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PubMed1987

Evaluation of nuclear magnetic resonance spectroscopy for determination of deuterium abundance in body fluids: application to measurement of total-body water in human infants.

Nuclear magnetic resonance (NMR) spectroscopy was used to quantitate abundance of 2H in body water of human infants. This method provides precise measurement of total-body water without the extensive sample preparation requirements of previously described methods for determination of 2H content in body fluids. 2H2O (1 g/kg body weight) was administered to infants and saliva and urine were collected for up to 5 h. An internal standard was added directly to the fluid specimen and 2H enrichment in water was measured by NMR spectroscopy. Working range of deuterium abundance was 0.04-0.32 atom %. Coefficients of variation for saliva samples at 0.20 atom % 2H was 1.97%. 2H content in urine and saliva water reached a plateau by 4 h after administration, and amounts in the two fluids were virtually identical. Mean total-body water determination for six infants was 58.3 +/- 5.8% of body weight (range 53-66%).

Body Fluids↗
PubMed1987

Use of total-body electrical conductivity for monitoring body composition changes during weight reduction.

The ability of a new total-body electrical conductivity instrument (TOBEC) to monitor changes in body composition during weight reduction was examined. Twelve moderately overweight women were confined to a metabolic unit for a period of 8 wk, 2-wk baseline and 6-wk reduction periods, during which changes in body composition were assessed by densitometry and hydrometry. Additionally, TOBEC measures were taken to predict lean body mass (LBM) changes. A total of 6.6 kg body weight was lost during the 6-wk reduction period. A decline in LBM was observed during the first 3 wk of reduction, from 47.4 to 45.7 kg, with no further LBM decline observed. Changes observed in the TOBEC phase value corresponded to the observed changes in LBM and total body water (TBW) during baseline and reduction periods. TOBEC was sensitive to small changes in LBM and TBW and may be useful for monitoring composition changes during nutritional intervention programs.

Adult↗
PubMed1997

Relation between body mass index and body fat in black population samples from Nigeria, Jamaica, and the United States.

Body mass index (BMI) is the most commonly used measure of obesity. Recently, some investigators have advocated direct measurement of adiposity rather than use of the BMI. This study was undertaken to determine the ability of BMI to predict body fat levels in three populations of West African heritage living in different environments. A total of 1,054 black men and women were examined in Nigeria, Jamaica, and the United States during 1994 and 1995. A standardized protocol was used to measure height, weight, waist and hip circumferences, and blood pressure at all sites; percentage of body fat was estimated using bioelectrical impedance analysis. Percentage of body fat and BMI were highly correlated within site- and sex-specific groups, and the resulting r2 ranged from 0.61 to 0.85. The relation was quadratic in all groups except Nigerian men, in whom it was linear. The regression coefficients were similar across sites, yet the mean body fat levels differed significantly (p < 0.001) as estimated by the intercept, making intersite comparison difficult. Compared with BMI, percentage of body fat was not a better predictor of blood pressure or waist or hip circumference.

Adult↗
PubMed1977

Body height and body mass as determinants of basal blood pressure in children--The Bogalusa Heart Study.

Body height and body mass as determinants of basal blood pressure in children--The Bogalusa Heart Study. Am J Epidemiol 106:101-108, 1977. Risk factor variables for coronary artery disease were measured in a total biracial community study of 3524 children, ages 5-14 years. Anthropometric variables, serum lipids, and blood pressure (BP) were measured in a rigid randomized design. Blood pressure data were obtained with an automatic recording instrument that avoids excessive pressure readings in obese children by the use of an over-sized arm cuff bladder with a built-in infrasonic transducer. By reducing the anxiety of the child and by taking multiple readings, pressures were obtained that approached published basal levels. A multiple regression analysis showed that all measured variables could account for 39% of the systolic BP variation. Major determinants were based on weight (W) and height (H). The BP levels, when related to H and to a weight-height index (W/H3), suggest a strong influence of H and an additional influence of W/H3 on BP, both consistent and proportionate over the entire ranges of H and W/H3. The total spectrum of observed correlates of BP, resulting from the multiple regression analysis, suggests that the BP measured under basallike conditions increases as the child grows and is proportional to lean body mass and total body mass. Practical criteria for evaluating abnormal blood pressure levels in children should be based on normative values derived from body weight and body height rather than from age.

