Links between body mass index, total body fat, cholesterol, high-density lipoprotein, and insulin sensitivity in patients with obesity related to depression, anger, and anxiety

OBJECTIVE: Define links between psychosocial parameters and metabolic variables in obese females before and after a low-calorie diet. METHOD: Nine female obese patients (age 36.1 +/- 7.1 years, body mass index [BMI] > 30 kg/m2) were investigated before and after a 6-week low-calorie diet accompanied by behavior therapy. Blood lipids, insulin sensitivity (Bergman protocol), fat distribution (by dual-energy X-ray absorptiometry [DEXA]), as well as psychological parameters such as depression, anger, anxiety, symptom load, and well-being, were assessed before and after the dieting period. RESULTS: The females lost 9.6 +/- 2.8 kg (p < .0001) of body weight, their BMI was reduced by 3.5 +/- 0.3 kg/m2 (p < .0001), and insulin sensitivity increased from 3.0 +/- 1.8 to 4.3 +/- 1.5 mg/kg (p = .05). Their abdominal fat content decreased from 22.3 +/- 5.5 to 18.9 +/- 4.5 kg (p < .0001). In parallel, psychological parameters such as irritability (p < .05) and cognitive control (p < .0001) increased, whereas feelings of hunger (p < .05), externality (p < .05), interpersonal sensitivity (p < .01), paranoid ideation (p < .05), psychoticism (p < .01), and global severity index (p < .01) decreased. Prospectively, differences in body fat (percent) were correlated to nervousness (p < .05). Waist-to-hip ratio (WHR) differences were significantly correlated to sociability (p < .05) and inversely to emotional instability (p < .05), whereas emotional instability was inversely correlated to differences in insulin sensitivity (p < .01). DISCUSSION: Weight reduction may lead to better somatic risk factor control. Women with more nervousness and better sociability at the beginning of a diet period may lose more weight than others.

Composição corporal em pacientes com doença inflamatória intestinal: antropometria versus bioimpedância

A Doença Inflamatória Intestinal (DII) é uma desordem caracterizada pela inflamação difusa do trato gastrointestinal. Os dois principais tipos de DII são a Retocolite Ulcerativa (RCU) e a Doença de Crohn (DC) e ambas cursam com alterações no estado nutricional (EN). O objetivo deste estudo foi comparar a composição corporal, obtida por meio de diferentes métodos, em pacientes com DC e RCU em atendimento ambulatorial, avaliando possíveis diferenças nos grupos de doentes entre si e quando comparados a indivíduos saudáveis. Foi realizado um estudo transversal incluindo 101 pacientes com DII, sendo 50 com DC (GDC) e 51 com RCU (GRCU), além de 35 indivíduos saudáveis (GCON), selecionados no Ambulatório do Hospital Universitário Pedro Ernesto (HUPE) da Universidade do Estado do Rio de Janeiro (UERJ). Informações sócio-demográficas e pessoais, como prática de exercício físico, tabagismo, doenças pregressas e procedimentos cirúrgicos prévios foram coletadas. A avaliação antropométrica consistiu de: peso; altura; circunferências do braço, da cintura e do quadril; circunferência muscular do braço (CMB) e pregas cutâneas do tríceps, bíceps, peitoral, axilar, subescapular, suprailíaca, supraespinhal, abdominal, perna e coxa. O percentual de gordura corporal (% GC) foi estimado a partir de equações que utilizam o somatório de pregas cutâneas e por meio de bioimpedância elétrica (BIA). Para estimar o percentual de gordura subcutânea foi utilizado o somatório de dez dobras. As variáveis laboratoriais analisadas foram: hemograma completo, proteínas totais, albumina, globulina, velocidade de hemossedimentação e proteína C reativa. As análises estatísticas foram realizadas utilizando-se o software STATA versão 10.0. A classificação do EN, por meio do índice de massa corporal (IMC), evidenciou baixa prevalência de desnutrição nos três grupos avaliados. Ao analisar diretamente as medidas antropométricas de peso e IMC, observou-se que os pacientes com DC apresentaram valores significativamente menores do que os indivíduos do grupo controle. A avaliação da CMB mostrou que os pacientes do GDC e GRCU apresentaram depleção de massa magra em comparação aos indivíduos do GCON, porém sem apresentar diferenças entre os dois grupos de pacientes com DII. Em relação ao %GC obtido por BIA não foram verificadas diferenças entre os três grupos de estudo. Ao se verificar o %GC com a utilização das fórmulas de Peterson, Durnin & Womersley e Jackson & Pollock (que utiliza o somatório de três dobras) observou-se que os pacientes com DC apresentaram tecido adiposo significativamente depletado em relação aos indivíduos do GCON e do GRCU. Ao compararmos os %GC obtidos por diferentes métodos de estimativa, observou-se que as equações de Jackson & Pollock (que utilizam o somatório de três e sete dobras) apresentaram resultados significativamente menores quando comparados aos das equações de Peterson e Durnin & Womersley, nos dois grupos de pacientes. Os níveis séricos de proteínas totais e albumina, e a contagem total de hemácias foram menores nos indivíduos com DC quando comparados aos indivíduos do grupo controle e/ou aos indivíduos do grupo com RCU. Os pacientes com DC apresentaram comprometimento importante do EN em comparação aos pacientes com RCU e, notadamente, em relação aos indivíduos saudáveis.

