fat but different body volume (yy SKM/BF ~ BV) and 4) same Lean Body mass/body fat but different body volume (yy LBM/BF ~ BV). Results: The study population comprised young adults aged 18 -26 years. Males comprised 51.7 % of the study group. YY phenomenon was found in 44 individuals with respect to same BMI but different body fat; 47 individuals of same BVI but different BMI. Of all the indices studied, lowest number of YYs were found in yy LBM/BF ~ BV index. 14.6% study subjects had high visceral fat. Odds Ratio (OR) for high visceral fat in all the studied indices among subjects showing yy-phenomenon and those not showing yy-phenomenon revealed an OR of 1.09 (CI 0.3-3.7) for yy LBM/BF ~ BV index. This suggests that high visceral fat (VF) is the same in both groups and implies that there is no difference between the two arms i.e., YY and non-YY group contains approximately similar proportion of subjects with high VF. Conclusion: We found a high frequency of such paradoxes in this population and also demonstrated that these are not normally distributed. It is also suggested that a deeper look in this issue could be used for deriving predictive models for disease linked anthropometric markers.


2019 ◽  
Vol 82 (4) ◽  
pp. 339-347
Author(s):  
Tereza Sofková ◽  
Michaela Hřivnová ◽  
Marie Chrásková

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.


Children ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 18
Author(s):  
Petr Sedlak ◽  
Jana Pařízková ◽  
Daniela Samešová ◽  
Martin Musálek ◽  
Hana Dvořáková ◽  
...  

Changes in lifestyle can be significantly reflected in growth and development. Adaptations to reduced levels of physical activity, together with non-corresponding nutritional intakes, can result in body build and body composition changes at an early age. The present cross-sectional study aimed to evaluate the secular trend of modifications of body composition and body mass index (BMI) in Czech preschoolers over the last two to three decades. Boys and girls (386 boys and 372 girls) aged 4 to 6 years in 2014–2019 were measured. Outcome data were compared with the reference sample of preschoolers from 1990: 911 boys and 896 girls. Body height, BMI, and percentage of body fat, muscle, and bone mass were evaluated. Height and BMI have not changed. Body fat increased in both genders (p < 0.01), and contrarily, a significant reduction of muscle and skeletal mass was revealed (p < 0.001). Significant changes in body composition and unchanged BMI indicate the development of latent obesity during the last few decades. Due to latent obesity in a recent cohort, the differences in the prevalence of overweight and obesity markers according to BMI and fat percentage were tested. The prevalence of overweight and obesity was higher by 7.2% in boys, and by 6.5% in girls, as compared to children evaluated according to only their BMI results. Secular changes in preschoolers’ physical builds over the last 25 years are not reflected in body height and BMI, but in body composition. Insufficient development of active, lean body mass proportionally compensated by increased fat mass was also indicated.


2016 ◽  
Vol 26 (2) ◽  
pp. 145-149
Author(s):  
Beau Kjerulf Greer ◽  
Kathleen M. Edsall ◽  
Anna E. Greer

The purpose of the current study was to determine whether expected changes in body weight via a 3-day low-carbohydrate (LC) diet will disrupt the reliability of air displacement plethysmography measurements via BOD POD. Twenty-four subjects recorded their typical diets for 3 days before BOD POD and 7-site skinfold analyses. Subjects were matched for lean body mass and divided into low-CHO (LC) and control (CON) groups. The LC group was given instruction intended to prevent more than 50 grams/day of carbohydrate consumption for 3 consecutive days, and the CON group replicated their previously recorded diet. Body composition measurements were repeated after dietary intervention. Test–retest reliability measures were significant (p < .01) and high for body fat percentage in both the LC and the CON groups (rs = .993 and .965, respectively). Likewise, skinfold analysis for body fat percentage reliability was high in both groups (rs = .996 and .997, respectively). There were significant differences between 1st and 2nd BOD POD measurements for body mass (72.9 ± 13.3 vs. 72.1 ± 13.0 kg [M ± SD]) and body volume (69.0 ± 12.7–68.1 ± 12.2 L) in the LC group (p < .05). However, there were no differences (p > .05) in BOD POD–determined body fat percentage, lean body mass, or fat mass between the 1st and 2nd trial in either group. Body composition measures via BOD POD and 7-site skinfolds remain reliable after 3 days of an LC diet despite significant decreases in body mass.


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.


Author(s):  
Clíodhna McHugh ◽  
Karen Hind ◽  
Aoife O'Halloran ◽  
Daniel Davey ◽  
Gareth Farrell ◽  
...  

AbstractThe purpose of this study was to investigate longitudinal body mass and body composition changes in one professional rugby union team (n=123), (i) according to position [forwards (n=58) versus backs (n=65)], analysis of players with 6 consecutive seasons of DXA scans (n=21) and, (iii) to examine differences by playing status [academy and international], over 7 years. Players [mean age: 26.8 y, body mass index: 28.9+kg.m2] received DXA scans at fourtime points within each year. A modest (but non-significant) increase in mean total mass (0.8 kg) for professional players was reflected by increased lean mass and reduced body fat mass. At all-time points, forwards had a significantly greater total mass, lean mass and body fat percentage compared to backs (p<0.05). Academy players demonstrated increased total and lean mass and decreased body fat percentage over the first 3 years of senior rugby, although this was not significant. Senior and academy international players had greater lean mass and lower body fat percentage (p<0.05) than non-international counterparts. Despite modest increases in total mass; reflected by increased lean mass and reduced fat mass, no significant changes in body mass or body composition, irrespective of playing position were apparent over 7 years.


