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Temperature regulation during upper body exercise: able-bodied and spinal cord injured.

This paper will consider human thermoregulatory response differences between upper and lower body exercise. In addition, the thermoregulatory problems of spinal cord injured individuals are examined. For able-bodied individuals, the rise in core temperature is independent of the skeletal muscle mass employed and dependent upon the metabolic rate during exercise. The avenues of heat exchange, however, are different for individuals performing upper body as opposed to lower body exercise. During upper body exercise, there is a greater dry heat loss from the torso; however, no additional heat loss (as compared to lower body exercise) occurs from the exercising arms. If an individual performs upper body exercise in cold water, there will be a greater heat loss and susceptibility to hypothermia than during lower body exercise. A spinal cord injury impairs one's ability to thermoregulate because of: (a) loss of autonomic nervous system control for vasomotor and sudomotor responses in the areas of the insensate skin; (b) a reduced thermoregulatory effector response for a given core temperature; and (c) a loss of skeletal muscle pump activity from the paralyzed limbs. As a result, a spinal cord injured person has a reduced ability to tolerate thermal extremes and to perform aerobic exercise. Surprisingly little research, however, has focused on the ability of the disabled to thermoregulate during exercise. Recent data suggest that rectal temperature measurements may underestimate the thermal burden imposed on wheelchair athletes during competition.

Arm↗

Comparison of body composition, exercise and nutritional profiles of female and male body builders at competition.

Limited research information is available on the training programs and dietary practices of competitive male and female body builders. Information on body composition, training programs, and nutritional profiles of eleven competitive male and female body builders were obtained 48 hours prior to competition. Body composition was assessed by hydrostatic weighing. Skinfold data were obtained to assess the distribution of subcutaneous fat. Questionnaires concerning training programs and a three day food intake record were collected. The female body builders achieved a degree of leanness similar to the males. The relative training volumes for the women were greater than those of the men for all body regions. Gender differences were found in regional deposition of subcutaneous fat between males and females, with the males showing a more uniform distribution of subcutaneous fat. The nutritional profiles of male and female body builders were similar. The pre-competitive diets were low in kilocalories, and the relative energy intakes for men and women were 28.6 kcal/kg and 29.2 kcal/kg respectively. Both men and women consumed low fat and high protein foods. All of the vitamin/mineral intakes of the body builders exceeded the RDA's with the exceptions of calcium for men and women and iron for women only.

Adult↗

Upper body and centralized adiposity in Mexican Americans and non-Hispanic whites: relationship to body mass index and other behavioral and demographic variables.

Mexican Americans have a higher prevalence of NIDDM, more overall obesity and more centralized adiposity than non-Hispanic whites, but have thus far not been characterized as to whether they have greater upper body adiposity. Waist-to-hip circumferences (WHR, a measure of upper body adiposity) and subscapular-to-triceps skinfold ratios (centrality index, a measure of centralized adiposity) were determined in 725 Mexican Americans and 226 non-Hispanic whites as part of the San Antonio Heart Study, a population-based study of diabetes and cardiovascular risk factors. Mexican American females had higher centrality indices and WHRs than non-Hispanic white females, even after adjustment for demographic (age, menopausal status) and behavioral variables (body mass index, parity, cigarette smoking, alcohol consumption, exercise, and oral contraceptive and estrogen use). Mexican American males had higher centrality indices than non-Hispanic white males, but differences in WHR disappeared after adjustment for overall adiposity (body mass index). Of the demographic and behavioral variables, only age and body mass index were consistently related to regional body fat distribution. The lack of an association between body fat distribution and behavioral variables suggests that genetic factors may play the principal role in determining body fat distribution. Surprisingly, the distributions of centrality index and WHR were relatively independent of one another suggesting that they may be used as distinct, independent predictors of metabolic diseases.

Adipose Tissue↗

Muscular development and lean body weight in body builders and weight lifters.

