Fat Percentage Research Articles

Associations of fat, bone, and muscle indices with disease severity in patients with obstructive sleep apnea hypopnea syndrome

PurposeTo investigate the relationship between obstructive sleep apnea hypopnea syndrome (OSAHS) severity and fat, bone, and muscle indices.MethodsThis study included 102 patients with OSAHS and retrospectively reviewed their physical examination data. All patients underwent polysomnography, body composition analysis, dual-energy X-ray absorptiometry, computed tomography (CT) and blood test. Correlation and multiple linear regression analyses were performed using SPSS 22.0.ResultsAmong the fat indices, fat mass (FM) (r = 0.27–0.43), body fat percentage (BFP) (r = 0. 25–0.35), visceral fat area (VFA) (r = 0.28–0.40) and trunk fat mass (TFM) (r = 0.26–0.34) were positively correlated with hypopnea index (HI), apnea-hypopnea index (AHI), oxygen desaturation index (ODI), and percent of time spent with oxygen saturation below 90% (T90%), respectively, and negatively correlated with mean pulse oxygen saturation (SpO2) (r= -0.28–-0.41). For bone indexes, T8, T9, T11, L1-CT value, mean vertebral CT value and 25-Hydroxyvitamin D3 were positively correlated with mean SpO2 (r = 0.23–0.32), respectively. For muscle indexes, pectoralis muscle density (PMD) was negatively correlated with HI, AHI, and ODI (r= -0.20–-0.36) and positively correlated with mean SpO2 (r = 0.26). In separate models predicting sleep measures, AHI increased by 0.36, 0.29, 0.34 and 0.25 events/h per unit increase in FM, BFP, VFA, and triglyceride (TG), respectively. AHI decreased by 0.27 per unit increase in PMD. T90% increased with FM, BFP, VFA, WHR, TG and total cholesterol (TC), but decreased with appendicular skeletal muscle mass (ASM) and PMD respectively.ConclusionHigher fat levels and lower vertebral CT values, muscle mass and density correlated with a higher degree of OSAHS severity. Intermittent hypoxia may affect fat, bone, and muscle metabolism in patients with OSAHS.

Advances in the estimation of body fat percentage using an artificial intelligence 2D-photo method

There is a growing need to evaluate the agreement between the field methods and integrate artificial intelligence (AI) using two-dimensional (2D) photos for enhanced real-world analysis. This study evaluated the agreement between AI-2D photos and the clinical reference method, dual-energy X-ray absorptiometry (DXA) to estimate the body fat percentage (BFP). Other methods were also investigated, including skinfolds, A-mode ultrasound, and bioelectrical impedance analysis (BIA). This cross-sectional study was conducted on 1273 adults of both sexes. The Bland–Altman plots, Lin’s Correlation Coefficient of Agreement (CCC), and error analyses were calculated. AI-2D photos demonstrated substantial agreement with DXA presenting the highest agreement (CCC ≥ 0.96) among all the investigated methods. InBody-270 and Omron HBF-514 BIA devices showed moderate agreement (CCC = 0.90 to 0.95) for all participants, age groups >30 years, and body mass index >25 kg/m2. AI-2D photos can be interchangeable with DXA, providing a practical, accessible alternative and an easy-to-use system for BFP estimation.

Sex-specific associations between body composition and depression among U.S. adults: a cross-sectional study