Author(s):  
Boštjan Jakše ◽  
Barbara Jakše ◽  
Stanislav Pinter ◽  
Jernej Pajek ◽  
Nataša Fidler Mis

Failure of various weight-loss programs and long-term maintenance of favorable body composition in all kinds of people is high, since the majority go back to old dietary patterns. Many studies have documented the efficacy of a plant-based diet (PBD) for body mass management, but there are opinions that maintaining a PBD is difficult. We aimed to evaluate the long-term success of a whole-food plant-based (WFPB) lifestyle program. We investigated the differences in the obesity indices and lifestyle of 151 adults (39.6 &plusmn; SD 12.5 years), who were on our program for short (0.5&ndash;&lt;2 years), medium (2&ndash;&lt;5 years), or long term (5&ndash;10 years). Body-composition changes were favourable for all three groups, both genders and all participants. There were no differences in relative body-composition changes (BMI, body fat percentage and muscle mass index (MMI)) between the three groups. All participants improved their BMI (baseline mean pre-obesity BMI range (kg/m2): 26.4 &plusmn; 5.6 to normal 23.9 &plusmn; 3.8, p &lt; 0.001), decreased body mass (&ndash;7.1 &plusmn; 8.3 kg, p &lt; 0.001) and body fat percentage (&ndash;6.4 &plusmn; 5.6 % points, p &lt; 0.001). 85.6% (101 out of 118) of parents of underage children (&lt; 18 years), introduced WFPB lifestyle to their children. Those with the highest BMI at baseline lost the most of: a) BMI units, b) total body mass and c) body fat (a) (kg/m2) (&ndash;5.6 &plusmn; SD 2.9, &ndash;2.4 &plusmn; 1.8 and &ndash;0.9 &plusmn; 1.5), b) (kg) (&ndash;16.1 &plusmn; SD 8.8, &ndash;7.1 &plusmn; 5.4 and &ndash;2.5 &plusmn; 4.5) and c) (% points) (&ndash;9.5 &plusmn; SD 5.7, &ndash;6.6 &plusmn; 4.6 and &ndash;4.7 &plusmn; 5.3) for participants who had baseline BMI in obese, overweight and normal range, respectively; pbaseline vs. current &lt; 0.001 for all). WFPB lifestyle program provides long-term lifestyle changes for reversal of obesity and is effective transferred to the next generation.


2021 ◽  
Vol 6 (3) ◽  
pp. 413-421
Author(s):  
Sapna Yadav ◽  
Gaurav Kadyan

Background: This study aimed to compare and correlate the resting heart rate, body composition and heart rate variability among judo and wushu players. Method: 40 athletes (20 judo and 20 wushu players) were included in the study. Body composition (BMI, subcutaneous body mass, skeletal body mass, body fat %, body density, Visceral fat, Lean body mass) was evaluated with the help of 7 skinfold thickness and body circumferences with the help of Harpenden calliper and measuring tape respectively. HRV (RMSSD, SDNN, LF/HF, LFnu and HFnu) was recorded in resting state (~5min) with the help of Heart wear shimmer ECG device. Result: No significant difference of body composition and HRV variables (p> 0.05) was found between the two groups except Body fat % and body density (p<0.05) which differ significantly among the two groups. In Judo, LF/HF and LFnu showed significant positive correlation with BMI (p<0.05, r=-0.488), subcutaneous whole-body mass (p<0.05, r=-0.464), visceral fat (p<0.05, r =-0.508), and body fat % (p<0.05, r =-0.626. Whereas HFnu showed significant negative correlation with BMI (p<0.05, r=-0.488), subcutaneous whole-body mass (p<0.05, r=-0.464), visceral fat (p<0.05, r=-0.505) and body fat % (p<0.05, r=-0.626). Whereas no correlation was found between HRV and Body composition in wushu players. Conclusion: Reduction in body fat % and visceral fat in judo players indicate improved sympathovagal balance which can be due to the adaptation induced by training loads. Similar results were not seen in wushu players because of high amount of body fat% and visceral fat. Keywords: Body composition, combat sports, heart rate variability, Body fat %, resting heart rate.


Author(s):  
Katie M. Heinrich ◽  
Konstantin G. Gurevich ◽  
Anna N. Arkhangelskaia ◽  
Oleg P. Karazhelyaskov ◽  
Walker S. C. Poston

In some countries, obesity rates among police officers are higher than the general public, despite physically demanding jobs. Obesity rates based on body mass index (BMI) may lack accuracy as BMI does not directly address body composition. Since data are lacking for obesity rates among Russian police officers, this study documented and compared officer obesity rates to the adult Russian population and compared the accuracy of body mass index (BMI) for obesity classification to two direct measures of body composition. Moscow region police officers (N = 182, 84% men) underwent height, weight, waist circumference (WC), and body fat percentage (BF%) bioelectrical impedance measurements during annual medical examinations. BMI-defined obesity rates were 4.6% for men and 17.2% for women, which were >3 and >1.8 times lower than Russian adults, respectively. WC-defined obesity rates were similar to BMI (3.3% for men and 10.3% for women), but BF%-defined obesity rates were much higher (22.2% for men and 55.2% for women). Although obesity rates were lower than those found among police officers in other countries, BMI alone was not a particularly accurate method for classifying weight status among Russian police officers.


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