The extent of extreme muscular development in 39 males identified as body builders (N = 18), power weight lifters (N = 13), and Olympic weight lifters (N = 8) were studied. Body composition and anthropometric data, including calculations of pre-excess muscle body weight (scale weight minus excess muscle) were obtained. The lean body weight and percent fats of the subjects were: body builders = 74.6 kg, 9.3%; power weight lifters = 73.3 kg, 9.1%; and Olympic weight lifters = 68.2 kg, 10.8%. No group differences were present in frame size, percent fat, lean body weight, skinfolds, and diameter measurements. The only group differences were for the shoulders, chest, biceps relaxed and flexed, and forearm girths. In each case the body builders were larger. Calculations of excess muscle by the Behnke method revealed that the body builders had 15.6 kg excess muscle, power weight lifters 14.8 kg, and Olympic weight lifters 13.1 kg. Somatographic comparisons revealed only slight differences between the groups, while differences with reference man were substantial.

Adipose Tissue↗

Body weight, heart weight, and heart-to-body weight ratio in greyhounds.

Heart and body weights were obtained from 230 Greyhounds during necropsy. Sex and age were recorded for each Greyhound. Twenty-nine racing and 21 nonracing Greyhounds among the 230 dogs were compared. Heart-to-body weight ratio was calculated. Statistical analysis was done to determine the effects of age, sex, and racing on heart and body weights and heart-to-body weight ratio. In adult Greyhounds, mean +/- SD body weight was 28.4 +/- 3.1 and 31.5 +/- 2.8 kg, heart weight was 355.6 +/- 52.8 and 381.4 +/- 50.8 g, and heart-to-body weight ratio was 1.3 +/- 0.2 and 1.2 +/- 0.2% for females and males, respectively. Heart and body weights were significantly different between sex and age groups and among nonracing and racing males. However, heart-to-body weight ratio was not significantly different among age, sex, or racing groups.

Aging↗

Measuring body fatness in children and young adults: comparison of bioelectric impedance analysis, total body electrical conductivity, and dual-energy X-ray absorptiometry.

OBJECTIVE: To determine the level of agreement for body fatness measurements among four body composition measurement techniques. SUBJECTS: 99 healthy children and young adults (63 males, 36 females; ages: 5-22 y) MEASUREMENT: Bioelectrical impedance analysis (BIA), bioelectrical impedance spectroscopy (BIS), total body electrical conductivity (TOBEC), and dual-energy X-ray absorptiometry (DXA) measurements of body fat mass, and its percentage of body weight (% Fat). RESULTS: Estimates for body fat mass and % Fat were highly correlated (r = 0.72-0.97, P < 0.001) among the four methods. However, a Bland-Altman comparison among the estimates indicated significant differences between methods. The mean differences between methods for body fat ranged from -0.30 +/- 6.7 kg to 4.2 +/- 2.7 kg. Differences for % Fat ranged from 0.8% +/- 3.5% to -9.9% +/- 5.2%. Fatness classification of an individual as normal, overweight, or obese on the basis of his/her % Fat was significantly method dependent. CONCLUSIONS: The lack of interchangeability for fatness classification makes it difficult to ensure that similar groups of subjects can be accurately selected for the same true fat content or % Fat range when different methods are used. Furthermore, this limitation may restrict comparison of findings among different studies, such as in weight reduction, exercise, or therapy programs, when the subjects were not originally classified using the same measurement methods. That is, the reported values and changes for body fat or % Fat appear to be highly method dependent.

Absorptiometry, Photon↗

A new ecologically valid method to assess body size estimation and body size dissatisfaction.

OBJECTIVE: The primary aim of the present study was to develop an ecologically valid method for assessing the perception of body size (as opposed to the memory of body size). METHOD: Women with clinical eating disorders (N = 14) and no eating disorder (N = 24) estimated their actual and desired body size while looking in a mirror. Estimations were made using projected images that were the same height as the participants' reflections in the mirror. RESULTS: This new method assessed the perception of body size under conditions that resembled the real-life situation of viewing oneself in a mirror. Participants with eating disorders significantly overestimated their body size relative to controls (p <.05) and tended to be more dissatisfied with their body size (p =.07). DISCUSSION: It is argued that the new method assesses the perception of body size, is ecologically valid, and is the most clinically relevant of the methods developed to date.

Adult↗

Use of girth measurements for estimating body volume and body density in Indian girls aged 10-19 years.

