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Arm Muscle Area (arm + muscle_area)
Selected AbstractsBody composition in older orthopaedic rehabilitation inpatients: Are field methods valid?NUTRITION & DIETETICS, Issue 3 2010Alison YAXLEY Abstract Aim:, The assessment of body composition is an important aspect of the determination of nutritional health. This cross-sectional measurement study aimed to assess the relative validity of a range of field techniques for the measurement of body composition in a sample of older orthopaedic inpatients participating in rehabilitation. Methods:, Assessment of percent fat-free mass of 31 adults, aged 65 years and over, was conducted under fasting conditions by two types of bioelectrical impedance analysis (multi-frequency and single frequency,using manufacturer's pre-programmed prediction equation) and compared with percent fat-free mass estimated by dual energy X-ray absorptiometry, a reference technique. Data from multi-frequency bioelectrical impedance analysis were also used to calculate percent fat-free mass from the prediction equation of Dey et al. for comparison. Skeletal muscle mass was derived from assessment of corrected arm muscle area and compared with skeletal muscle mass from dual energy X-ray absorptiometry analysis. Bland-Altman analysis was performed to determine the level of agreement between each field technique and dual energy X-ray absorptiometry. Results:, Mean bias and limits of agreement between single frequency bioelectrical impedance analysis and dual energy X-ray absorptiometry were ,5.7% (,24.0, 12.6), between multi-frequency bioelectrical impedance analysis (manufacturer's pre-programmed prediction equation) and dual energy X-ray absorptiometry were 1.4% (,13.4, 16.1), between multi-frequency bioelectrical impedance analysis (Dey et al. prediction equation) and dual energy X-ray absorptiometry were ,5.0% (,16.6, 6.6) and between skeletal muscle mass as derived from assessment of corrected arm muscle area and skeletal muscle mass from dual energy X-ray absorptiometry analysis ,0.97 kg (,8.37, 6.43). Conclusion:, None of the methods assessed are clinically acceptable for assessment of body composition in older orthopaedic rehabilitation patients; however, estimation of skeletal muscle mass, as derived from corrected arm muscle area, is likely to be of more use in the clinical setting as there is no requirement for patients to be fasted. [source] Malnutrition and neutropenia in children treated for Burkitt lymphoma in MalawiPEDIATRIC BLOOD & CANCER, Issue 1 2009Trijn Israëls MD Abstract Background Infection in neutropenic children is a major cause of morbidity and mortality in children treated for cancer. In developing countries, children with cancer are often malnourished at diagnosis. In Blantyre, Malawi, children with Burkitt lymphoma are treated with a local protocol with limited toxicity. The aim of this study was to evaluate the incidence and outcome of febrile neutropenia during this treatment and the association with malnutrition at diagnosis. Methods We documented nutritional status, febrile and/or neutropenic episodes, antibiotic therapy and short term outcome of all children with Burkitt lymphoma treated according to the local protocol and admitted from January 2007 to March 2008. Results Fifty eight (69%) of 84 patients were acutely malnourished at diagnosis with an arm muscle area (AMA) below the 5th percentile. Malnutrition at diagnosis was associated with a significantly higher rate of profound neutropenia. This association remained significant (OR 12; 95% C.I. 1.5 - infinitely; P,=,0.012) after control for clinical stage of disease, bone marrow involvement and HIV infection which are possible confounders. All patients with profound neutropenia, prolonged neutropenia and treatment related deaths were malnourished at diagnosis. Four (4.9%) of 81 patients died of treatment related causes; three of them due to a Gram negative septicaemia. Conclusion Acute malnutrition at diagnosis is associated with significantly more treatment related profound neutropenia. The intensity of chemotherapeutic regimens has to be adapted to the level of available supportive care and patients' nutritional status and tolerance to avoid unacceptable morbidity and mortality. This local treatment protocol for Burkitt lymphoma has a treatment related mortality of 5% in patients in Malawi. Pediatr Blood Cancer 2009;53:47,52. © 2009 Wiley-Liss, Inc. [source] Offspring from endogamic vs. exogamic matings: Absence of anthropometric differences among Sardinian children (Italy)AMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 4 2010E. Sanna This study evaluates possible differences in body dimensions among children from matings of different exogamy levels. The cross-sectional sample consisted of 867 children, 435 males, and 432 females, 6,10 years old, attending elementary schools in the metropolitan area of Cagliari, the capital of Sardinia (Italy). The children were divided into two groups according to the level of exogamy. The first group consisted of children of parents born in the