Adolescent↗
PubMed1999

Fasting insulin and leptin serum levels are associated with systolic blood pressure independent of percentage body fat and body mass index.

OBJECTIVE: To examine the relationship between leptin and insulin serum levels and systolic and diastolic blood pressure in young men. SETTING: Kobe University of Mercantile Marine, Kobe, Japan. PARTICIPANTS: One hundred and ninety-eight male students aged 18-20 years (comprising 100% of those eligible). DESIGN AND MEASUREMENTS: A cross-sectional survey of a sample of male college students was performed, with measurements to include anthropometry, blood pressure and blood tests after overnight fasting. RESULTS: Compared with 90 men with an optimal blood pressure, 56 men with high-normal and high blood pressure had an increase in body mass index (23.7 +/- 5.2 versus 20.4 +/- 2.2 kg/m2), percentage body fat (21.7 +/- 8.0 versus 16.3 +/- 4.2%) and serum leptin (3.7 +/- 4.7 versus 1.5 +/- 0.8 ng/ml). In addition, they had greater serum insulin (59 +/- 31 versus 43 +/- 12 pmol/l) despite there being no differences in plasma glucose, resulting in a reduction of the ratio of glucose to insulin (x 10(6)) (107 +/- 43 versus 126 +/-, which is an estimate of insulin sensitivity in a nondiabetic population. Furthermore, the 56 men had higher serum triglyceride levels, although there was no difference in low density lipoprotein-cholesterol and high density lipoprotein-cholesterol between men with optimal and high-normal plus high blood pressure. Similar differences were found between men in a top versus low tertile of systolic and diastolic blood pressure. In multiple regression analysis, both log leptin and log insulin emerged as determinants for systolic blood pressure independent of body mass index and percentage body fat, but an association with diastolic blood pressure was only shown for log leptin. CONCLUSION: Hyperleptinemia and hyperinsulinemia may be regulators of arterial pressure, independent of body mass index or percentage body fat.

Adipose Tissue↗
PubMed2005

Body weight, body composition, and bone turnover changes in patients with spondyloarthropathy receiving anti-tumour necrosis factor {alpha} treatment.

OBJECTIVES: To determine the changes in body weight, body composition, and bone turnover in patients with spondyloarthropathy (SpA) treated with anti-tumour necrosis factor alpha (TNFalpha). PATIENTS AND METHODS: 19 patients with SpA (2 women, 17 men), aged 21-71 years, were studied in a 1 year prospective open study. 17 patients received infliximab: 3 or 5 mg/kg/infusion at weeks 0, 2, 6 and infusions in the case of a relapse (n = 14) or systematically (n = 3); 2 patients received etanercept (25 mg twice a week). Body weight, body composition (lean mass, fat mass), and bone mineral density (BMD; using dual energy x ray absorptiometry) were measured at baseline and at months 6 and 12. Serum insulin-like growth factor-I (IGF-I), bone markers (carboxy terminal telopeptide of collagen Iota (CTX) and procollagen type Iota N terminal propeptide (PINP)) were measured at baseline and months 3, 6, and 12. RESULTS: In 1 year there was a significant increase in body weight (mean (SD) 2.24 (3.1) kg, p = 0.0004), and in lean mass (1.4 (1.69) kg, p = 0.005), but no changes in fat mass. BMD increased at the spine (5.6%, p = 0.0005) and total femur (2.6%, p = 0.01). CTX decreased from the third month (-50%, p = 0.005) up to 1 year (-30%, p = 0.012), and a trend for an increase in PINP (10%, p = 0.06) and in IGF-I (15%, p = 0.04) was seen at month 3. CONCLUSION: These data confirm that treatment with anti-TNFalpha in SpA is associated with an increase of BMD, which results from a decrease of bone resorption. Increase in body weight and lean mass is observed in parallel with an increase in IGF-1.

Absorptiometry, Photon↗
PubMed2002

Estimation of neonatal body composition: isotope dilution versus total-body electrical conductivity.