Mean values and standard deviations of total body volume, body density, height, weight, and a battery of 20 girth measurements of 200 Punjabi girls aged 10-19 years are presented. Selective stepwise multiple regression equations for predicting total body volume and body density from girth measurements are also given for different age groups. Hip girth was the most commonly selected measurement at the first step in most age groups and the values of 'r' between hip girth and total body volume ranged between 0.86-0.96 in different age groups. The values of multiple 'R' between total body volume and a combination of first four selected girth measurements varied from 0.96-0.99 in different age groups. The values of multiple 'R' between body density and a combination of four girth measurements selected up to fourth step ranged between 0.73-0.92 in different age groups.

Adolescent↗

The influence of age and weight on women's body attitudes as measured by the Body Attitudes Questionnaire (BAQ).

The influence of age and weight on the body-related attitudes of a large sample of South Australian women were measured by the Ben-Tovim-Walker Body Attitudes Questionnaire (BAQ). Attitudes were found not to vary substantially with age, and only the Feeling Fat, Body Disparagement and Lower Body Fatness sub-scales of the BAQ were correlated with BMI. The effect of BMI on attitudes was independent of age. Obese subjects felt significantly less attractive than those with BMIs only slightly above average. However, they did not disparage their bodies more than did less overweight women. Body attitudes appear to be substantially independent of the current physical body.

Adolescent↗

Body composition unaltered for African women classified as 'normal but vulnerable' by body mass index and mid-upper-arm-circumference criteria.

OBJECTIVE: To test the hypothesis that 'normal but vulnerable' adults, as defined by body mass index (BMI) in combination with mid-upper-arm-circumference (MUAC), are closer to normal than to malnourished ones. For that purpose body composition measurements were compared between normal and low BMI categories and according to MUAC value in an African context and for different age groups. DESIGN: Reanalysis of data from a previous cross-sectional cluster sample nutrition survey. SETTING: A rural area of the Republic of Congo, Central Africa. SUBJECTS: A representative sample (n=544) of non-pregnant women. MAIN OUTCOME MEASURES: Arm muscle area was calculated from measurements of triceps skinfold thickness and MUAC. Peripheral body fat was assessed by the sum of four skinfold thicknesses. The ratio of resistance at high and low frequencies was derived from whole body measurement of multifrequency bioelectrical impedance analysis and used as the extracellular to total body water ratio index. RESULTS: The prevalence of thinness decreased from 18.7% as defined by BMI alone to 9.0% as defined by BMI and MUAC. This difference was due to the group of subjects classified as 'normal but vulnerable' (9.7%). Prevalence of thinness increased with age when assessed by BMI alone, but no longer when assessed by BMI and MUAC. Comparison with the BMI> or =18.5 kg/m(2) category showed that in 'normal but vulnerable' subjects lower BMI was accompanied by lower both fat and lean compartments, in absolute values, but the equilibrium of body water compartments was not altered. In BMI<18.5 women, low MUAC was associated with altered lean tissues, at peripheral and whole body level, whereas fat tissue did not differ. CONCLUSIONS: 'Normal but vulnerable' subjects appeared as 'thin but healthy' rather than malnourished, at all ages, even though their BMI was lower than 18.5 kg/m(2). The new classification of thinness based on BMI and MUAC provides a more specific index of nutritional status when restricting the thin category to more at-risk subjects.

Adipose Tissue↗

Changes in body weight, body composition, and energy intake in women fed high- and low-fat diets.

The effects of a 20%-fat diet (LF) on total body weight, lean body weight, and adiposity were studied in 18 premenopausal women with body mass index (BMI) of 18-44. Subjects were fed a 37%-fat (HF) control diet for 4 wk followed by the LF diet for 20 wk. Total body weight, lean body weight, and fat weight were measured at the end of the HF and LF dietary periods by hydrostatic weighing. Despite adjustments in energy intake to maintain weight throughout the study, subjects exhibited a 2.8% decrease in total body weight (P less than 0.0006), an 11.3% decrease in fat weight (P less than 0.0001), and a 2.2% increase in lean body weight (P less than 0.0149) by the end of the LF period. Similar changes were observed in obese (BMI greater than 30) and non-obese women (BMI less than 30). By the end of the LF period, energy intake had increased significantly in comparison with the HF diet (119% of the HF intake, P less than 0.0001). Results could not be explained by changes in daily activity levels and suggest that macronutrient composition plays a role in energy requirements for weight maintenance.

