Total Body Composition Research Articles

Effects of an Almond‐Enriched Energy Restricted Diet on Body Composition, Visceral Adipose Tissue and Blood Pressure in Obese Adults

BACKGROUNDAlmonds are a good source of protein and monounsaturated fats and their effects on differential rates of visceral and subcutaneous body fat loss, in conjunction with energy restriction, have not been widely examined. Increasing the proportion of protein in an energy‐restricted diet enhances satiety, energy expenditure and greater relative fat mass loss. In addition, monounsaturated fats are oxidized preferentially and a diet higher in the unsaturated: saturated fat ratio may reduce subcutaneous adipose tissue (SAT) but more importantly, visceral adipose tissue (VAT) during weight loss. The promotion of VAT loss is important clinically as this may translate into a reduction in the risk for metabolic diseases. In addition, emerging evidence indicates food‐derived peptides such as arginine reduce the risk of cardiovascular disease. Almonds contain a high level of arginine, a peptide that helps to reduce blood pressure (BP).METHODSObese adults (n=28, age: 35.7±11.4 yr, body mass index: 33.1±2.7 kg/m2) were randomly assigned to a 12 week energy restricted (500 kcal deficit) almond‐enriched diet (AED) (n=14) or an energy restricted nut‐free diet (NFD) (n=14). Participants in the AED group were asked to consume dry‐roasted, lightly salted almonds comprising of 15% energy in the individualized energy‐restricted diet. Participants in the NFD group were asked to avoid all nuts during the intervention period. The primary outcomes for this analysis were changes in weight, body composition, VAT and BP pre‐ and post‐study. Body composition was assessed using DEXA. VAT was predicted using multivariate anthropometric models. Resting BP was assessed using automated instruments.RESULTSBody weight, trunk fat percent, total fat percent, VAT and systolic BP decreased after 12 weeks on energy restriction (p<0.05). Diastolic BP remained unchanged with weight loss. Both groups lost similar amounts of body weight over time. The AED group lost more trunk fat percent and total fat percent over time compared to the NFD group (p<0.05). The AED group also had a greater trend for VAT loss over time compared to the NFD group. Both groups had similar reductions in systolic BP with weight loss.CONCLUSIONConsumption of almonds during a weight loss regimen resulted in greater improvements in trunk and total body composition compared to the nut‐free weight loss regimen. The overall improvements in body composition with almond consumption coupled with greater trend for VAT loss may help to reduce metabolic disease risk. In addition, consumption of lightly salted almonds had similar blood pressure reducing effects as the nut‐free intervention.Support or Funding InformationAlmond Board of California

Relation between body composition and bone mineral density in young undregraduate students with different nutritional status.

ABSTRACTObjective To investigate the relationship between total and segmental body fat, bone mineral density and bone mineral content in undergraduate students stratified according to nutritional status.Methods The study included 45 male undergraduate students aged between 20 and 30 years. Total and segmental body composition, bone mineral density and bone mineral content assessments were performed using dual energy X-ray absorptiometry. Subjects were allocated into three groups (eutrophic, overweight and obese).Results With the exception of upper limb bone mineral content, significantly higher (p<0.05) mean bone mineral density, bone mineral content, and relative body fat values were documented in the obese group. Total body and segmental relative body fat (lower limbs and trunk) were positively correlated (p<0.05) with bone mineral density in the overweight group. Upper limb fat was negatively correlated (p<0.05) with bone mineral content in the normal and eutrophic groups.Conclusion Total body and segmental body fat were correlated with bone mineral density and bone mineral content in male undergraduate students, particularly in overweight individuals.

Comparison of Protein-Pacing Alone or With Yoga/Stretching and Resistance Training on Glycemia, Total and Regional Body Composition, and Aerobic Fitness in Overweight Women.

