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Biomedical subjects

B Isaksson

Publications and source records attributed to B Isaksson.

At least 91 records · Page 5Linked to original sources
PubMed1984

Weight-reducing diets: role of carbohydrates on sympathetic nervous activity and hypotensive response.

Two groups of obese, normotensive men were put on weight-reducing diets in an outpatient study. The groups were comparable with regard to age, weight, heart rate, blood pressure, energy and salt intake during a four-week control period. In a four-week dieting period, Gp I (n = 12) received an energy-reduced diet (1370 kcal, 5.7 MJ) with 24 energy per cent carbohydrates. Group II (n = 11) had an isocaloric diet (1400 kcal, 5.8 MJ) with 59 energy per cent carbohydrates consisting of mainly mono- and disaccharides. Significant decreases in systolic blood pressure, heart rate, plasma noradrenaline and urinary excretion of noradrenaline were observed in Gp I but not in Gp II. Weight reduction and decrease of urinary sodium output was equal in both groups. No difference in alcohol consumption was recorded. We conclude that in obese normotensive patients a high proportion of mono- and disaccharides counteracts the expected hypotensive response of weight reduction. On the other hand, and judged from the present data, the blood pressure decrease observed in the group on a low carbohydrate diet seems to be secondary to an effect on the sympathetic nervous system.

Adult↗
PubMed1983

Effects of a low-fat diet on mineral absorption in small-bowel disease.

The absorption of calcium, magnesium, and zinc was studied by the metabolic balance technique at two fat intake levels in nine patients with fat malabsorption. The net absorption of all three minerals was significantly higher from the 40-g fat diet than from the 100-g fat diet. The data indicate that the lower fat content was the main reason for the increased mineral absorption, although the low-fat diet contained larger amounts of the minerals studied than did the high-fat diet.

Adult↗
PubMed1983

Recurrence after inguinal hernioplasty. A retrospective analysis of 122 cases.

The records of 122 patients treated for inguinal hernia in 1974 or 1975 were retrospectively analyzed. In 1981 all surviving and traceable patients were examined for recurrence of hernia. The overall recurrence rate was 9.6%. For indirect hernia the rate was 7.4% and for direct hernia 9.7%. Altogether 125 operations were performed, ten of them as emergencies for irreducible hernia. One patient died in association with surgery.

Adult↗
PubMed1982

How to avoid malnutrition during hospitalization?

Doctors often consider malnutrition as a set of symptoms rather than being a state of nourishment. Consequently, the nutrition of patients without obvious signs of malnutrition is often neglected. Among all categories of patients, unrecognized malnutrition at admission or under-feeding during hospitalization are everyday occurrences. Dietary records of hospitalized patients often show energy intakes well below their calculated BMR and their need for an increased supply of essential nutrients, such as protein, is seldom met. The significance of food preparation, food distribution and ward staff attitudes for proper feeding of the patients is discussed and the responsibility of the doctors for the nutritional care of every patient is stressed.

Diet↗
PubMed1981

Experimental model for in vivo determination of dietary fibre and its effect on the absorption of nutrients in the small intestine.