Adipose Tissue↗

Hydration of fat-free body mass: review and critique of a classic body-composition constant.

The assumed "constancy" of fat-free body mass hydration is a cornerstone in the body-composition research field. Hydration, the observed ratio of total body water to fat-free body mass, is stable at approximately 0.73 in mammals and this constancy provides a means of estimating total body fat in vivo. This review examines both in vitro and in vivo data that support the hydration constancy hypothesis and provides a critique of applied methodology. Biological topics of interest are then examined and critical areas in need of future research are identified. These are important issues because water dilution is the only method currently available for estimating body fat in all mammals, which range in body mass by a factor of 10(4).

Absorptiometry, Photon↗

Effects of body size and body composition on survival in hemodialysis patients.

It is unclear whether increased muscle mass or body fat confer the survival advantage in hemodialysis patients with high body-mass index (BMI). Twenty-four-hour urinary creatinine (UCr) excretion was used as a measure of muscle mass. The outcomes of hemodialysis patients with high BMI and normal or high muscle mass (inferred low body fat) and high BMI and low muscle mass (inferred high body fat) were studied to study the effects of body composition on outcomes. In 70,028 patients who initiated hemodialysis in the United States from January 1995 to December 1999 with measured creatinine clearances reported in the Medical Evidence form, all-cause and cardiovascular mortality were examined in Cox and parametric survival models. When compared with normal BMI (18.5 to 24.9 kg/m(2)) group, patients with high BMI (> or = 25 kg/m(2)) had lower hazard of death (hazard ratio [HR], 0.85; P < 0.001). However, when compared with normal BMI patients with UCr >25th percentile (0.55 g/d), high BMI patients with UCr >0.55 g/d had lower hazard of all-cause (HR, 0.85; P < 0.001) and cardiovascular death (HR, 0.89; P < 0.001), and high BMI patients with UCr < or =0.55 g/d had higher hazard of all-cause death (HR, 1.14; P<0.001) and cardiovascular death (HR, 1.19; P <0.001). Both BMI and body composition are strong predictors of death. The protective effect conferred by high BMI is limited to those patients with normal or high muscle mass. High BMI patients with inferred high body fat have increased and not decreased mortality.

Aged↗

Circadian rhythm of plasma leptin levels in upper and lower body obese women: influence of body fat distribution and weight loss.

Plasma leptin concentrations were measured every 20 min for 24 h in eight normal weight women and in eight upper body and eight lower body obese women matched for body mass index. The circadian rhythm of leptin, which could mathematically be described by a cosine, was characterized by an acrophase just after midnight in all subjects. The amplitude of a cosine fit as well as the average 24-h leptin concentration were increased by 280% and 420%, respectively, in obese compared to normal weight women. All characteristics of leptin concentration profiles were similar in upper body and lower body obese women, except for a significantly higher amplitude in the lower body obese group. Visceral and sc body fat depots were measured using magnetic resonance imaging in all three groups. Average 24-h leptin concentrations were strongly correlated with sc fat (r = 0.84), whereas visceral fat was not an independent predictor of the plasma leptin level. A loss of 50% of the overweight was associated with a 55% decrease in the average 24-h leptin concentrations in obese women (95% confidence interval, 12.3, 26.6), whereas the characteristics of the circadian rhythm of leptin remained unchanged. Finally, it was observed that a fasting plasma leptin concentration is not an acceptable indicator of the average leptin concentration over 24 h.

Adipose Tissue↗

Body fat and lean body mass assessment in human subjects--a comparison of two different techniques.

Body fat and lean body mass was assessed in young college students by two different techniques involving NIR method and body circumference measurements. NIR technique significantly over-estimated the body fat as compared to the results obtained by the other method. The difference between the methods was 23-30% high for fat and the variation was 5-9% low for lean body mass for the whole group. Results obtained by the body girth size measurements agreed well with fat and lean body mass values from other studies on Indian subjects which had employed different methods.

Adipose Tissue↗

Nucleus-basal body connector in Chlamydomonas: evidence for a role in basal body segregation and against essential roles in mitosis or in determining cell polarity.

