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Body Composition (body + composition)
Kinds of Body Composition Terms modified by Body Composition Selected AbstractsINTERRELATIONSHIPS BETWEEN LEPTIN RESISTANCE, BODY COMPOSITION, AND AGING IN ELDERLY WOMENJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 9 2008Elena Zoico MD No abstract is available for this article. [source] RELATIONSHIP BETWEEN BODY COMPOSITION AND CYTOKINES IN CACHECTIC PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASEJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 6 2003Shing-Shing Yeh PhD No abstract is available for this article. [source] Association Between Fitness and Changes in Body Composition and Muscle StrengthJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2 2010George A. Kuchel, [see editorial comments by Drs. Gustavo Duque, pp 37 OBJECTIVES: To examine the association between physical fitness, assessed according to ability and time to complete a 400-m walk, on changes in body composition and muscle strength over a 7-year period. DESIGN: Prospective observational cohort study. SETTING: Memphis, Tennessee, and Pittsburgh, Pennsylvania. PARTICIPANTS: Two thousand nine hundred forty-nine black and white men and women aged 70 to 79 participating in the Health, Aging and Body Composition Study. MEASUREMENTS: Body composition (fat and bone-free lean mass) was assessed using dual-energy X-ray absorptiometry in Years 1 to 6 and 8. Knee extension strength was measured using isokinetic dynamometry and grip strength using isometric dynamometry in Years 1, 2, 4, 6, and 8. RESULTS: Less fit people weighed more and had a higher total percentage of fat and a lower total percentage of lean mass than very fit men and women at baseline (P<.001). Additionally, the least fit lost significantly more weight, fat mass, and lean mass over time than the very fit (all P<.01). Very fit people had the highest grip strength and knee extensor strength at baseline and follow-up; decline in muscle strength was similar in every fitness group. CONCLUSION: Low fitness in old age was associated with greater weight loss and loss of lean mass than with high fitness. Despite having lower muscle strength, the rate of decline in the least fit persons was similar to that in the most fit. In clinical practice, a long-distance walk test as a measure of fitness might be useful to identify people at risk for these adverse health outcomes. [source] Physical Performance and Subsequent Disability and Survival in Older Adults with Malignancy: Results from the Health, Aging and Body Composition StudyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 1 2010Heidi D. Klepin MD OBJECTIVES: To evaluate objective physical performance measures as predictors of survival and subsequent disability in older patients with cancer. DESIGN: Longitudinal cohort study. SETTING: Health, Aging and Body Composition (Health ABC) Study. PARTICIPANTS: Four hundred twenty-nine individuals diagnosed with cancer during the first 6 years of follow-up of the Health ABC Study. MEASUREMENTS: The associations between precancer measures of physical performance (20-m usual gait speed, 400-m long-distance corridor walk (LDCW), and grip strength) and overall survival and a short-term outcome of 2-year progression to disability or death were evaluated. Cox proportional hazards and logistic regression models, stratified for metastatic disease, respectively, were used for outcomes. RESULTS: Mean age was 77.2, 36.1% were women, and 45.7% were black. Faster 20-m usual walking speed was associated with a lower risk of death in the metastatic group (hazard ratio=0.89, 95% confidence interval (CI)=0.79,0.99) and lower 2-year progression to disability or death in the nonmetastatic group (odds ratio (OR)=0.77, 95% CI=0.64,0.94). Ability to complete the 400-m LDCW was associated with lower 2-year progression to disability or death in the nonmetastatic group (OR=0.24, 95% CI=0.10,0.62). There were no associations between grip strength and disability or death. CONCLUSION: Lower extremity physical performance tests (usual gait speed and 400-m LDCW) were associated with survival and 2-year progression to disability or death. Objective physical performance measures may help inform pretreatment evaluations in older adults with cancer. [source] Physical Rehabilitation Alters Body Composition in Chronically Obese CatJOURNAL OF ANIMAL PHYSIOLOGY AND NUTRITION, Issue 2 2008Sarah K. Abood Successful weight loss in obese dogs and cats is difficult, and even more so in pets who don't exercise regularly or are inactive. Over the past 10 years, physical rehabilitation (or physio-therapy) as a treatment or wellness modality has been gaining popularity in small animal veterinary practice. This case report describes the use of physical rehabilitation to achieve weight loss and a decreased body condition score in a chronically obese cat. A 7-year old, female-spayed domestic, short-haired cat, weighing 15 lbs, was evaluated by the Nutrition Support Service at Michigan State University's Veterinary Teaching Hospital for a weight management consultation. The cat had a history of chronic obesity and the owner reported feeding a variety of reduced or restricted-calorie foods, both canned and dry versions, over the previous 5 years. The home environment included three other cats, none of which were overweight. All cats were fed once daily in the evening; separate food bowls were provided for each cat, but multiple water bowls and litter boxes were shared. A course of 8 weeks of physio-therapy was recommended, with a target weight of 12 lbs identified, to which the owner agreed. Body weight, body condition score and circumference measures of axillary, rib and flank areas were taken at the initial visit, and at 3 weeks and 8 weeks. At the beginning of the 8th week, the cat's body weight had dropped from 15 lbs to 14.2 lbs, and the body condition score shifted down from 9 to 8 out of 9. More dramatically, however, were changes measured in body circumference: from 43 cm to 38.6 cm in the axilla (11% decrease); 50.3 cm to 42.5 cm in the ribs (15.5% decrease); 46 cm to 41 cm in the flank (11% decrease). To the author's knowledge, this is the first report confirming weight loss, reduced body condition score, and altered body composition in a cat as a direct result of physical rehabilitation. [source] The Ghrelin/Obestatin Balance in the Physiological and Pathological Control of Growth Hormone Secretion, Body Composition and Food IntakeJOURNAL OF NEUROENDOCRINOLOGY, Issue 7 2010R. Hassouna Ghrelin and obestatin are two gastrointestinal peptides obtained by post-translational processing of a common precursor, preproghrelin. Ghrelin is an orexigenic and adipogenic peptide and a potent growth hormone secretagogue (GHS) modified by the enzyme ghrelin- O -acyl-transferase to bind and activate its receptor, the GHS-R. The ghrelin/GHS-R pathway