BackgroundDepression presents sexual dimorphism, and one important factor that increases the frequency of depression and contributes to sex-specific variations in its presentation is obesity. The conventional use of Body Mass Index (BMI) as an indicator of obesity is inherently limited due to its inability to distinguish between fat and lean mass, which limits its predictive utility for depression risk. Implementation of dual-energy X-ray absorptiometry (DXA) investigated sex-specific associations between body composition (fat mass, appendicular lean mass) and depression.MethodsData from the NHANES cycles between 2011 and 2018 were analyzed, including 3,637 participants (1,788 males and 1,849 females). Four body composition profiles were identified in the subjects: low adiposity-low muscle (LA-LM), low adiposity-high muscle (LA-HM), high adiposity-low muscle (HA-LM) and high adiposity-high muscle (HA-HM). After accounting for confounding variables, the associations between fat mass index (FMI), appendicular skeletal muscle mass index (ASMI), body fat percentage (BFP), body composition phenotypes, and depression risk were assessed using restricted cubic spline (RCS) curves and multivariable logistic regression models. We further conducted interaction analyses for ASMI and FMI in females.ResultsRCS curves indicated a U-shaped relationship between ASMI and the risk of depression in males. Logistic regression analysis revealed that in males, the second (OR = 0.43, 95%CI:0.22–0.85) and third (OR = 0.35, 95%CI:0.14–0.86) quartile levels of ASMI were significantly negatively associated with depression risk. In females, increases in BFP (OR = 1.06, 95%CI:1.03–1.09) and FMI (OR = 1.08, 95% CI:1.04–1.12) were significantly associated with an increased risk of depression. Additionally, compared to females with a low-fat high-muscle phenotype, those with LA-LM (OR = 3.97, 95%CI:2.16–7.30), HA-LM (OR = 5.40, 95%CI:2.34–12.46), and HA-HM (OR = 6.36, 95%CI:3.26–12.37) phenotypes were more likely to develop depression. Interestingly, further interaction analysis of ASMI and FMI in females revealed an interplay between height-adjusted fat mass and muscle mass (OR = 4.67, 95%CI: 2.04–10.71).ConclusionThe findings demonstrate how important it is to consider body composition when estimating the risk of depression, particularly in females. There is a substantial correlation between the LA-LM, HA-LM, and HA-HM phenotypes in females with a higher prevalence of depression. It is advised to use a preventative approach that involves gaining muscle mass and losing fat.

Effects of blood flow restriction training on cardiometabolic health and body composition in adults with overweight and obesity: a meta-analysis

ObjectiveThis meta-analysis aims to evaluate the effects of blood flow restriction (BFR) training on cardiometabolic health and body composition in adults with overweight and obesity.MethodFollowing PRISMA guidelines, a systematic search of PubMed (MEDLINE), EMBASE, Web of Science, Cochrane, and Scopus databases was conducted on 15 March 2024. Pooled effects for each outcome were summarized using Hedge’s g (g) through meta-analysis-based random effects models, and subgroup analyses were used to explore moderators.ResultsA total of 11 studies with 242 participants (Age:32.6 ± 3.6, BMI:27.2 ± 3.5) were included. Regarding cardiometabolic health, BFR training significantly reduced systolic blood pressure (g = 0.62 [0.08, 1.16], p = 0.02), while no significant differences were observed in maximal oxygen uptake (g = 0.48 [-0.21, 1.17], p = 0.17) or diastolic blood pressure (g = 0.31 [-0.22, 0.84], p = 0.25). Regarding body composition, BFR training significantly reduced body fat percentage (g = 0.30 [0.01, 0.58]; p = 0.04), while no significant differences (p > 0.05) were observed in body weight (g = 0.14 [-0.14, 0.42]), body mass index (g = 0.08 [-0.21, 0.38]), waist circumference (g = 0.13 [-0.28, 0.53]), or waist-to-hip ratio (g = 0.48 [-0.19, 1.15]). Subgroup analysis revealed no significant difference in improving systolic blood pressure (g = 0.57 [-0.10, 1.24] vs. g = 0.70 [-0.18, 1.59]) and body fat percentage (g = 0.20 [-0.20, 0.61] vs. g = 0.45 [-0.05, 0.95]) between BFR resistance training and BFR aerobic training. In all selected studies, the overall risk of bias was categorized as “some concern”. The certainty of evidence for the BFR outcomes was low.ConclusionBFR training shows promise in improving cardiometabolic health and body composition, indicating that it may serve as a beneficial, individualized exercise prescription for improving cardiovascular disease risk and fat loss in adults with excess body weight and obesity.Systematic Review Registration:https://archive.org/details/osf-registrations-uv6jx-v1.

Alterations in newborn metabolite patterns with preterm birth and diabetes in pregnancy.

