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Regional adiposity, body composition and central body fat distribution of 10-16 years old Bengalee boys of Nimta, North 24 Parganas, West Bengal, India.

A cross-sectional study of 502 Bengalee boys aged 10-16 years of Nimta, North 24 Parganas, West Bengal, India, was undertaken to study regional adiposity, body composition and central body fat distribution. The subjects were classified into seven age groups: 10-10.9 years (n = 74), 11-11.9 (n = 53), 12-12.9 (n = 87), 13-13.9 (n = 116), 14-14.9 (n = 58), 15-15.9 (n = 57), 16-16.9 (n = 57). In general, there was a significant linear increasing trend from 10 to 16 years for all the anthropometric variables. There was a net increase of 30.5 cm and 22.8 kg in mean height and weight, respectively, between 10 and 16 years of age. Mean BMI increased by 3.7 kg/m2 during the same period. Among circumferences, the largest increase was in hip followed by chest while the smallest increase was in mid upper arm, between 10 and 16 years of age. Subscapular skinfold showed the largest increase followed by abdomen and suprailiac skinfolds, while the increase was least in forearm skinfold. Significant linear increasing trend was observed for all the body composition measures. The largest increase in percent of body fat (PBF) was observed between ages 10 and 11 years while mean fat mass (FM), fat free mass (FFM) and fat mass index (FMI) increased the most between 14 to 15 years. However, an overall decreasing trend was observed, in mean waist-to-hip ratio (WHR) from 10 to 16 years. Boys aged 10 years had the highest mean WHR while those aged 15 years had the lowest mean WHR. There was an increase in mean WHR among 16 years old boys.

Adiposity↗

Relationship of absence or presence of a family history of diabetes to body weight and body fat distribution in type 2 diabetes.

In a study sample of second generation Japanese American men (age range 45-74 years), family history of diabetes in a sibling or parent was present in 69 men (24 of 79 normal men and 45 of 78 type 2 diabetic men, P less than 0.001). Both general adiposity and body fat distribution have been associated with type 2 diabetes. Our hypothesis was that the association of both overall adiposity and of larger specific regional fat deposits with type 2 diabetes would differ depending upon family history. The relationships between diabetes and differences in general adiposity (whether current or maximum lifetime body mass index or BMI, sum of skinfolds, or sum of computed tomography or CT fat areas) and between diabetes and body fat distribution (measured as abdominal and thigh circumferences, cross-sectional body fat areas by CT of thorax, abdomen, and thigh, and skinfold thicknesses of triceps, biceps, forearm, chest, subscapula, abdomen, and thigh) were more apparent in those men without a family history of diabetes than in those with a family history. In men without a family history, diabetic men had significantly higher values for several variables which assessed overall adiposity: current BMI (P less than 0.001), maximum lifetime BMI (P less than 0.001), sum of skinfolds (P less than 0.006), and sum of CT fat areas (P less than 0.015). In addition several measurements of upper truncal adiposity were significantly increased in diabetic men: abdominal circumference (P less than 0.004), thoracic (P less than 0.015) and abdominal (P less than 0.03) subcutaneous CT fat areas, intra-abdominal CT fat areas (P less than 0.001), and chest (P less than 0.03) and subscapular (P less than 0.0002) skinfold thicknesses. The results pertaining to those without a family history appear to be due to increased adiposity and associated larger specific regional fat depots leading to diabetes and lesser adiposity and smaller amounts of fat in the same regional depots protecting against diabetes.

Adipose Tissue↗

[Peripuberal development of genetic obesity in beta rats. Daily changes in food intake, body weight, deep body temperature, triglyceridemia and glycemia].

The moderate quality of beta obesity and its relatively slow evolution make it potentially useful for defining the sequence of events that lead to the overt syndrome. Estimates of food intake, live body weight, deep body temperature, triglyceridemia and glycemia were obtained at several times during the day in beta genetically obese and alpha (alpha) control male rats at peripuberal age, in order to characterize the dynamic phase of this obesity and to attempt the definition of some previous proceedings that eventually produce the full obesity syndrome. Beta higher food intake in the light cycle preceded its whole day hyperphagia. Both genotypes showed the normal pattern of predominantly nocturnal feeding. A lower light phase's weight loss in beta preceded the overweight. Thus, beta rats were not significantly heavier than alpha until the end of the last period studied, when they were 75 days old. A defect in adaptive thermogenesis in beta genotype is suggested, as values on deep body temperature in relation to alpha were significantly lower at all times of day tested. Correlation coefficient value between daily net weight gain versus deep body temperature was: r = -0.601 (p less than 0.01), suggesting a diminished lipolytic stimulation in beta brown adipose tissue. A sustained hypertriglyceridemia in beta at every time of the day studied suggested its endogenous source. Differences in glycemia values were not statistically significant between genotypes, though apparently wider variations in beta could reflect a certain glycemic regulation lability in the obese genotype.

