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PubMed2006

Metabolic consequences of body size and body composition in hemodialysis patients.

Small body mass index is associated with increased mortality in chronic hemodialysis patients. The reasons for this observation are unclear but may be related to body composition. This study aimed to investigate the body composition in chronic hemodialysis patients. The difference between body mass and the sum of muscle, bone, subcutaneous, and visceral adipose tissue masses, measured by whole body magnetic resonance imaging, was defined as the high metabolic rate compartment representing the visceral mass. Protein catabolic rate was calculated from urea kinetics. Forty chronic hemodialysis patients (mean age 54.7 years; 87.5% African Americans; 45% females) were studied. High metabolic rate compartment expressed in percent of body weight was inversely related to body weight (r=-0.475; P=0.002) and body mass index (r=-0.530; P<0.001). In a multiple linear regression model, protein catabolic rate was significantly correlated only with high metabolic rate compartment (r=0.616; P<0.001). Assuming that protein catabolic rate in addition to protein intake reflects urea and uremic toxin generation, it follows that high metabolic rate compartment is the major compartment involved in their generation. Consequently, uremic toxin production rate may be relatively higher in patients with low body weight and low body mass index as compared to their heavier counterparts. The poorer survival observed in smaller dialysis patients may be related to these relative differences.

Adult↗
PubMed2005

Influence of body size and body fat distribution on risk of uterine leiomyomata in U.S. black women.

BACKGROUND: Uterine leiomyomata are a major source of morbidity in black women. We prospectively investigated the risk of self-reported uterine leiomyomata in relation to body mass index (BMI), weight change, height, waist and hip circumferences, and waist-to-hip ratio in a large cohort of U.S black women. METHODS: Data were derived from the Black Women's Health Study, a U.S. prospective cohort study of black women who complete biannual mailed health questionnaires. From 1997 through 2001, we followed 21,506 premenopausal women with intact uteri and no prior diagnosis of uterine leiomyomata. Cox regression models were used to estimate incidence rate ratios (IRRs) and 95% confidence intervals (CIs). RESULTS: After 70,345 person-years of follow up, 2146 new cases of uterine leiomyomata confirmed by ultrasound (n = 1885) or hysterectomy (n = 261) were self-reported. Compared with the thinnest women (BMI <20.0 kg/m), the multivariate IRRs for women with BMIs of 20.0-22.4, 22.5-24.9, 25.0-27.4, 27.5-29.9, 30.0-32.4, and 32.5+ kg/m were 1.34 (95% CI = 1.02-1.75), 1.39 (1.07-1.81), 1.45 (1.12-1.89), 1.47 (1.11-1.93), 1.36 (1.02-1.80), and 1.21 (0.93-1.58), respectively. IRRs were larger among parous women. Weight gain since age 18 was positively associated with risk, but only among parous women. No other anthropometric measures were associated with risk. CONCLUSIONS: BMI and weight gain exhibited a complex relation with risk of uterine leiomyomata in the Black Women's Health Study. The BMI association was inverse J-shaped and findings were stronger in parous women. Weight gain was positively associated with risk among parous women only.

Adipose Tissue↗
PubMed1997

[Relationship between the iron status of the pregnant woman and her body size and body composition before and during pregnancy].

For the analysis the relationship of the iron status of 86 pregnant women and size and composition body factors before and during pregnancy were made anthropometric, hematological and iron status indices. There were significant relations between pregestational body weight, height, body mass index and body weight, body composition in pregnancy and the values of iron status indicators in blood throughout gestation.

Adolescent↗
PubMed1999

A computer-graphic technique for the study of body size perception and body types.

We present a novel approach for measuring body size estimation in normal and eating-disordered women and men. Clinical categories of body types were used as prototypes. By comparing the subjective appearance of a person's body with prototypes, we can understand how different attributes of his or her body shape contribute to perception of body size. After lifelike random distortions have been applied to parts of their body image, individuals adjust their body shapes until they converge on their perceived veridical appearance. Exaggeration and minimization of particular body areas measured with respect to their true shape and with different prototypes can be expressed as numerical deviations. In this way, perceived body size and body attractiveness can be appraised during the course of diagnosis and treatment of eating disorders.

