Body Composition & Obesity Flashcards

1
Q

What is BMI?

A

The most common measure of obesity
weight (kg)/ height (m^2)

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2
Q

Limitations of BMI?

A
  • Cannot distinguish different body composition
  • not suitable for pregnancy
  • shows that athletes who have high muscle mass have a high BMI however they have low body and no disease risks
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3
Q

BMI Table

A

<18.5= underweight
18.5-25= healthy
25-30= overweight
>30= obesity

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4
Q

2 compartment model

A

fat and fat-free mass (anything that is not fat like bone, muscles etc)

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5
Q

3 compartment model

A

fat-free mass, bone mass and lean mass (fat and bone free)

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6
Q

4 compartment model

A

better imaging

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7
Q

8 techniques of assessing body fat

A
  1. Densitometry
  2. Skinfold measurements
  3. Computed tomography (CT scan)
  4. Magnetic resonance imaging (MRI)
  5. Total body density (DXA)
  6. Age, height and weight tables and weight prediction equations
  7. Cadaver analysis
  8. Bioelectric impedance analysis (BIA)
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8
Q

Cadaver analysis

A
  • takes direct measure of body tissue
  • most accurate but impractical method
  • used to validate the accuracy of other devices
  • the majority of the data was taken from white males meaning there are limitations when seeing results for other ethnicities
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9
Q

Densitometry

A
  • density is proportional to fat-free mass (higher desity= higher FFM)
  • volume of water/ air displaced= volume of the object
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10
Q

Different methods of densitometry

A
  • air displacement
  • plethysmography (bod pod)
  • hydro densitometry (underwater weighing)
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11
Q

Bioelectrical impedance analysis

A
  • fat and lean tissue have different conductance (fat tissue= insulator; no water, lean tissue- conductor; contains water)
  • measures the impedance of electrical current (slower= more fat)
  • equations to predict body fat
  • can be affected by hydration status
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12
Q

Skinfold measures

A
  • takes mm measures of skin and fat thickness at various body sites
  • subcutaneous
  • sites: biceps, triceps, subscapular and supra-iliac, thigh, calf, abdomen
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13
Q

Computed tomography

A
  • 4C model
  • consists of radiation hence not recommended
  • expensive and time-consuming
  • high-density tissues show up whiter (bone) and low-density tissues show up darker grey (fat)
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14
Q

Magnetic resonance imaging

A
  • 4C model
  • magnet fields instead of radiation (preferred for research)
  • expensive and time-consuming
  • fat is lighter and bone is darker grey
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15
Q

Dual-energy X-ray absorptiometry

A
  • 3C model
  • low dose of radiation
  • less costly
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16
Q

Why is fat in the waist region problematic?

A

as it is more associated with greater disease risk (more amount of fat affects the functionality of the organs in the area)

17
Q

Different types of fat?

A

subcutaneous- the one you can see
visceral- around the organs (more bad for you compared to the other)

18
Q

Does liposuction help with disease risk?

A

no, as it does not target the visceral fat

19
Q

Reasons for obesity increase?

A
  • maladaptive lifestyle: energy imbalance
  • food supply
  • obesogenic environment
  • no change in our genetics
20
Q

Obesity

A

60%-75% genetic
25%-40% environment

21
Q

Body mass in twins

A

monozygotic twins (identical twins) have a strong intrapair correlation of 0.66 in body mass compared to dizygotic twins (genetically unique) 0.26

22
Q

Adverse molecules secreted by adipocytes

A
  • adipokines
  • enzymes
  • growth factors
  • inflammatory mediators
  • clotting factors