Body Composition & Weight Management Flashcards

1
Q

Rationale for Body Comp Assessment

A
  • Indicates many chronic diseases
  • Detection of obesity
  • Its development are of primary importance for many health and exercise science professionals
  • Assessment of muscle mass
  • Bone density
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2
Q

Chronic Diseases indicated by Body Comp Assessment

A
  • Type 2 diabetes
  • Hypertension
  • Hyperlipidemia
  • Metabolic syndrome
  • CAD
  • Certain types of cancer
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3
Q

Assessment of Muscle Mass (Rationale for Body Comp Assessment)

A
  • LBM

- Muscle wasting (sarcopenia)

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4
Q

Bone density (Rationale for Body Comp Assessment)

A

Risk of osteoporosis

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5
Q

Selection of Methodology for Body Comp Assessment

A
  • There are no direct in vivo methods
  • Cost
  • Availability
  • Technician training
  • Individual characteristics
  • Performance requirements
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6
Q

Criticism of BMI (Health Risk Assessments)

A
  • Poor predictor of % body fat
  • Results in inaccurate classifications for some individuals
  • SEE + 5% for predicting % body fat
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7
Q

For non-athletic population Health Risk Assessments are…

A

Reasonably accurate

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8
Q

Therefore, BMI meets the… (Health Risk Assessments)

A

Objectives of assessing health risk

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9
Q

Direct Body Comp Method

A
  • Chemical analysis of the whole body or cadaver

- Not suitable for living human body comp assessment

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10
Q

Indirect Body Comp Method

A
  • Derived from the direct method of chemical analysis

- Hydrodensitometry

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11
Q

Doubly Indirect Body Comp Method

A
  • Derived from an indirect method
  • Generally prone to greater error in measurement
  • Skinfold analysis
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12
Q

Property-Based Methods (Indirect Methods)

A
  • Measurement of body volume
  • Decay properties of specific isotopes
  • Electrical resistance
  • Estimation of total body water (TBW) from tritium dilution (most common)
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13
Q

Component-Based Methods (Indirect Methods)

A
  • The measured quantity is first assessed using a property-based method and
  • The component is estimated by application of the model
  • FFM can be estimated from body water by use of tritium dilution to measure TBW
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14
Q

Body Fat Prediction Equation Selection

A
  1. To whom is the specific % body fat equation used applicable?
  2. Was an appropriate compartment model used to develop the equation used?
  3. Was a representative sample of the population studied?
  4. How were the predictor variables measured?
  5. Was the equation cross-validated in another sample of the population?
  6. Does the equation give accurate estimates of % body fat?
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15
Q

General Error Concepts in Body Comp Assessment

A

No method is perfect; Error is expressed as the + SEE
+ 1 SEE refers to 68% of population
SEE is a measure of the variability of a population’s actual % BF values

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16
Q

Example of General Error Concepts in Body Comp Assessment

A

-68% of similar individuals (16.5 to 23.5%)
-32% have % BF values > + 3.5%
=< 16.5% or > 23.5%

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17
Q

Skinfold Analysis

A
  • Considered a doubly indirect method
  • Based on 2C model
  • Based on the principle that amount of subcutaneous fat is directly proportional to the total amount of BF
  • Specific skinfold regression equation used must match population measured
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18
Q

However, proportion of subcutaneous fat to total fat varies with… (Skinfold Analysis)

A

Gender, age, race and other factors

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19
Q

Limitations of Skinfold Analysis

A
  • Technician training
  • Skinfold site measurement accuracy
  • Measurement technique
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20
Q

Bioelectrical Impedance Analysis (BIA)

A

Noninvasive and Easy-to-administer

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21
Q

Basic Premise of Bioelectrical Impedance Analysis (BIA)

A

Mass of FF tissue is proportional to the electrical conductivity of the body; LBM is good electrical conductor

22
Q

Fat is poor conductor (Bioelectrical Impedance Analysis (BIA)