This study examines the influence of prematurity and diabetes (DM) in pregnancy on metabolite patterns at birth, and associations with adiposity development in a prospective cohort. Term and preterm (30-36 weeks gestational age [GA]) infants were enrolled and body composition assessments completed through discharge. Targeted metabolomics was used to assess metabolites in cord or infant blood in the first 2 days. Among 91 infants, 62 were preterm and 27 were exposed to DM. In factor analysis, variation in acylcarnitines' and non-essential amino acids differed by GA and DM exposure and were associated with adiposity at term age. DM-group had 1.95-fold increase in t4-OH-pro (p = 0.003) and 2.14-fold increase in taurine (p = 0.004) compared with non-DM group. Preterm infants had 1.77-fold increase in glycerophospholipid PC aa C32:2 versus term group (p < 0.001). Pathway analysis revealed differences across DM and GA groups in pathways associated with citrulline metabolism, amino acid transport/ synthesis, and fatty acid quantity/transport. In this cohort of infants, there are unique metabolite signatures associated with DM exposure, prematurity, and adiposity development after birth. These markers may reflect early metabolism changes in the developing infant which relate to known risks of adverse growth and cardiometabolic outcomes in this group. In this study of term and preterm infants, diabetes in pregnancy was associated with unique metabolic signatures at birth, including increased expression of metabolites related to protein synthesis and lipid metabolism. Metabolites related to lipid and protein metabolism were associated with adiposity development at term age, including estimated body fat percent, skin fold thickness measures, and arm circumference measures. Unique signatures of metabolites associated with prematurity and exposure to diabetes in pregnancy may reflect early metabolism changes in the developing infant which relate to known risks of adverse growth and cardiometabolic outcomes in this group.

Associations between skeletal muscle mass and elevated blood pressure are independent of body fat: a cross-sectional study in young adult women of African ancestry.

Although research on the relationship between lean body mass and blood pressure (BP) has been inconsistent, most studies reported that measures of lean body mass are associated with a higher risk of hypertension. We explored relationships between body composition (fat and skeletal muscle mass) and BP in 1162 young adult African women. DXA-derived measures of whole body, central and arm fat mass were associated with higher systolic and diastolic BP, while leg fat percentage was associated with lower systolic and diastolic BP. However, only the associations with diastolic BP remained after adjusting for appendicular skeletal muscle mass (ASM). ASM was associated with higher systolic and diastolic BP, before and after adjusting for whole-body fat percentage and VAT.While there was no overlap in targeted proteomics of BP and body composition, REN was lower in the elevated BP than the normal BP group and was inversely associated with diastolic BP (false-rate discovery adjusted p<0.050). Several proteins were positively associated with both VAT and ASM (LEP, FABP4, IL6, and GGH) and negatively associated with both VAT and ASM (ACAN, CELA3A, PLA2G1B, and NCAM1). NOTCH3, ART3, COL1A1, DKK3, ENG, NPTXR, AMY2B, and CNTN1 were associated with lower VAT only, and IGFBP1 was associated with lower ASM only.While the associations between body fat and BP were not independent of skeletal muscle mass, the associations between muscle mass and BP were independent of overall and central adiposity in young adult African women. Future interventions targeting muscle mass should also monitor BP in this population.

Association between different obesity metrics and risk of inguinal hernia.

Obesity is closely associated with a lower risk of inguinal hernia, but the association between different obesity metrics and the risk of inguinal hernia is still unclear. In our study, we categorized obesity measurement indicators into three groups based on the difficulty of measurement: (1) indicators easily available, such as body mass index (BMI), waist circumference (WC), hip circumference (HC), and waist-to-hip ratio (WHR); (2) indicators accessible with moderate difficulty, such as body fat percentage and body fat mass; (3) indicators difficultly accessible, such as the volume of visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT). Mendelian randomization (MR) analysis was used to investigate the causal relationship between various adiposity measures and the risk of inguinal hernia in both European ancestry and East Asians. We identified a total of 17,096 patients with inguinal hernia in the FinnGen cohort and 1664 cases in the Japan Biobank cohort. For European ancestry, MR analysis reported a significant causal association between one standard deviation increase of BMI, WC, HC, body fat percentage, and body fat mass and the lower risk of inguinal hernia, rather than WHR, VAT, and SAT. After the adjustment of BMI, increased WC is still causally associated with a lower risk of inguinal hernia (OR: 0.52; 95% CI: 0.33-0.80; P < 0.01). Among East Asians, only body fat mass is causally associated with a reduced risk of inguinal hernia, rather than BMI, WC, and HC. Obesity is causally associated with a relatively lower risk of inguinal hernia. The association between different obesity measures and the risk of inguinal hernia has ethnic specificity. These findings help us deepen our understanding of the intrinsic causal relationship between fat distribution and the risk of inguinal hernias at the genetic level.