is complex and the effects of ghrelin on GH secretion, adiposity and food intake appear to be relayed by distinct mechanisms involving different transduction signals and constitutive activity for the GH-R, different cofactors as modulators of endogenous ghrelin signalling and/or alternative ghrelin receptors. The discovery of obestatin in 2005 brought an additional level of complexity to this fascinating system. Obestatin was initially identified as an anorexigenic peptide and as the cognate ligand for GPR39, but its effect on food intake and its ability to activate GPR39 are still controversial. Although several teams failed to reproduce the anorexigenic actions of obestatin, this peptide has been shown to antagonise GH secretion and food intake induced by ghrelin and could be an interesting pharmacological tool to counteract the actions of ghrelin. Ghrelin and obestatin immunoreactivities are recovered in the blood with an ultradian pulsatility and their concentrations in plasma vary with the nutritional status of the body. It is still a matter of debate whether both hormones are regulated by independent mechanisms and whether obestatin is a physiologically relevant peptide. Nevertheless, a significant number of studies show that the ghrelin/obestatin ratio is modified in anorexia nervosa and obesity. This suggests that the ghrelin/obestatin balance could be essential to adapt the body's response to nutritional challenges. Although measuring ghrelin and obestatin in plasma is challenging because many forms of the peptides circulate, more sensitive and selective assays to detect the different preproghrelin-derived peptides are being developed and may be the key to obtaining a better understanding of their roles in different physiological and pathological conditions. [source] Paradoxical Sleep Deprivation and Sleep Recovery: Effects on the Hypothalamic,Pituitary,Adrenal Axis Activity, Energy Balance and Body Composition of RatsJOURNAL OF NEUROENDOCRINOLOGY, Issue 4 2006D. C. Hipólide Abstract Numerous studies indicate that sleep deprivation alters energy expenditure. However, this conclusion is drawn from indirect measurements. In the present study, we investigated alterations of energy expenditure, body composition, blood glucose levels, plasma insulin, adrenocorticotropic hormone (ACTH) and corticosterone levels immediately after 4 days of sleep deprivation or after 4 days of sleep recovery. Rats were sleep deprived or maintained in a control environment (groups sleep-deprived/deprivation and control/deprivation). One half of these animals were sacrificed at the end of the deprivation period and the other half was transported to metabolic cages, where they were allowed to sleep freely (groups sleep-deprived/recovery and control/recovery). At the end of the sleep recovery period, these rats were sacrificed. After sleep deprivation, sleep-deprived rats exhibited loss of body weight, augmented energy expenditure and reduced metabolic efficiency compared to control rats. These alterations were normalised during the sleep recovery period. The body composition of sleep-deprived rats was altered insofar as there was a loss of fat content and gain of protein content in the carcass compared to control rats. However, these alterations were not reversed by sleep recovery. Finally, plasma levels of insulin were reduced during the sleep deprivation period in both control and sleep deprived groups compared to the recovery period. After the deprivation period, plasma ACTH and corticosterone levels were increased in sleep-deprived rats compared to control rats, and although ACTH levels were similar between the groups after the sleep recovery period, corticosterone levels remained elevated in sleep-deprived rats after this period. By means of direct measurements of metabolism, our results showed that sleep deprivation produces increased energy expenditure and loss of fat content. Most of the alterations were reversed by sleep recovery, except for corticosterone levels and body composition. [source] Effect of Dietary Protein Sources on Growth and Body Composition of Snail, Semisulcospira gottscheiJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 4 2010Sang-Min Lee A feeding experiment was conducted to determine a dietary protein source for juvenile snail, Semisulcospira gottschei. Eight experimental diets (designated as 1,8) were formulated to contain 31% casein, 42% fish meal, 31% blood meal, 39% meat meal, 46% corn gluten meal, 57% soybean meal, 50% cottonseed meal with 23% casein, and 50% wheat flour with 6% casein, respectively, as dietary sole protein sources. Snails (37 ± 3.4 mg/snail) were randomly distributed into 25 L aquaria (20 L water each) in a recirculating aquarium system at a density of 100 juveniles per aquarium. Three replicate groups of snails were fed one of the experimental diets ad libitum once in every 2 d for 12 wk. At the end of the feeding experiment, survival of snails ranged from 77 to 89%, and was not significantly different among the treatments. Snails fed Diet 7 containing 25.3% crude protein deriving from cottonseed meal and casein grew faster than did snails fed other diets, except for snails fed Diet 6 containing soybean meal as a protein source. Growth of snails fed diets containing blood meal, corn gluten meal, and meat meal was the least of snails fed any diet. Crude protein, crude lipid, and ash contents of whole body varied remarkably with dietary protein source. The present findings suggest that dietary protein source could affect the body weight and proximate composition of snails. Cottonseed meal and soybean meal might be a more preferable dietary protein source for snail juvenile compared with other ingredients tested. [source] Effects of Carbohydrate-Rich Alternative Feedstuffs on Growth, Survival, Body Composition, Hematology, and Nonspecific Immune Response of Black Pacu, Colossoma macropomum, and Red Pacu, Piaractus brachypomusJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 1 2009Rebecca Lochmann To facilitate economical culture of black pacu, Colossoma macropomum, and red pacu, Piaractus brachypomus, in the Amazon region of South America, we assessed locally available alternative energy sources for practical diets. We tested the effects of control diets (containing wheat products) versus diets with different Amazonian feedstuffs (yucca, Manihot sculenta, plantain, Musa paradisiaca, or pijuayo, Bactris gasipaes) on the performance of the pacus in three feeding trials. Black pacu (22.5 ± 0.03 g; Trial 1) or red pacu (2.56 ± 0.01 g; Trial 2) were fed diets containing 30% wheat bran (control) or cooked or uncooked yucca, plantain, or pijuayo for 12 wk. In Trial 3, larger black pacu (86.9 ± 6.4 g) were grown to market size in 24 wk on similar diets. Weight gain, feed conversion, survival, alternative complement activity, and lysozyme were similar among diets. Hepatosomatic