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Familial and environmental influences on body composition and body fat distribution in childhood in southern Italy.

The aim of this paper was to evaluate the factors affecting body fat excess and distribution in prepubertal age. A cross-sectional survey was carried out on children attending the 4th grade of a primary school in Naples. Eighty-eight per cent of the total sample was examined: 52 girls, 58 boys; mean age = 9.6 yrs (s.e. +/- 0.10). Each child underwent a medical examination, anthropometric measurements and bio-impedance analysis of body composition. The parents were asked to fill in a questionnaire that included demographic data, family history, parent's weight and height, child's perinatal history and his or her involvement in sports activities. Data were analyzed by multiple linear regression. The results showed a direct correlation between parental BMI and children's anthropometric measurements: the children's BMI correlated with the fathers' (P = 0.02) and mothers' BMI (P = 0.027); the children's waist/hip ratio correlated with the fathers' BMI (P = 0.07); the children's subscapular skinfolds correlated with the father's (P = 0.07) and mothers' BMI (P = 0.02); the children's triceps skinfolds correlated with the fathers' BMI (P = 0.004). Among congenital factors, sex was shown to be correlated with the children's waist/hip ratio (P = 0.05) with a lower ratio in the female, indicating a sex influence on body fat distribution even in prepubertal age. The children's BMI correlated with their waist/hip ratio (P = 0.001). Children's systolic blood pressure showed a positive correlation with triceps (P = 0.04) and subscapular (P = 0.05) skinfolds thickness % FAT-PLI (P = 0.02).(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗

The impact of hydration status on the assessment of lean body mass by body electrical impedance in dialysis patients.

The impact of hydration status on body composition analysis in hemodialysis (HD) and peritoneal dialysis (PD) patients was assessed. Twenty-seven HD patients and 42 PD patients were divided into three groups according to their (postdialytic) hydration status as measured by segmental bioelectrical impedance analysis (BIA): normohydrated, dehydrated, or overhydrated. Fifty-six percent of the PD patients and 74% of the HD patients appeared to be normohydrated. Lean body mass (LBM) was calculated in all subjects from skinfold anthropometric (SA) measurements and from whole body BIA data. LBM-SA and LBM-BIA did not differ in normohydrated patients and correlated well with each other (r = 0.88). In overhydrated subjects BIA overestimated LBM compared to SA; in the dehydrated group BIA tended to underestimate LBM. The correlation between LBM-SA and LBM-BIA was poor in both groups. It can be concluded that hydration status has a major influence on BIA-based LBM measurements. Reliable LBM figures can only be obtained when patients are at their ideal dry weight.

Adult↗

Sensitivity and specificity of the body mass index to assess low percent body fat in African women.

The objective of this study was to evaluate the ability of the body mass index (BMI, kg/m(2)) to reflect low percent body fat (%BF) in a population with a rather mild but widespread prevalence of low BMI. A sample of 586 women was studied in the Plateau Koukouya, a rural area of the Republic of Congo, Central Africa. Percent BF was estimated from bioelectrical impedance (BIA). BIA parameters were assumed to reflect lean body mass. The correlation between %BF and BMI was high (r = 0.84; P < 0.001). Low %BF or low BIA parameters were defined as the first quartile of the distribution. Sensitivity, specificity, positive and negative predictive value of BMI <18.5, an accepted international cutoff for thinness, in relation to %BF was 58.5%, 93.6%, 75.4%, and 87.1%, respectively. A continuous sensitivity/specificity analysis (receiver operator characteristic [ROC] curves) for characterizing low %BF or low BIA parameters was done for a large range of BMI values. ROC curve analysis for %BF suggested that an acceptable trade-off between sensitivity (89.8%) and specificity (77.9%) occurred at a BMI of 19.7 kg/m(2). However, the positive predictive value was low (57.6%). For the prediction of low BIA parameters, results were similar, showing moderate sensitivity and high specificity for BMI <18.5, a cutoff point of BMI = 19.6, and low positive predictive values (<48%). The data suggest that BMI was not a good predictor of low %BF. This is consistent with the assumption of a decrease in both fat and fat free body mass in cases of low BMI. Am. J. Hum. Biol. 12:25-31, 2000. Copyright 2000 Wiley-Liss, Inc.