Yoga/Stretching (YS) and functional resistance (FR) training are popular exercise routines. A protein-pacing (PP) diet is a common dietary regimen. Thus, we assessed the effectiveness of a PP diet alone and in combination with either YS or FR to improve body composition and cardiometabolic health. Twenty-seven overweight women (age = 43.2 ± 4.6 years) were randomized into 3 groups: yoga (YS, n = 8) or resistance (FR, n = 10) training (3 days/week) in conjunction with PP diet (50% carbohydrate, 25% protein, and 25% fat) or PP diet-only (PP, n = 9) throughout 12-week study. PP maintained preexisting levels of physical activity. Body weight (BW), total (BF) and abdominal (ABF) body fat, waist circumference (WC), plasma biomarkers, and aerobic fitness (VO2) were measured at baseline and 12 weeks. WC and total cholesterol improved in all groups, whereas glycemia tended to improve (P = .06) in S. BF, ABF, and VO2 increased significantly in YS and FR (P < .05). Feelings of vigor increased in YS and tension decreased in FR (P < .05). YS training tended to decrease blood glucose compared with FR and PP and is equally effective at enhancing body composition, and aerobic fitness in overweight women providing a strong rationale for further research on YS training.

Conjugated linoleic acid mitigates testosterone-related changes in body composition in male guinea pigs

We hypothesize that conjugated linoleic acid (CLA) may be effective in preventing the changes in total and regional body composition and increases in interleukin (IL) 6 that occur as a result of hypogonadism. Male guinea pigs (n = 40, 70- to 72-week retired breeders) were block randomized by weight into 4 groups: (1) sham surgery (SHAM)/control (CTRL) diet, (2) SHAM/conjugated linoleic acid (CLA) diet (1%), (3) orchidectomy (ORX)/CTRL diet, and (4) ORX/CLA diet. Dual-energy x-ray absorptiometry scans were performed at baseline and week 16 to assess body composition. Serum IL-6 was analyzed using an enzyme-linked immune sorbent assay. Fatty acids (FAs) from visceral and subcutaneous adipose tissue were analyzed using gas chromatography. In ORX/CTRL guinea pigs, percent total body fat increased by 6.1%, and percent lean mass decreased by 6.7% over the 16-week treatment period, whereas no changes were observed for either parameter in ORX/CLA guinea pigs. Guinea pigs fed the CLA diet gained less percent total, upper, and lower body fat than those fed the CTRL diet regardless of surgical treatment. Regional adipose tissue FA composition was reflective of dietary FAs. Serum IL-6 concentrations were not different among groups. In this study, we observed that, in male guinea pigs, hypogonadism resulted in increased fat mass and decreased lean mass. In addition, CLA was effective in reducing gains in body fat and maintaining lean mass in both hypogonadal and intact guinea pigs.

Changes in Body Composition of Senior Females Induced by Strength-Endurance Motor Program

The aim of work was to determine the effects of 8-week strength-endurance training program on somatic indicators in senior females. Applying bioelectrical impedance analysis method (InBODY 230 device) we evaluated the following parameters: body weight, BMI, body fat, total skeletal muscle mass, body fat percentage, skeletal muscle mass in left and right upper and lower extremities, trunk muscle mass, and the mineral mass in the body. To assess regularity of physical activities, variability of lifestyle and quality of life, we used a standardized survey questionnaire. The study was carried out on 29 senior citizens, of the average 70.28 years of age and BMI 26.47 kg/m2. A group of active elderly women underwent an 8-week strength-endurance program, including exercises focused primarily on the development of strength abilities of the upper limbs, and secondarily on developing strength abilities of lower extremities and developing general aerobic abilities. The influence of the aerobic program induced statistically significant increase in the total skeletal muscle mass from the initial value of 22.966 kg to 23.552 kg, an increase by 0.552kg (p ≤ 0.01) of the monitored parameter. On the contrary, the parameter of body fat percentage of the studied group showed significant decrease of the input value of 36.207%, to the output value of 35.062%, representing a change at the level of 1.145% (p ≤ 0.01). By assessment of changes in the muscle mass of upper limbs and the trunk, we found a statistically significant increase, which reflects a change in the total quantity of the skeletal muscle (p ≤ 0.005). The mineral mass in the probands increased by only 0.091 kg. However, this increase was confirmed at 0.1% level of statistical significance (p ≤ 0.001). The above results indicate that regular performance of physical activities in groups of the elderly proves to be efficient in preventing sarcopenia, obesity and maintaining a balance of the particular tissues making up the total body composition.

Limited Effects of Endurance or Interval Training on Visceral Adipose Tissue and Systemic Inflammation in Sedentary Middle-Aged Men.