Study of effect Rosmarinus officinalis oil and nisin on the growth of Streptococcus iniae in lab conditions and fillets of rainbow trout (Oncorhynchus mykiss)

Fish are an important part of a healthy diet since they contain high quality protein, but typically present a low fat percent when compared to other meats. Fish is an extremely perishable food commodity. On the other hand, food borne diseases are still a major problem in the world, even in well-developed countries. The increasing incidence of food borne diseases coupled with the resultant social and economic implications means there is a constant striving to produce safer food and to develop new antimicrobial agents concerns over the safety of some chemical preservatives and negative consumer reactions to preservatives they perceive as chemical and artificial, have prompted on increased interest in more ‘‘naturalgreen’’ alternatives for the maintenance or extension of product shelf-life. Particular interest has focused on the potential applications of plant essential oils. However, to establish the usefulness of natural antimicrobial preservatives, they must be evaluated alone and in combination with other preservation factors to determine whether there are synergistic effects and multiple hurdles can be devised. In this study, were evaluated the effects of different concentrations of Rosmarinus officinalis and nisin and storage time (15 days) on growth of Streptococcus iniae GQ850377 in a lab conditions and a food model system (fillets of rainbow trout) in 4 and 8 °C. In addition, we also studied multi factorial effects of four different concentration of rosemary, three different concentrations of nisin, two different levels of pH in 3 temperature 4,15 and 37 °C on log% of S.iniae during 43 days in BHI broth. The results on growth of S. iniae were evaluated using SPSS 20.0 statistical software and analyzed the logarithm of total count of the bacterial by Tukey Test. Results were considered statistically significant when P<0.05. MIC and MBC values of rosemary and nisin were 0.03, 0.075 % and 5, 40 μg/mL, respectively. The growth of S. iniae was effected significantly (P<0.05) by rosemary and nisin and also combination of rosemary and nisin in 4 and 8 °C. Samples treated with 0.135 and 0.405 % of rosemary showed a significant decrease on the growth of the bacteria compared with control sample(P<0.05). The most ١٤٦ inhibitory effects were seen in samples treated with 0.135 and 0.405% of rosemary until 9 days after storage. Also, the synergism effects of rosemary and nisin on the growth rate of bacteria was significant (P<0.05) compared with untreated samples and samples treated with the rosemary or nisin, only. Synergistic effects was observed at concentration of 0.405% rosemary and 0.75 μg/mL nisin in both temprature. Results of this study showed that different concentration of rosemary a significant inhibitory effect (P<0.05) on log% of S. iniae, in BHI broth in pH 5.5 and 7 in 4,15 and 37 °C during 43 days. In concentration of 0% rosemary (control) in pH 5.5 and 7 and 37°C, log% were 1.099 and 3.15, whereas in concentration of 0.015% rosemary were -4/241 and 1.454, respectively. The use of essential oils may improve food safety and overall microbial quality. If essential oils were to be more widely applied as antibacterials in foods, the organoleptic impact would be important. In addition, it is recommended to apply essential oils or their compounds as part of a hurdle system and to use it as an antimicrobial component along with other preservation techniques. Thus essential of R. officinalis with high antibacterial activity selected in this study could be a potential source for inhibitory substances against some food-borne pathogens and they may be candidates for using in foods or food-processing systems.