Journal Article↗

Therapeutic use of fractionated total body and subtotal body irradiation.

Ninety-one patients were treated using fractionated subtotal body (STBI) or total body irradiation (TBI). These patients had generalized lymphomas, Hodgkin's disease, leukemias, myelomas, seminomas, or oat-cell carcinomas. Subtotal body irradiation is delivered to the entire body, except for the skull and extremities. It was expected that a significantly higher radiation dose could be administered with STBI than with TBI. STBI was given when there was a reasonable likelihood that malignancy did not involve the shielded volumes. A five- to ten-fold increase in tolerance for STBI was demonstrated. Many of these patients have had long-term (up to 17 year--?permanent) remissions. There is little or no treatment-induced symptomatology, and no "sanctuary sites." STBI and TBI are useful therapeutic modalities for many of these malignancies.

Adult↗

Pulmonary asbestos body counts and electron probe analysis of asbestos body cores in patients with mesothelioma: a study of 25 cases.

Malignant mesotheliomas of the pleura and peritoneum are well-recognized risks of asbestos exposure. We determined the asbestos body content of the lungs from 24 cases of malignant mesothelioma (19 pleural, five peritoneal) and compared such to the content of lungs from 50 consecutive adult autopsies and four cases of overt asbestosis using a Clorox-digestion concentration technique. The cores of 90 asbestos bodies were examined by energy dispersive x-ray analysis and compared with similar data from 120 standard asbestos fibers and 20 fiberglass fibers. The malignant mesothelioma patients had asbestos body counts intermediate between those of the general population and those of patients with asbestosis, although some of the mesothelioma cases overlapped with the general population. These latter cases often lacked an identifiable occupational exposure to asbestos. EDXA studies demonstrated an amphibole core in 88 of the 90 asbestos bodies (amosite or crocidolite in 80 of 88, anthophyllite or tremolite in eight of 88), and chrysotile in two instances.

Adult↗

Axons, but not cell bodies, are activated by electrical stimulation in cortical gray matter. II. Evidence from selective inactivation of cell bodies and axon initial segments.

The results presented in the companion paper showed that extracellular electrical stimulation of the gray matter directly activates axons, but not cell bodies. The second set of experiments presented here was designed to separate the contribution of the axon initial segments and cell bodies from that of the axonal branches to the pool of presynaptic neuronal elements activated by electrical stimulation. For that purpose, N-methyl-D-aspartate (NMDA) iontophoresis was used to induce a selective inactivation of the cell body and of the adjoining portion of the axon by depolarization block, without affecting axonal branches that lack NMDA receptors. After NMDA iontophoresis, the neurons located near the iontophoresis electrode became unable to generate action potentials in an irreversible manner. When the NMDA-induced depolarization block was performed at the site of electrical stimulation, an unexpected increase in the amplitude of the orthodromic responses was observed. Several control experiments suggested that the field potential increase was due to changes of the local environment in the vicinity of the iontophoresis pipette, which led to an increased excitability of the axons. After the period of superexcitability, the orthodromic responses displayed an amplitude that was 15-20% lower than that observed before the NMDA-induced depolarization block, even though cell bodies and axon initial segment at the site of stimulation could not be activated by electrical stimulation. This result shows a low contribution for axon initial segments to the pool of neuronal elements activated by the electrical stimulation. Altogether, these experiments demonstrate that the postsynaptic responses obtained after electrical stimulation of the cortical gray matter result almost exclusively from the activation of axonal branches. Since the neocortex is organised as a network of local and long-range reciprocal connections, great attention must be paid to the interpretation of data obtained with electrical stimulation.

Animals↗

All meiotic chromosomes and both centrosomes at spindle pole in the zygotes discarded as two polar bodies in clam Corbicula leana: unusual polar body formation observed by antitubulin immunofluorescence.