Body Composition Changes and Associations in Infants and Mothers During the First Year: Insights from a Pilot Study of the Baby-bod Project

Background: The period following childbirth is marked by dynamic changes in maternal physiology and the growth trajectory of the newborn. We aimed to elucidate the changes and associations in body composition of infants and their mothers during the first year postpartum. Methods: This pilot study assessed infant body composition using the PEA POD air displacement plethysmography (ADP) system (birth–6 months) and deuterium dilution (9–12 months). Maternal body composition was assessed using the BOD POD ADP system at 12 months postpartum. Mothers were grouped by prepregnancy body mass index (BMI) &lt;25 kg/m2 (lean) or ≥25 kg/m2 (overweight/obese: OW/OB), and data were analysed using linear regression. Results: Twenty-nine infant–mother pairs were assessed. Infant percent fat mass (%FM) increased from birth to 6 months (9.3% vs. 24.2%; p &lt; 0.001) and then gradually declined. At birth and 3 months, %FM was significantly higher in infants born to OW/OB mothers compared to their lean counterparts. A significant positive association (β = 0.3; p = 0.040) was observed between maternal %FM and infant %FM at 1 year post-delivery after controlling for the mother’s prepregnancy BMI. Conclusions: Infants born to OW/OB mothers have increased %FM at birth and 3 months, which may have consequences for their health throughout childhood and into adulthood. Moreover, maternal prepregnancy BMI is a significant predictor of maternal postpartum weight status and body composition and impacts the relationship between maternal and infant body composition at 12 months postpartum. While the findings of our pilot study underscore the importance of encouraging women of childbearing age to maintain a healthy BMI before conception, further research is needed to substantiate these results.

Raw bioelectrical impedance parameters and vector analysis in the screening of low muscle mass and low muscle mass associated with obesity in adult healthy subjects.

The aim was to estimate the prevalence of low muscle mass (LMM) and low muscle mass associated with obesity (LMM-O) in healthy adult, and to verify the performance of raw bioelectrical impedance parameters (BIA) and vector analysis (BIVA) in the screening of this tow conditions. This is a cross-sectional study including 1025 healthy adults. Body composition was assessed by the BIA technique. The appendicular skeletal muscle mass index (ASMMI) and body fat percentage (BF%) were used for the screening of LMM and LMM-O. The raw BIA parameters were: resistance (R), reactance (Xc), phase angle (PhA), and impedance (Z). The vectors, R and Xc, were adjusted for height and projected on the RXc graph. Associations were checked by the correlation test, binary logistic regression, adjusted for age and body water, and ROC curve. LMM was found in 30.8% of the subjects, and 20.9 and 21.4% of the men and women were with LMM-O. PhA and R/H were the most powerful discriminators of LMM with a sensitivity of 62-100% and a specificity of 71-90%. Cutoff values of PhA ranged between 4.95° and 5.75° for women and men. The RXc graph was able to identify LMM subjects, with clustering on the right side: area of low cellularity, high R/H and low-phase angle. Traditional anthropometric indices were the least effective in identifying LMM-O. The BIVA approach, PhA, R and R/H are effective in the screening of LMM and LMM-O, irrespective of age, gender, intra- and extracellular hydration status.

Effect of Low-Intensity High-Repetition Versus High-Intensity Low-Repetition Elastic Band Resistance Training on Functional Physical Fitness and Myokine Levels in Older Adults

This study investigates the effects of low-intensity high-repetition (LI-HR) and high-intensity low-repetition (HI-LR) resistance training (RT) on functional fitness and myokines in older adults. A total of 30 participants (mean age ~76 years) were randomized into control (n = 10), LI-HR (n = 10), or HI-LR (n = 10) groups. Participants in LI-HR and HI-LR groups performed elastic band-based RT three times per week for 12 weeks. Pre- and post-intervention assessments included functional fitness (relative grip strength, sit-to-stand, 4 m walk, timed up-and-go (TUG)), ankle muscle strength, lower extremity power, and myokine levels (IL-6, IGF-1, SPARC, BDNF). Both experimental groups showed significant IL-6 reduction (LI-HR: p = 0.033; HI-LR: p = 0.015) and IGF-1 increase (LI-HR: p = 0.003; HI-LR: p &lt; 0.001). SPARC increased significantly only in the HI-LR group (p = 0.021). Functional improvements were noted in TUG for both groups, while the 4 m walk improved significantly in the HI-LR group (p &lt; 0.001). Body fat percentage increased in both LI-HR (p = 0.003) and HI-LR (p = 0.047). In conclusion, both LI-HR and HI-LR RT effectively enhance functional fitness and key myokines, with LI-HR emerging as a promising, accessible option for older adults.