Body composition and bone mineral density changes during a premier league season as measured by dual-energy X-ray absorptiometry

Wallace, Joanne, et al., 'Body composition and bone mineral density changes during a premier league season as measured by dual-energy X-ray absorptiometry', International Journal of Body Composition Research (2006) 4(2) pp.61-66 RAE2008

Índice de adiposidad corporal como predictor de obesidad y de síndrome metabólico en adultos de Bogotá, Colombia

Recientemente, Bergman et al. desarrollaron el índice de adiposidad corporal (IAC), como un marcador de obesidad por exceso de grasa corporal en la práctica clínica. En este estudio se evaluó la validez del IAC como marcador de obesidad por exceso de adiposidad, además de examinar la capacidad predictiva del IAC con componentes e índices metabólicos asociados al SM en adultos de Bogotá, Colombia.

Efeito da metionina protegida e não protegida da degradação ruminal sobre a produção e composição do leite de vacas holandesas

Utilizaram-se vacas Holandesas com produção superior a 20 kg de leite/dia, de primeira e segunda lactações, com 19±6 dias em lactação, para avaliar o efeito da suplementação com 8,4 g/dia de metionina protegida (MPDR) ou 8,4 g/dia de metionina não-protegida da degradação ruminal (MNPDR) sobre a produção e composição do leite, comparativamente a vacas controle, durante 90 dias. As vacas foram alimentadas com ração completa constituída por silagem de milho e concentrado. Produção de leite, teor de proteína do leite e produção de proteína não foram afetados pela suplementação com MPDR. As produções médias de leite foram 27,70; 27,09 e 27,61 kg/dia; os teores médios de proteína, 2,83; 2,85 e 2,77%; e as produções de proteína do leite, 0,77; 0,76 e 0,79 kg/dia, respectivamente, para vacas controle, suplementadas com MPDR e MNPDR. O teor de gordura do leite foi de 2,39; 2,12 e 1,89% paras vacas suplementadas com MPDR, MNPDR e controle, respectivamente. A produção diária de gordura foi 0,57; 0,58 e 0,58 kg/dia e a produção diária de leite corrigido para gordura (3,5%), 21,25; 21,19 e 21,35 kg/dia, para os respectivos tratamentos controle, MPDR e MNPDR. A suplementação com MPDR não alterou a produção de leite, porém melhorou a sua composição no início da lactação.

Gordura corporal total e do tronco e o desempenho da marcha em mulheres na menopausa

OBJETIVO:Verificar a relação entre gordura corporal total e de tronco com o desempenho da marcha em mulheres na menopausa.MÉTODOS:Trinta e nove mulheres na menopausa, com idade de 50 anos ou mais, foram avaliadas. As avaliações foram: peso e estatura para cálculo do índice de massa corporal (IMC), composição corporal pela técnica de Dual-Energy X-ray Absorptiometry (DEXA) e marcha utilizando um baropodômetro. As variáveis de composição corporal utilizadas foram gordura corporal total, percentual de gordura corporal e gordura de tronco, enquanto as variáveis da marcha foram porcentagem de tempo de duplo apoio e de apoio simples e velocidade. As mulheres foram divididas de acordo com a mediana em dois grupos para cada variável da composição corporal: menos e mais gordura corporal, menos e mais percentual de gordura e menos e mais gordura de tronco. Para comparar as variáveis de marcha nesses grupos, foi utilizado o teste de Mann-Whitney. Para avaliar as possíveis relações entre as variáveis de composição corporal e marcha, o teste de correlação de Spearman foi utilizado. Todas as análises foram realizadas com nível de significância de 5%.RESULTADOS:O grupo com mais gordura de tronco, quando comparado com o grupo com menos gordura de tronco, apresentou maiores valores de duplo apoio (p=0,007) e menores valores de apoio simples (0,03). Foram encontradas correlações significativas e positivas entre gordura de tronco e duplo apoio (R=0,40) e negativas entre gordura de tronco e apoio simples (R=-0,32).CONCLUSÃO:Mulheres na menopausa que apresentam maiores quantidade de gordura no tronco tendem a apresentar desempenho prejudicado na marcha.