The objective of the study is to evaluate neonatal body composition determined by the isotope dilution method compared with the total-body electrical conductivity (TOBEC) method. An oral dose of 18O- and 2H-labeled water was given to 40 healthy term newborns, and 26 infants successfully completed the protocol. The isotope concentrations in urine samples were measured by gas-isotope ratio mass spectrometry. Fat and percent body fat (%F) estimated by isotope dilution were correlated with fat and %F estimated. Total body water measured by isotope dilution of 18O and 2H was 2.44 +/- 0.36 and 2.49 +/- 0.35 kg, respectively (p < 0.001). Fat and %F estimated by 18O, 2H, and TOBEC were 0.48 +/- 0.20 kg and 13.7 +/- 5.1%, 0.48 +/- 0.19 kg and 13.7 +/- 4.6%, and 0.38 +/- 0.21 kg and 10.9 +/- 5.0%, respectively. Neither fat nor %F estimates by isotope dilution showed good correlation with the TOBEC estimates (r = 0.22-0.57). Because of the wide variation of water content in individuals, the isotope dilution method may not be the optimal way of assessing body composition, and specifically body fat, in newborns.

Adipose Tissue↗
PubMed1997

Plasma leptin levels in healthy children and adolescents: dependence on body mass index, body fat mass, gender, pubertal stage, and testosterone.

Leptin, the product of the ob gene, is thought to play a key role in the regulation of body fat mass. Beyond this function, it appears to be an integral component of various hypothalamo-pituitary-endocrine feedback loops. Because childhood and puberty are periods of major metabolic and endocrine changes, leptin levels and various hormonal parameters were investigated in a large cohort of healthy children and adolescents (312 males, 401 females, age 5.8-19.9 yr). For this purpose, a specific and sensitive RIA was developed that allowed the accurate measurement of low leptin levels in young lean children. With this assay, leptin proved to be a comparatively stable protein under common conditions of blood sampling and storage. Leptin levels increased in girls with age (r = 0.47, P < 0.0001), but decreased in boys (r = -0.34, P < 0.0001). An analysis according to pubertal stage showed a steady increase in girls between 2.51 micrograms/L (median) at Tanner stage 1 to 6.24 micrograms/L at Tanner stage 5. In boys, leptin levels were highest at Tanner stage 2 (2.19 micrograms/L) and declined thereafter to 0.71 microgram/L at Tanner stage 5. A strong exponential relationship was observed for leptin levels with body mass index (BMI) and percentage body fat as determined by bioelectric impedance measurements in a subgroup of subjects. This relationship was similar between boys and girls at Tanner stages 1 and 2. In boys, there was a significant decline of leptin at a given BMI with further progression of puberty that was much less pronounced in girls. Although the relative increase of leptin with BMI and percent body fat was the same in both genders, the absolute values at a given BMI or percent body fat were significantly lower in boys in late puberty and in adolescents. In boys, but not in girls, there was an inverse correlation with testosterone concentrations (r = -0.43, P < 0.0001), which explained 10.5% of the variation of leptin levels in a multiple regression model. Since BMI proved to be the major influencing variable, reference ranges were constructed using a best-fit regression line of the form leptin = a*e(b*BMI) and stratifying ranges according to gender and pubertal stage. In conclusion, these data suggest that 1) plasma leptin levels increase in girls and decrease in boys after Tanner stage 2 as the pubertal development proceeds; 2) they show a significant gender difference especially in late puberty and adolescence, even after adjustment for BMI or percent body fat; 3) the lower levels in males may be explained at least in part by a suppressive effect of androgens; 4) reference ranges with BMI as the independent variable should be stratified according to gender and pubertal stage.

Adipose Tissue↗
PubMed2004

The pharmacodynamic effects of rocuronium when dosed according to real body weight or ideal body weight in morbidly obese patients.

We investigated the pharmacodynamic effects of rocuronium on morbidly obese patients. Twelve morbidly obese female patients (body mass index >40 kg/m(2)) admitted for laparoscopic gastric banding were randomized into two groups. Group 1 (n = 6) received 0.6 mg/kg of rocuronium based on real body weight, whereas Group 2 (n = 6) received 0.6 mg/kg of rocuronium based on ideal body weight. In a control group of six normal-weight female patients admitted for laparoscopic surgery, rocuronium was dosed on the basis of their real body weight. Neuromuscular transmission was monitored by using acceleromyography of the adductor pollicis; anesthesia was induced and maintained with remifentanil and propofol. The onset time tended to be shorter in Group 1 and the control group compared with Group 2, but this did not achieve statistical significance. Duration of action to 25% of twitch tension was more than double in Group 1 (55 min) compared with the other two groups (22 and 25 min; P < 0.001). Duration of action was similar between Group 2 and control. Recovery index tended to be longer in Group 1, but without a significant difference. In conclusion, in morbidly obese patients, the duration of action of rocuronium is significantly prolonged when it is dosed according to real body weight. Therefore, the dosage should be assessed on the basis of ideal rather than on real body weight in clinical practice.

