Week 3 Flashcards
Best practices when assessing client
- Choose appropriate fitness assessment battery given client’s goals and history
- Ensure testing location and equipment is appropriate
- Explain purpose of each test protocol and relate it to client’s goals/health
- Avoid pushing client beyond their limit
- Delay providing advice until entire assessment is completed
Considerations for body composition testing and prescription
- Sex and age
- Body image and eating disorders
- Scales vs other signs of progress
- Types of fat and explaining the role of each
Differences in fat distribution based on sex
- More evenly distribution in females
- Gut focused in males
Visceral fat
- near organs
- essential for insulation, protection and fuel
- excess puts you more at risk
Body composition and age
At 30 there is an increase in fat mass and decrease in lean mass (mostly muscle, some bone density after menopause
Direct methods of measuring body comp
MRI, CT, DXA
Indirect methods of measuring body comp
LAB BASED
- Hydrostatic weighing
- BodPod
FEILD METHODS
- skin folds
- BIA
- BMI
- Waist circumference
Magnetic Resonance Imaging (MRI)
- Body is placed in a strong magnetic field resulting in some of the hydrogen protons becoming realigned
- When magnetic field is turned off, hydrogen protons lose thier alignment and release energy
- This energy release varies depending on tissue type and is monitored and displayed along length of body
- radio waves used to read ion patterns
- Can reconstruct 3D image
- Not whole body measure (can’t give you %BF)
Computed Tomography (CT)
- Uses x-rays passed through the body with detectors on other side of body to monitor transmitted radiation
- transmitter rotates 360 degrees around body along length of body
- more accurate determineation of visceral adipose than MRI
- can reconstruct 3D
- Not whole body measure
- Not recommended due to radiation dose
Dual-Energy X-ray Absorptiometry (DXA
GOLD STANDARD
- low dose x-rays with two distinct energy peaks, one peak is absorbed mainly by soft tissue and the other by bone
- attenuation of X-rays is dependent on tissue density and chemistry
- estimate bone mineral, fat and lean soft tissue
- accounts for individual variability in bone mineral content
- can give %BF
Components of Two component model of body comp
- Fat
- Visceral
- subcutaneous - Fat-Free Mass
- Residual Chemicals
- Bone
- Muscle
- Water
- Organs/tissue
Two component model for measuring body comp
- Use a measure of body density to estimate %BF
- Population specific equations due to variations in proportion of water and minerals in FFB
What are the 5 assumptions that the two component model for estimating BF% is based on
- Density of fat same for everyone
- Density of FFB same for everyone
- No individual variations in density
- Density of FFB components are constant and proportions are constant
- Individuals only differ from reference body in amount of fat: assume 73.8% water, 19.4% protein, 6.8% mineral
Densitometry
uses density to determine %BF
Hydrostatic weighing
- Used to determine body density and percent fat
- previously considered “Gold standard”
- weight loss under water is proportional to volume of water displacement
- BV=BM-UWW
- BV must be corrected for air in lungs after maximal expiration and GI volume
- Db = BM/BV