Perfil antropométrico, aptidão motora e aeróbia de jogadores de futebol profissionais e juniores de Trinidad e Tobago

There is little information on Caribbean soccer players. Thus, the aim this study was to descriptive and to compare the anthropometric, motor and aerobic fitness profile between Trinidad and Tobago team professional and junior soccer players. Twenty six soccer players were evaluated (14 professional and 12 junior): anthropometric (height, body mass, BMI, body fat percent), flexibility (sit and reach), velocity (30 m), explosive strength (horizontal and vertical jump), anaerobic power (maximum, mean and minimum power, index of fatigue) and maximum aerobic power. Student Test-t to independent sample was used in statistical analyzes, considering 5% of significance (p<0,05). Results of professional and junior players were, respectively: height (180,6 ± 8,1; 175,0 ± 6,9 cm), body mass (77,1 ± 7,5; 70,6 ± 8,7 kg); BMI (23,6 ± 1,5 / 23,0 ± 1,6 kgm 2 ); body fat (11,9 ± 1,7; 11,6 ± 1,2 %); sitting and reaching (24,9 ± 10,3; 24,9 ± 7,7 cm); velocity (30 m) (4,61 ± 0,14; 4,66 ± 0,15 s); horizontal jump (263,4 ± 14,9; 239,7 ± 12,1 cm); vertical jump (58,7 ± 4,3; 54,6 ± 6,6 cm); maximum power (7,9 ± 0,9; 6,6 ± 0,8 w∙kg-1 ); mean power (6,5 ± 0,7; 5,4 ± 0,9 w∙kg-1 ); minimum power (5,3 ± 0,7; 4,3 ± 1,1 w∙kg-1 ); index of fatigue (33,0 ± 7,9; 34,8 ± 12,8 %); aerobic power (55,0 ± 3,2; 57,2 ± 4,8 ml∙kg-1 ∙min-1 ). Professional players presented higher horizontal jump and maximum, mean and minimum anaerobic power in comparing to the junior players. The highest values of power tests for the lower limbs may be relationship to the longer time of practice in the modality of professional players, which can also indicate a higher level of specialization, which gives priority to the training of power (force and velocity).

A study of the relationship between physical activity and cardiovascular fitness and coronary heart disease risk factors in female adolescents

The association of measures of physical activity with coronary heart disease (CHD) risk factors in children, especially those for atherosclerosis, is unknown. The purpose of this study was to determine the association of physical activity and cardiovascular fitness with blood lipids and lipoproteins in pre-adolescent and adolescent girls.^ The study population was comprised of 131 girls aged 9 to 16 years who participated in the Children's Nutrition Research Center's Adolescent Study. The dependent variables, blood lipids and lipoproteins, were measured by standard techniques. The independent variables were physical activity measured as the difference between total energy expenditure (TEE) and basal metabolic rate (BMR), and cardiovascular fitness, VO$\rm\sb{2max}$(ml/min/kg). TEE was measured by the doubly-labeled water (DLW) method, and BMR by whole-room calorimetry. Cardiovascular fitness, VO$\rm\sb{2max}$(ml/min/kg), was measured on a motorized treadmill. The potential confounding variables were sexual maturation (Tanner breast stage), ethnic group, body fat percent, and dietary variables. A systematic strategy for data analysis was used to isolate the effects of physical activity and cardiovascular fitness on blood lipids, beginning with assessment of confounding and interaction. Next, from regression models predicting each blood lipid and controlling for covariables, hypotheses were evaluated by the direction and value of the coefficients for physical activity and cardiovascular fitness.^ The main result was that cardiovascular fitness appeared to be more strongly associated with blood lipids than physical activity. An interaction between cardiovascular fitness and sexual maturation indicated that the effect of cardiovascular fitness on most blood lipids was dependent on the stage of sexual maturation.^ A difference of 760 kcal/d physical activity (which represents the difference between the 25th and 75th percentile of physical activity) was associated with negligible differences in blood lipids. In contrast, a difference in 10 ml/min/kg of VO$\rm\sb{2max}$ or cardiovascular fitness (which represents the difference between the 25th and 75th percentile in cardiovascular fitness) in the early stages of sexual maturation was associated with an average positive difference of 15 mg/100 ml ApoA-1 and 10 mg/100 ml HDL-C. ^