Animals↗

Total body fluid volume determination based on urea kinetics in hemofiltration as an index of basal body weight in uremic patients.

Assuming that urea is distributed uniformly within the total body water, urea-space or total body fluid volume was determined in six uremic patients based on urea kinetics in hemofiltration. The total body fluid volume before hemofiltration was 36.0 +/- 3.6 L (61.8 +/- 2.6% BW) and after hemofiltration 32.5 +/- 3.4 L (59.3 +/- 2.8% BW), suggesting that the total body fluid volume was nearly normalized by hemofiltration. It is concluded that urea-space, easily measurable based on urea kinetics during hemofiltration, is useful in evaluating the fluid balance in patients undergoing artificial kidney therapy.

Blood↗

Body build, serum cholesterol and percentages of body fat in some male Nigerians. A contribution to the establishment of norms.

Heights and weights were measured and Quetelet's indices calculated for 402 subjects among whom were university students, local soldiers and outpatients of a rural hospital. Serum cholesterol and percentages of body fat as calculated from the sum of four skinfold thicknesses were also determined. Heights, and weights and Quetelet's indices of these mostly Northern Nigerian subjects fit a generally slim body build comparable to that of lean populations of other parts of the world. The subjects have generally low mean serum cholesterol levels of 152.1 mg% in the students, 189.9 mg% in soldiers and 188.4 mg% in outpatients. Mean percentage body fat values are also generally low ranging from 12.6% in soldiers through 12.4% in students to 11.2% in outpatients. The rather low serum cholesterol values obtained here along with the generally low values of percentage body fat suggest that our subjects may have a low risk of development coronary diseases in later years.

Adipose Tissue↗

Circulating glucose, insulin and ketone bodies and enzymes of ketone body utilization in brain mitochondria from suckling rats treated with high L-thyroxine doses.

The neo-T4 syndrome was induced by subcutaneous administration of a total dose of (150 micrograms) L-thyroxine (T4) to rats from their first day of live. Neo-T4 animals and their controls were sacrificed at 2, 4, 8, 11, 14, 22 and 25 days of age. A decrease in body weight was observed from the second day of life, and a decrease in brain weight from the eighth day of life in the neo-T4 animals. Blood glucose and plasma insulin levels were decreased from 2nd day through 22nd day of life. Total plasma ketone bodies and beta-OH butyrate levels increased in the neo-T4 animals with respect to controls. until 8th day, although acetoacetate increased only until 4th day. The activity of key enzymes in the ketone bodies utilization pathway (3-hydroxybutyrate dehydrogenase, 3-oxoacid CoA-transferase and acetoacetyl-CoA thiolase) were also measured in the animals brain. We found an activation of 3-hydroxybutyrate dehydrogenase until 11th day and 3-oxoacid CoA-transferase until 14th day, but no change in acetoacetyl CoA-thiolase was observed. Ketone bodies play a key role as energy substrates and precursors of brain lipids during the period of intense growth and myelination of the CNS. Considering the alterations described in this paper it seems that neo-T4 syndrome could be an interesting model for studying metabolism of those substances in brain.

Acetyl-CoA C-Acetyltransferase↗

Age variations in the relation of body mass indices to estimates of body fat and muscle mass.

In some chronic disease studies, distinctions have been made regarding the importance of body mass index (BMI) as a risk factor in younger versus older men and women. In order to determine the significance of these differences in BMI-disease associations, we determined the extent of age-dependent variations in the relation of BMIs to body composition in large probability samples of U.S. men and women from the First and Second U.S. National Health and Nutrition Examination Surveys (NHANES I and II). BMIs are more highly correlated with estimates of body fat in younger than in older men and women, and with muscle mass in older than in younger adults. Caution should be exercised in interpreting the significance of BMI as a risk factor for chronic disease, particularly in comparison of age groups.

Adipose Tissue↗

Relationships between the Body Mass Index and body composition.