Effect of Short Duration Heat Stress on the Physiological and Production Parameters of Holstein-Friesian Crossbred Dairy Cows in Bangladesh

Heat stress is a major concern for lactating dairy cows. This study evaluated the effects of heat stress on six Holstein-Friesian crossbred dairy cows exposed to three thermal conditions represented by the Temperature-Humidity Index (THI). These conditions included a baseline pre-treatment phase at THI-72, a heat stress treatment phase at THI-75 and THI-80, and a post-treatment recovery phase at THI-72. The duration of the heat stress treatment phase was 24 h. A total of four trials, each involving three cows, were conducted in an IoT-based climatic chamber to assess various physiological, hematological, biochemical, and production parameters across these phases. Compared to the baseline (THI-72), cows showed significant increases (p &lt; 0.05) in rectal temperature (RT), heart rate (HR), respiration rate (RR), and water intake (WI) at both THI-75 and THI-80, with the highest elevations observed at THI-80 (RT: 5.1%, HR: 8.6%, RR: 23.5%, and WI: 19.1%). Feed intake declined significantly (p &lt; 0.05) by 6.5% and 14.0%, and milk yield dropped by 5.3% and 14.7% at THI-75 and THI-80, respectively; milk fat and protein percentages decreased by 1.1-fold and 1.2-fold. Hemoglobin, platelet, and lymphocyte counts, along with biochemical parameters (excluding serum creatinine) also decreased significantly (p &lt; 0.05). The different levels of THI influenced pairwise correlation patterns, with THI-75 showing intense interactions and THI-80 exhibiting greater variability. The findings highlight that Holstein-Friesian crossbreed dairy cows are particularly vulnerable to heat stress, even with short-term exposure. This vulnerability can lead to economic losses for Bangladeshi dairy farmers rearing Holstein-Friesian crossbreed cows.

Effects of Physical Activity Level, Strength, Balance, and Body Composition on Perceived Health in Healthy Adults

Background: Nowadays, not only is a high, long life expectancy desired, but also longevity with quality. Quality of life in adulthood is a multidimensional construct related to the perception of one’s own health, psychological and socio-emotional factors, functionality for daily activities, and body composition. Objective: This study evaluates the effects of physical activity level (PAL), strength, balance, and body composition on perceived health in healthy adults. Methods: An observational, cross-sectional study with consecutive, non-probabilistic inclusion of cases was conducted. Body fat percentage (BFP) was measured by DXA. Physical activity level was assessed using accelerometry. The strength index (S_Index) was estimated using dynamometry. Postural control was assessed through posturography. The composite equilibrium score from the Sensory Organization Test (SOT_CES) was conducted to measure postural stability under various sensory conditions using dynamic posturography. Perceived health was calculated using the SF36 questionnaire, which detects health states, both positive and negative. A linear regression model was generated between each domain of SF36 with SOT_CES, BFP, PAL, and S_Index. Results: A total of 64 males with a mean age of 55 ± 5 years and a mean body mass index of 27 ± 4 kg/m2 were recruited. Results showed a negative correlation between physical function (ß = −0.7; t = −3.163; p = 0.003; R2 = 23.7%) and general health (ß = −0.227; t = −3.425; p = 0.001; R2 = 17.4%) with BFP. Also, it showed a negative correlation between physical function (ß = 0.047; t = −2.643; p = 0.011; R2 = 17.5%) and general health (ß = 0.016; t = −3.044; p = 0.004; R2 = 14.6%) with S_Index. On the other hand, no relation was observed between SF36 and SOT_CES. Finally, only the emotional role showed a positive correlation (ß = −0.02; t = −2.629; p = 0.011; R2 = 23.1%) with PAL. Conclusion: A lower BFP and higher S_Index are associated with increased physical function and general health. Also, the higher the PAL, the greater the emotional health. On the other hand, no relation was observed between SF36 and the balance detected from SOT_CES.