Blood pressure and dietary factors in Mexican-Americans of Starr County, Texas

This study examined the cross-sectional associations between blood pressure, hypertension and dietary factors among 580 Mexican-American adults residing in Starr County, Texas. The data were collected as part of Gallbladder Disease Study between April, 1985 and December, 1986.^ Dietary intake was assessed for the month previous to the interview by means of a 38 food item quantified frequency questionnaire representing foods and mixed dishes commonly consumed in the community. From the dietary information intake of calcium, cholesterol, total kilocalories, and percent of kilocalories contributed by total fat, saturated fat, monounsaturated fatty acids, polyunsaturated fatty acids, protein, carbohydrates were calculated. The effect of other factors associated with blood pressure, such as age, body mass index, body fat distribution, smoking, and drinking were controlled.^ Age was the most important predictor of both systolic and diastolic blood pressure and hypertension. For both males and females, systolic and diastolic blood pressure levels were consistently positively associated with body mass index but were not associated with waist hip ratio. However, a strong positive relationship between hypertension and waist hip ratio but not body mass index was observed.^ After controlling for age and body mass index it was noted that for males there were no significant associations between the dietary variables and systolic blood pressure. For diastolic blood pressure there were significant associations with percent fat, percent monounsaturated fatty acids, percent protein and percent carbohydrates.^ For females, there were significant associations between systolic blood pressure and percent protein, percent carbohydrates and cholesterol. There were no significant associations between dietary variables and diastolic blood pressure.^ After controlling for age and waist hip ratio significant associations between hypertension and percent fat, percent saturated fat, percent monounsaturated fatty acids, percent carbohydrate and percent protein were observed in males. Significant associations between hypertension and percent polyunsaturated fatty acids and percent protein were noted in females. ^

LMS tables for waist circumference and waist-to-height ratio among Colombian children and adolescents: The FUPRECOL study

Background: Indices predictive of central obesity include waist circumference (WC) and waist-to-height ratio (WHtR). The aims of this study were 1) to establish a Colombian youth smoothed centile charts and LMS tables for WC and WHtR and 2) to evaluate the utility of these parameters as predictors of overweight and obesity. Method: A cross-sectional study whose sample population comprised 7954 healthy Colombian schoolchildren [boys n=3460 and girls n=4494, mean (standard deviation) age 12.8 (2.3) years old]. Weight, height, body mass index (BMI), WC and WHtR and its percentiles were calculated. Appropriate cut-offs point of WC and WHtR for overweight and obesity, as defined by the International Obesity Task Force (IOTF) definitions, were selected using receiver operating characteristic (ROC) analysis. The discriminating power of WC and WHtR was expressed as area under the curve (AUC). Results: Reference values for WC and WHtR are presented. Mean WC increased and WHtR decreased with age for both genders. We found a moderate positive correlation between WC and BMI (r= 0.756, P < 0.01) and WHtR and BMI (r= 0.604, P < 0.01). The ROC analysis showed a high discrimination power in the identification of overweight and obesity for both measures in our sample population. Overall, WHtR was slightly a better predictor for overweight/obesity (AUC 95% CI 0.868-0.916) than the WC (AUC 95% CI 0.862-0.904). Conclusion: This paper presents the first sex- and age-specific WC and WHtR percentiles for both measures among Colombian children and adolescents aged 9–17.9 years. By providing LMS tables for Latin-American people based on Colombian reference data, we hope to provide quantitative tools for the study of obesity and its comorbidities.