To understand the unusual polar body formation in the androgenetic clam, Corbicula leana, whole-mount eggs stained with monoclonal antibodies against alpha-tubulin, gamma-tubulin, and 4'-6'-diamidino-2-phenylindole were examined. The meiotic spindle was located at the peripheral region of the egg at metaphase I, and its axis was parallel to the egg surface. After segregation of chromosomes at anaphase I, cytoplasmic bulges formed at both meiotic spindle pole sites. Centrosomes were located at the apical portion of the each bulge. From the apical portion of the bulge a bundle of astral microtubules radiated toward the bulge base in late anaphase resembling a half spindle. Maternal chromosomes and both centrosomes were all distributed in two "first polar bodies" and were eventually discarded. After the polar body formation only one male pronucleus existed in the egg cytoplasm. The present study showed that the anaphase microtubules originating from a single aster can induce the polar body formation without overlapping of microtubules from the opposing aster.

Animals↗

Simulated change in body fatness affects Hologic QDR 4500A whole body and central DXA bone measures.

Changes in body fatness may impact the accuracy of dual energy X-ray absorptiometry (DXA) measures of bone mineral content (BMC) and bone mineral density (BMD). The aim of this study was to determine if DXA can accurately assess BMC and BMD with changes in exogenous fat (lard) placed to simulate weight change. Whole body (WB), lumbar spine (LS), and proximal femur (PF) DXA scans (Hologic QDR 4500A) were performed on 30 elderly (52-83 yr) and 60 young (18-40 yr) individuals (i.e., 45 females and 45 males) of varying body mass index (mean+/-standard deviation: 26.1+/-4.9 kg/m2). When scans were repeated with lard packets (2.54 cm thick, 25.4x17.8 cm, 1 kg), WB BMD decreased 1.1% and 1.6% after chest and thigh packet placement, respectively (p=0.001), PF BMD increased 0.7% (p=0.02) and LS BMD decreased 1.6% (p=0.001) primarily due to a 2.2% reduction in LS BMC (p<0.001). Initial LS BMC and trunk mass were related to error in LS BMC measures due to lard-loading (r=0.64 and 0.45, respectively, p<0.001). We conclude that on average simulated weight change minimally impacts PF bone measures and moderately impacts WB and LS bone measures; however, individual variability in measurement error was noteworthy and may be impacted by body thickness.

Absorptiometry, Photon↗

Occipital artery injections of 5-HT may directly activate the cell bodies of vagal and glossopharyngeal afferent cell bodies in the rat.

The primary objective of this study was to determine whether circulating factors gain direct access to and affect the activity of vagal afferent cell bodies in the nodose ganglia and glossopharyngeal afferents cell bodies in the petrosal ganglia, of the rat. We found that the occipital and internal carotid arteries provided the sole blood supply to the nodose ganglia, and that i.v. injections of the tracer, Basic Blue 9, elicited strong cytoplasmic staining in vagal and glossopharyngeal afferent cell bodies that was prevented by prior ligation of the occipital but not the internal carotid arteries. We also found that occipital artery injections of 5-HT elicited pronounced dose-dependent reductions in heart rate and diastolic arterial blood pressure that were (1) virtually abolished after application of the local anesthetic, procaine, to the ipsilateral nodose and petrosal ganglia, (2) markedly attenuated after transection of the ipsilateral vagus between the nodose ganglion and brain and virtually abolished after subsequent transection of the ipsilateral glossopharyngeal nerve between the petrosal ganglion and the brain, (3) augmented after ipsilateral transection of the aortic depressor and carotid sinus nerves, and (4) augmented after transection of all ipsilateral glossopharyngeal and vagal afferent nerves except for vagal cardiopulmonary afferents. These findings suggest that blood-borne 5-HT in the occipital artery gains direct access to and activates the cell bodies of vagal cardiopulmonary afferents of the rat and glossopharyngeal afferents of undetermined modalities.

Analysis of Variance↗

My body, my body parts, my property?

This paper challenges the view, commonly held in biolaw and bioethics, that there can be no proprietary rights in our own bodies or body parts. Whether the starting point is the post-intervention informed consent regime of Article 22 of the Convention of Human Rights and Biomedicine or the traditional (exclusionary) understanding of private property it is argued that property in our own bodies or body parts is presupposed. Although these arguments do not demonstrate that there is property of this kind (for that, a full-scale justification of the institution of private property would be required), they suggest nevertheless that the commonly held view has an immanent property logic that has not yet been drawn out or appreciated.

