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Biomedical subjects

K J Ellis

Publications and source records attributed to K J Ellis.

At least 73 records · Page 4Linked to original sources

Accuracy of dual-energy x-ray absorptiometry for body-composition measurements in children.

The accuracy of body-composition measurements by dual-energy x-ray absorptiometry (DXA) was assessed by comparison with total carcass chemical analysis in 16 pigs with a weight range of 5-35 kg. Two software versions for body-composition analyses with the DXA instrument were evaluated. Although both software versions accurately predicted body weight, there were significant differences in the partitioning between bone mineral content (BMC), nonbone lean tissue, and body-fat compartments. All estimates of body composition were highly correlated (r2 > or = 0.98) with the results of the direct chemical reference method. SEEs were 226-271 g for body weight, 387-429 g for fat, 3.5-4.3 kg for fat-free mass, and 35.4-36.5 g for BMC. For bone, both software versions produced BMC values that were approximately 25% below the total carcass ash content. For the absolute mass of body fat, one DXA analysis provided underestimates that averaged 19.5% below the reference chemical method, whereas the alternate software version resulted in over-estimates, averaging 15.5%. Conversely, the average fat-free compartment was initially overestimated by 968 g, then underestimated by 892 g. The impact of these differences in the body-composition analyses by DXA were examined in a group of 18 young boys 4-12 y of age.

Absorptiometry, Photon↗

Mineral metabolism in children with dermatomyositis.

OBJECTIVE: To measure calcium metabolism in 12 children with juvenile dermatomyositis (JDM). METHODS: We used dual-tracer stable isotope studies to measure calcium metabolism in 12 children with JDM and a group of 43 healthy children (Group HC) of similar ages. Five of the JDM subjects were receiving steroids (Group JDM-ST) and 7 were not (Group JDM-NS). RESULTS: The rate of calcium absorption in Group JDM-ST was lower than that in Group HC (19 +/- 10% vs 30 +/- 11%, p < 0.05). The lower rate of absorption was associated with a net loss of calcium each day (calculated calcium retention, Vbal, of -35 +/- 14 mg/day compared to +140 +/- 97 mg/day in Group HC, p < 0.01). Group JDM-NS showed slightly lower calcium absorption than Group HC and significantly lower Vbal (+33 +/- 70 mg/day, p < 0.01 vs Group HC) than Group HC. Group JDM-ST subjects also had decreased bone calcium deposition rates. CONCLUSION: Patients with JDM may be at risk for significant loss of bone mineral associated with decreased calcium absorption, especially in the acute phase of their disease when they are receiving steroid therapy.

Absorption↗

Body composition.

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Adolescent↗

Further scientific issues in determining an occupational standard for cadmium.

This contribution responds to the recent paper of Thun et al. (American Journal of Industrial Medicine 20:629-642, 1991) on an occupational standard for cadmium. The contribution of non-invasive in situ measurements of cadmium in liver and in kidney to the study of cadmium industrial toxicology is particularly reviewed. It is contended that clear scientific grounds do not exist for recommending cadmium in air occupational standard below 10 micrograms m-3, and that other arguments would need to be adduced to support a recommendation for a lower level. Last, a number of unanswered questions are identified and the need for further work is highlighted.

Air Pollutants, Occupational↗

Response of blood serum constituents to production of and recovery from a kwashiorkor-like syndrome in the young pig.

Twenty-six 3-week-old genetically obese pigs were fed in two experiments to determine the serum chemistry profile during severe protein malnutrition and repletion. Severe protein deficiency was produced in pigs fed the high-fat, low-protein diet (growth failure, rough hair, low serum total protein and albumin). In Experiment 1, blood was sampled from the anterior vena cava of each pig five times during depletion and three times during repletion to determine serum total cholesterol, high density lipoprotein (HDL)-cholesterol, triglycerides, total protein, albumin, glucose, Ca, inorganic P, Mg, Na, K, Cl, total bilirubin, urea N, creatinine, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, and gamma-glutamyltransferase. In Experiment 2, blood was sampled weekly for 8 weeks for serum total cholesterol, HDL-cholesterol, triglycerides, albumin, glucose, Ca, P, Mg and alkaline phosphatase. HDL-cholesterol was increased (P less than 0.01) and albumin was decreased (P less than 0.01) in protein-deficient pigs in both experiments. Creatinine, total bilirubin, gamma-glutamyltransferase, alanine aminotransferase, and aspartate aminotransferase were elevated in protein-deficient pigs compared with controls after 7 weeks of depletion. Inorganic P (P less than 0.01), Ca (P less than 0.01), and Mg (P less than 0.05) concentrations were depressed in protein-depleted pigs compared with controls in both experiments. After 8 weeks of repletion in Experiment 1, all elements except inorganic P were similar in the two groups. Short-term, severe, protein malnutrition affected lipid, electrolyte, and structural mineral metabolism and indices of liver function in the absence of parasites, diarrhea, and infection. The effects were reversed after 8 weeks of repletion. We conclude that the elevated serum cholesterol in protein deficiency is related primarily to an increase in the HDL fraction.

Alanine Transaminase↗

Biological monitoring for occupational cadmium exposure: the urinary metallothionein.