Changes in body composition and muscle strength in girls with idiopathic central precocious puberty during gonadotropin-releasing hormone agonist therapy

Aims: Our objective is to explore changes in body fat distribution and muscle strength among a cohort of girls with idiopathic central precocious puberty (ICPP) undergoing the gonadotropin-releasing hormone analogs (GnRHa) therapy. Methods: A total of 50 patients who were newly diagnosed with ICPP and treated with GnRHa were included in the study. Patients were investigated at baseline, 6th months and 12th months. Results: Body-mass index (BMI) standard deviation score (SDS) was similar throughout the treatment duration. The percentage of body fat (PBF) increased from 24.2±5.1% at the beginning to 26.3±5.3% at the 6th month and to 27.7±5.43% at the 12th month (p

Weight Status and Myopia in Children and Adolescents: A Nationwide Cross-Sectional Study of China

Background/Objectives: The prevalence of both myopia and obesity is increasing among children and adolescents around the world. We aimed to examine the association between weight status and myopia in Chinese children and adolescents. Methods: The analysis included 35,108 participants aged 6–17 from a nationwide cross-sectional survey. Results: Our results indicated that girls with overweight and obesity had higher odds ratio (OR) of myopia and mild myopia: ages 6–8 (OR = 1.33, 95% CI: 1.01–1.76; OR = 1.71, 95% CI: 1.14–2.55) and 9–11 (OR = 1.22, 95% CI: 1.03–1.44; OR = 1.31, 95% CI: 1.06–1.62). Myopic boys had higher body fat percentages (BFP) at ages 6–8 (β = 1.18, 95% CI: 0.38–1.98), 9–11 (β = 0.58, 95% CI: 0.08–1.07), and 15–17 (β = 0.42, 95% CI: 0.03–0.80), and higher body mass index (BMI) at ages 9–11 (β = 0.30, 95% CI: 0.12–0.48) and 12–14 (β = 0.19, 95% CI: 0.02–0.38). Girls had higher BFP at ages 9–11 (β = 0.62, 95% CI: 0.19–1.05) and 12–14 (β =0.53, 95% CI: 0.19–0.88) and higher BMI at 9–11 (β = 0.53, 95% CI: 0.34–0.73). Furthermore, the dose–response curves revealed a significant gender- and age-specific association between BMI, BFP, and myopia odds ratio. Conclusions: the study found an association between overweight or obesity and myopia in girls aged 6–11, and indicated that high BFP and BMI are associated with myopia, varying by sex and age.

The association between sarcopenic obesity, sarcopenia and functional dependence, malnutrition, and mortality: the phenomenon of obesity paradox in sarcopenic obesity.

The aim of this study is to investigate the association between four phenotypes of sarcopenia/obesity in older individuals and functional disability, malnutrition, and all-cause mortality. This study is a cross-sectional study, survival is 3years. A total of 487 Chinese older adults were included with 283 (58.1%) females, a median age of 77 (69, 99) years. Sarcopenia was diagnosed according to skeletal muscle mass index, grip strength (GS), 5-time chair stand test, and gait speed test; obesity was diagnosed according to waist circumference, body mass index (BMI), and the percentage of body fat (PBF). Nutritional status was estimated with the Mini Nutritional Assessment short-form (MNA-SF) and functional health status was assessed using the Barthel Index (BI). The binary logistic regression analysis and the multivariate Cox regression analysis were utilized to investigate the association between sarcopenic/obesity phenotype and functional impairment, nutritional deficiency, and all-cause mortality. In the final-adjusted model, compared to patients with non-sarcopenic non-obesity phenotype, sarcopenic obesity is significantly associated with functional dependence (odds ratio [OR]: 3.83, 95% CI 1.47-9.97; P = 0.006), malnutrition (OR: 0.48, 95% CI 0.24-0.99; P = 0.047), and all-cause mortality (hazard ratio[HR]: 2.78, 95% CI 1.57-4.94; P = 0.001); sarcopenia is significantly associated with malnutrition (OR: 2.48, 95% CI 1.09-5.65; P = 0.030), and all-cause mortality (HR:3.06, 95% CI 1.69-5.56; P < 0.001); obesity is significantly associated with malnutrition (OR:0.11, 95% CI 0.05-0.22; P < 0.001). Consequently, it is advisable to incorporate sarcopenia and sarcopenic obesity into the screening and treatment protocols for older adults in the community to effectively mitigate the adverse health consequences.

