Associations between diet, physical activity and body fat distribution: a cross sectional study in an Indian population.

BACKGROUND: Obesity is a growing health problem in India and worldwide, due to changes in lifestyle. This study aimed to explore the independent associations between dietary and physical activity exposure variables and total body fat and distribution in an Indian setting. METHODS: Individuals who had participated in the Indian Migration Study (IMS) or the Andhra Pradesh Children And Parents' Study (APCAPS), were invited to participate in the Hyderabad DXA Study. Total and abdominal body fat of study participants was measured using DXA scans. Diet and physical activity (PA) levels were measured using questionnaires. RESULTS: Data on 2208 participants was available for analysis; mean age was 49 yrs in IMS, 21 yrs in APCAPS. Total energy intake was positively associated with total body fat in the APCAPS sample: a 100 kcal higher energy intake was associated with 45 g higher body fat (95% CI 22, 68). In the IMS sample no association was found with total energy intake, but there was a positive association with percent protein intake (1% higher proportion of energy from protein associated with 509 g (95% CI 138,880) higher total body fat). Broadly the same pattern of associations was found with proportion of fat in the abdominal region as the outcome. PA was inversely associated with total body fat in both populations (in APCAPS, one MET-hour higher activity was associated with 46 g (95% CI 12, 81) less body fat; in the IMS it was associated with 145 g less body fat (95% CI 73, 218)). An inverse association was observed between PA and percentage abdominal fat in the IMS but no association was seen in the APCAPS population. CONCLUSIONS: In this Indian population, there was an inverse association between PA and body fat. Associations between body fat and dietary variables differed between the younger APCAPS population and older IMS population. Further longitudinal research is needed to elucidate causality and directions of these associations across the life course

The Correlation Between Body Fat Percentage and Peak Expiratory Flow in Children Aged 10-12 Years at SD Negeri 8 Dauh Puri

Background: The accumulation of fat decreases lung function. Peak expiratory flow is an indicator for assessing pulmonary function and can be used to identify the narrowing or obstruction of the airway. This study aimed to examine the correlation between body fat percentage and peak expiratory flow in children aged 10-12 years.Methods: This study was an analytical study with a cross-sectional design carried out in March 2019 at SD Negeri 8 Dauh Puri, Denpasar. Sampling was done by simple random sampling, and 84 samples were recruited who met the inclusion and exclusion criteria. Body fat percentage was measured using Bioelectric Impedance Analysis, while peak expiratory flow was measured using Peak Flow Meters. Data analysis was done using the Pearson Correlation test..Result: The Pearson Correlation Test showed a negative weak correlation between the percentage of body fat and peak expiratory flow with p=0.009 and a correlation coefficient of -0.284. It can be interpreted that the higher the body fat percentage, the higher the value of peak expiratory flow.Conclusion : There is a significant correlation between body fat percentage and peak expiratory flow in children aged 10-12 years at SD Negeri 8 Dauh Puri

Body image distortions and muscle dysmorphia symptoms among Asian men : do exercise status and type matter?

Theoretical Framework: Body image distortions and muscle dysmorphia symptoms were assessed among 78 Asian men who engaged in regular resistance training, aerobic training or did not engage in either. Method: Body fat and muscularity were measured and participants also completed the Muscle Dysmorphia Disorder Inventory. Results: Resistance trained men selected a body shape ideal that was higher in muscularity and lower in body fat. Aerobically trained men also reported higher perceived current Body Fat even though their actual levels were close to their ideal. Conclusion: The results suggest that specificity in body image distortion (e.g., perceived current-ideal versus perceived current-actual) when examining body image distortions might reduce conflicting findings in extant research

The effects of an individualized diet and exercise program on body fat levels in Taiwanese females aged 40-60 : a thesis presented in partial fulfillment of the requirements for the degree of Master in Nutritional Science