Bioethics↗

Augmented upper body contribution to oxygen uptake during upper body exercise with concurrent leg functional electrical stimulation in persons with spinal cord injury.

The purpose of this pilot study was to compare the contribution of upper body musculature to VO2 with and without concurrent leg FES (LFES). Eight subjects with spinal cord injury, lesion levels range C6-T12, performed upper body exercise (UBE) during no LFES (NOS), LFES at 40 mA (LOS), and 80 mA (HIS), at rest, 60% and 80% of VO2peak. Resting VO2 values were obtained during NOS, LOS and HIS conditions and were then subtracted from their respective whole body VO2 values to give an estimate of upper body VO2. Small and non significant increases were found in the HIS vs NOS condition at 60% VO2peak. Larger differences of 7.8% were found in the HIS vs NOS condition at 80% VO2peak (11.35+/-3.8 ml kg(-1) min(-1) to 12.24+/-4.0 ml kg(-1) min(-1)), although this too was not significant, perhaps due to the small number of subjects in this study and the consequently low statistical power to detect a significant difference. We discuss the implications for these preliminary results in the context of the existing literature on this topic.

Adult↗

Body image, body dissatisfaction, and eating attitudes in midlife and elderly women.

Cohort differences in body image, drive for thinness, and eating attitudes in middle-aged and elderly women were examined. Participants were 125 women between the ages of 50 and 65 (middle-aged group), and 125 women 66 years old and older (elderly group). Instruments used were figure ratings (Stunkard, Sorensen, & Schulsinger, 1983), and scales of the Eating Disorder Inventory (EDI; Garner,Olmstead, & Polivy, 1983). Items were developed to assess fear of aging. The middle-aged group, as compared to the elderly group, had more drive for thinness, disinhibited eating, and interoceptive confusion. The elderly group reported body size preferences and levels of body dissatisfaction that were similar to the younger women. There was a positive relationship between fear of aging and disordered eating. Sociocultural standards of body image and pressures toward thinness affect different generations of older women in similar ways.

Journal Article↗

Beyond body image as a trait: the development and validation of the Body Image States Scale.

The need exists for a psychometrically sound measure of individuals' evaluative/affective body image states. In the present investigation with 174 college students, the six-item Body Image States Scale (BISS) was developed and found to be acceptably internally consistent and moderately stable. Evincing its convergent validity, the BISS was appropriately correlated with various trait measures of body image. It was sensitive to reactions in positive versus negative situational contexts. Sex differences reflected those expected from the literature. Construct validity was confirmed by an experiment on persons' differential reactivity to appearance-related information as a function of level of dysfunctional body-image investment. The BISS is a unique and much-needed measure with potential utility in both research and clinical work.

Journal Article↗

Comparison of total body urea production potential with total body carbamoyl phosphate synthetase (CPS-1) activity in newborn piglets infused with alanine at 50% of resting energy expenditure for 36 hours.

The calculated rate of urea production [U(p); mmol urea/(h. kg(0. 75))], based on urinary urea-N (UUN) excretion and changes in total body urea-N, was compared with the calculated total body V(max) of carbamoyl phosphate synthetase (CPS-1) of 24 neonatal piglets from four treatments as follows: 6 h baseline control (n = 8), 18 h of alanine intravenously (IV) at 50% of resting energy expenditure (REE; n = 4), 36 h of alanine IV at 50% of REE (n = 6), or 36 h of glucose IV at 50% of REE (n = 6). The following significant increases from baseline were seen in piglets infused with alanine for 36 h: 1) UUN excretion [10.6 +/- 5.9 mg N/(h. kg(0.75)) to 53.2 +/- 11.1]; 2) BUN concentrations (9.1 +/- 3.0 mmol urea N/L to 51.2 +/- 7.0); 3) calculated urea production [0.34 +/- 0.21 mmol urea/(h. kg(0.75)) to 2.39 +/- 0.53]; and 4) CPS-1 V(max) [2.0 +/- 0.81 mmol citrulline/(h. kg (0.75)) to 4.4 +/- 1.5], (P < 0.05). With the exception of CPS-1 activity, significant decreases from baseline were seen in these values in piglets infused with glucose for 36 h (P < 0.05). Comparison of calculated urea production with calculated total body CPS-1 V(max) at baseline, 18 or 36 h after the start of infusion of alanine or glucose revealed a positive relationship (slope = 0.263; P < 0.002). At all enzyme activities, infusion of alanine resulted in a significant increase in the rate of urea production compared with controls (P < 0.001). Total body CPS-1 activity varied from 1.8 to 5.8 times that of urea production, suggesting that CPS-1 did not limit urea production.