Purpose. Limited data exists for the effects of sprint-interval training (SIT) and endurance training (ET) on total body composition, abdominal visceral adipose tissue, and plasma inflammation. Moreover, whether “active” or “passive” recovery in SIT provides a differential effect on these measures remains uncertain. Methods. Sedentary middle-aged men (n = 62; 49.5 ± 5.8 y; 29.7 ± 3.7 kg·m2) underwent abdominal computed tomography, dual-energy X-ray absorptiometry, venepuncture, and exercise testing before and after the interventions, which included the following: 12 wks 3 d·wk−1 ET (n = 15; 50–60 min cycling; 80% HRmax), SIT (4–10 × 30 s sprint efforts) with passive (P-SIT; n = 15) or active recovery (A-SIT; n = 15); or nonexercise control condition (CON; n = 14). Changes in cardiorespiratory fitness, whole-body and visceral fat mass, and plasma systemic inflammation were examined. Results. Compared to CON, significant increases in interpolated power output (P-SIT, P < 0.001; ET, P = 0.012; A-SIT, P = 0.041) and test duration (P-SIT, P = 0.001; ET, P = 0.012; A-SIT, P = 0.046) occurred after training. Final VO2 consumption was increased after P-SIT only (P < 0.001). Despite >90% exercise compliance, there was no change in whole-body or visceral fat mass or plasma inflammation (P > 0.05). Conclusion. In sedentary middle-aged men, SIT was a time-effective alternative to ET in facilitating conditioning responses yet was ineffective in altering body composition and plasma inflammation, and compared to passive recovery, evidenced diminished conditioning responses when employing active recovery.

Body composition and resting metabolic rate in obese adolescents

Objective: Analyze body composition and resting metabolic rate (RMR) in obese adolescents. Methods: 58 obese adolescents were assessed between 12 and 16 years (13.7 ± 1.2 years). The body composition was measured dual-energy x-ray absorptiometry (DEXA). The resting metabolic rate and oxidation of glucose and lipids were determined by measuring the oxygen consumption and the production of carbon dioxide. Student t test was used for independent data, multiple linear regression and Pearson correlation, significance was set p &lt;5%. Results: Significant differences were observed in the percentage of body fat (p = 0.01), percentage of lean body mass (LBM) (p = 0.01), percentage body fat (p = 0.01), lower limb lean mass (p = 0.01) and resting metabolic rate (p = 0.04) between males and females. The LBM is highlighted as the best predictor of RMR (p = 0.01). There was a positive correlation between RMR and LBM, as observed association between lipid oxidation and LBM. Conclusion: Total body composition and segment influence the resting metabolic rate and substrate oxidation. In addition, the LBM can be considered a factor of increased resting energy expenditure in obese adolescents.

Effect of 6 weeks of whole body vibration training on total and segmental body composition in healthy young adults.

The applied use of new technologies to enhance performance and improve health has been increasing. Initially, whole body vibration training (WBVT) was used as system to improve elite athlete performance. However, this is also used to improve body composition, especially there is a great attention on the effectiveness of WBVT to reduce fat and body weight, with a potential increase in muscle tissue. The aim of this study was to investigate the effects of a 6-week vibration-training program on total and segmental body composition in a group of physically healthy participants. The final study sample included 64 healthy young adults. Subjects were randomly allocated into the control group (CG: n = 26; 16 males and 10 females) and the experimental group (EGWBVT: n = 38; 19 males and 19 females). The program lasted six weeks with a frequency of three sessions per week and each session varied in intensity. There were not found statistically significant differences in any of the body composition variables analysed. This study suggests that a six-week vibration-training program with an increasing intensity (7.2 g-32.6 g) in healthy young adults that are not overweight did not alter total and segmental body composition.