Obesity is increasingly common throughout the world and is associated with significant health problems. Middle-aged migrant women are one of the risk groups for obesity. Their body fat levels increase because of their age and menopause experiences. Besides, the change of lifestyle and eating habits after immigration also affects their body fat levels. Recent studies show the combination of diet and exercise may decrease body fat levels. This study is to observe the effects of a short-term diet and exercise intervention on body fat levels in middle-aged Taiwanese women in New Zealand. Thirty Taiwanese women aged between 40-60, who currently live in New Zealand were enrolled in this study. Body weight, height, skinfolds and circumferences were measured before and after the study. Subjects also completed a 24-hr diet recall, three-day diet record and answered a questionnaire to provide general information and an assessment of physical activity levels. Subjects were divided into an intervention group (n=17) and a control group (n=10). In the intervention group, subjects were given a personal diet and exercise program for 9 weeks according to their diet and physical activity levels subjects in the control group stayed with their own previous diet and exercise habits without any modification. The results of this study showed no significant differences (P>0.05) in body weight between both groups. However, body fat levels in the intervention group decreased significantly (p<0.001) compared to the control group. It was also found that subjects who had higher initial body weight and BMI, lost more body weight during the intervention. Besides, subjects who were more active during the intervention lost more weight. It was concluded that a short-term diet and exercise interventions might decrease body fat levels in middle-aged Taiwanese women in New Zealand

Body Fat is Associated with Decreased Endocrine and Cognitive Resilience to Acute Emotional Stress

*Objective:* Cortisol is elevated both in individuals with increased emotional stress as well as with higher percentages of body fat. Cortisol is also known to affect cognitive performance, particularly spatial processing, selective attention, and working memory. We hypothesized that increased body fat might therefore be associated with decreased performance on a spatial processing task, in response to an acute real-world stressor. &#xd;&#xa;&#xd;&#xa;*Design:* We tested two separate samples of subjects undergoing their first (tandem) skydive. In the first sample (N=78), subjects were tested for salivary cortisol and state-anxiety (Spielberger State Anxiety Scale) during the plane&#x27;s fifteen-minute ascent to altitude in immediate anticipation of the jump. In a second sample (N=20), subjects were tested for salivary cortisol, as well as cardiac variables (heart rate, autonomic regulation via heart rate variability) and performance on a cognitive task of spatial processing, selective attention, and working memory. &#xd;&#xa;&#xd;&#xa;*Results:* In response to the skydive, individuals with greater body fat percentages showed significantly increased reactivity for both cortisol (on both samples) and cognition, including decreased accuracy of our task of spatial processing, selective attention, and working memory. These cognitive effects were restricted to the stress response and were not found under baseline conditions. There were no body fat interactions with cardiac changes in response to the stressor, suggesting that the cognitive effects were specifically hormone-mediated rather than secondary to general activation of the autonomic nervous system. &#xd;&#xa;&#xd;&#xa;*Conclusions:* Our results indicate that, under real-world stress, increased body fat may be associated with endocrine stress-vulnerability, with consequences for deleterious cognitive performance

The Correlation Between Body Fat Distribution and Medial Tibiofemoral Joint Space Width in Obese Knee Osteoarthritis Patients