In the unicellular biflagellate green alga Chlamydomonas reinhardtii each basal body is linked to the nucleus by a fibrous nucleus-basal body connector (NBBC) that contains the calcium-binding protein centrin. (Wright et al.: Journal of Cell Biology 101:1903-1912.; Salisbury et al.: Journal of Cell Biology 107:635-642; Huang et al.: Journal of Cell Biology 107:121-131). In order to explore the cellular function of the NBBC we used antiserum directed against centrin to examine a number of mutants known to be defective for basal body assembly and/or localization. Of three variable flagella-number mutants examined, one, vfl-2, is dramatically defective with respect to the NBBC in that 1) the union between basal bodies and nucleus is very labile, 2) there is no detectible centrin in the NBBC region, and 3) total cellular centrin levels are reduced 75-80% relative to wild type. The existence of these defects in a mutant incapable of maintaining normal flagellar number supports the view that the NBBC plays an important role in determining proper basal body localization and/or segregation. In contrast to vfl-2, the mutants vfl-1, vfl-3, uni-1, and bald-2 contain approximately normal levels of centrin and possess stable NBBCs. The observation of NBBCs in the mutant bald-2, which lacks all but very rudimentary basal bodies, indicates that the assembly of the NBBC does not require fully formed basal bodies and that such assembly may not require basal bodies at all. Finally, the possibility that the NBBC is required for induction of gene expression following deflagellation was tested by examining vfl-2 for such induction. Results indicate that the connector does not play a necessary role in the induction process.

Animals↗

The relation between potassium in body fluids and total body potassium in healthy and diabetic subjects.

1. The concentration of potassium in the erythrocytes and the plasma of forty-one normal subjects and twenty-five diabetic patients was measured and the results were used to calculate the total amount of potassium in the erythrocyte mass and the total amount of potassium in the plasma. The total body potassium was measured in a whole-body monitor. 2. In normal subjects a close correlation was found between total erythrocyte potassium and total body potassium and also between total plasma potassium and total body potassium. 3. The regression relation between total body potassium and total erythrocyte potassium in normal subjects was used to predict the total body potassium in diabetic patients. There was reasonable agreement between the measured and predicted total body potassium but there was poor agreement between the measured total body potassium and that predicted from the patient's height and age or height and age or height, weight and age.

Adult↗

Cure of Helicobacter pylori infection in atrophic body gastritis patients does not improve mucosal atrophy but reduces hypergastrinemia and its related effects on body ECL-cell hyperplasia.

BACKGROUND: The effects of H. pylori eradication on atrophic body gastritis are controversial. AIM: To investigate the effect of triple therapy on atrophic body gastritis in H. pylori-positive patients and its effect on morpho-functional gastric parameters. METHODS: Thirty-five consecutive atrophic body gastritis patients with histological/serological evidence of H. pylori infection were treated. Before and 6 and 12 months after H. pylori eradication the patients were evaluated for fasting gastrinemia and pepsinogen I, basal and peak acid output, and detailed histological assessment including the ECL cell proliferative patterns. RESULTS: Six months after treatment, 25 out of 32 patients were cured (78%). Cure of infection was associated with improvement in both basal (basal acid output mean 0.23 +/- 0.14 mmol/h vs. 1.75 +/- 0.7 mmol/h, P < 0.005) and stimulated acid secretion (peak acid output mean 3.0 +/- 1.06 mmol/h vs. 16.6 +/- 4.1 mmol/h, P=0.0017) as well as with reduction in hypergastrinemia (mean gastrin levels 444.1 +/- 110.7 pg/mL vs. 85.3. +/- 28 pg/mL; P < 0.005). In contrast, the eradication had no effect on body corporal atrophy and intestinal metaplasia, or pepsinogen I levels (mean 16.6 +/- 2.9 ng/mL vs. 14.2 +/- 2.1 ng/mL, N.S.). These results were confirmed at 12 months after eradication. A statistical inverse correlation was obtained (r=-0.3635, P < 0.05) between the corporal chronic infiltrate score and peak acid output values. A total of 53% of atrophic body gastritis patients showed a regression in severity of body ECL cell hyperplastic change. CONCLUSION: Cure of H. pylori infection in patients with atrophic gastritis reverses some adverse effects on gastric function and ECL cell hyperplasia. H. pylori infection may be cured in atrophic body gastritis patients with partial reversion of its negative consequences on acid secretion and body ECL cell hyperplasia.

Adult↗