EFFECT OF OVERWEIGHT AND OBESITY ON THE EQUILIBRIUM TIME, BUT NO IN THE TOTAL BODY WATER AND BODY COMPOSITION COMPARTMENTS IN WOMEN SUBJECTS OVER 60 YEARS OF AGE

aging and obesity cause changes in water exchange rate, which could affect the equilibrium time of deuterium oxide (2H2O). to assess the effect of overweight and obesity on the equilibrium time of the stable isotope deuterium in saliva samples of older adults. a sample of 18 women over 63 years with a body mass index (BMI) of 20.8 to 40.5 kg/m2 were included. A basal saliva sample was took and immediately a dose of 30 g of 2H2O was administered orally. Saliva samples at 2, 2.5, 3, 3.5 and 4 hours post-dose were taken. Deuterium in saliva samples were analyzed by Fourier Transform Infrared spectroscopy technique. the average in equilibrium time (plateau) in women of normal BMI (18.5-24.9 kg/m2) was 3.6 ± 0.2 hours, which was statistically different to those obtained in the group with overweight (25-29.9 kg/m2) and obese (>30 kg/m2) of 2.9 ± 0.4 hours and 2.8 ± 0.4 hours, respectively (p0.05). obesity had an effect on the equilibrium times; however, did not affect the calculation of total body water and body composition in this older women adult group.

The relationships between body composition characteristics and cognitive functioning in a population-based sample of older British men.

BackgroundCurrent research has established obesity as one of the main modifiable risk factors for cognitive impairment. However, evidence on the relationships of total and regional body composition measures as well as sarcopenia with cognitive functioning in the older population remains inconsistent.MethodsData are based on 1,570 participants from the British Regional Heart Study (BRHS), a cohort of older British men from 24 British towns initiated in 1978–80, who were re-examined in 2010–12, aged 71–92 years. Cognitive functioning was assessed with the Test-Your-Memory cognitive screening tool. Body composition characteristics assessed using bioelectrical impedance analysis included total fat mass (FM), central FM, peripheral FM, and visceral fat level. Sarcopenia was defined using the European Working Group on Sarcopenia in Older People (EWGSOP) definition of severe sarcopenia and the Foundation for the National Institutes of Health (FNIH) sarcopenia project criteria.ResultsAmong 1,570 men, 636 (41 %) were classified in the mild cognitive impairment (MCI) and 133 (8 %) in the severe cognitive impairment (SCI) groups. Age-adjusted multinomial logistic regressions showed that compared with participants in the normal cognitive ageing group, those with SCI were more likely to have waist circumference >102 cm, BMI >30 kg/m2, to be in the upper quintile of total FM, central FM, peripheral FM and visceral fat level and to be sarcopenic. The relationships remained significant for total FM (RR = 2.16, 95 % CI 1.29–3.63), central FM (RR = 1.85, 95 % CI 1.09–3.14), peripheral FM (RR = 2.67, 95 % CI 1.59–4.48), visceral fat level (RR = 2.28, 95 % CI 1.32–3.94), BMI (RR = 2.25, 95 % CI 1.36–3.72) and waist circumference (RR = 1.63, 95 % CI 1.05–2.55) after adjustments for alcohol, smoking, social class, physical activity and history of cardiovascular diseases or diabetes. After further adjustments for interleukin-6 and insulin resistance, central FM, waist circumference and sarcopenia were no longer significantly associated with SCI.ConclusionsIncreased levels of peripheral FM, visceral fat level, and BMI are associated with SCI among older people. Distinct pathophysiological mechanisms link regional adipose tissue deposition and cognitive functioning.

Total body composition estimated by standing-posture 8-electrode bioelectrical impedance analysis in male wrestlers

Standing-posture 8-electrode bioelectrical impedance analysis is a fast and practical method for evaluating body composition in clinical settings, which can be used to estimate percentage body fat (BF%) and skeletal muscle mass in a subject’s total body and body segments. In this study, dual-energy X-ray absorptiometry (DXA) was used as a reference method for validating the standing 8-electrode bioelectrical impedance analysis device BC-418 (BIA8, Tanita Corp., Tokyo, Japan). Forty-eight Taiwanese male wrestlers aged from 17.9 to 22.3 years volunteered to participate in this study. The lean soft tissue (LST) and BF% in the total body and body segments were measured in each subject by the BIA8 and DXA. The correlation coefficients between total body, arm, leg segments impedance index (BI, ht2/Z) and lean soft tissue mass measured from DXA were r = 0.902, 0.453, 0.885, respectively (p < 0.01). In addition, the total body and segmental LST estimated by the BIA8 were highly correlated with the DXA data (r = 0.936, 0.466, 0.886, p < 0.01). The estimation of total body and segmental BF% measured by BIA8 and DXA also showed a significant correlation (r > 0.820, p < 0.01). The estimated LST and BF% from BIA8 in the total body and body segments were highly correlated with the DXA results, which indicated that the standing-posture 8-electrode bioelectrical impedance analysis may be used to derive reference measures of LST and BF% in Taiwanese male wrestlers.