Percent body fat more associated with perioperative risks after total joint arthroplasty than body mass index

Copyright © 2014 Elsevier Inc. All rights reserved.Understanding the impact of obesity on elective total joint arthroplasty (TJA) remains critical. Perioperative outcomes were reviewed in 316 patients undergoing primary TJA. Higher percent body fat (PBF) was associated with postoperative blood transfusion, increased hospital length of stay (LOS) >3 days, and discharge to an extended care facility while no significant differences existed for BMI. Additionally, PBF of 43.5 was associated with a 2.4× greater likelihood of blood transfusion, PBF of 36.5 with a 1.9× greater likelihood for LOS >3 days, and PBF of 36.0 with a 1.4× greater likelihood for discharge to an extended care facility. PBF may be a more effective measure than BMI to use in screening for perioperative risks and acute outcomes associated with obese total joint patients.

No sex difference in body fat in response to supervised and measured exercise

It is often reported that females lose less body weight than males do in response to exercise. These differences are suggested to be a result of females exhibiting a stronger defense of body fat and a greater compensatory appetite response to exercise than males do. Purpose This study aimed to compare the effect of a 12-wk supervised exercise program on body weight, body composition, appetite, and energy intake in males and females. Methods A total of 107 overweight and obese adults (males = 35, premenopausal females = 72, BMI = 31.4 ± 4.2 kg·m−2, age = 40.9 ± 9.2 yr) completed a supervised 12-wk exercise program expending approximately 10.5 MJ·wk−1 at 70% HRmax. Body composition, energy intake, appetite ratings, RMR, and cardiovascular fitness were measured at weeks 0 and 12. Results The 12-wk exercise program led to significant reductions in body mass (males [M] = −3.03 ± 3.4 kg and females [F] = −2.28 ± 3.1 kg), fat mass (M = −3.14 ± 3.7 kg and F = −3.01 ± 3.0 kg), and percent body fat (M = −2.45% ± 3.3% and F = −2.45% ± 2.2%; all P < 0.0001), but there were no sex-based differences (P > 0.05). There were no significant changes in daily energy intake in males or females after the exercise intervention compared with baseline (M = 199.2 ± 2418.1 kJ and F = −131.6 ± 1912.0 kJ, P > 0.05). Fasting hunger levels significantly increased after the intervention compared with baseline values (M = 11.0 ± 21.1 min and F = 14.0 ± 22.9 mm, P < 0.0001), but there were no differences between males and females (P > 0.05). The exercise also improved satiety responses to an individualized fixed-energy breakfast (P < 0.0001). This was comparable in males and females. Conclusions Males and premenopausal females did not differ in their response to a 12-wk exercise intervention and achieved similar reductions in body fat. When exercise interventions are supervised and energy expenditure is controlled, there are no sex-based differences in the measured compensatory response to exercise.

Long-term stability of adipose tissue generated from a vascularized pedicled fat flap inside a chamber

Background Numerous studies demonstrate the generation and short-term survival of adipose tissue; however, long-term persistence remains elusive. This study evaluates long-term survival and transferability of de novo adipose constructs based on a ligated vascular pedicle and tissue engineering chamber combination. Methods Defined adipose tissue flaps were implanted into rats in either intact or perforated domed chambers. In half of the groups, the chambers were removed after 10 weeks and the constructs transferred on their vascular pedicle to a new site, where they were observed for a further 10 weeks. In the remaining groups, the tissue construct was observed for 20 weeks inside the chamber. Tissue volume was assessed using magnetic resonance imaging and histologic measures, and constructs were assessed for stability and necrosis. Sections were assessed histologically and for proliferation using Ki-67. Results At 20 weeks, volume analysis revealed an increase in adipose volume from 0.04 ± 0.001 ml at the time of insertion into the chambers to 0.27 ± 0.004 ml in the closed and 0.44 ± 0.014 ml in the perforated chambers. There was an additional increase of approximately 10 to 15 percent in tissue volume in flaps that remained in chambers for 20 weeks, whereas the volume of the transferred tissue not in chambers remained unaltered. Histomorphometric assessment of the tissues documented no signs of hypertrophy, fat necrosis, or atypical changes of the newly generated tissue. Conclusion This study presents a promising new method of generating significant amounts of mature, vascularized, stable, and transferable adipose tissue for permanent autologous soft-tissue replacement.