index, liver glycogen, and dry matter were affected by diet in Trials 1 and 2, but effects were not consistent among trials. In Trial 3, protein efficiency ratio was lower in fish fed the diet containing wheat middlings. However, relative to wheat bran or wheat middlings, all feedstuffs tested were effective energy sources for juvenile black pacu and red pacu. [source] Effects of Dietary Recombinant Bovine Somatotropin Levels on Growth, Plasma Recombinant Bovine Somatotropin Concentrations, and Body Composition of Juvenile Korean Rockfish, Sebastes schlegeliJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 2 2007Gwangyeol Yoo This experiment was conducted to study the effects of the graded recombinant bovine somatotropin (rBST) levels on growth, plasma rBST concentrations, and body composition of Korean rockfish, Sebastes schlegeli, and to estimate the optimum oral dosage of rBST. Seven experimental diets were formulated to be isonitrogenous and isocaloric and to contain 49.0% crude protein and 16.7 kJ available energy/g, with 0, 5, 10, 15, 20, 25, or 50 mg rBST/kg body weight (BW)/wk (rBST0, rBST5, rBST10, rBST15, rBST20, rBST25, and rBST50, respectively). After the feeding trial, fish fed all the diets supplemented with rBST showed higher weight gain (WG), feed efficiency (FE), specific growth rate (SGR), and protein efficiency ratio (PER) than those fed the rBST0 diet (P < 0.05). WG of fish fed rBST15, rBST20, rBST25, and rBST50 diets was significantly higher than that of fish fed rBST0 and rBST5 diets (P < 0.05); however, there were no significant differences among fish fed rBST10, rBST15, rBST20, rBST25, and rBST50 diets. FE of fish fed rBST15 and rBST20 diets was significantly higher than that of fish fed rBST0, rBST5, rBST10, and rBST50 diets, and fish fed rBST10, rBST25, and rBST50 diets had significantly higher FE than those fed rBST0 and rBST5 diets (P < 0.05). SGR of fish fed all the diets supplemented with rBST was significantly higher than that of fish fed rBST0 diet (P < 0.05); however, there were no significant differences among fish fed all the diets supplemented with rBST. PER of fish fed rBST15 and rBST20 diets was significantly higher than that of fish fed rBST0, rBST5, and rBST50 diets, and fish fed rBST10, rBST25, and rBST50 diets had significantly higher PER than those fed rBST0 and rBST5 diets (P < 0.05). Whole-body protein of fish fed rBST15 diet was significantly higher than that of fish fed rBST0, rBST5, and rBST10 diets (P < 0.05); however, there were no significant differences among fish fed rBST15, rBST20, rBST25, and rBST50 diets. Plasma rBST concentrations of fish fed all the diets began to rise at 3 h after oral administration of rBST; the maximum plasma rBST concentration peaked at 12 h and returned to the basal level at 24 h. Broken-line model analyses of WG and FE were 12.8 and 13.2 mg rBST/kg BW/wk, respectively. These results indicated that the optimum oral dosage could be greater than 12.8 mg rBST/kg BW/wk but less than 13.2 mg rBST/kg BW/wk in juvenile Korean rockfish. [source] Effects of Periodic Feed Deprivation on Growth, Feed Efficiency, Processing Yield, and Body Composition of Channel Catfish Ictalurus punctatusJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 4 2005Menghe H. Li Two studies were conducted in 110-L flow-through aquaria and 0.4-ha ponds to evaluate effects of periodic feed deprivation on the growth performance of channel catfish Ictalurus punctatus. Fish were deprived of feed 0, 1, 2, or 3 consecutive d/wk, l d per 5-d period, or 3 consecutive d per 10-d period and fed to satiation on days fish were fed. In Experiment 1, fish fed less frequently than daily consumed significantly less feed (over the experimental period) and gained significantly less weight than fish fed daily, except that feed consumption of fish deprived of feed 1 d/wk was not significantly different from that of fish fed daily. Compared with fish fed daily, fish deprived of feed 2 d/wk had significantly lower feed conversion ratio (FCR). Visceral fat of fish deprived of feed 1 or 2 d/wk was similar to that of fish fed daily, but fish deprived of feed for longer periods had significantly lower visceral fat than fish fed daily. Regression analysis indicated that feed consumption, weight gain, and visceral fat increased linearly as the number of days that fish were fed increased. In Experiment 2, there were no significant differences in the amount of feed fed between fish deprived of feed 1 d/wk and those fed daily. Net production of fish deprived of feed 1 or 2 d/wk or 1 d per 5-d period was not significantly different from that of fish fed daily, but fish deprived of feed for longer periods had significantly lower net production than fish fed daily. Visceral fat of fish deprived of feed 1 d/wk or 1 d per 5-d period was similar to that of fish fed daily, but fish on other treatments had significantly lower visceral fat than fish fed daily. Regression analysis showed that as the number of days fed increased the amount of feed fed and net production increased quadratically. Feed conversion ratio, carcass yield, visceral fat, and fillet fat increased, while fillet moisture decreased linearly as the number of days fed increased. Although feeding less frequently than daily may improve feed efficiency, and fish deprived of feed may demonstrate compensatory growth when a full feeding regime is resumed, it may be difficult to provide enough feed to satiate all size-classes of fish under a multiple-batch cropping system without causing water quality problems. Under normal economic conditions, fish should be fed daily to apparent satiation without waste and without causing water quality problems. However, during periods of unfavorable economic conditions, channel catfish raised from advanced fingerlings to market size may be fed less frequently than daily to reduce production cost. Results from the present study indicated that feeding channel catfish to satiation 5 or 6 d/wk (not feeding on one or two weekend days) could provide some benefits in reducing production cost through reduced feed and labor costs for food-sized channel catfish during periods of low fish prices and high feed prices. [source] Effects of Amylopectin/Amylose Starch Ratio on Growth, Body Composition and Glycemic Response of Sunshine Bass Morone chrysops × M. saxatilisJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 3 2003Steven Rawles Manipulation of the ratio of amylopectin (,-[1,4] and ,-[1,6] linked glucose) to amylose (,-[1,41 linked glucose) starches in the carbohydrate fraction of the diet has been used to improve carbohydrate and lipid metabolism in mammalian models. A 10-wk feeding trial was conducted to determine the effect of dietary amylopectin/amylose ratio on growth and composition of growth of advanced sunshine bass (Morone chrysops × M. saxatilis) fingerlings (60 g, initial weight). Fish were fed