1. An experimental model for the determination of dietary fibre according to the definition of Trowell et al. (1976) is described. Food was subjected to in vivo digestion in ileostomy patients, and the ileostomy contents were collected quantitatively, the polysaccharide components of which were analysed by gas--liquid chromatography and the Klason lignin by gravimetric determination. The model was used for the determination of dietary fibre in AACC (American Association of Cereal Chemists), wheat bran and for studies on the extent of hydrolysis of wheat-bran fibre in the stomach and small intestine. The effect of wheat bran on ileostomy losses of nitrogen, starch and electrolytes was also investigated. 2. Nine patients with established ileostomies were studied during two periods while on a constant low-fibre diet. In the second period 16 g AACC wheat bran/d was added to the diet. The ileostomy contents and duplicate portions of the diet were subjected to determinations of wet weight, dry weight, water content, fibre components, starch, N, sodium and potassium. 3. The wet weight of ileostomy contents increased by 94 g/24 h and dry weight by 10 g/24 h after consumption of bran. The dietary fibre of AACC bran, determined as the increase in polysaccharides and lignin of ileostomy contents after consumption of bran, was 280 g/kg fresh weight (310 g/kg dry matter). Direct analysis of polysaccharides and lignin in bran gave a value of 306 g/kg fresh weight. Of the added bran hemicellulose and cellulose 80--100% and 75--100% respectively were recovered in ileostomy contents. There was no significant difference between the two periods in amount of N, starch and K found in the ileostomy contents. The Na excretion increased during the 'bran' period and correlated well with the wet weight of ileostomy contents. 4. In conclusion, it seems probable that determination of dietary fibre by in vivo digestion in ileostomy patients comes very close to the theoretical definition of dietary fibre, as the influence of bacteria in the ileum seems small. Bacterial growth should be avoided by using a technique involving the change of ileostomy bags every 2 h and immediate deep-freezing of the ileostomy contents. True dietary fibre can be determined by direct analysis of polysaccharides and lignin in the food, at least in bran. Very little digestion of hemicellulose and cellulose from bran occurs in the stomach and small bowel. The 10--20% loss in some patients may be due to digestion by the gastric juice or to bacterial fermentation in the ileum, or both. The extra amount of faecal N after consumption of bran, reported by others, is probably produced in the large bowel.

Adult↗
PubMed1980

Intraosseous angiolipoma of the mandible.

A case of intraosseous angiolipoma of the mandible is reported. To our knowledge, this represents only the second case involving the jaw to be reported in the literature.

Adipose Tissue↗
PubMed1980

Longitudinal studies of anthropometric data and body composition. The population study of women in Götenberg, Sweden.

Anthropometric data and body composition, estimated from total body potassium and total body water determinations, were studied in 1968 to 1968 and 1974 to 1975 in a population sample of middle-aged women. Altogether 1302 women participated in the anthropometric studies and 79 women in the body composition studies on both occasions. Body height decreased with age both secularly and biologically. The reduction of body height was greater at higher ages. Body weight increased with age, the change being partly a cohort effect and partly an effect of age. Evidence of a reduced muscle mass in the arms with age was found. Body cell mass increased with age in some age strata. There was an increase in subcutaneous fat with age, both in the arms and in the trunk. Body fat did not change significantly with age in the age strata studied. A change in body weight was accompanied by a smiliar change in both body fat and body cell mass.

Adult↗
PubMed1980

Body composition during long-term treatment of uremia with amino acid supplemented low-protein diet.

The influence on body composition of prolonged treatment with low-protein diet (20 g/day) supplemented with the essential amino acids and histidine was studied in 49 patients with chronic renal failure and uremic symptoms. Total body potassium (TBK) was measured with 40K in a whole-body counter. Total body water was determined with dilution of tritiated water. Predicted values for TBK and total body water were obtained from a reference population of 476 healthy subjects. In 38 patients investigated before treatment body weight was normal while mean TBK was 91% of predicted in men and 100% in women. Mean total body water was 104% of predicted in both men and women. Thirty-one patients were investigated at 3-month intervals during treatment for up to 12 months. No significant changes in mean body weight, TBK, or total body water were found. However, in 10/13 patients TBK decreased significantly, presumably due to increased catabolism in connection with intercurrent disease or insufficient energy intake. In the absence of complications long-term treatment with a low-protein diet and essential amino acids in renal failure seems to maintain body cell mass reflected in unchanged TBK.

Adolescent↗
PubMed1980

Body composition. Prediction of normal body potassium, body water and body fat in adults on the basis of body height, body weight and age.