The relationship between urinary metallothionein and kidney and liver cadmium levels was examined in 68 active and retired smelter workers. Metallothionein was analyzed by a radioimmunoassay and liver and kidney cadmium levels were determined by in vivo neutron activation. Four workers suffered from severe renal dysfunction and excreted high amounts of total protein and beta 2-microglobulin and greater than 1 mg metallothionein/g creatinine. In the remaining 64 workers the urinary metallothionein levels correlated significantly with the cadmium levels in both liver and kidney. Similarly, in these individuals urinary metallothionein was significantly related to cadmium in blood and urine. These results demonstrate that urinary metallothionein is a sensitive biological indicator of cadmium exposure and body burden, before the onset of severe renal dysfunction.

Adult↗

In vivo measurement of total body magnesium and manganese in rats.

Mg and Mn are essential minerals in many biological processes. Thus knowledge of their absolute amounts and how those amounts may be altered is important. In the past the in vivo measurement of Mg in animals was limited by both the poor geometry of the counting system and the requirement for multiple counts of the animal over several hours. We have developed a neutron activation technique for the direct in vivo measurement of total body Mg and Mn in the rat. The counting system adapted for the technique has a response that is relatively invariant (+/- 2.5%) to differences in body size. A least-squares curve fitting technique was developed that requires only a single 5-min count of the animal. Our in vivo values for body Mg and Mn were in excellent agreement (+/- 2.0%) with the results of total carcass analysis using atomic absorption. Longitudinal changes in total body Mg and Mn were examined in vivo in two groups of animals maintained on test diets that contained different amounts of Mg.

Activation Analysis↗

The effects of sodium borate and sodium bicarbonate upon fluoride retention and serum calcium and phosphate in sheep.

Six sheep were each given a fluoride slow-release intra-ruminal capsule which delivered 30 +/- 1.02 mg F/d. After 20 days, fluoride balance studies were carried out for four days and serum fluoride measured daily. Each sheep was then given 23.1 mg sodium borate daily via drench gun for six days, and the balance studies continued. In a separate similar experiment, six sheep were given capsules which released 66.4 +/- 4.2 mg F/d, and 25 ml of 25 g/L sodium bicarbonate was administered half-hourly over four hours, 14 days after capsule administration. Urinary pH was also measured. Sodium borate treatment increased fluoride output, mainly in the faeces, and temporarily reduced serum fluoride concentration. Serum phosphate fell during sodium borate administration, while serum calcium was unaffected. Sodium bicarbonate reduced serum fluoride concentration over the three days, and fluoride output was increased, mainly via the urine, while urinary pH was largely unaffected. Serum calcium and phosphate were temporarily affected to a small extent.

Animals↗

Serum osteocalcin and total body calcium in normal pre- and postmenopausal women and postmenopausal osteoporotic patients.

Serum osteocalcin was measured in 51 normal pre- and 114 postmenopausal women and in 41 postmenopausal osteoporotic patients. Total body calcium (TBCa) was determined in the same individuals by neutron activation analysis. Many of the perimenopausal nonosteoporotic women had increased serum osteocalcin values, but 15 yr or more after the menopause most of the women had serum osteocalcin levels in the normal range. Comparing normal women before and after menopause, the mean serum osteocalcin levels [7.8 +/- 4.7 (+/- SE) and 10.1 +/- 9.4 ng/mL] were not significantly different; however, the TBCa values (898 +/- 99 and 806 +/- 111 g) were significantly different (P less than 0.001). When the normal postmenopausal women were regrouped according to high vs. low osteocalcin values, TBCa and phosphorus content as well as forearm linear bone density were significantly lower in the high osteocalcin group, even though most of the other variables, including urinary hydroxyproline excretion, serum alkaline phosphatase, age, height, and weight, were not different. Osteoporotic women had a mean serum osteocalcin concentration of 17.4 +/- 8.6 ng/ml and a TBCa of 657 +/- 83 g, both significantly different from the respective values in normal and pre- and postmenopausal women (P less than 0.001 for both variables in comparison to each group). These data suggest that high serum osteocalcin levels, at least on a group basis, are an index of low skeletal mass.

Body Constitution↗

Serial measurements of body composition and total body mineral content in dialysis and nondialysis patients with renal failure.

Thirty-two patients with chronic renal failure, and 68 patients on maintenance hemodialysis underwent serial total body neutron activation over periods of time ranging from 23 to 159 months. Measurements of total body potassium (TBK), total body sodium (TBNa), total body calcium (TBCa), total body phosphorus (TBPhos), and total body chloride (TBC1) were performed. The results were normalized by lean body mass (LBM) or kilogram body weight (BW). The TBNa/LBM and TBC1/BW decreased during the first 36 months of measurements in the dialysis males, while there was no change in the nondialysis males. The TBNa/LBM, TBC1/LBM and TBC1/BW decreased during the first 36 months of monitoring the dialysis females, while a decrease in the LBM was the only change in the nondialysis females. In patients with an increasing K ratio (observed/predicted TBK), the TBNa/LBM and TBCa/LBM decreased and the LBM/BW increased. Similarly, in patients with an increasing Ca ratio (observed/predicted TBCa), the TBCa/LBM and TBPhos increased. The increasing K ratio in dialysis patients with a decreasing TBNa/LBM probably represents an improvement in nutritional status. The increasing TBPhos in dialysis patients with an increasing Ca ratio may represent an increase in skeletal tissue and/or soft tissue calcification. In dialysis females, the total body nitrogen is not different from controls. The total body fat, as a percentage of body weight, is greater in dialysis patients than in controls.

Adolescent↗