cold-pelleted, semipurified, isonitrogenous (35% crude protein), isocaloric (3.6 kcaVg protein), isolipidic (5%) diets containing 25% carbohydrate. The carbohydrate fraction of the diets was composed of either glucose, dextrin, 100% amylopectin/0% amylose, 70% amylopectin/30% amylose, or 30% amylopectin/70% amylose. Diets differing in ratios of amylopectin/amylose were achieved by adjusting the proportion of high-amylopectin (100% amylopectin) to high-amylose (70% amylose) corn starch. Diets were fed to fish in quadruplicate 76-L tanks (seven fish/tank) connected to a brackish water (5-7%v) recirculating culture system with biofiltration. Weight gain ranged from 195 to 236% of initial weight (60 g) and was significantly greater (P < 0.1) for fish fed diets containing 25% carbohydrate as dextrin or as 70% amylose and significantly lower in fish fed diets in which carbohydrate was composed of 30% amylose, 100% amylopectin, or glucose. Feed efficiency ranged from 0.52 to 0.61 and was higher in fish fed the diet containing the highest concentration of amylose and lower in fish fed the diet containing glucose. Hepatosomatic index was highest (2.71) in fish fed the diet containing glucose and lowest (1.401.45) in fish fed diets containing high-amylose cornstarch. Intraperitoneal fat ratio was distinctly lower in fish fed diets containing some amylose as compared to those fed diets without amylose. Liver lipid was significantly lower (4.8%) in fish fed the diet containing glucose and almost twice as high (7.3-8.9%) in fish fed the diets containing any starch. Glycogen content of the liver decreased from approximately 12% in fish fed the diet containing glucose to 5% in fish fed the diets containing amylose. Muscle proximate composition and ratio were unaffected by the dietary treatments. Fasting levels (15 h) of blood glucose in fish reared for 10 wk on the diet containing glucose were significantly elevated (5.5 mmol/L) when compared to fasting levels of those that had been reared on diets containing starch (3.4-1.1 mmol/L). Fish fed the diet containing glucose exhibited maximum blood concentrations (14.6 mmoVL) 4 h postprandial then rapidly declined to nearly fasting levels within 8 h postprandial. In contrast, maximum plasma glucose concentrations in fish fed diets containing starch were roughly half (6.8-8.1 mmol/L) those of fish fed the diet containing glucose. Blood glucose in fish fed diets containing dextrin or predominantly amylopectin starch remained elevated longer than that of fish fed diets containing glucose or predominantly amylose starch. Glycemic response appeared to decrease with increasing dietary amylose content. These data suggest that feeding diets in which a greater portion of the starch is amylose may be a useful strategy for improving carbohydrate use in sunshine bass. [source] Growth, Survival, and Body Composition of Cage-Cultured Nile Tilapia Oreochromis niloticus Fed Pelleted and Unpelleted Distillers Grains with Solubles in Polyculture with Freshwater Prawn Macrobrachium rosenbergiiJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 4 2000James H. Tidwell Nine 1.0-m3 cages were stocked with 200 juvenile (26 ± 0.9 g) tilapia. Cages were suspended in a 0.2-ha pond stocked with juvenile freshwater prawns Macrobrachium rosenbergii at 40,000/ha. Three replicate cages were randomly assigned to each dietary treatment. In one dietary treatment DDGS was fed as an unpelleted loose grain ration (26% protein). In a second dietary treatment fish were fed DDGS that had been steam-pelleted (23% protein). Fish in a third dietary treatment were fed a commercial catfish diet (31% protein) for comparison. After 12 wk, individual weight, individual length, and specific growth rate were significantly higher (P < 0.05) and feed conversion ratio was significantly lower (P < 0.05) for fish fed the commercial catfish diet than for fish fed either unpelleted or pelleted DDGS. Specific growth rate was significantly higher (P < 0.05) for fish fed pelleted DDGS than for fish fed unpelleted DDGS. Survival did not differ significantly (P > 0.05) among treatments (>95%). Although growth was increased in fish fed the commercial diet, their cost of production (<0.66/kg gain) was significantly higher (P < 0.05) than in fish fed unpelleted and pelleted DDGS (<0.26/ kg gain and <0.37/kg gain, respectively). The costs of gain in fish fed unpelleted DDGS was significantly lower (P < 0.05) than in fish fed the pelleted DDGS. Prawn production was 1,449 kg/ha and addition of tilapia in polyculture increased total pond productivity approximately 81 %. These data suggest that DDGS provides economical growth in tilapia when fed as a direct feed and that polyculture of tilapia may improve overall pond efficiency in freshwater prawn production ponds, even at temperate latitudes. [source] Effects of Dietary Protein and Energy Levels on Growth and Body Composition of Juvenile Flounder Paralichthys olivaceusJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 3 2000Sang-Min Lee A feeding trial of three protein levels (30, 40 and 50%) and two energy levels (300 and 400 kcal/100-g diet) factorial design with three replications was carried out to investigate the proper dietary protein and energy levels for the growth of juvenile flounder Paralichthys olivaceus. Weight gain of fish tended to improve with increasing dietary protein level. Weight gain of fish fed either the 40% or 50% protein diet with 300 kcal/100-g diet was significantly higher (P < 0.05) than with 400 kcal/100-g diet. The best weight gain was obtained from fish fed the 50% protein diet with 300 kcal/100-g diet. Feed efficiency tended to improve with increasing dietary protein level. However, dietary energy level had no significant effect on feed efficiency of fish fed the 30% or 50% protein diet, but that of fish fed the 40% protein diet with 300 kcal/100-g diet was significantly higher than with 400 kcal/100-g diet. Protein retention tended to increase as dietary protein level increased and energy level decreased. Lipid content of fish fed the diet containing 400 kcal/100-g diet was significantly higher than that of fish fed the diet containing 300 kcal/100-g diet at all protein levels. Fatty acid compositions such as linoleic acid, EPA (20:5n-3) and DHA (22:6n-3) offish were directly affected by dietary lipid (squid liver oil and/or soybean oil) used for energy source. Based on the above results, it can be concluded that the proper dietary protein and energy levels for the growth of juvenile flounder are 50% and 300 kcal/100-g diet, respectively. [source] Caloric Restriction and Calcium's Effect on Bone Metabolism and Body Composition in Overweight and Obese Premenopausal WomenNUTRITION REVIEWS, Issue 12 2004Tim L. Radak DrPH Obesity results in numerous preventable deaths and comorbidities. Unfortunately, a reduction of body weight has been correlated with a reduction in bone mass, the