Long term hormone replacement therapy (HT) does not affect post-menopausal total body composition

The impact of HT on menopause-related changes in body composition is not resolved. We sought to evaluate differences in total body composition in post-menopausal women who had taken HT for an average of 14 years.

Modelling the associations between fat-free mass, resting metabolic rate and energy intake in the context of total energy balance.

The relationship between body composition, energy expenditure and ad libitum energy intake (EI) has rarely been examined under conditions that allow any interplay between these variables to be disclosed. The present study examined the relationships between body composition, energy expenditure and EI under controlled laboratory conditions in which the energy density and macronutrient content of the diet varied freely as a function of food choice. Fifty-nine subjects (30 men: mean body mass index=26.7±4.0 kg m(-2); 29 women: mean body mass index=25.4±3.5 kg m(-)(2)) completed a 14-day stay in a residential feeding behaviour suite. During days 1 and 2, subjects consumed a fixed diet designed to maintain energy balance. On days 3-14, food intake was covertly measured in subjects who had ad libitum access to a wide variety of foods typical of their normal diets. Resting metabolic rate (RMR; respiratory exchange), total daily energy expenditure (doubly labelled water) and body composition (total body water estimated from deuterium dilution) were measured on days 3-14. Hierarchical multiple regression indicated that after controlling for age and sex, both fat-free mass (FFM; P<0.001) and RMR (P<0.001) predicted daily EI. However, a mediation model using path analysis indicated that the effect of FFM (and fat mass) on EI was fully mediated by RMR (P<0.001). These data indicate that RMR is a strong determinant of EI under controlled laboratory conditions where food choice is allowed to freely vary and subjects are close to energy balance. Therefore, the conventional adipocentric model of appetite control should be revised to reflect the influence of RMR.

Comparison of the Lunar Prodigy and iDXA Dual-Energy X-ray Absorptiometers for Assessing Total and Regional Body Composition

The objective of the study was to assess the agreement of the Lunar Prodigy with the newer Lunar iDXA dual-energy X-ray absorptiometer for determining total body and regional (arms, legs, trunk) bone mineral density (BMD), bone mineral content (BMC), fat mass (FM), lean tissue mass (LTM), total body mass, and percent fat. Ninety-two healthy adult males (n = 36) and females (n = 56) were scanned consecutively on the iDXA and the Prodigy dual-energy X-ray absorptiometers. For iDXA, relative to Prodigy, paired t tests indicated significantly lower estimates for total body and regional BMD and BMC (p < 0.001). Measures of total body and trunk FM, LTM, and percent fat did not differ between the instruments. In regional analyses, estimates of FM and percent fat were greater, and that of LTM was lower, in the arms (p < 0.001). In contrast, iDXA estimates of LTM were higher in the legs (p < 0.001). All body composition measures were significantly correlated (p < 0.001). Bland-Altman analyses indicated that significant bias existed between iDXA and Prodigy for total body and regional BMD estimates (p < 0.001) such that iDXA underestimated BMD to a greater extent in persons with higher values. In addition, iDXA overestimation bias existed for FM in total body, arms, and legs, and the overestimation was primarily observed in participants with greater body fat (p < 0.001). When combining or comparing data from iDXA with those from Prodigy, investigators should be aware that certain total body and regional estimates are significantly different. The greatest percent differences were observed for arm BMD, FM, and percent fat.

Three-Compartment Body Composition in Academy and Senior Rugby League Players.

