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Biomedical subjects

P Webb

Publications and source records attributed to P Webb.

At least 145 records · Page 8Linked to original sources

Grading body fatness from limited anthropometric data.

Measurements relevant to body fatness are made commonly in clinical settings. However, associations between these measurements and body fatness are poorly known and procedures are needed to facilitate the interpretation of these measurements. Consequently, data from 405 white children and adults aged 6 to 49 yr were used to calculate the correlations between selected anthropometric measurements and estimates of percentage body fat and total body fat. Comparisons among these correlations, for children and adults of each sex, lead to conclusions that the triceps skinfold is the best single indicator of percentage body fat in children and women; weight/stature is the best single indicator of total body fat in girls and adults. In men weight/stature is the best indicator of percentage body fat and in boys the subscapular skinfold is the best indicator of total body fat. Weight/stature can be obtained using a calculator or the nomogram provided. It is recommended that these measures be obtained when there is interest in body fatness and the data compared with percentiles from a nationally representative sample.

Adipose Tissue↗

Size and number of adipocytes and measures of body fat in boys and girls 10 to 18 years of age.

In 111 boys and girls, 10 to 18 yr of age, body density was measured by underwater weighing, and the size of adipocytes in adipose tissue from the buttocks was measured by the osmium tetroxide method. From these two measures, estimates of percentage body fat, total body fat, and adipocyte number were computed for most of the children. Their skeletal age was also calculated by an acceptable method. Across chronological age, the girls have significantly larger mean values of total and percentage body fat and larger and more numerous adipocytes than the boys. The mean number of adipocytes in each sex is within adult levels, as is the mean size of the adipocytes in the girls. The boys' mean adipocyte size is below the adult level. There are negative, significant correlations between percentage body fat and chronological or skeletal age in the boys, and positive significant correlations between total body fat and chronological or skeletal age in the girls. Also, adipocyte size is positively correlated with percentage body fat but only in the boys. With the effects of chronological age removed, percentage body fat was significantly and negatively correlated with skeletal age in boys only. All other correlations among the variables were not statistically significant.

Adipose Tissue↗

Adipocytes and adiposity in adults.

Measures of adipocyte size and body density were collected from 217 nonobese adults 20 to 50 yr of age, and estimates of total body fat, percentage body fat, and adipocyte number were calculated. Women had a greater percentage body fat than men in every age group except the oldest. Women had significantly greater amounts of total body fat and larger adipocytes than men in the 20- to 24-yr group, but men had significantly greater amounts of total body fat than the women in the 45- to 50-yr group. Adipocyte number, total body fat, and percentage body fat are each positively correlated with age in both sexes. Adipocyte size is not correlated with age but is positively correlated with total and percent body fat in men and women irrespective of age. These cross-sectional data suggest that adipocyte number, rather than being stable during adulthood, increases with age and is associated with corresponding increases in total and percentage body fat.

Adipose Tissue↗

Energy expenditure and fat-free mass in men and women.

Energy expenditure was measured by direct calorimetry in 15 men and women aged 22 to 55. There were fifty-nine 24-h measurements under quiet, not basal, conditions of sedentary activity with 8 h of sleep at night, regular meals, and food intake adjusted to match individual expenditures. Fat-free mass was calculated from body density determined from underwater weight. Energy expenditure over a whole day and night varied directly with fat-free mass, with a correlation coefficient, r, of 0.95 (p less than 0.001); neither age nor sex affected the relationship. During sleep alone, energy expenditure also correlated highly with fat-free mass (r = 0.93). Energy expenditure also correlated with body surface area (r = 0.90), but men and women showed regression lines with different slopes. Metabolism from indirect calorimetry, measured simultaneously, correlated nearly as well with fat-free mass and surface area but showed more variability. The close correlation between 24-h energy expenditure and fat-free mass contrasts favorably with the imprecise prediction of basal metabolic rate according to age, sex, and surface area, and supports the idea that active tissue mass determines daily energy expenditure.

Adult↗

Fat areas as estimates of total body fat.

The efficacy of cross-sectional fat areas in estimating total body fat was investigated in a sample of white American children and adults. Body density and total fat weight (kg) in the body were determined by hydrostatic weighing. Fat areas were calculated for the arm and calf using the appropriate limb circumferences and skinfolds measured at the triceps, biceps, and calf sites; also, a fat area was calculated using the average of triceps and biceps sites and arm circumference. Cross-sectional fat areas do not estimate body density (and percentage fat) any better than the corresponding skinfolds. In estimating weight of fat in the body, however, fat areas are systematically better estimators than corresponding skinfold thicknesses.

Adipose Tissue↗

Energy balance in man measured by direct and indirect calorimetry.