same Sardinian municipality and was considered endogamous sensu stricto. The second group included children of parents born in municipalities from different Sardinian linguistic domains and was considered exogamous. The Mann,Whitney test did not reveal significant differences between the two groups of children in the mean rank values of the 36 anthropometric variables considered, with the exception of cephalic circumference in males and chest depth in females. In particular, there were no significant differences for anthropometric variables considered to be indirect indicators of nutritional status: sum of skinfolds, waist/hip ratio, body mass index, total upper arm area, upper arm muscle area, and upper arm fat area. The results indicate that Sardinian children from marriages of different exogamy levels do not differ in body dimensions if they grow up with similar nutritional and socioeconomic conditions. Am. J. Hum. Biol., 2010. © 2010 Wiley-Liss, Inc. [source] Nutritional status, body composition, and intestinal parasitism among the Mbyá-Guaraní communities of Misiones, ArgentinaAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 2 2010M.L. Zonta Indigenous communities in Argentina represent socially and economically neglected populations. They are living in extreme poverty and environmental degradation conditions. New information about health status and socio-environmental features is urgently needed to be applied in future sanitary policies. Present study describes the nutritional status, body composition, and intestinal parasitism among Mbyá-Guaraní children from three communities in the Misiones Province. Anthropometric parameters were analized for 178 individuals (aged 1,14). Data were transformed to z -scores using NHANES I and II. Stunting showed the greatest prevalence (44.9%). Children were found to have low arm circumference and low arm muscle area, although with tricipital skinfold value near to the reference. They also tend to have shorter than normal lower limbs. Fecal samples and anal brushes (for Enterobius vermicularis) were collected in 45 children (aged 1,13). Ritchie's sedimentation and Willis' flotation techniques were used to determine parasitoses. Ninety five percent of children were infected with at least one species and 81.4% were polyparasitized. The higher prevalences corresponded to Blastocystis hominis, hookworms (Ancylostoma duodenale/Necator americanus), and Entamoeba coli. Associations occurred between hookworms with B. hominis/E. coli and B. hominis with nonpathogenic amoebas. Thirty nine percent of the children with stunting presented B. hominis, Strongyloides, and hookworms. Our results indicate that this indigenous population is subjected to extreme poverty conditions and is one of the most marginalized in this country. Severe growth stunting and parasitic infection are still quite common among Mbyá children affecting about half of them along with significant changes in body composition and proportions. Am. J. Hum. Biol., 2010. © 2009 Wiley-Liss, Inc. [source] Impact of seasonal scarcity on energy balance and body composition in peasant adolescents from Calakmul, Campeche MexicoAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 6 2007José A. Alayón Gamboa A time allocation and anthropometric study were performed on 46 male and 38 female adolescents from 16 peasant households from two different adaptive strategies in the municipio of Calakmul, Campeche Mexico to see if they could maintain energy balance during the annual scarcity season. These strategies were called: "household subsistence agricultural strategy" (HSA) and "household commercial agricultural strategy" (HCA). Each month, from June 2001 to May 2002, adolescents were measured and followed for 24 h. Their activities were recorded at 15 min intervals. Weight for age (W/A), height for age (H/A), body mass index (BMI), arm muscle area, arm fat area, total energy expenditure (TEE), activity energy expenditure (AEE), and basal metabolic rate (BMR) were estimated and the data compared between seasons using a repeated measurements analysis of variance. The results suggest that HCA offers their adolescents better buffering against seasonal scarcity, and that HSA males are better protected than females. HCA adolescents didn't show significant losses of weight, and HCA females lost body fat during the scarcity season. HSA vulnerability was observed in W/A and BMI z score reductions during the scarcity season. It also reflected itself in stunted adolescent males and adolescent females with fewer fat reserves. HSA adolescents reduced their BMR to down regulate their energy expenditure during the scarcity season without reducing TEE and physical activity levels. HSA females lost muscle mass during the scarcity season while HSA males didn't. This difference was associated with a more demanding work schedule throughout the year for females. Am. J. Hum. Biol., 2007. © 2007 Wiley-Liss, Inc. [source] A comparison of anthropometric indices of nutritional status in Tukanoan and Achuar AmerindiansAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 3 