To compare the body size and 3-compartment body composition between academy and senior professional rugby league players using dual-energy X-ray absorptiometry (DXA). Academy (age 18.1 ± 1.1 y, n = 34) and senior (age 26.2 ± 4.6 y, n = 63) rugby league players received 1 total-body DXA scan. Height, body mass, and body-fat percentage alongside total and regional fat mass, lean mass, and bone mineral content (BMC) were compared. Independent t tests with Cohen d effect sizes and multivariate analysis of covariance (MANCOVA), controlling for height and body mass, with partial eta-squared (η2) effect sizes, were used to compare total and regional body composition. Senior players were taller (183.2 ± 5.8 vs 179.2 ± 5.7 cm, P = .001, d = 0.70) and heavier (96.5 ± 9.3 vs 86.5 ± 9.0 kg, P < .001, d = 1.09) with lower body-fat percentage (16.3 ± 3.7 vs 18.0 ± 3.7%, P = .032, d = 0.46) than academy players. MANCOVA identified significant overall main effects for total and regional body composition between academy and senior players. Senior players had lower total fat mass (P < .001, η2 = 0.15), greater total lean mass (P < .001, η2 = 0.14), and greater total BMC (P = .001, η2 = 0.12) than academy players. For regional sites, academy players had significantly greater fat mass at the legs (P < .001, η2 = 0.29) than senior players. The lower age, height, body mass, and BMC of academy players suggest that these players are still developing musculoskeletal characteristics. Gradual increases in lean mass and BMC while controlling fat mass is an important consideration for practitioners working with academy rugby league players, especially in the lower body.

Association between Adult Stature and Energy Expenditure in Low-Income Women from Northeastern Brazil.

BackgroundPerinatal undernutrition may lead to important metabolic adaptations in adult life, short stature being the most visible. The present study aimed to evaluate the association between stature and total energy expenditure of low-income women.MethodWomen aged 19–45 years from low-income communities in Maceió-AL were recruited. A sample of 67 volunteers was selected and divided into either short stature (≤152.4 cm; n = 34) or non-short stature (≥158.7 cm; n = 33) group. Data on socioeconomic status, anthropometric variables, and hormonal profiles was collected. Total energy expenditure and body composition were assessed by the doubly labeled water technique with multiple points over 14 days. In addition, physical activity levels were measured with triaxial accelerometers and dietary intake data were collected using three 24-hour food records.ResultsThe mean subject age was 30.94 years. Women of short stature had lower body weight and lean body mass compared to non-short women, but there were no differences in thyroid hormone concentrations or daily energy intake between the two groups. Short-stature women showed lower total energy expenditure (P = 0.01) and a significantly higher physical activity level (P = 0.01) compared to non-short women. However, the difference in total energy expenditure was no longer significant after statistical adjustment for age, lean body mass, and triiodothyronine concentrations.ConclusionWomen with short stature present the same energy intake, but lower total energy expenditure than non-short women, even with a higher physical activity level, which suggests that they are more prone to weight gain.

Food group preferences and energy balance in moderately obese postmenopausal women subjected to brisk walking program.

The objective of the study was to examine the effects of a 16-week walking program on food group preferences and energy balance of sedentary, moderately obese (body mass index, 29-35 kg/m(2)), postmenopausal Caucasian women, aged 60 ± 5 years old. One hundred and fifty-six volunteers were subjected to 3 sessions/week of 45 min of walking at 60% of heart rate reserve. Total energy intake (TEI) and food group preferences (3-day dietary record), total energy expenditure (TEE, 3-day physical activity diary), cardiorespiratory fitness (2-km walking test), anthropometry, and body composition (bioelectrical impedance) were measured before and after walking. Data were statistically analyzed using an ANOVA with repeated measures on 1 factor (time). The modest increase in TEE of 151 ± 24 kcal/day (p < 0.0001) leads to body weight, fat mass losses, and waist girth reduction (p < 0.0001). TEI remained unchanged despite a slight decrease in carbohydrate intake and a minor increase in protein intake (p < 0.05). Analysis of food records revealed a decreased consumption of fruits (p < 0.05) and sweet and fatty foods (p < 0.01), but an increase in oil consumption (p < 0.0001) after walking. Women with the highest body weight loss showed the greatest reduction in the consumption of fruits, sugar, sweet foods, and fatty foods (p < 0.05). Women with the greatest fat mass loss showed the highest decrease in fatty food intake (p < 0.05). In conclusion, although our walking program changed some food group consumption patterns, body weight loss was primarily because of the increased TEE.

