Chapter 6 Flashcards

1
Q

Body composition?

A

Describes the amount and relative proportions of fat
mass (FM) and fat-free mass (FFM) in the human body

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2
Q

Body composition provides information regarding?

A

– Percent body fat (PBF)
– Fat distribution
– Body segment girth
– Bone density

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3
Q

Body composition used for?

A

– Reducing health risks associated with disease
– Designing safe and effective training programs
– Optimizing athletic performance

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4
Q

There are many benefits for measuring body composition in
all populations, such as?

A
  • PBF estimation provides information regarding health
    and fitness.
  • Detection of adiposity-based chronic disease (ABCD)
    – Excess BF is associated with several diseases.
  • Malnutrition and some weight-controlled sports can cause
    severe dehydration and BF levels.
  • Estimation of FFM and bone mineral density (BMD)
  • Assesses for risk of sarcopenia and osteopenia
  • Assesses for sarcopenic obesity
    – Low FFM and high FM
  • Individualization of exercise prescription and
    evaluation of an exercise program
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5
Q

Body composition methods can be classified as ____, ____, or ____ ____.

A

Body composition methods can be classified as direct,
indirect, or doubly indirect

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6
Q

Direct method?

A
  • In vitro: cadaver dissection and chemical analysis
  • In vivo: MRI, CT scans, and DXA scan
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7
Q

Indirect method?

A

Indirect method: measure one parameter to
estimate another
* E.g. Hydrostatic weighing (HW)
– Measures body volume
– Predicts PBF based on assumed FM and FFM densities

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8
Q

Different models have been proposed for characterizing
human body composition by discrete compartments?

A
  • Sum of compartments equal the individual’s body mass
  • Two-compartment model (2C): partitions body mass
    into FM and FFM
  • Widest application to body composition analysis
  • Limited by assumptions
  • Multicompartment models: partition body into more
    than two compartments, which provides more accurate
    results
  • Three-compartment model (3C): FM, dry FFM, and total body
    water (TBW)
  • Four-compartment model (4C): FM, TBW, BMD, and dry FFM
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9
Q

Describe anthropometry?

A

Measurement of the human body using simple
physical techniques

  • Height
    • Assess with a stadiometer.
    • Standard procedures include:
      – No shoes, heels together, erect posture, head level, and, after a
      deep inhalation, holding breath
  • Body mass
    • Assess on a calibrated scale.
    • Standard procedures include:
      – Participant wearing minimal clothing and assess at a standard time
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10
Q

Describe BMI?

A
  • Body mass index (BMI)
  • Assesses an individual’s mass relative to height
  • BMI = body mass (kg)/ height (m)2
  • Primary advantages
    • Easy measure to obtain
    • Easily classifies large populations as overweight or obese
    • Can be used to estimate ideal body weight
  • Primary disadvantages
    • BMI is a poor predictor of PBF.
    • Provides inaccurate classifications for certain populations
      – Muscular individuals
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11
Q

Describe circumference measurement use?

A

Circumference measures: estimate body composition
and provide specific reference to BF distribution
* BF distribution is an important indicator of
obesity-related health risks.

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12
Q

Android obesity related to? Advantages? Measurement accuracy?

A
  • Android obesity increases the risk of:
    – Hypertension
    – Metabolic syndrome
    – Type 2 diabetes
    – Dyslipidemia
    – Coronary artery disease
    – Premature death
  • Primary advantages
  • Easy to learn, quick to complete, and inexpensive
  • Measurement accuracy ranges from 2.5% to 4%.
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13
Q

Describe waist circumference?

A

Represents subcutaneous adipose tissue (SAT) and visceral
adipose tissue (VAT)

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14
Q

BF ____ is considered a bigger risk of CVD than ____ ____ BF.

A

BF distribution is considered a bigger risk of CVD than excess total BF.