Body Constitution↗
PubMed2006

Phylogenetic analyses of dimorphism in primates: evidence for stronger selection on canine size than on body size.

Phylogenetic comparative methods were used to analyze the consequences of sexual selection on canine size and canine size dimorphism in primates. Our analyses of previously published body mass and canine size data revealed that the degree of sexual selection is correlated with canine size dimorphism, as well as with canine size in both sexes, in haplorhine but not in strepsirrhine primates. Consistent with these results, male and female canine size was found to be highly correlated in all primates. Since canine dimorphism and canine size in both sexes in haplorhines were found to be not only related to mating system but also to body size and body size dimorphism (characters which are also subject to or the result of sexual selection), it was not apparent whether the degree of canine dimorphism is the result of sexual selection on canine size itself, or whether canine dimorphism is instead a consequence of selection on body size, or vice versa. To distinguish among these possibilities, we conducted matched-pairs analyses on canine size after correcting for the effects of body size. These tests revealed significant effects of sexual selection on relative canine size, indicating that canine size is more important in haplorhine male-male competition than body size. Further analyses showed, however, that it was not possible to detect any evolutionary lag between canine size and body size, or between canine size dimorphism and body size dimorphism. Additional support for the notion of special selection on canine size consisted of allometric relationships in haplorhines between canine size and canine size dimorphism in males, as well as between canine size dimorphism and body size dimorphism. In conclusion, these analyses revealed that the effects of sexual selection on canine size are stronger than those on body size, perhaps indicating that canines are more important than body size in haplorhine male-male competition.

Animals↗
PubMed1994

Body size estimation and body dissatisfaction in eating disorder patients and normal controls.

In this study comparing 41 eating disorder patients and 34 female controls, the video distortion technique was used to test the accuracy of body size estimation and to assess the ideal body image. No difference was found in the estimation of actual body sizes, although the accuracy of estimation was quite variable in both bulimics and anorexics. With regard to the ideal body image, significant differences were found: All bulimics and 92.6% of the controls wished to be thinner versus 42.9% of the anorexics (23.8% wished to be larger). Looking at subjective body experience, as measured with a self-report questionnaire (Body Attitudes Test), body dissatisfaction appeared to be negatively correlated with the ideal body image but not with the estimation of actual body sizes.

Adult↗
PubMed1977

Submaximal working capacity, heart size and body size in boys 8-18 years.

Heart diameters, heart volume (HV), PWC130, VO2 at 130 heart rate, and cardiorespiratory reactions during work at 3 kgm-s-1 were obtained in 237 boys ranging in age from 8--18 years. Results indicate that heart size, PWC130, VO130, and exercise HR, VO2/HR, f and SBP change significantly with age. On the other hand, HV - kg-1 and work VO2, VE and VE/VO2 remain rather stable throughout the growth period. Correlation analysis indicates that about 85% of the observed variation in the size of the heart during growth can be accounted for by the body weight, while about 70% of the variation in light submaximal working capacity (VO130) can be explained by HV alone. Holding age, height and body weight constant by partial correlation procedures yeilds significant relationships between HV and VO130 (r = 0.461), and between HV - kg-1 and VO130 (r = 0.414). Age, height, weight and size of the heart correlated simultaneously against VO130 account for 75% of the variance in the dependent variable. It would seem important to suggest the need for study of the interactions between age, size and maturity, in addition to indicators of size and efficiency of the oxygen delivery system, and indices of muscle oxygen utilization efficiency. Such an approach will permit a more definite partitioning of the variance in submaximal aerobic capicity during growth, and would probably yeild a more conservative estimate of the relationship between the size of the heart and submaximal working capacity during growth.

Adolescent↗
PubMed2004

A computer program for measuring body size distortion and body dissatisfaction.