In six 24-hr measurements of energy balance, direct and indirect calorimetry agreed within +/-3%, which is probably the range of experimental error. But in seven other 24-hr periods there was disagreement in the range of 8 to 23%, and these were usually days when the subjects ate much less than they spent metabolically. Our direct calorimeter is an insulated, water cooled suit. Continous measurements of O2 consumption and CO2 production provided data on metabolic expenditure (M) by indirect calorimetry. The 24-hr values for M matched the energy losses within +/-60 kcal (+/-3% of M) in four men who rested all day and lay down to sleep at night. Similar agreement was seen in one of the four who worked on a treadmill for 4 hr and stayed busy all day. but in another energy losses were 342 kcal greater than M (10% of M). When the experiments gave values for M minus the losses greater than +/-60 kcal, this is called "unmeasured energy". In further experiments, two subjects stayed awake for 24 hr, and their unmeasured energies were 279 and 393 kcal. The same two men, eating sparingly, also worked for 24 hr so as to double their resting metabolic expenditures; the unmeasured energies were even larger, 380 and 958 kcal. When they repeated the 24 hr of mild work, but ate nearly as much as they spent metabolically, one man was near energy balance, while the other showed an unmeasured energy of -363 kcal. Little heat storage was evident in these experiments; therefore, heat balance was present and energy balance should have been present. In the group of 13 experiments, it appeared that the greater the food deficit, the larger was the unmeasured energy (excess of metabolic expenditure over loss of energy).

Adult↗

The measurement of energy exchange in man: an analysis.

This report analyzes two kinds of studies of human energy balance; direct and indirect calorimetry for 24-hr periods, and complete measurements of food intake, waste, and tissue storage for 3 weeks and longer. Equations of energy balance are written to show that the daily quantity of metabolic energy, QM, is coupled with an unidentified quantity of unmeasured energy, QX, in order to make the equation balance. The equations challenge the assumed equivalence of direct and indirect calorimetry. The analysis takes the form of employing experimental data to calculate values for the arguable quantity, QX. Studies employing 24-hr direct calorimetry, 202 complete days, show that when food intake nearly matches QM, values for QX are small and probably insignificant, but when there is a large food deficit, large positive values for QX appear. Calculations are also made from studies of nutrient balance during prolonged overeating and undereating, and in nearly all cases there were large negative values for QX. In 52 sets of data from studies lasting 3 weeks or longer, where all the terms in the balance equation except QX were either directly measured or could be readily estimated, the average value for QX amounts to 705 kcal/day, or 27% of QM. A discussion of the nature of QX considers error and the noninclusion of small quantities like the energy of combustible gases, which are not thought to be sufficient to explain QX. It might represent the cost of mobilizing stored fuel, or of storing excess fuel, or it might represent a change in internal energy other than fuel stores, but none of these is thought to be likely. Finally, it is emphasized that entropy exchange in man as an open thermodynamic system is not presently included in the equations of energy balance, and perhaps it must be, even though it is not directly measurable. The significance of unmeasured energy is considered in light of the poor control of obesity, of the inability to predict weight change during prolonged diet restriction or intentional overeating, and of the energetics of tissue gain in growth and loss in cachexia. It is not even well established how much food man requires to maintain constant weight. New studies as they are undertaken should try to account completely for all the possible terms of energy exchange.

Body Weight↗

Comparison of DNA renewal in germ-free and conventional mice using [125I]iododeoxyuridine and [3H]thymidine.

Germ-free (GF) and conventional (CV) C3H mice received a single injection of 1 muCi [3H]thymidine and 3 muCi [125I]iododeoxyuridine to provide simultaneous labeling of DNA with the two precursors. Thymus, spleen, mesenteric lymph nodes, bone marrow (femora), small intestine, colon and skin were examined for total organ activity and rate of DNA renewal 1-8 days after injection. Precursor incorporation, assayed on day 1, was lower in the thymus, mesenteric lymph nodes and femora (and, to a lesser extent, in the spleen and colon) of GF mice as compared to CV animals. The opposite was observed in the small intestine and skin, i.e. total organ activity was higher in GF animals. Differences in precursor incorporation were partly due to differences in organ weights between the two groups of mice. In comparison to CV animals, DNA renewal rates were diminished in the mesenteric lymph nodes, bone marrow, colon (following a 3-day plateau) and spleen of GF mice. Little, if any, difference was observed between the two groups with respect to the rate of DNA turnover in the thymus and skin. Radioactivity of the small intestine remained constant for 2 days. Thereafter intestinal activity in GF mice declined at an initial slow rate between days 2 and 5 followed by a rapid decrease between days 5 and 8. In CV mice the first phase of activity loss was short with the rapid decline in intestinal activity beginning on day 3. From the slopes of the regression lines, the percentage thymidine reutilization was estimated. Reutilization varied from 0 to 63% in the various organs examined, with the greatest difference between GF and CV mice occurring in the mesenteric lymph nodes.