Effects of Plant-Based Diet on Metabolic Parameters, Liver and Kidney Steatosis: A Prospective Interventional Open-label Study.

This interventional single-center prospective open-label study aims to evaluate the effects of a vegan diet, compared to a vegetarian and omnivorous diet, on metabolic parameters, insulin sensitivity, and liver and kidney steatosis in healthy adults. The study included 53 omnivorous participants aged 18-40 years, body-mass index 18-30 kg/m2, without any chronic disease, chronic medication use, active smoking, or significant alcohol consumption. All participants were omnivorous at baseline and selected to continue an omnivorous diet or transition to a vegetarian or vegan diet, with follow-up over six months. Anthropometric measurements, biochemical parameters, and liver and kidney steatosis were assessed at baseline and after six months using magnetic resonance imaging-proton density fat fraction (MRI-PDFF). Primary outcomes included changes in liver and kidney steatosis, while secondary outcomes were alterations in anthropometric and biochemical markers. Among 53 participants, 18 followed an omnivorous diet, 21 adopted a vegetarian diet, and 14 transitioned to a vegan diet. Dietary interventions did not result in statistically significant changes in body mass index, fat mass, fat percentage, or muscle mass over six months. However, statistically significant improvements in systolic and diastolic blood pressure, favoring the vegan diet, were observed. We aimed to control for potentially confounding variables to ensure the reliability of these findings. We have demonstrated a better decline in steatosis at the lower kidney pole, the total hilus and the Liver 6 index in vegans. We demonstrated that a plant-based diet is associated with improvements in several metabolic parameters and may reduce liver and kidney steatosis.

Effect of prebiotic supplementation on health status in adults with prediabetes: a systematic review and meta-analysis of randomized clinical trials.

Prediabetes with a considerable progression rate is a primary risk factor for type 2 diabetes, if left untreated. Dietary interventions examining the health effects of prebiotic consumption on health status have been studied in subjects with prediabetes but the results are controversial. This study aimed to investigate whether prebiotic consumption can favorably alter metabolic status as well as anthropometric features in subjects with prediabetes. Electronic databases were searched up to January, 2024, and randomized clinical trials examining the effect of prebiotic consumption on glycemic status, lipid profile, and/or anthropometric features in adults with prediabetes were selected. Data from 10 selected studies were extracted. In total, 546 subjects were included in our analysis of whom 258 were allocated to prebiotic supplemented group, and 288 to control group. Our results demonstrated a significant reduction in body fat (BF) percentage (SMD: -1.27 %, 95%CI: -2.33, -0.22) after prebiotic supplementation. We found no significant alterations in metabolic indices including fasting plasma glucose, insulin, HbA1c, HOMA-IR, total cholesterol, triglyceride, and low- and high-density lipoprotein cholesterol. In addition, we did not notice a significant effect of prebiotic consumption on other anthropometrics including BMI and waist circumference. There was no fair evidence that prebiotic consumption could improve metabolic and anthropometric features in subjects with prediabetes. Yet, a significant reduction in BF might support the beneficial effect of prebiotics when aiming at preventing diabetes through lifestyle modifications and weight management. In addition, the reduction in BF can be of clinical significance, indicating the potential of prebiotics to increase insulin sensitivity which can positively affect people with prediabetes. Nevertheless, current findings should be taken with caution due to the very low certainty in the pooled estimate for the majority of outcomes. Future studies are needed to investigate the effect of prebiotics on health status in people with prediabetes. This trial was registered at PROSPERO as CRD42023473082.

Body composition differences in older adults with and without Alzheimer's disease: A systematic review and meta-analysis of observational studies.

Research on body composition and fat distribution in Alzheimer's disease (AD) has presented conflicting findings. Compare body composition and anthropometric measurements in older adults with and without AD. A systematic review and meta-analysis were conducted following Cochrane guidelines and PRISMA standards. MEDLINE, Embase, Scopus, LILACS, WPRIM, and the Spanish Bibliographic Index of Health Sciences were searched up to September 2024, considering observational studies that compared body composition between AD groups and controls. Outcomes included body fat percentage, body mass index (BMI), impedance, resistance, and reactance. The methodological quality and level of evidence were assessed using the Joanna Briggs Institute scale and GRADE, respectively. A random-effects meta-analysis model was used to calculate mean differences (MD). Fourteen studies involving 2761 older adults were included. Older adult women with AD showed a lower body fat percentage (p < 0.01; MD = -5.07) and BMI (p = 0.05; MD = -1.28) compared to controls. Older adult men with AD had higher impedance (p = 0.01; MD = 2.05), resistance (p = 0.02; MD = 45.10), and lower reactance (p = 0.03; MD = -2.05) compared to controls. No significant differences in body fat percentage or BMI were found between older adults with and without AD, regardless of gender. Women with AD showed lower body fat percentage and BMI, while men with AD had higher impedance, resistance, and lower reactance. These factors should be included in geriatric assessments for AD patients, though further research is needed to understand their link to cognitive outcomes in AD.