reasons for which have not been fully elucidated. The importance of maximizing peak bone mass during premenopausal years is well known. Most studies demonstrate a positive relationship between calcium intake and bone mass. However, during caloric restriction, which is commonly used for weight loss, calcium intake has shown mixed results. Calcium from dairy sources has received additional attention, beyond its importance to bone, for its role in regulating body weight and composition. Dairy foods are perceived as high fat, and therefore, are generally minimized or avoided during caloric restriction. The current calcium intake for premenopausal women is significantly below recommendations, and even if met during caloric restriction, may not be adequate. This review underscores the need for maintaining at least adequate intake levels of calcium, if not more, during weight loss regimens to minimize potential long-term detrimental effects on bone metabolism. [source] Minor long-term changes in weight have beneficial effects on insulin sensitivity and ,-cell function in obese subjectsDIABETES OBESITY & METABOLISM, Issue 1 2002A. M. Rosenfalck SUMMARY Aim To evaluate the long-term effect of changes in body composition induced by weight loss on insulin sensitivity (SI), non-insulin mediated glucose disposal, glucose effectiveness (SG) and ,-cell function. Design Glucose metabolism was evaluated before and after participation in a two-year weight loss trial of Orlistat vs. placebo, combined with an energy and fat restricted diet. Subjects Twelve obese patients (11 women, 1 man), age 45.8 ± 10.5 years, body weight (BW) 99.7 ± 13.3 kg, BMI 35.3 ± 2.8 kg/m2. Measurements At inclusion and 2 years later an oral glucose tolerance test (OGTT) and a frequently sampled intravenous glucose tolerance test (FSIGT) were performed. Body composition was estimated by a dual-energy X-ray absorptiometry (DXA) whole body scanning. Results The patients obtained varying changes in BW ranging from a weight loss of 17.8 kg to a weight gain of 6.0 kg. Corresponding changes in fat mass (FM) varied from a 40% reduction to a 19% increase. A significant decrease in both fasting (p =,0.038) and 2 h (p =,0.047) blood glucose at OGTT was found. The improvement in insulin sensitivity (SI) estimated by means of Bergmans Minimal Model, was significantly and linearly correlated to change in total FM (r = , 0.83, p =,0.0026). A multiple regression analysis showed that changes in truncal FM was the strongest predictor of change in SI explaining 67% of the variation. First phase insulin response (AIRg) remained unchanged whereas insulin disposition index increased significantly (p =,0.044). At inclusion five patients had impaired glucose tolerance of which four, who lost weight, were normalized at the retest 2 years later. Conclusion In obese subjects long-term minimal or moderate changes in weight were found to be linearly associated with changes in insulin sensitivity. In obese subjects with impaired glucose tolerance even a minor weight loss was able to normalize glucose tolerance. [source] Body composition in young Standardbreds in training: relationships to body condition score, physiological and locomotor variables during exerciseEQUINE VETERINARY JOURNAL, Issue S36 2006C. LELEU Summary Reasons for performing study: Body composition is an essential factor in athletic performance of human sprinters and long distance runners. However, in horses, many questions remain concerning relationships between body composition and performance in the different equine activities. Objectives: To determine relationships between body composition, body score, physiological and locomotor variables in a population of young Standardbreds in training. Methods: Twenty-four 2-year-old Standardbreds were studied, body condition on a scale 0,5 and bodyweight recorded, and height at withers measured. Percentage of fat (%F), fat mass (FM) and fat free mass (FFM) were estimated echographically. During a standardised exercise test on the track, velocity, heart rate, respiratory frequency and blood lactate concentrations were measured. V4 and V200 (velocity for a blood lactate concentration of 4 mmol/1 and velocity of 200 beats/min) calculated. Basic gait variables were measured at 3 different speeds with an accelerometric device. Results: Body composition variables: %F and FM were significantly related to body condition score and physiological variables. Body score was highly correlated to %F (r=0.64) and FM (r = 0.71). V4 was negatively correlated to %V (r=-0.59) and FM (r = -0.60), P<0.05. V200 was also negatively related to %F and FM, (r=-0.39 and r = -0.37, respectively, P<0.1). No relationships were found between body composition and gait characteristics. Conclusions: Body composition was closely related to indirect measurements of aerobic capacity, which is a major factor of athletic performance in middle distance running horses. Potential relevance: As in human athletes, trainers should take special note to evaluate optimal bodyweight and body composition of race horses to optimise performance. [source] Consumer body composition and community structure in a stream is altered by pHFRESHWATER BIOLOGY, Issue 3 2010A. LARRAÑAGA Summary 1.,Low pH inhibits microbial conditioning of leaf-litter, which forms the principal energy input to many headwater streams. This reduces food quality and availability for the shredder assemblage, thereby creating a potential bottleneck in the flux of energy and biomass through acidified food webs. 2.,We explored the consequences of acidity on the well-characterised community of Broadstone Stream in southeast England, by quantifying the physiological condition (protein and lipid content) of three dominant shredder species (Leuctra nigra, L. hippopus and Nemurella pictetii) and relating this to changes in the numerical abundance and biomass of invertebrates across a longitudinal pH gradient (5.3,6.5). 3.,Total taxon richness increased with pH, as did shredder diversity. The acid-tolerant stonefly, L. nigra, exhibited a positive correlation between pH and protein content, but its abundance was suppressed in the less acid reaches. These results suggest that the impacts of environmental stressors might be manifested differently at the population (i.e. numerical and biomass abundance) versus the physiological (i.e. protein content of individuals) levels of organisation. Body composition of L. hippopus and N. pictetii did not exhibit any significant relationship with stream pH in the field. 4.,The survey data were corroborated with a laboratory rearing experiment using N. pictetii, in which survival rate, growth rate, and protein and lipid content of individuals were measured in stream water of differing pH and acid versus circumneutral microbial conditioning regimes. Acid-conditioned leaves were associated with increased mortality and reduced protein content in consumers' tissues, with acid water also having the latter effect. 