Adult↗
PubMed2005

Interdependence of lean body mass and total body water, but not quality of life measures, during low dose GH replacement in GH-deficient adults.

Lean body mass (LBM) and total body water (TBW) are reduced in GH-deficient (GHD) adults and alter with GH replacement. Whether these parameters are interdependent and whether alterations in their homeostasis contribute to the perceived quality of life (QOL) deficit in GHD remains unclear. In this study, IGF-I, body composition by whole-body dual-energy X-ray absorptiometry, TBW by deuterium dilution (D(2)O) and two validated QOL instruments - psychological general well-being schedule (PGWB, generic, 6 domains; lower score worse QOL) and assessment of GH deficiency in adults (AGHDA, disease orientated; higher score worse QOL) were studied at baseline and after 3 and 6 months of GH replacement in thirty GHD adults. Patients with diabetes insipidus, and cardiac and renal failure were excluded. Median age-adjusted IGF-I standard deviation score increased from -3.40 (-6.40 to -1.60) to -0.2 (-1.88 to 0.78) (P < 0.0001) at a median daily GH dose of 0.4 mg. During treatment, LBM increased from 47.4 +/- 10.7 kg at baseline to 49.5 +/- 10.8 kg at 6 months (P = 0.0008), and fat mass decreased from 28.0 +/- 12.1 kg at baseline to 27.2 +/- 12.6 kg at 6 months (P = 0.0004). A non-significant trend towards an increase in TBW was observed (mean 1.7 kg, P = 0.08). The PGWB score increased from 62.9 +/- 20.6 to 73.7 +/- 21.7 (P = 0.0006). The AGHDA score decreased from 13.7 +/- 7.3 to 8.75 +/- 7.75 (P = 0.0002). At each time point, a linear correlation between LBM and TBW was demonstrated, defined by TBW = (0.972 x LBM)-10.6. However, only a weakly positive correlation existed between the percentage changes in these variables (R = 0.40, P = 0.04). No correlations were demonstrated between QOL measures and body composition. The change in LBM with physiological GH replacement correlates weakly with change in TBW, therefore factors other than TBW may also contribute to the LBM changes. Improved QOL with GH replacement is not explained by favourable changes in body composition.

Adult↗
PubMedDate not supplied

[Body mass index and body image perception in a Mexican adult population: the accuracy of self-reporting].

OBJECTIVE: To evaluate the accuracy of the self-reported body mass index and body image perception in a population of Mexican adults. MATERIAL AND METHODS: In 1998, in the state of Morelos, Mexico, participants in the longitudinal study of Mexican Social Security Institute workers "IMSS Cohort Study" responded to a baseline, self-administered questionnaire designed to collect a large variety of lifestyle risk factors for chronic diseases. Participants self-reported their body image by selecting the silhouette that best portrayed them, from a set of silhouettes ranked from 1 to 9. Participants also self-reported their current weight and height, unaware that direct measurements of weight and height were to follow. Four to eight months later participants were weighed and their heights were measured using standardized procedures. Spearman correlations were computed to analyze the correlation between self-reported and measured data. The Kruskal-Wallis test was used to evaluate the magnitude of difference between measured and self-reported height, weight and body mass index (BMI) (measured minus self-reported), by educational level and categories of age. Robust regression was used to evaluate the potential effect of specific individual characteristics on differences between measured and self-reported weight and height. Logistic regression analysis was used to evaluate the sensitivity, specificity, and predictive values for BMI. RESULTS: The study included 934 subjects, of which 62.6% were female. Females had a mean measured height of 1.55 m (SD 0.06) and weight of 65.4 kg (SD 10.9), while males had a mean height of 1.67 m (SD 0.06) and weight of 77.7 kg (SD 12.5). The mean BMI was 27.4 kg/m2 (SD 4.3) (females: 27.2 kg/m2 +/- 4.45; males: 27.8+/-3.87). The median of body image perception (BIP) was 5 (25th percentile=4; 75th percentile=6). Correlations between measured and self-reported height, weight, and BMI for all subjects were 0.94, 0.96, and 0.90, respectively. The correlation between BMI and BIP was 0.64 (0.67 for females and 0.59 for males). Self-reported mean varied no more than 1.3 cm from measured height and no more than 3.17 kg from measured weight. Error estimations of height, weight, and BMI decreased with educational level. Sensitivity and specificity before adjusting self-reported BMI with overweight and obesity categories that were collapsed into one were 94.8 and 83.0%, respectively; for BIP, those values were 87.6 and 48.9%. CONCLUSIONS: The results suggest that self-reported BMI and BIP can be useful indicators of an overweight condition in Mexican adults. The sensitivities and specificities associated with corrected self-reported BMI categories could be used to adjust odds ratios and relative risks, calculated from BMI levels derived from the self-reported BMI. Body image perception made it possible to correctly classify individuals with BMI > or = 25, showing that it may be a valid estimate for use in epidemiological surveys.