Obese Hypertensive Men Have Fasting Serum Concentrations of Leptin Similar to Those of Obese Normotensive Men.

Leptin is a hormone which is secreted by the adipocytes. In the circulation, leptin levels are directly proportional to the body fat percentage. Studies have shown that higher leptin levels are associated with an increased risk of hypertension after adjusting for body mass index (BMI). Therefore, leptin has been proposed as a mediator of obesity-related hypertension. Whether leptin is associated with hypertension when controlling for body fat percentage remains unclear. We studied 103 obese men (BMI ≥30.0kg/m2). All men were healthy and were medication-free. We measured blood pressure using 24-hour ambulatory blood pressure (ABP) recordings. Hypertension was defined as 24-hour systolic ABP ≥130mm Hg and/or 24-hour diastolic ABP ≥80mm Hg, and normotension was defined as 24-hour ABP <130/80mm Hg. We measured fasting serum leptin concentrations and used dual-energy X-ray absorptiometry scanning to determine body fat percentage. Of the 103 obese men, 64 were hypertensive (24-hour systolic ABP (mean ± standard deviation) 137±11mg Hg and 24-hour diastolic ABP 83±6mm Hg) and 40 were normotensive (24-hour systolic ABP 117±6mg Hg and 24-hour diastolic ABP 73±4mm Hg). The 2 groups had similar fasting serum leptin concentrations (median (interquartile range)) 13.4 (5.7-36.1) µg/L versus 13.4 (5.4-27.1) µg/L, P=0.88) and total fat mass percentage (34.8±4.5% versus 34.0±4.7%, P=0.90). Obese hypertensive men have serum leptin concentrations similar to those of obese normotensive men with comparable body fat percentage measurements. This finding does not support leptin's candidacy as a mediator of obesity-related hypertension.

Assessing clenbuterol’s modulation of metabolic and inflammatory pathways in Nile tilapia (Oreochromas niloticous) fed high fat diet

This study was performed to reveal the metabolic effects and molecular mechanisms that govern the dietary incorporation of clenbuterol on growth performance, haemato-biochemical changes, histological alteration, and gene expression regulating glucose and lipid metabolism in normal and high-fat diets fed in Nile tilapia (Oreochromis niloticus). Six experimental diets were formulated, incorporating different concentrations of clenbuterol. The 1st three groups were supplemented with a diet comprising 6% fat, with clenbuterol of 0, 5, and 10 g/kg diet was designated as F6 clenb0, F6clenb5, and F6clenb10, respectively. The other treatment groups were fed a diet of 12% fat, with clenbuterol 0, 5, and 10 g/kg diet, respectively termed F12 clenb0, F12 clenb5, and F12 clenb10. The results revealed that compared to the control group, HFD exhibited a marked reduction in FBW, BWG, PER, and body protein percent but significantly increased the FCR, IPF, liver fat percent, and body ash percent with altered hematological parameters, raised serum biomarkers of hepatic and renal injury. HFD signally raised mRNA expression of pro-inflammatory cytokines, and declined nrf2 and antioxidative function-related genes. Also increased mRNA expression of lipogenic genes as FAS and SREBP-1c and gluconeogenic genes as pepck and g6pc while downregulated, pparα, cpt1, acox1. Nevertheless, clenbuterol supplementation significantly reversed the aforementioned findings induced by HFD. Clenbuterol inclusion significantly improves growth performance and antioxidant defenses by modulating nrf2 signaling and reducing inflammatory response, reduces fatty acid synthesis, and enhances mitochondrial β-oxidation not only functioning as a lipid regulator and effectively alleviating fat accumulation in the liver but playing an essential role in the control of glucose metabolism by reducing hepatic glucose production in high-fat diet-fed Nile tilapias well.