The aims of this study were to evaluate the Body Mass Index (BMI) (weight/stature2) as a proxy for percent body fat (%BF) and to determine its association with fat-free mass (FFM). Multivariate analysis of variance and partial correlations were used to examine relationships between BMI and %BF and FFM from densitometry for 504 men and 511 women, aged 20 to 45 years. Sensitivity/specificity analyses used cut offs of 28 kg/m2 in men and 26 kg/m2 in women for BMI, and 25% in men and 33% in women for %BF. Significantly higher associations existed in each gender between BMI and %BF in the upper BMI tertile than in the lower BMI tertiles. In the lower BMI tertiles, correlations between BMI and FFM were approximately twice as large as those between BMI and %BF. The BMI correctly identified about 44% of obese men, and 52% of obese women when obesity was determined from %BF. BMI is an uncertain diagnostic index of obesity. Results of Receiver Operator Characteristic (ROC) analyses using %BF and total body fat, both provided a BMI of 25 kg/m2 in men and 23 kg/m2 in women as diagnostic screening cut offs for obesity.

Adipose Tissue↗

Self-reported versus measured height, weight and body mass index in Spanish Mediterranean teenagers: effects of gender, age and weight on perceptual measures of body image.

BACKGROUND: To have a good physical appearance is a determining factor by which adolescents show a tendency to worry excessively about their weight. The aim of this work is to study the possible relationship between actual and perceived body weight, how it is considered and what strategies are followed for weight control among adolescents residing in Valencia. METHODS: A sample of 568 students, 325 girls and 243 boys, aged 14-20 years, were selected from public high schools in Valencia. Their height and weight were used to calculate their actual body mass index (BMIO). The subjective perception of their physical measurements (BMIS) was evaluated by means of a questionnaire. The statistical treatment of data was done with commercially available software. RESULTS: There is a relatively large proportion of underweight subjects among the participants of the survey. Differences between the BMIO and BMIS indicate a misperception of height (overestimated) and weight (underestimated) that is greater in girls than in boys. Girls tend to undergo restrictive dietary measures when they consider themselves overweight. A general lack of knowledge about adequate weight was observed. CONCLUSION: Valencia teenagers show a poor knowledge of their body size and of the weight that should be adequate for their age and tallness.

Adolescent↗

Vagal body tumor (nonchromaffin paraganglioma, chemodectoma, and carotid body-like tumor) with cervical node metastasis and familial association: ultrastructural study and review.

A case of a vagal body tumor with a solitary cervical node metastasis is described. There was a remarkable familial association: a biopsy-proven paraganglioma occurred in two members of the patient's family and there was a strong clinical suspicion of a paraganglioma in two others. In a review of the literature, eight patients with metastasizing vagal body tumors and eight patients in whom the vagal body tumor was a component of multicentric presentation of paragangliomas were found. Only one other patient in whom there was a familial occurrence involving a vagal body tumor has been reported. Ultrastructural study of the cervical node metastasis revealed the presence of light and dark chief cells containing scanty, membrane-bound, densecore, neurosecretory-type granules. Atypical granules were noted in a few of the dark cells. Nerve fibers, synaptic vesicles, and sustentacular cells, such as occur in normal paraganglionic tissue, were not observed in this tumor.

Adult↗

Distribution of oxygen partial pressure in the carotid body region and in the carotid body (rabbit).

In the specific tissue of the rabbit carotid body as well as in the connective tissue surrounding the organ, pO2 distribution was measured with membrane-covered needle electrodes (tip diameter 1-2 microns). The histograms resulting from measurements in the specific tissue were shifted to low pO2 values as compared to other tissues. The oxygen blowing test, i.e. exposure of the carotid body to humidified 100% oxygen was employed to decide upon the site of measurement: pO2 increased when the electrode measured in the surrounding tissue (type 1 response); pO2 remained stable or slightly decreased when the electrode sampled in the specific carotid body tissue (type 2 response). After the experiment, the electrode track was reconstructed from histological serial sections and the type of reaction was related to the type of tissue. Low pO2 values were found to prevail in the specific carotid body tissue, which leads to the conclusion that the amount of low pO2 values determines the degree of chemoreceptor activity.

Animals↗

Measurement of body surface area in children with liver disease by a novel three-dimensional body scanning device.