5.,Our results suggest that biochemical constraints within key taxa might create energy flux bottlenecks in detrital-based food webs, and that this could ultimately determine the productivity of the entire system. Hence assays of the body composition of macroinvertebrates could be an effective new tool that complements population level studies of the impacts of stressors in fresh waters. [source] The use of near infrared interactance in hemodialysisHEMODIALYSIS INTERNATIONAL, Issue 1 2005N. Sarhill Forty-one consecutive admissions to a hemodialysis center were evaluated. Demographic information including age, gender, race, and diagnosis was collected. Patients, >18 years old, with end stage renal disease and on hemodialysis for at least one year were included. Those with edema or known ascites were excluded. Weight was measured before and after hemodialysis (HD) using a standard scale and by considering the amount of fluid loss by the hemodialysis machine. Body composition including total body water (TBW) was calculated before and after HD using near infrared interactance (NIR). All measurements were completed during half hour before and after HD. Forty-one patients included: men (n = 26), women (n = 15); median age 58 (range 28,88 years). Twenty-eight were African American and the rest Caucasians. The amount of intravascular fluid taken after HD (assessed by weight reduction) ranged 0,5 L with median 2.2 L. NIR analysis for the same patients at the same time showed different total body water measurements in 91% of cases (P > 0.05). Moreover, NIR analysis showed increase in total body water in 24% of patients even though the hemodialysis machine showed a loss of total body water; median of 1.3 (range: 0,3L). The error in measuring body composition with NIR was both large and varied (random and not systematic error). We conclude that NIR analysis cannot be considered as a reliable method to evaluate body composition, especially total body water, amongst patients with end stage renal disease undergoing hemodialysis. [source] Sarcopenia is prevalent in patients with Crohn's disease in clinical remissionINFLAMMATORY BOWEL DISEASES, Issue 11 2008Stéphane M. Schneider MD Abstract Background: Patients with Crohn's disease (CD) are prone to osteoporosis. A loss of muscle mass, called sarcopenia, is responsible for an increased risk of disability. Many factors associated with osteopenia also decrease muscle mass. The aim of the present study was to measure the prevalence of sarcopenia in CD patients in remission and uncover its relationship with osteopenia. Methods: In all, 82 CD patients (43 female / 39 male; 36 ± 14 years; body mass index [BMI] 21.1 ± 3.4) and 50 healthy volunteers (30F/20M; 39 ± 13 years; BMI 22.2 ± 2.5) were studied. Body composition was assessed using dual-energy x-ray absorptiometry. Sarcopenia was defined as an appendicular skeletal muscle index (ASMI) below 5.45 kg/m2 for women and 7.26 for men. Osteopenia was defined as a T-score for bone mineral density (BMD) (g/cm2) below ,1.0. Results: In all, 60% of CD patients were found to be sarcopenic and 30% osteopenic, compared to 16% and 4% of controls, respectively (P < 0.01). ASMI was significantly lower in patients than in controls (6.0 ± 1.1 versus 6.5 ± 1.2; P < 0.05). Sarcopenic patients had significantly (P < 0.01) lower BMI (20.0 ± 3.5 versus 22.7 ± 2.8 kg/m2), lean mass (41.5 ± 9.1 versus 48.1 ± 9.1 kg), and BMD (1.09 ± 0.12 versus 1.15 ± 0.08 g/cm2) than nonsarcopenic patients; 91% of sarcopenic patients were also osteopenic. ASMI correlated with BMD (r = 0.46; P < 0.01) and BMI (r = 0.38; P < 0.01). Conclusions: The prevalence of sarcopenia is high in young CD patients and strongly related to osteopenia. These 2 phenomena may share similar mechanisms. Simultaneous screening for sarcopenia and osteopenia may be useful in CD patients. (Inflamm Bowel Dis 2008) [source] Quantitative model of cellulite: three-dimensional skin surface topography, biophysical characterization, and relationship to human perceptionINTERNATIONAL JOURNAL OF COSMETIC SCIENCE, Issue 4 2005L. K. Smalls Gynoid lipodystrophy (cellulite) is the irregular, dimpled skin surface of the thighs, abdomen, and buttocks in 85% of post-adolescent women. The distinctive surface morphology is believed to result when subcutaneous adipose tissue protrudes into the lower reticular dermis, thereby creating irregularities at the surface. The biomechanical properties of epidermal and dermal tissue may also influence severity. Cellulite-affected thigh sites were measured in 51 females with varying degrees of cellulite, in 11 non-cellulite controls, and in 10 male controls. A non-contact high-resolution three-dimensional (3D) laser surface scanner was used to quantify the skin surface morphology and determine specific roughness values. The scans were evaluated by experts and na,ve judges (n = 62). Body composition was evaluated via dual-energy X-ray absorptiometry; dermal thickness and the dermal,subcutaneous junction were evaluated via high-resolution 3D ultrasound and surface photography under compression. Biomechanical properties were also measured. The roughness parameters Svm (mean depth of the lowest valleys) and Sdr (ratio between the roughness surface area and the area of the xy plane) were highly correlated to the expert image grades and, therefore, designated as the quantitative measures of cellulite severity. The strength of the correlations among na,ve grades, expert grades, and roughness values confirmed that the data quantitatively evaluate the human perception of cellulite. Cellulite severity was correlated to BMI, thigh circumference, percent thigh fat, architecture of the dermal,subcutaneous border (ultrasound surface area, red-band SD from compressed images), compliance, and stiffness (negative correlation). Cellulite severity was predicted by the percent fat and the area of the dermal,subcutaneous border. The biomechanical properties did not significantly contribute to the prediction. Comparison of the parameters for females and males further suggests that percent thigh fat and surface area roughness deviation are the distinguishing features of cellulite. [source] Association Between Fitness and Changes in Body Composition and Muscle StrengthJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 2 2010George A. Kuchel, [see editorial comments by Drs. Gustavo Duque, pp 37 OBJECTIVES: To examine the association between physical fitness, assessed according to ability and time to complete a 400-m walk, on changes in body composition and muscle strength over a 7-year period. DESIGN: Prospective observational cohort study. SETTING: Memphis, Tennessee, and Pittsburgh, Pennsylvania. PARTICIPANTS: Two thousand nine hundred forty-nine black and white men and women aged 70 to 79 participating in the Health, Aging and Body