Background: Obesity is a major risk factor for knee osteoarthritis. The relationship between obesity and OA may not be simply due to a mechanical factor. Evidences suggest that metabolic factors related to body fat play important roles, but the specific type of fat that contributes to OA is unclear. The objective of this study was to examine the possible correlation between body fat distribution with knee OA.Methods: This study was a cross sectional study of OA patients with obesity visiting the Rheumatology and Geriatric-Internal Medicine clinics at Cipto Mangunkusumo Hospital between January-March 2016. Data was collected by consecutive sampling. Knee OA was diagnosed from clinical and radiologic evaluation based on American College of Rheumatology 1986 criteria. Body fat distribution was measured by bioelectrical impedance analysis (BIA). Conventional radiography of the knee was used to evaluate jointspace narrowing (JSN). The correlation between body fat distribution and joint space width was analyzed by bivariate analysisResult: A total of 56 subjects were recruited, majority were women (73.2%). Median visceral fat was 12% (7.5-16.5), median subcutaneous fat was 30.2% (16.5-37.9), and median visceral to subcutaneous fat ratio was 0,40 (0,26-0,80). The mean medial tibiofemoral joint space width was 2.34 mm (SD 0.78). Bivariate analysis revealed a correlation between visceral fat and medial tibiofemoral joint space width (r: -0,474 p: < 0,001). There is no correlation between subcutaneous fat and medial tibiofemoral joint space width (r: -0,187 p:0,169); and visceral to subcutaneous fat ratio and medialtibiofemoral joint space width (r: -0,225 p: 0,09).Conclusion: Visceral fat is correlated with medial tibiofemoral joint space width (r: -0.474 p: < 0.001). There is no correlation between subcutaneous fat, and visceral to subcutaneous fat ratio, with medial tibiofemoral joint space width

Behavioural compensatory adjustments to exercise training in overweight women

&lt;b&gt;Purpose:&lt;/b&gt; To examine extent to which changes in non-exercise physical activity contribute to individual differences in body fat loss induced by exercise programs. &lt;b&gt;Methods:&lt;/b&gt; Thirty four overweight/obese sedentary women (age: 31.7 +/- 8.1 years, BMI: 29.3 +/- 4.3 kg m-2) exercised for 8 weeks. Body composition, total energy expenditure (TEE), exercise EE (ExEE), activity EE (AEE) calculated as energy expenditure of all active activities minus ExEE, sedentary EE (SEDEE), sleeping EE (SEE), and energy intake were determined before and during the last week of the exercise intervention. &lt;b&gt;Results:&lt;/b&gt; Over the 8-week exercise program net ExEE was 30.2 +/- 12.6 MJ and based on this, body fat loss was predicted to be 0.8 +/- 0.2 kg. For the group as a whole, change in body fat (-0.0 +/- 0.2 kg) was not significant but individual body fat changes ranged from -3.2 kg to +2.6 kg. Eleven participants achieved equal or more than the predicted body fat loss and were classified as 'Responders' and 23 subjects achieved less than the predicted fat loss and were classified as 'Non-responders'. In the group as a whole, daily TEE was increased by 0.62 +/- 0.30 MJ (p&#60;0.05) and the change tended to be different between groups (Responders, +1.44 +/- 0.49 MJ; Non-responders, +0.29 +/- 0.36 MJ, p=0.08). Changes in daily AEE of Responders and Non-responders differed significantly between groups (Responders, +0.79 +/- 0.50 MJ; Non-responders, -0.62 +/- 0.39 MJ, p&#60;0.05). There were no differences between Responders and Non-responders for changes in SEDEE and SEE or energy intake. &lt;b&gt;Conclusion:&lt;/b&gt; Overweight and obese women who during exercise intervention achieve lower than predicted fat loss are compensating by being less active outside exercise sessions

Dairy foods and dairy protein consumption is inversely related to markers of adiposity in obese men and women

A number of intervention studies have reported that the prevalence of obesity may be in part inversely related to dairy food consumption while others report no association. We sought to examine relationships between energy, protein and calcium consumption from dairy foods (milk, yoghurt, cheese, dairy spreads, ice-cream) and adiposity including body mass index (BMI), waist (WC) and hip circumference (HC), and direct measures of body composition using dual energy X-ray absorptiometry (% body fat and abdominal fat) in an opportunistic sample of 720 overweight/obese Australian men and women. Mean (SD) age, weight and BMI of the population were 51 ± 10 year, 94 ± 18 kg and 32.4 ± 5.7 kg/m2, respectively. Reduced fat milk was the most commonly consumed dairy product (235 ± 200 g/day), followed by whole milk (63 ± 128 g/day) and yoghurt (53 ± 66 g/day). Overall dairy food consumption (g/day) was inversely associated with BMI, % body fat and WC (all p < 0.05). Dairy protein and dairy calcium (g/day) were both inversely associated with all adiposity measures (all p < 0.05). Yoghurt consumption (g/day) was inversely associated with % body fat, abdominal fat, WC and HC (all p < 0.05), while reduced fat milk consumption was inversely associated with BMI, WC, HC and % body fat (all p < 0.05). Within a sample of obese adults, consumption of dairy products, dairy protein, and calcium was associated with more favourable body composition