A

Impedes electrical current

23
Q

Uses equations for % BF (3C model) using assumptions about

Bioelectrical Impedance Analysis (BIA

A
  • Hydration levels

- Exact water content of various tissues

24
Q

Factors affecting BIA (Bioelectrical Impedance Analysis (BIA)

A
-Fluid intake 
Meal timing
Bladder fullness
Diuretic or 
Caffeine use 
Recent exercise
25
Make sure person is of normal hydration (Bioelectrical Impedance Analysis (BIA)
-SEE is b/t + 3.5-5.0%
26
% BF consistently (Bioelectrical Impedance Analysis (BIA)
- Overestimated for lean people | - Underestimates obese people
27
Near-Infrared Interactance
- Based on principle of light absorption - Reflection using near-infrared spectroscopy to provide info about the chemical composition of body - A light wand device is positioned on a body part - Absorption of the infrared beam is measured - SEE reported > + 5.0%
28
Major limitation of Near-Infrared Interactance
Relatively small sampling area on body
29
Hydrostatic Weighing
- Considered criterion or gold standard - Based on Archimede’s principle - Can determine body density
30
How to determine body density from Hydrostatic Weighing
Db = mass/volume | -Db is then converted to % BF using 2C model equation
31
What must you know for Hydrostatic Weighing
- Residual volume - Density of water - Trapped gas in GI tract - Dry body weight - Body weight fully submerged in water
32
Density of lean tissue for Hydrostatic Weighing is assumed to be
- 1.10 g·cc-1 for all - African Americans > 1.11 g·cc-1 - Youths <1.09 g·cc-1 - SEE about + 2.5%
33
Major limitations of Hydrostatic Weighing
- Space - Plumbing - Cost - Specialized equipment - Time - Need for an accurate RV - Inherent fear many adults have in staying fully submerged
34
Clinical Assessment Procedures
- Computed tomography (CT) - Magnetic resonance imaging (MRI) - Non-invasively quantify volume of body tissue (such as fat) - Use multicompartment model - Can analyze muscle & bone density too - Can be high cost - Not very practical
35
Plethysmography: Air Displacement
- Body volume measured by air displacement rather than water displacement - Bod Pod uses a dual chamber plethysmograph that measures body volume - Changes in air pressure with a closed 2C chamber - SEE varies from + 2.2-3.7% - Can be expensive - Must wear tight fitting clothes
36
Dual-Energy X-ray Absorptiometry
- Based on 3C model - Used to assess total bone mineral content and estimate bone, fat, and lean tissue - Uses low-level radiation - Is safe, fast & accurate - Generally large and expensive - Precision about 1% with an SEE of about 1.8% BF
37
3C model of Dual-Energy X-ray Absorptiometry
- Total body mineral stores - Mineral-free lean mass - Fat mass
38
Although national standards have been developed and accepted for BMI and WHR
None exist for estimates of % BF
39
All standards for BF differ by...
- Gender | - Most by age
40
Body fat % standards from research revisions (1994) evaluated college-educated men and women
- Average college-aged male: 12-15% | - Average college-aged female: 22-25%
41
Essential Fat: Women (Body fat % standards)
8-12%
42
Athletic: Women (Body fat % standards)
12-22%
43
Minimal: Women (Body fat % standards)
10-12%
44
Recommended (over 56yrs): Women (Body fat % standards)
25-38% (obese = anything greater)
45
Recommended (35-55yrs): Women (Body fat % standards)
23-38% (obese = anything greater)
46
Recommended (34yrs or less): Women (Body fat % standards)
20-35% (obese = anything greater)
47
Essential Fat: Men (Body fat % standards)
3-5%
48
Athletic: Men (Body fat % standards)
5-13%
49
Minimal: Men (Body fat % standards)
5%
50
Recommended (over 56yrs): Men (Body fat % standards)
10-25% (obese = anything greater)
51
Recommended (35-55yrs): Men (Body fat % standards)
10-25% (obese = anything greater)
52
Recommended (34yrs or less): Men (Body fat % standards)
8-22% (obese = anything greater)