Adolescent↗
PubMed2005

Body-esteem, body mass index, and risk for disordered eating among adolescents in synchronized swimming.

The aim of this study was to examine dimensions of body-esteem, Body Mass Index, and their relations with eating disorder symptoms among 42 elite adolescent athletes engaged in competitive synchronized swimming (M = 15.4 yr., SD = 1.2) and to compare them with 40 athletes in sports with no emphasis on leanness (M = 16.5 yr., SD = .93), and 50 nonathlete college female students (M = 16.3 yr., SD = 1.1). They completed the Body-esteem Scale and the Eating Attitudes Test, and the Body Mass Index was computed. Analysis showed synchronized swimmers reported greater negative feelings about their appearance than the two other groups and low perceptions of how others evaluate their physical appearance. Participants did not differ on the EAT-26. Regression analyses showed that Body Mass Index and Body-esteem Appearance accounted for 38% of the variance in log-transformed Dieting scores of synchronized swimmers. Results are discussed in relation to the literature.

Adolescent↗
PubMed2004

Body image, figure rating, and body mass index of girls enrolled in health, physical education, or athletics classes.

The aim was to examine associations among body-image, figure rating, and Body Mass Index of seventh grade girls who chose health, physical education, or athletics classes. Measurements were taken prior to and following the course. Class choice was significantly related to body-image satisfaction but not to figure rating or Body Mass Index. Research is needed to examine inaccurate self-perception of fatness in underweight girls, whether there is a higher risk for eating disorders for students in athletics and physical education classes, whether the curriculum is effective with students in physical education and athletics, and why girls who chose the health class began with higher body-image satisfaction than those in physical education or athletics, even though their Body Mass Index and figure-rating size did not differ.

Attitude↗
PubMed2005

Body mass index, body shape satisfaction, and weight control behaviors among Korean girls.

The present study investigated the relations among Body Mass Index, body shape satisfaction, and weight control behaviors among Korean girls. Subjects were 266 girls (M age= 16.6 yr., SD= .9), recruited from two girls' high schools in Seoul, Korea. Based on Body Mass Index, 73.7% were normal weight, 22.9% were underweight, and 3.4% were overweight. 174 girls (65.4%) indicated that they were currently using any weight control method. Weight control behaviors differed significantly by Body Mass Index category, with girls whose Body Mass Indexes indicating normal weight being more likely to claim they used weight control behaviors. Also, the girls who rated themselves as dissatisfied with their body shape were more likely to report weight control behaviors.

Adolescent↗
PubMed1993

Relationship of body composition of mature ewes with condition score and body weight.

Fourteen mature, ovariectomized, western-range ewes with an initial mean BW of 72 +/- 4.5 kg and mean condition score (CS) of 7.5 +/- .3 were used to evaluate the relationship between CS and body composition. Diets of chopped straw and alfalfa hay were formulated to provide either maintenance energy or less than maintenance energy (100 or 60% of ME) to induce changes in BW and CS. After 180 d, ewes were weighted, scored for body condition, and slaughtered. All carcass components, viscera, and organs were analyzed for lipid, DM, and ash, and protein was determined by difference. Body weight and CS values were related by regression analysis to percentage of composition and weights of carcass components, carcass, and empty body. Body weight and CS were highly correlated (r = .89) and analysis indicated that each increase in CS resulted in an increase of 5.1 kg of BW. Condition score accounted for more variation of percentage of lipid in the empty body (R2 = .95) and carcass (R2 = .90) than did BW (R2 = .84 and .80, respectively). In contrast, BW accounted for more of the variation in carcass weight (R2 = .97) and empty BW (R2 = .99). Inclusion of both BW and CS in regression models did not increase the variation accounted for with the single best predictor. With mature western-range ewes in this study, CS was highly related to carcass lipids and could be used to describe energy reserves available to ewes.