Alanine↗

Can the eigenstates of a many-body Hamiltonian be represented exactly using a general two-body cluster expansion?

It is proved that a recent conjecture that the exact ground-state wave function of an arbitrary many-fermion system with one- and two-body interactions may be represented by an exponential cluster expansion employing finite two-body operators, starting from any reference function sufficiently close to the exact eigenfunction, is not valid. We show that the space of initial reference functions which lead to the exact ground state is of dimension equal to the number of two-body operators. If the dimension of the multiparticle space is greater than the number of two-body operators, then the space of good reference functions is of measure zero in it.

Journal Article↗

Callosal disconnection syndrome and knowledge of the body: a case of left hand isolation from the body schema with names.

A patient is described who presented with a disturbance of body cognition confined to the left side of the body. She showed difficulties in naming the left fingers and in moving the named left fingers. She also showed great difficulty in pointing to named parts of the body with her left hand. Earlier in the course of the disease she showed a personification phenomenon of the left hand. Brain MRI showed involvement of the entire corpus callosum, probably due to occlusion of a branch of the anterior cerebral artery. It is speculated that this syndrome is caused by disconnection of the right hemisphere from the left hemispheric body schema.

Brain Diseases↗

Effect of 8-month vertical whole body vibration on bone, muscle performance, and body balance: a randomized controlled study.

Recent animal studies have given evidence that vibration loading may be an efficient and safe way to improve mass and mechanical competence of bone, thus providing great potential for preventing and treating osteoporosis. Randomized controlled trials on the safety and efficacy of the vibration on human skeleton are, however, lacking. This randomized controlled intervention trial was designed to assess the effects of an 8-month whole body vibration intervention on bone, muscular performance, and body balance in young and healthy adults. Fifty-six volunteers (21 men and 35 women; age, 19-38 years) were randomly assigned to the vibration group or control group. The vibration intervention consisted of an 8-month whole body vibration (4 min/day, 3-5 times per week). During the 4-minute vibration program, the platform oscillated in an ascending order from 25 to 45 Hz, corresponding to estimated maximum vertical accelerations from 2 g to 8 g. Mass, structure, and estimated strength of bone at the distal tibia and tibial shaft were assessed by peripheral quantitative computed tomography (pQCT) at baseline and at 8 months. Bone mineral content was measured at the lumbar spine, femoral neck, trochanter, calcaneus, and distal radius using DXA at baseline and after the 8-month intervention. Serum markers of bone turnover were determined at baseline and 3, 6, and 8 months. Five performance tests (vertical jump, isometric extension strength of the lower extremities, grip strength, shuttle run, and postural sway) were performed at baseline and after the 8-month intervention. The 8-month vibration intervention succeeded well and was safe to perform but had no effect on mass, structure, or estimated strength of bone at any skeletal site. Serum markers of bone turnover did not change during the vibration intervention. However, at 8 months, a 7.8% net benefit in the vertical jump height was observed in the vibration group (95% CI, 2.8-13.1%; p = 0.003). On the other performance and balance tests, the vibration intervention had no effect. In conclusion, the studied whole body vibration program had no effect on bones of young, healthy adults, but instead, increased vertical jump height. Future human studies are needed before clinical recommendations for vibration exercise.

Adult↗

Contrast-enhanced bolus-chased whole-body MR angiography using a moving tabletop and quadrature body coil acquisition.

OBJECTIVE: MR angiography is now an established technique for the evaluation of various arterial structures. With recent developments in hardware, whole-body imaging has become technically feasible. The aim of this study is to describe a technique for whole-body MR angiography using a quadrature body coil and a moving tabletop. CONCLUSION: Whole-body MR angiography is technically feasible and may offer a method of screening for unsuspected disease.

Adult↗