Composition Study. MEASUREMENTS: Body composition (fat and bone-free lean mass) was assessed using dual-energy X-ray absorptiometry in Years 1 to 6 and 8. Knee extension strength was measured using isokinetic dynamometry and grip strength using isometric dynamometry in Years 1, 2, 4, 6, and 8. RESULTS: Less fit people weighed more and had a higher total percentage of fat and a lower total percentage of lean mass than very fit men and women at baseline (P<.001). Additionally, the least fit lost significantly more weight, fat mass, and lean mass over time than the very fit (all P<.01). Very fit people had the highest grip strength and knee extensor strength at baseline and follow-up; decline in muscle strength was similar in every fitness group. CONCLUSION: Low fitness in old age was associated with greater weight loss and loss of lean mass than with high fitness. Despite having lower muscle strength, the rate of decline in the least fit persons was similar to that in the most fit. In clinical practice, a long-distance walk test as a measure of fitness might be useful to identify people at risk for these adverse health outcomes. [source] Kidney Function as a Predictor of Loss of Lean Mass in Older Adults: Health, Aging and Body Composition StudyJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 10 2007Linda F. Fried MD OBJECTIVES: To assess the association between kidney function and change in body composition in older individuals. DESIGN: Prospective cohort study. SETTING: Two sites, Pittsburgh, Pennsylvania, and Memphis, Tennessee. PARTICIPANTS: Three thousand twenty-six well-functioning, participants aged 70 to 79 in the Health, Aging and Body Composition Study. MEASUREMENTS: Body composition (bone-free lean mass and fat mass) was measured using dual x-ray absorptiometry annually for 4 years. Kidney function was measured at baseline according to serum creatinine (SCr). Comorbidity and inflammatory markers were evaluated as covariates in mixed-model, repeated-measures analysis. RESULTS: High SCr was associated with loss of lean mass in men but not women, with a stronger relationship in black men (P=.02 for difference between slopes for white and black men). In white men, after adjustment for age and comorbidity, higher SCr remained associated with loss of lean mass (,0.07±0.03 kg/y greater loss per 0.4 mg/dL (1 standard deviation (SD)), P=.009) but was attenuated after adjustment for inflammatory factors (,0.05±0.03 kg/y greater loss per SD, P=.10). In black men, the relationship between SCr and loss of lean mass (,0.19±0.04 kg/y per SD, P<.001) persisted after adjustment for inflammation and overall weight change. CONCLUSION: Impaired kidney function may contribute to loss of lean mass in older men. Inflammation appeared to mediate the relationship in white but not black men. Future studies should strive to elucidate mechanisms linking kidney disease and muscle loss and identify treatments to minimize loss of lean mass and its functional consequences. [source] Body composition and heat expenditure in broiler chickens fed diets with or without trans fatty acidsJOURNAL OF ANIMAL PHYSIOLOGY AND NUTRITION, Issue 1 2008M. Javadi Summary The effect of a diet containing trans fatty acids (TFA) on the fatty acid composition and fat accumulation was investigated in broiler chickens. Female broilers were fed a control or a TFA-containing diet. The difference between the diets was that a part of cis 18:1 in the control diet was replaced by the TFA. Body composition, energy balance and the fatty acid composition were examined. Over the time-period studied (15 days), the body fat content and the protein content did not differ significantly between the TFA-fed group and the control. In energy balance studies, total energy intake, energy loss in excreta, energy expenditure and energy storage did not differ between the treatments. Compared to the control diet, the TFA diet resulted in significantly higher amounts of 14:0 and 18:1n-7 and lower amounts of 18:1n-9 and 20:4n-6 in the body. In conclusion, the data suggest that feeding TFA for 15 days to female broilers had no effect on energy retention, energy expenditure and energy loss in excreta or in body composition in terms of fat and protein. Only the fatty acid composition in the body was affected by the treatment with TFA. In addition, 50% of ingested TFA was incorporated into the body fat. This may have a negative effect on the diethetic value of chicken meat. [source] Calcium intake and its relationship with adiposity and insulin resistance in post-pubertal adolescentsJOURNAL OF HUMAN NUTRITION & DIETETICS, Issue 2 2008L. C. Dos Santos Abstract Background, Dietary calcium intake has been described as being a negative contributor to adiposity. In adolescents, this relationship is not well established. The objectives of the present study were to compare the calcium intake of normal-weight and obese adolescents and to evaluate its relationship with adiposity and insulin resistance. Methods, A cross-sectional analysis of 96 post-pubertal adolescents; 47 normal weight and 49 obese, mean age 16.6 (SD ± 1.3) years. Body composition was assessed by dual-energy X-ray absorptiometry. Dietary intake was evaluated using a 3-day dietary record. The biochemical evaluation comprised the measurements of serum lipids, lipoproteins, glucose and insulin. Insulin resistance was calculated using the Homeostasis Model Assessment of Insulin resistance (HOMA-IR). Results, The mean calcium intake, adjusted for energy, was lower in obese adolescents, 585.2 (±249.9) mg, than in normal weight adolescents, 692.1 (±199.5) mg. Only 4% of adolescents had an adequate intake of calcium. Calcium intake was inversely associated with body trunk fat, insulin and HOMA-IR in the obese group. The quartile analysis of calcium intake provided evidence that girls in the highest quartile had decreased adiposity and insulin resistance. Conclusions, This study showed a negative relationship between calcium intake and body fat and insulin resistance, mainly in obese girls, and demonstrates the importance of an increased dietary calcium intake. [source] Replacement of Fish Meal with Poultry By-product Meal as a Protein Source in Pond-raised Sunshine Bass, Morone chrysops , × M. saxatlis ,, DietsJOURNAL OF THE WORLD AQUACULTURE SOCIETY, Issue 5 2008Harvey J. Pine Replacement of fish meal (FM) as a protein source with alternative sources of protein in aquaculture diets has been widely explored in aquaculture. The goal of replacement of FM in production diets is to maintain growth, lower production costs, and increase sustainability. Evaluation of the replacement of FM with poultry by-product meal (PBM) in phase II sunshine bass diets, Morone chrysops × M. saxatilis, was conducted in ponds over 246 d. Four diets were formulated to be isonitrogenous (37%) and isocaloric (4 kcal/g) with different levels of FM replacement with PBM (0, 33, 67, and 100%, Diets 1,4, respectively). Twelve ponds were stocked with 400 phase II sunshine bass (mean weight 5.6 g) and randomly assigned one of the four diets. Fish were fed below satiation based on predicted growth and feed conversion, initially once daily (1700 h) and then twice daily (0700 and 1700 h) as water temperatures and feeding activity increased. Diets were evaluated based on production and performance indicators, body composition, and economic analysis. Production results revealed no significant differences in mean final individual fish weight (511 ± 21 g), net production (4257 ± 247 kg/ha), and survival (85 ± 2%). No significant differences occurred between the performance indicators: mean feed conversion ratio (2.47 ± 0.11), specific growth rate (1.84 ± 0.02), and protein conversion efficiency (23 ± 1.3%). Body composition was statistically similar for mean percent fillet weight (49 ± 0.6%) and percent intraperitoneal fat (9.8 ± 1.0%); however, the hepatosomatic index was significantly different between Diets 3 (3.7 ± 0.1%) and 4 (3.2 ± 0.1%). Mean proximate analysis of whole fish (dry weight basis) was not significantly different among treatments yielding the following: percent protein (46 ± 0.4%), lipid (47 ± 1.3%), and ash (8 ± 0.7%). Mean fillet composition (dry weight basis) also revealed no significant differences: percent protein (72 ± 0.8%), percent lipid (30 ± 1.6%), and percent ash (5 ± 0.2%). Proximate analysis was also performed on the diets and revealed a significantly lower protein content in Diet 3 (34.3 ± 0.5%) compared to the other diets (37.1 ± 0.4%). Amino acid analysis of the diets indicated a possible deficiency in methionine in Diets 3 and 4. Based on production, performance, and body composition, the results indicate that complete replacement of FM with PBM in sunshine bass diets is feasible; however, economic analysis suggests that the replacement of FM with PBM may result in reduced revenue over feed costs. [source] The stable isotope ketoisocaproic acid breath test as a measure of hepatic decarboxylation capacity: a quantitative analysis in normal subjects after oral and intravenous administrationLIVER INTERNATIONAL, Issue 9 2009Heiner K. Berthold Abstract Background and aims: There is no generally accepted kinetic evaluation method for the stable isotope [13C]ketoisocaproic acid (KIC) breath test. Differences found in the results between women and men are contradictory. Methods: Oral and intravenous breath tests using 1 mg/kg stable isotope-labelled KIC were performed in healthy male and female volunteers. A power exponential function was fitted to the mass spectrometric data of breath 13CO2 enrichment, allowing mathematical analysis of time-to-peak-excretion, half-excretion time, percent label recovery and parameters describing the shape of the curve. Body composition was determined using bioelectrical impedance analysis. Results: After oral administration, total label recovery after 3 h was about 22% and was not different between men (n=7) and women (n=8). The time to maximal label excretion was 0.67 ± 0.12 h in men and 0.9 ± 0.32 h in women (P=0.028) and the excretion curve showed an initially slower rise in women compared with men. Adjusting for lean body mass or body water abrogated the sex differences. Total label recovery after intravenous administration was about 9%, suggesting that the substrate was rapidly catabolized in the muscle compartment after intravenous administration. Conclusions: The modified power exponential function described allows standardized estimates of the KIC breath test results. When corrected for body composition, there are no differences in breath test results between men and women. The comparison between oral and intravenous results provides robust evidence that the KIC breath test measures predominantly hepatic and not muscle decarboxylation and is thus a highly specific liver function test. [source] Independent and opposite associations of trunk fat and leg fat with liver enzyme levelsLIVER INTERNATIONAL, Issue 10 2008Gabriel Perlemuter Abstract Background: In contrast to trunk fat mass (TFM), which is associated with cardiovascular risk markers, leg fat mass (LFM) displays independent protective effects against atherosclerosis. Little is known about the respective influence of central and peripheral adiposity on liver enzyme levels. Aims: To assess the respective influence of TFM and LFM on alanine aminotransferase (ALT), aspartate aminotransferase (AST) and ,-glutamyltransferase (GGT) levels, and to test whether LFM might protect against an increase of liver enzyme levels. Methods: Cross-sectional study on 1442 patients (women: 1155; men: 287) referred for overweight/obesity over 3 years. Body composition was analysed by dual-energy X-ray absorptiometry. The relationships among liver enzymes, age, weight, height, body mass index (BMI), biological indices and body composition were studied. Results: The mean BMI was 39.7 ± 7.9 kg/m2 in women and 38.2 ± 6.6 kg/m2 in men. In women, after adjustement for confounding factors, ALT, AST and GGT were negatively and independently correlated with LFM and positively with TFM. Similar independent associations were observed for ALT and AST in men. The strongest associations were found for ALT in both women and men. Conclusions: As observed for cardiovascular risk factors, LFM and TFM are inversely and independently correlated with liver enzyme levels in obese patients. LFM may confer independent protective effects against obesity-associated liver damage. [source] Body 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] Lifestyle intervention for prevention of diabetes: determinants of success for future implementationNUTRITION REVIEWS, Issue 3 2009Cheryl Roumen Lifestyle interventions are reported to reduce the risk of type 2 diabetes in high-risk individuals after mid- and long-term follow-up. Information on determinants of intervention outcome and adherence and the mechanisms underlying diabetes progression are valuable for a more targeted implementation. Weight loss seems a major determinant of diabetes risk reduction, whereas physical activity and dietary composition may contribute independently. Body composition and genetic variation may also affect the response to intervention. Lifestyle interventions are cost-effective and should be optimized to increase adherence and compliance, especially for individuals in the high-risk group with a low socioeconomic status, so that public health policy can introduce targeted implementation programs nationwide. The aims of this review are to summarize the mid- and long-term effects of lifestyle interventions on impaired glucose tolerance and type 2 diabetes mellitus and to provide determinants of intervention outcome and adherence, which can be used for future implementation of lifestyle interventions. [source] | |||||||||||||||||||||||||||||||||||||