A computer program is described that measures body size distortion and body dissatisfaction. The program is written using Visual Basic development tools and will run on any Windows 98 or more current system. The width of a static digital image of the participant can be manipulated using three separate psychophysical methods. In the method of adjustment, the participant adjusts the image wider or thinner to match his or her perceived size. The participants may also be required to adjust the image to their ideal size, with the discrepancy between perceived and ideal size being used as a measure of body dissatisfaction. In the staircase method, participants see an image that is continuously expanding or contracting. The participants change the direction of the distortion when the image matches their perceived size. In the adaptive probit estimation procedure, participants judge whether a static image is distorted too wide or too thin. Analysis of the responses permits a determination of the point of subjective equality (PSE) and the difference limen (DL) values. The DL reflects the amount of body size distortion necessary for the participant to detect the distortion 50% of the time. The PSE reflects the participant's subjective judgment of his or her body size. These two values are reflective of the sensory and nonsensory components, respectively, that contribute to body size judgments.

Body Image↗
PubMed2003

Parturition body size and body protein loss during lactation influence performance during lactation and ovarian function at weaning in first-parity sows.

We investigated the effect of body protein mass at parturition and different degrees of body protein loss in lactation on sow performance. In a 2 x 2 factorial arrangement, 77 Genex gilts were fed to achieve either a standard or high body mass at parturition and to lose either a moderate (MPL) or high (HPL) amount of protein in lactation. Pregnant gilts were fed either 24.4 MJ of ME, 266 g of CP, and 11 g of lysine/d or 34.0 MJ of ME, 436 g of CP, and 20 g of lysine/d resulting in divergent (P < 0.01) live weights (165 vs. 193 kg) and calculated protein masses (24.3 vs. 30.0 kg) and slightly different backfat depths (20.0 vs. 22.8 mm; P < 0.05) at parturition. Diets fed during lactation were formulated to deliver 731 g of CP and 37 g of lysine/d or 416 g of CP and 22 g of lysine/d to induce differential body protein mobilization. Sows were slaughtered at weaning (d 26), and the weight of the organs and the lean, fat, and bone in five primal cuts was measured. The external diameter of the eight largest follicles on each ovary was recorded, and the follicular fluid from these follicles was collected, weighed, and analyzed for estradiol. Losses in lactational live weight (26 vs. 20 kg; P < 0.01) and calculated protein mass (17.8 vs. 10.7%; P < 0.001) were greater, and the carcass lean mass at weaning was 10% lighter (P < 0.05) in HPL sows. Backfat (5.1 +/- 0.8 mm; P = 0.29) and calculated fat mass (25.8 +/- 1.5%; P = 0.84) losses did not differ between treatments. Both sow body mass (P < 0.05) and lactation protein loss (P < 0.01) affected litter growth rate. Litter growth rate decreased (P < 0.05) at the end of lactation in HPL sows once these sows had lost 10 to 12% of their calculated protein mass. Ovarian follicular development was most advanced in high body mass sows that lost the least protein; these sows had the heaviest (P < 0.05) uterine weight and highest (P < 0.05) follicular fluid estradiol concentration. Follicular development was least advanced in standard body mass sows that lost the most protein. These sows had the lowest (P < 0.05) muscle:bone ratio at weaning and likely lost the largest proportion of their muscle mass compared with the other treatments. In conclusion, ovarian function at weaning and litter performance was higher in high body mass sows and in sows that lost the least protein in lactation, suggesting that a larger lean mass may delay the onset of a decrease in performance in sows that lose protein in lactation.

Adipose Tissue↗
PubMed2002

Does ethnicity influence body-size preference? A comparison of body image and body size.

OBJECTIVE: Obesity is most common in the United States among women of ethnic minority groups (black and Hispanic). Researchers have hypothesized that these subcultures are more accepting of overweight figures. The purpose of this study was to examine body image and body size assessments in a large community sample of men and women. RESEARCH METHODS AND PROCEDURES: Participants were 801 women and 428 men: 23% Asian, 45% Hispanic, 17% black, and 15% white. The figure rating scale was used to rate: body dissatisfaction, attractive male and female shapes, acceptable female size, and perceptions of underweight to obese female figures. RESULTS: Controlling for age, education, and body weight, no ethnic differences were found for men. Asian women reported less body dissatisfaction than the other groups. Women were more dissatisfied with their size than men and chose thinner female figures as attractive and acceptable. DISCUSSION: Ethnicity, independent of age, education, and body weight, does not influence preference for female and male shapes or tolerance for obesity.

Adult↗