Identification of body fat tissues in MRI data

In recent years non-invasive medical diagnostic techniques have been used widely in medical investigations. Among the various imaging modalities available, Magnetic Resonance Imaging is very attractive as it produces multi-slice images where the contrast between various types of body tissues such as muscle, ligaments and fat is well defined. The aim of this paper is to describe the implementation of an unsupervised image analysis algorithm able to identify the body fat tissues from a sequence of MR images encoded in DICOM format. The developed algorithm consists of three main steps. The first step pre-processes the MR images in order to reduce the level of noise. The second step extracts the image areas representing fat tissues by using an unsupervised clustering algorithm. Finally, image refinements are applied to reclassify the pixels adjacent to the initial fat estimate and to eliminate outliers. The experimental data indicates that the proposed implementation returns accurate results and furthermore is robust to noise and to greyscale in-homogeneity

Fitness vs Fatness and Cardiovascular Health in Adolescents

Background: Adolescent obesity has been on the rise with studies showing obesity tracks into adulthood. Obesity is an independent risk factor for cardiovascular disease (CVD); CVD is the leading cause of adult death in the U.S. Previous research shows a strong positive relationship between physical activity (PA) and cardiovascular (CV) health even in an obese adult population. Thus, the relationship between adolescent physical fitness and lifetime risk for CVD and all-cause mortality should be investigated. Purpose: The purpose of this study is to determine associations between PA and adiposity with cardiovascular health in obese and non-obese weight adolescents, with the hypothesis that physical activity will be positively associated with cardiovascular health independent of adiposity. Methodology: A convenience sample of 30 adolescents (ages 12-18) from the community completed assessments of height, weight, a dual x-ray absorptiometry (DXA) scan, resting blood pressure, and a flow-mediated dilation ultrasound (FMD) as a measure of endothelial function and cardiac health. Participants wore an accelerometer for one week to track PA. Participants were assigned to non-obese and obese categories from DXA, the gold standard, measure of body fat. Activity level was also grouped by minutes of moderate-to-vigorous PA (MVPA) per day based on a median split of 15 minutes per day. FMD value was calculated as (maximum diameter – baseline diameter)/ baseline diameter x 100. Comparisons in FMD (dependent variable) between body fat and MVPA groups (independent variables) were made using t-tests and associations between body fat and MVPA were tested using linear regression adjusted for sex. Results: FMD data was only available for 10 participants: average age=14.6 (SD 1.8), 50% female, BMI=20.9 (2.6), FMD%=11.9 (8.5). There were no differences (p=.943) in FMD between the obese (mean FMD% = 12.2, SE 4.1) and non-obese (11.8, SE 3.4) groups. Similarly, when percent body fat was examined as a continuous variable, percent body fat was not associated with FMD (coefficient =0.16 (SE 0.31), p=.612). Those with greater than 15 minutes of MVPA per day had a higher FMD (15.0, SE 3.3) compared to those with less than 15 minutes of MVPA per day (8.9, SE 3.3, p=.024). When MVPA was examined as a continuous variable, MVPA was positively associated with MVPA (coefficient =.32 (SE 15), p=.067, however, not statistically significant. Discussion: Despite the small sample size, there does appear to be a positive association between FMD and MVPA in adolescents but not an association between FMD and percent body fat. These results suggest an important correlation between PA and cardiac health and may also support the notion that PA may be more important in overall CV health when compared to body composition. Clinicians should emphasize promoting physical activity among adolescents, and not just focus solely on body fat