Correlation between Body Composition and Walking Capacity in Severe Obesity.

BackgroundObesity is associated with mobility reduction due to mechanical factors and excessive body fat. The six-minute walk test (6MWT) has been used to assess functional capacity in severe obesity.ObjectiveTo determine the association of BMI, total and segmental body composition with distance walked (6MWD) during the six-minute walk test (6MWT) according to gender and obesity grade.SettingUniversity of São Paulo Medical School, Brazil; Public Practice.MethodsFunctional capacity was assessed by 6MWD and body composition (%) by bioelectrical impedance analysis in 90 patients.ResultsThe mean 6MWD was 514.9 ± 50.3 m for both genders. The male group (M: 545.2 ± 46.9 m) showed a 6MWD higher (p = 0.002) than the female group (F: 505.6 ± 47.9 m). The morbid obese group (MO: 524.7 ± 44.0 m) also showed a 6MWD higher (p = 0.014) than the super obese group (SO: 494.2 ± 57.0 m). There was a positive relationship between 6MWD and fat free mass (FFM), FFM of upper limps (FFM_UL), trunk (FFM_TR) and lower limbs (FFM_LL). Female group presented a positive relationship between 6MWD and FFM, FFM_UL and FFM_LL and male group presented a positive relationship between 6MWD and FFM_TR. In morbid obese group there was a positive relationship between 6MWD with FFM, FFM_UL, FFM_TR and FFM_LL. The super obese group presented a positive relationship between 6MWD with FFM, FFM_TR and FFM_LL.ConclusionsTotal and segmental FFM is associated with a better walking capacity than BMI.

Integrated total body composition and localized fat-free mass assessment

The study of body composition can be used to verify one’s state of fitness and the effectiveness of a training program. The aim of the study is to present the integration of this method for total and segmental assessment of body composition. 59 elite soccer players (aged 22.47 ± 5.58 years, height 1.81 ± 0.08 m) were enrolled for the study. Before the season and after 50 days of training, a body composition assessment was carried out. For the measurement of fat mass, folds of skin in 8 different regions were used. To evaluate cell mass and hydration status, bioimpedance with both whole-body and vector methods was used. The localized evaluation was performed by assessing bioelectrical values of the quadriceps, hamstrings and calf. Data before and after 50 days of soccer training were compared (t test for paired data). The values of body composition were within the normal range for the sample. After 50 days of training, there was a significant increase in BMI mainly dependent on extracellular water. The fat did not undergo quantitative changes but only a change in distribution occurs. Lower limb muscles showed an increase in the amount of water more significant than the total body assessment. An integration of fat and fat-free mass in athletes allows us to determine different adaptations to training methods. The assessment of body segments under more stress by physical training provides more specific information than the total body assessment in athletes. This method could evaluate a peripheral status of hydration and cellular mass.

Precision Error in Dual-Energy X-Ray Absorptiometry Body Composition Measurements in Elite Male Rugby League Players

Body composition analysis using dual-energy X-ray absorptiometry (DXA) is becoming increasingly popular in both clinical and sports science settings. Obesity, characterized by high fat mass (FM), is associated with larger precision errors; however, precision error for athletic groups with high levels of lean mass (LM) are unclear. Total (TB) and regional (limbs and trunk) body composition were determined from 2 consecutive total body scans (GE Lunar iDXA) with re-positioning in 45 elite male rugby league players (age: 21.8 ± 5.4 yr; body mass index: 27.8 ± 2.5 kg m−1). The root mean squared standard deviation (percentage co-efficient of variation) were TB bone mineral content: 24g (1.7%), TB LM: 321 g (1.6%), and TB FM: 280 g (2.3%). Regional precision values were superior for measurements of bone mineral content: 4.7–16.3 g (1.7–2.1%) and LM: 137–402 g (2.0–2.4%), than for FM: 63–299 g (3.1–4.1%). Precision error of DXA body composition measurements in elite male rugby players is higher than those reported elsewhere for normal adult populations and similar to those reported in those who are obese. It is advised that caution is applied when interpreting longitudinal DXA-derived body composition measurements in male rugby players and population-specific least significant change should be adopted.