Adipose Tissue↗
PubMed1997

Body composition and protein and fat accretion in various body components in growing gilts fed diets with different protein levels but estimated to contain similar levels of ideal protein.

A comparative slaughter technique was used to determine the effect of dietary protein levels on body composition and protein and fat accretion in various body components in Yorkshire gilts. Diets were formulated to contain similar levels of idea protein. Eight gilts were slaughtered at 20 kg BW to determine initial body composition. Twenty-four gilts were assigned to each of three dietary treatments (16.6, 15.0 and 13.0% CP) during the growing period (20 to 55 kg BW). During the finishing period (55 to 100 kg BW), dietary CP levels were reduced by approximately two percentage units. Eight gilts per treatment were slaughtered at 55 kg BW, and the remaining pigs were slaughtered at 100 kg BW. At slaughter, the pits were divided into three components: carcass, empty gastrointestinal tract, and other non-carcass parts. Half of the carcass was further dissected into retail cuts. None of the carcass retail cuts was affected (P > .10) by the dietary CP levels, except trimmed ham was smaller (P < .05) in gilts fed the 13% CP growing and 11% CP finishing diets. Far content in the empty body (P = .12) and in the carcass (P = .06) was highest and the empty body water accretion rate was lowest (P = .05) in gilts fed the 13% CP growing and 11% CP finishing diets. Other aspects of chemical body composition, protein and fat accretion rates, and estimated lean yields were not affected by dietary CP level (P > .10).

Animals↗
PubMedDate not supplied

[Autoregulation of body weight and body composition in man. A systematic approach through models and simulation].

The regulation of body weight and its composition in humans is examined from the standpoint of system analysis. It is based upon the hypothesis that the ultimate purpose for modulating body energy stores is to ensure the maximum duration for survival of the individual in the face of calorie deficit. A mathematical model, which is built on this hypothesis, allows quantitative simulation of variations in body weight and composition which occur during cycles of underfeeding/refeeding, and is achieved with the use of three global parameters. One of them controls the partitioning of body energy stores between fat and lean tissues, and the other two are concerned with the control of adaptive thermogenesis. The first of these two parameters for thermogenesis modulates the efficiency of fat storage by a function which is inversely proportional to the level of replenishment of the adipose tissues, and the other one controls regulatory thermogenesis which is a direct function of energy imbalance. These two forms of adaptive thermogenesis operate independently of each other and their amplitude depends upon the nutritional background of the individual. This model can be used as a theoretical framework for integrating numerous data in the literature on physiological processes that are involved in the regulation of body weight and body composition.

Body Composition↗
PubMed1988

Body surface areas and K values in strain 13 guinea pigs with different body weights and ages.

Body surface areas (BSA) were determined for strain 13 guinea pigs with body weights ranging from 191 to 1011 g. For this determination, the entire skin of each animal was removed immediately after death and flattened on a wax film with a homogeneous paper. The skin outlines on the paper were cut and weighed for determining BSA. The K value was calculated for each guinea pig as the ratio of BSA (cm2)/body weight (g)2/3. Significantly different K values of 11.31 +/- 0.11, 9.66 +/- 0.09, 9.22 +/- 0.05, and 9.17 +/- 0.05 were determined for average body weights of 218 +/- 24, 527 +/- 33, 706 +/- 60, and 943 +/- 30 g, respectively. By plotting these K values on semilog paper and determining the best fit curve of the slope, it was possible to extrapolate exponentially the K values for different body weights. The relationship between age and body weight was also established for guinea pigs, and a series of K values were determined from birth to 35 weeks of life. We conclude that a different K value should be used for calculating BSA for various ages and body weights of strain 13 guinea pigs.

Aging↗