Body surface area (BSA) is used in paediatrics to assess fluid requirement, drug doses, cardiac output and glomerular filtration rate. The aim of this study was to examine, in children with liver disease, the relationship between BSA determined by a traditional nomogram and BSA measured by a novel three-dimensional technique--Loughborough Anthropometric Shadow Scanner (LASS). Subjects were 16 children, mean age 8.1 (range 3.6-14.9) years, with a variety of liver diseases. Twenty-eight controls had a mean age of 7.1 (3.1-10.5) years. All had LASS scans performed as well as 21 anthropometric measurements taken by a single observer. There was a significant relationship between BSA (LASS) and BSA nomogram for liver-diseased children (r = 0.99) and controls (r = 0.96). The BSA nomogram values were significantly greater (P < 0.05) than BSA (LASS) for liver-diseased subjects by 10.1% (-0.35 to +20.6; 95% confidence interval), and for controls by 9.6% (4.1-23.2). Best prediction of BSA (LASS) for liver-disease subjects used height, body weight and gluteal furrow circumference [r2 = 0.997; standard estimated error (SEE) = 0.015 m2] and for controls used body weight alone (r2 = 0.907; SEE = 0.048 m2). BSA nomogram has no additional error in children with liver disease, but may overestimate BSA by 10% compared with a novel three-dimensional body surface scanning technique.

Adolescent↗

The relative body fat and anthropometric prediction of body density of South Australian females aged 17-35 years.

One hundred and thirty-five females were tested in order to: produce some normative percentage body fat (% BF) data on an Australian sample which represented a cross-section of physical activity patterns, cross-validate existing multiple regression equations which predict body density (BD) from anthropometric measurements, and if necessary develop population specific equations. Measurements were taken of 10 girths, 3 widths and 7 skinfolds. Body density was measured by underwater weighing with the residual volume (RV) being determined by helium dilution. The Siri equation was then used to convert BD to % BF. The % BF scores had an overall mean of 23.4 (range 10.8-49.2). The very active group (n = 45) had a significantly lower (p less than 0.05) relative body fat (X = 20.6% BF) than either the active (n = 45; 23.5% BF) or sedentary groups (n = 45; 26.2% BF). Previously published equations were found to have limited applicability to Australian subjects. A stepwise multiple regression was therefore used to develop the following equation (R = 0.893): BD(g X cm-3) = 1.16957-0.06447 (log10 sigma triceps, subscapular, supraspinale, front thigh, abdominal and calf skinfolds in mm)-0.00081 (gluteal girth in cm) + 0.0017 (forearm girth in cm) + 0.00606 (biepicondylar humerus breadth in cm). Only those predictors which resulted in a statistically significant increase in r (p less than or equal to 0.05) were included. The standard error of estimate of 0.00568 g X cm-3 was equivalent to 2.6% BF at the mean.

Adipose Tissue↗

Regional and total body bone mineral content, bone mineral density, and total body tissue composition in children 8-16 years of age.

Normative values for total body bone mineral content (TBBM) and total body bone mineral density (TBMD) were derived from measurements on 234 children 8-16 years of age. In addition, bone mineral content (BMC) and bone mineral density (BMD) values for selected regions of interest and soft tissue (bone free lean and fat) for the total body are presented. Bone mineral and soft tissue values were determined by dual energy X-ray absorptiometry (DXA) using a Hologic QDR-2000 in the array mode. Results of a stepwise multiple regression analysis revealed a significant correlation between bone-free lean tissue (BFLT) and BMD (r2 = 0.80) in girls. Adding age to the equation accounted for an additional 2% of the variance (P < 0.05) and height accounted for another 1% of the variance (P < 0.05). Body weight and fat tissue (FT) did not account for any additional variance. In boys BFLT correlated significantly with BMD (r2 = 0.75; P < 0.05); none of the other predictor variables accounted for additional variance. No significant differences were found in TBBM or TBMD between boys and girls at any age. There was a significant overall gender effect for only three regions of interest. Boys had greater BMC in the head region and had greater BMD in the upper limbs, but post hoc analysis revealed no significant differences for any specific age groups. Girls had greater overall BMD in the pelvis, but this difference was only significant at the 15-16-year age group. The changes in BFLT and FT over the age ranges were consistent with the growth literature.(ABSTRACT TRUNCATED AT 250 WORDS)

Absorptiometry, Photon↗

Intraepithelial bodies in colorectal adenomas: Leuchtenberger bodies revisited.