2001Caley M. Orr Anthropometric data from a Tukanoan population in the Vaupes region of Colombia and an Achuar population in the Ecuadorian Amazon were compared relative to international references. The Tukanoans exploit an oligotrophic blackwater ecosystem, whereas the Achuar inhabit a resource rich montane ecosystem. Given this ecological distinction, three hypotheses regarding nutritional statuses were proposed: (1) Tukanoans are significantly shorter than the Achuar, indicating a greater degree of stunting; (2) Tukanoans are significantly leaner, indicating a greater degree of wasting; and (3) Tukanaons have significantly lower upper arm muscle area, indicating lower lean body mass. Z-scores for height, weight-for-height, and estimated upper arm muscle area were determined and significant nutritional stress was assumed at z , ,2.0. Between population differences in z-scores for height-for-age (ZHT), weight-for-height (ZWH), and upper arm muscle area (ZUMA) were examined using analysis of variance with a subsequent Scheffe's test. Between-group differences in the frequencies of individuals with low z-scores (z , ,2.0) were assessed via chi-squared analysis. Both populations showed stunting in most age groups, but neither showed low ZWH or ZUMA. Significant differences between populations were found only for ZHT in children (females 1.0,4.9 and 5.0,9.9 years, and males 5.0,9.9 years). Tukanoans have significantly higher frequencies of stunting in all age-sex groups except females and males age 30,49.9 years. There were no significant between-population differences in the frequencies of individuals with low ZWH or ZUMA. These differences in nutritional status may reflect differences in resource availability. Am. J. Hum. Biol. 13:301,309, 2001. © 2001 Wiley-Liss, Inc. [source] Testosterone, physical activity, and somatic outcomes among Filipino malesAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 4 2010Lee T. Gettler Abstract Testosterone (T) facilitates male investment in reproduction in part through its anabolic effects on skeletal muscle. Traits like muscle and strength are energetically costly but are believed to enhance competitive ability in humans and other mammals. However, there are limited data on relationships between T and somatic outcomes in lean, non-western populations. We evaluate relationships between waking and pre-bed salivary T and adiposity, fat-free mass (FFM), arm muscle area (AMA), and grip strength (GS) in a large, population-based birth cohort of young adult Filipino males (20.8,22.6 years, n = 872). Data were collected as part of the Cebu Longitudinal Health and Nutrition Survey. Neither waking nor evening T predicted FFM, AMA, or GS. However, there were borderline or significant interactions between T and basketball playing (the most common team sport) and weight lifting as predictors of outcomes: higher waking T predicted higher FFM (activity × T interaction P < 0.01), AMA (interaction P < 0.1), and GS (interaction P < 0.02) among frequent basketball players, and GS (interaction P < 0.09) among the smaller sample of weight lifters. In contrast to clinical studies, but consistent with findings in several subsistence-level populations, T was positively related to adiposity in these lean young males, suggesting that energy status might regulate circulating T. Our findings support a role of the prewaking rise in T as a determinant of energetic allocation to lean mass and strength in the context of repeated muscular use and support the hypothesized role of T as a mediator of investment in costly somatic traits in human males. Am J Phys Anthropol 142:590,599, 2010. © 2010 Wiley-Liss, Inc. [source] The upper arm muscle and fat area of Santal children: an evaluation of nutritional statusACTA PAEDIATRICA, Issue 1 2009Sutanu Dutta Chowdhury Abstract Aims: The purpose of this study is to determine the growth pattern of upper arm muscle area (UAMA), upper arm fat area (UAFA) and upper arm muscle area by height (UAMAH) and assessment of magnitude of undernutrition on the basis of these parameters in Santal children. Methods: UAMA and UAFA of 890 (473 boys and 417 girls) Santal children aged 5,12 years were calculated from mid-upper arm circumference and triceps skinfold. Results: Growth curves of UAFA-for-age and UAMA by height in Santal boys and girls are placed at lower level of reference curve indicating severe undernutrition. The growth curves of UAMA-for-age in Santal children of both sexes do not indicate severe undermutrition. 17.13% Santal boys and 20.63% girls were truly undernourished on the basis of three Z-scores of height-for-age, weight-for-height and UAMAH of each subject. Santal children have more UAMA and less UAFA compared to similar undernourished children of Sugalis. Conclusion: Growth curves of UAFA-for-age and UAMA by height are good indicators of nutritional status in Santal children. UAMA and UAFA may not be similarly affected in undernourished children of every community. A comprehensive approach to identify the truly undernourished child has been suggested from this study. [source] | |||||||||||||