Animals↗

Hana Kai II: a 17-day dry saturation dive at 18.6 ATA. I. Objectives, design, and scope.

The dive (Hana Kai II) described in these papers was designed to determine the effects on man of a prolonged exposure to a dry helium-oxygen hyperbaric environment. Comprehensive studies on energy balance, body fluid balance, cardiorespiratory functions, maximal oxygen uptake, psychological performance, and physiological responses to cold were performed at a simulated depth of 580 ft (18.6 ATA) over a 30-day period in March-April 1975. Following a 3-day predive control period at 1 ATA air (period 1), 5 male divers spent 17 days at 18.6 ATA in a helium-oxygen environment (periods 2-6), and returned to 1 ATA air after 7 days of decompression (periods 7-8). They stayed an additional 3 days inside the chamber for postdive control measurements (period 9). The chamber temperature was maintained at 25-27 degrees C during periods 1 and 9, 30-31 degrees C during periods 2-5, and 27-28 degrees C during period 6. At 18.6 ATA, the PO2 and PCO2 of the chamber gas were maintained at approximately 225 and 2 mmHg, respectively. In this introductory paper, physical and physiological characteristics of individual subjects, the major daily activity schedule, and the scope of investigation are presented.

Activities of Daily Living↗

Hana kai ii: a 17-day dry saturation dive at 18.6 ATA. II. Energy balance.

Since previous saturation dives have caused loss of body weight despite apparently adequate-to-high food intake, a complete study of energy balance was undertaken during the saturation dive Hana Kai II. Over a 30-day period in the hyperbaric chamber (3 days of predive control, 1 day of compression, 16 days at 18.6 ATA, 7 days of decompression, and 3 days of postdive control), all food, urine, and feces for five men were analyzed by bomb calorimetry; 24-h energy expenditure (M) was measured from continuous VO2, VCO2, and urine N. Body weight was taken daily; body composition was assessed from density, total body water, and skinfold thickness. Food intake was high throughout the 30 days (about 3500 kcal/day) while fecal and urinary losses were a normal 6-8% of intake. Energy expenditure was increased a little by the hyperbaric condition, but averaged only 2431 kcal/day for the 30 days and yet there was an average loss of adipose tissue of 0.8 kg for each man for the entire period. Nitrogen balance was positive. There was no evidence of heat gain or loss. The energy balance, total fuel compared with energy expenditure, required an additional 919 kcal/man-day for 30 days, an unidentified term which is not measured by conventional techniques.

Adult↗

Hana kai ii: a 17-day dry saturation dive at 18.6 ATA. III. Body fluid balance.

Comprehensive studies on body fluid balance on 5 divers were conducted during the Hana Kai II dive (17 days at 18.6 ATA and 7 days of decompression). Daily urine flow increased from about 2000 ml at 1 ATA to 2600 ml at 18.6 ATA, at 31 degrees C. This diuresis was accompanied by a reduction in urine osmolality (from 650 to 500 mOsm) and a slight increase in osmolal clearance. Endogenous creatinine clearance remained at about 173 ml/min throughout the dive. Despite such a sustained diuresis, neither daily water intake nor total body water volume changed significantly. The plasma renin activity changed little, while both plasma aldosterone concentration and urinary aldosterone excretion increased significantly during the first week at 18.6 ATA. The plasma prolactin concentration showed a significant decrease during the first 3 days at 18.6 ATA. The daily excretion of antidiuretic hormone (ADH) decreased significantly (by 40%) 4 days after compression and remained low throughout the rest of the dive. Insensible waterloss at 18.6 ATA was 35% lower than that at 1 ATA. It is suggested that the observed hyperbaric diuresis is due primarily to suppression of ADH as a result of suppression of insensible water loss.

Aldosterone↗

Sleep metabolism and age.

Continuous recordings were made of oxygen consumption (VO2) and EEG, EMG, and EOG during two nights of sleep for 20 men who were between 19 and 63 yr. old. There was a linear decrease in overnight oxygen consumption with age, even though the older men slept less and woke more often than the younger ones. On the first night, VO2 was higher, and sleep stages less like normal than on the second. In the second night data, individual oxygen consumptions averaged over the whole night ranged from 138 to 482 ml/min (61-247 ml/m2timesmin). No relationship appeared between stage of sleep and VO2 level, but there was usually a decline in VO2 in the first hour of sleep, and a slow rise in the 2-3 h before awaking. Periodic breathing was observed in the men older than 45 yr.

Adult↗