Concurrent and Construct Validity of Methods to Estimate Fat-Free Mass in Children, Adolescents, and Young Adults

INTRODUCTION: Indirect methodologies are available to estimate fat-free mass (FFM) as a skeletal muscle mass surrogate in field settings at low cost. However, there is a lack of knowledge related with the FMM estimations variability introduced by the available methods and its correlations with performance constructs. The association between repeated measures of FFM by different methodologies and strength tests must provide a valuable construct validity analysis, which allows us to select the best method to assess the functional body composition. PURPOSE: To analyze validity and agreement between laboratory and field methods to estimate FFM in children, adolescents, and young adults, and their relationships with strength. METHODS: We studied a dataset of participants aged 6-21y (531 assessments, 287 boys). FFM was evaluated by isotope dilution method (REF), dual-energy X-ray absorptiometry (DXA), bioelectrical impedance analysis (BIA) and anthropometry (ANT). Isometric strength was assessed by limb dynamometry and dynamic strength as sprinting and jumping. Concurrent validity was analyzed by differences between methods and concordance correlation coefficient (CCC), agreement by Bland-Altman analysis, and construct validity by individual associations. RESULTS: FFM from ANT had the lowest bias in girls (-2.33±4.41kg, P≤0.0001) and from BIA in boys (-1.79±4.51kg, P≤0.0001). The best CCC was found for FFM-BIA (girls, 0.764; boys, 0.926). The highest correlation with constructs was found for handgrip and FFM-BIA in girls (r=-0.743) and FFM-REF in boys (r=0.812; both P≤0.001). CONCLUSION: Our results showed BIA was the best method to estimate FFM. Nonetheless, there was not a single method which correlated the best with all strength constructs. The low coordinative requirement of isometric strength test could be one of the reasons to find a better correlation with FFM than explosive dynamic tests, and this leads us to speculate that isometric strength is more dependent of body composition than dynamic tests. These findings needed to be refuted with additional constructs

Apicobasal Polarity Controls Lymphocyte Adhesion to Hepatic Epithelial Cells

Loss of apicobasal polarity is a hallmark of epithelial pathologies. Leukocyte infiltration and crosstalk with dysfunctional epithelial barriers are crucial for the inflammatory response. Here, we show that apicobasal architecture regulates the adhesion between hepatic epithelial cells and lymphocytes. Polarized hepatocytes and epithelium from bile ducts segregate the intercellular adhesion molecule 1 (ICAM-1) adhesion receptor onto their apical, microvilli-rich membranes, which are less accessible by circulating immune cells. Upon cell depolarization, hepatic ICAM-1 becomes exposed and increases lymphocyte binding. Polarized hepatic cells prevent ICAM-1 exposure to lymphocytes by redirecting basolateral ICAM-1 to apical domains. Loss of ICAM-1 polarity occurs in human inflammatory liver diseases and can be induced by the inflammatory cytokine tumor necrosis factor alpha (TNF-α). We propose that adhesion receptor polarization is a parenchymal immune checkpoint that allows functional epithelium to hamper leukocyte binding. This contributes to the haptotactic guidance of leukocytes toward neighboring damaged or chronically inflamed epithelial cells that expose their adhesion machinery

Estudio del estado nutricional de los ancianos de Cantabria Study of the nutritional status of elders in Cantabria

Introducción: El envejecimiento de la población representa uno de los retos más importantes desde el punto de vista biosanitario. Objetivo: Valorar el estado nutricional de las personas de 65 y más años de Cantabria. Métodos: Un total de 1605 personas fueron evaluadas por medio del MNA; a) en atención primaria (59,9% en la consulta y 4,7% en domicilios) y, b) en residencias de ancianos (35,4%). Resultados: La puntuación nutricional (PN) obtenida de la suma de los ítems del MNA fue 23,4 &plusmn; 4,1 para las mujeres y 24,4 &plusmn; 4 en los varones (p Introduction: Population ageing is a main concern under the biosanitary point of view. Aim: To assess the nutritional status of people 65 year-old and older in Cantabria (Spain) Method: A total of 1605 persons were studied by means of the MNA (Mini Nutritional Assessment); a) by primary care (59.9% in the unit, and 4.7% at home) and, b) in nursing homes (35.4%). Results: Nutritional score (NS) was 23.4 &plusmn; 4.1 for women and 24.4 &plusmn; 4 in males (p < 0.001). We emphasize the fact that 22.3% of people studied in the nursing homes were malnourished or at risk of malnutrition, compared with 14.2% of those studied at the unit, and only 3.3% of the home visited elders. The correlation between the value of the NS and the subjective estimation of nutrition status showed a high value (0.65). We emphasize the negative correlation (-0.53) between BNI value and the incidence of skin lesions. Conclusion: Our results highlight the importance of identifying malnutrition or its risk in elders in order to prevent the negative consequences of this deficiency