In 134 males and 242 females, aged 20-70 years, most of them randomly selected from population studies, the body composition was estimated from the measurements of body height (BH), body weight (BW), total body potassium (TBK) and total body water (TBW). TBK was measured with isotope dilution technique using 42K or determined as 40K in a whole body counter. TBW was determined with an isotope dilution technique using tritiated water, assayed in urine or plasma. From these data, body cell mass (BCM), intra- and extra-cellular water (ICW and ECW, resp.) and body fat (BF) were calculated for each individual. Significant correlations were found between age versus TBK, ECW, BF and ECW/ICW; between BW versus TBK, TBW, ECW, BF and ECW/ICW; (females only) and between BH versus TBK, TBW, ECW (females only) and ECW/ICW. For the prediction of TBK, TBW and BF, multiple regression equations based on BW, BH and age are given. These equations are also presented diagrammatically. The problems with the methods used are considered as well as the applicability of the formulas for the calculation of BCM etc. The predictive value of the results when both TBW and TBK are used for the calculation of body composition data is discussed and compared with similar results, based on TBW or TBK only. It is concluded, that the most reliable method for calculation of BF is to estimate both TBW and TBK.

Adult↗
PubMed1980

Adipose tissue cellularity in adulthood and its relation to childhood obesity.

A population sample totalling 1462 middle-aged women was studied in 1968-69. A re-study of the same women in 1974-75 comprised 1302 women. Body composition and adipose tissue cellularity were determined in a systematic subsample of 227 women and in a subsample of 76 obese women. There was a significant relation between body build in childhood (evaluated retrospectively as lean, normal or obese) and prevalence and degree of obesity in adulthood. There was a highly significant relation between the body weights in 1968-69 and 1974-75, while a low order negative correlation was found between body weight in 1968-69 and change in weight between 1968-69 and 1974-75. There was a significant relation between fat cell weight and weight index in the lower range and between fat cell number and weight index throughout the whole range studied. Body cell mass correlated with weight index and total fat cell number but not with fat cell weight. There was no significant correlation between body cell mass and obesity in childhood. There was a significant relation between degree of obesity and total fat cell number when age of onset was kept constant, but not between age of onset and total fat cell number when degree of obesity was kept constant. An association between childhood obesity and obesity in adulthood was shown. However, the concept of a critical period in childhood for changes in total fat cell number was not supported.

Adipose Tissue↗
PubMed1979

Body composition in middle-aged women with special reference to the correlation between body fat mass and anthropometric data.

A variety of anthropometric measurements was made in a randomized population sample of middle-aged women in five age strata in whom body composition was estimated from total body potassium and total body water determined by whole body counting and isotope dilution technique, respectively. No significant differences with age were found for total body potassium or total body water. A significant age difference was found for body fat mass. Simple linear correlations between anthropometric variables and body fat mass estimates were found to be 0.90, 0.86, 0.77 for body weight, buttock circumference, and sum of triceps and subscapular skinfold thicknesses, respectively. Multiple regression analysis showed that these three variables accounted for 80 to 91% of the variation in body fat in the different age strata studied. Multiple regression equations for prediction of body fat from anthropometric variables are given. In about two-thirds of the subjects, the difference between predicted body fat mass and estimated body fat mass was found to be less than +/- 2.5 kg.

Adipose Tissue↗
PubMed1979

Adipose tissue cellularity--metabolic aspects. The population study of women in Göteborg 1974-1975.

A representative population sample of middle-aged women was studied in 1974-75. In a subsample, body composition and adipose tissue cellularity variables were determined and individuals with a particular clinical disorder were compared with the total subsample. Women with diabetes mellitus had more body fat and higher fat cell weights and larger fat cell members, whereas these variables did not differ in women with IHD or hypertension compared with the total subsample. Total body fat correlated with arterial BPs, fasting blood glucose, serum lipids and serum uric acid. The correlations were stronger than those reported previously by us between weight index and these variables. In univariate analyses, fat cell weight correlated with systolic BP, serum triglycerides and serum uric acid, and fat cell number with diastolic BP, fasting blood glucose and serum uric acid. In multivariate analyses, when due allowance was made for total body fat, the correlations between these variables and fat cell weight or fat cell number did not reach statistical significance.

Adipose Tissue↗