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15
Q

Most effective to use ____ and ____ to assess cardiometabolic risk

A

Most effective to use WC and BMI to assess cardiometabolic risk

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16
Q

Hip circumference is
Inversely related to ____, ____, and ____ ____?

A

Hip circumference
Inversely related to CVD, diabetes, and early mortality

17
Q

What does waist to hip ratio indicate?

A

Ratio measure of waist circumference to hip circumference
* Indicator of BF distribution
* High WHR may indicate visceral obesity

18
Q

What is RFM?

A

Relative fat mass (RFM)
* 64 − (20 × height/waist circumference) + (12 × sex); sex = 0 for men and 1 for
women; measurements expressed in meters; used for adults 20 or older

Key findings:
* RFM-defined obesity prevalence is higher than when using
BMI
* Prevalence increased by 13.9 points and 12.0 points among
women and men respectively over the last 20 years
* Prevalence: 64.7% for women and 45.8% for men

19
Q

Hydrodensitometry?

A

Hydrodensitometry is a direct method for determining
body volume but an indirect method for predicting PBF.
* Also known as underwater/hydrostatic weighing

20
Q

What is hydrodensitometry based on?

A

Based on the Archimedes principle
* Body immersed in water is subject to a buoyant force
that results in the loss of weight equal to the weight of
the water displaced.
* Assumed density of BF is less than water, whereas FFM
density exceeds the density of water.
* Body density (BD) is then converted to PBF using a 2C
model equation.
– BD is inversely related to PBF

21
Q

Describe BIA?

A

Bioelectrical impedance (BIA)
* Small electrical current is sent through the body, and
the impedance to that current is measured.
* Lean tissue is a good electrical conductor, whereas fat is a poor
electrical conductor and impedes the electrical current.
* BIA estimates TBW and uses hydration levels to predict PBF.
* Noninvasive and easy to administer

Potential disadvantages
* Some devices cannot distinguish between intracellular and
extracellular fluid.
* Highly influenced by hydration levels
* Athletes must abstain from exercise 12-24 hours prior to
measurement to ensure accurate results.

22
Q

ADP?

A

Air displacement plethysmography (ADP)
* Measures body volume via changes in air pressure
using Boyle’s law
* Quick, noninvasive, comfortable assessment that
accommodates a wide range of populations

Potential disadvantages
* Expensive equipment
* Assumptions associated with equations
* Many potential sources of technical error

23
Q

DXA?

A

Gold Standard!
DXA is based on the attenuation of x-rays at two
energies as they pass through the body.
* 3C model including total body mineral stores, FM,
and FFM
* Generates information for the total body and specific
body regions

Potential advantages
* Easy to administer
* Higher comfort level for subjects
* Safe, fast, and accurate

Potential disadvantages
* Tall or overweight subjects may have to maintain a
cramped position, which could effect results.
* High cost and lack of portability

24
Q

Describe how to assess body composition in children?

A

Due to the effects of growth/maturation on FM, FFM,
and hydration state, body composition is difficult to
measure in children and adolescents.

  • BMI
  • Easy to obtain and used frequently in clinical settings
  • Does not distinguish between FM and FFM
  • Skinfold
  • Commonly used; accuracy is questionable
  • ADP
  • Accurate and modifiable for this population
  • BIA
  • Practical method but susceptible to measurement error
25
Q

Interpretation of PBF is complicated by three factors?

A

1) Lack of established/accepted universal standards
2) All measurements are indirect, so error should be
considered.
3) No universally accepted criterion measurement
* However, 12%–23% for men and 17%–26% for
women span the “good” category across a wide
age spectrum.

26
Q

Why is assessing body composition essential?

A

Assessing body composition is essential for determining
and tracking health status and aids in optimizing
physical performance.

27
Q

What body composition assessments are routinely used?

When more specific information is needed, ____, ____, ____. ____ should be used.

A

Skinfold measurements, hydrostatic weighing, BIA, and
ADP are routinely used.

When more specific information is needed, DXA, CT,
ultrasound, or MRI should be used.