The presence of intraepithelial inclusion bodies (Leuchtenberger bodies) was recorded in rectal or colonic specimens from 130 patients. Large to moderate number of intraepithelial bodies were recorded in 81.8 percent of 55 colorectal adenomas from patients with familial adenomatous polyposis (FAP). Conversely, none of the 55 non-FAP adenomas or of the 20 specimens with ulcerative colitis (10 with dysplasia) had similar amounts of intraepithelial granules. Feulgen studies demonstrated that the granules contain DNA and are probably nuclear fragments of destroyed lymphocytes. Although the pathogenesis of this phenomenon remains obscure, it appears that the presence of large to moderate number of intraepithelial bodies in colorectal adenomas should strongly raise the suspicion of FAP.

Adenoma↗

Clinical evaluation of ketone bodies in body fluids of cows in late pregnancy and their fetuses.

Ketone body concentrations were determined in six body fluids of cows in late pregnancy and their fetuses (blood plasma and urine of cows, amniotic and allantoic fetal fluids, and fetal blood serum and urine) using the head-space gas chromatographic method. Physiological ratios O/T% of oxidized (acetone and acetoacetic acid) to total (acetone, isopropanol, acetoacetic and 3-hydroxybutyric acid) ketone bodies were below 10% in cow blood plasma and urine, fetal serum and urine, and allantoic fluid, and below 20% in amniotic fluid. A scheme for the evaluation of the degree and duration of ketosis based on the O/T% ratio is proposed. The existence of a renal regulatory mechanism for excretion of ketone bodies is suggested by analogy with the renal acidobasic regulation.

Allantoin↗

Hormonal influences on the relationships between body fatness, body fat distribution, lipids, lipoproteins, glucose and blood pressure in French working women.

The independent associations between overall obesity, body fat distribution, lipids, lipoproteins, glucose, blood pressure and some hormonal factors (sex hormone-binding globulin (SHBG), corticosteroid binding globulin (CBG) and fasting insulin) were cross-sectionally examined in 205 French working women. After adjustment for age, overall adiposity assessed by body mass index (BMI) was significantly associated with most metabolic parameters, whereas regional adiposity assessed by the waist-hip ratio (WHR) was significantly associated only with triglyceride, systolic and diastolic blood pressure. Blood pressure, glucose but not triglyceride, were also negatively and significantly correlated with SHBG and positively with fasting insulin. Negative independent associations were found between SHBG and both BMI and WHR, whereas CBG was positively associated only with WHR. Fasting insulin was no longer related to WHR after adjustment for BMI. After controlling for the effect of SHBG or insulin, the associations between triglyceride, blood pressure and both BMI and WHR were not substantially modified. After adjustment for BMI and WHR, fasting insulin was independently associated with both HDL cholesterol and diastolic blood pressure. In conclusion, in these French women, hormonal factors under study appeared to have little influence on the relationships between body fatness, body fat distribution, metabolic variables and blood pressure.

Adipose Tissue↗

Senile dementia of Lewy body type. A clinically and neuropathologically distinct form of Lewy body dementia in the elderly.

A dementing syndrome has been identified in a group of psychiatric cases aged 71-90 years, presenting initially with a subacute/acute confusional state, often fluctuating and associated with visual hallucinations and behavioural disturbances. Clinically, these cases did not meet criteria for a diagnosis of Alzheimer's disease, and many were assigned to the multiinfarct dementia group, although no significant ischaemic lesions were evident at autopsy. Mild extrapyramidal features were apparent in a number of cases but the characteristic clinical triad of Parkinson's disease, i.e., tremor, rigidity, and akinesia, was absent. Detailed neuropathological examination revealed Lewy body formation and selective neuronal loss in brain stem and other subcortical nuclei, accompanied by Lewy body formation in neo- and limbic cortex, at densities well below those previously reported in diffuse Lewy body disease. A variable degree of senile degenerative change was present; numerous senile plaques and minimal neurofibrillary tangles in most cases. Neither the clinical nor the neuropathological features of this group are typical of Parkinson's or Alzheimer's disease, but suggest a distinct neurodegenerative disorder, part of the Lewy body disease spectrum, in which mental symptoms predominate over motor disabilities and lead to eventual psychogeriatric hospital admission. In a sequential series of autopsies conducted on clinically assessed demented patients, neuropathological analysis has indicated that such cases may comprise up to 20% of a hospitalized population of demented old people over the age of 70 years, an observation clearly relevant to the diagnosis and management of dementia in the elderly.

Aged↗