301 research outputs found

    Body Fat Percentage and Hormonal Intrauterine Device Use Are Independently Associated with Self-Reported Menstrual Regularity in Young Adult Females

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    Menstrual regularity is a key indicator of energy availability, long-term bone density, and other important health information in females. The occurrence of a regular menstrual cycle indicates that an individual’s level of estrogen is supportive of strong bones and that they are achieving the caloric intake required to support their activity level. In contrast, an irregular menstrual cycle can be indicative of insufficient energy availability which may, over time, result in low bone mineral density and thus a higher risk of bone stress injuries. However, hormonal contraceptive use, including the rising use of intrauterine devices (IUDs), may mask these changes in menstrual regularity. PURPOSE: The purpose of this study was to examine factors related to self-reported menstrual regularity among a population of young, generally healthy females. METHODS: Participants were included if they were no more than 50 years of age at the time of enrollment and had less than 50% body fat as assessed via dual-energy x-ray absorptiometry (DXA). Participants were asked via questionnaire if they reported having a regular menstrual cycle, defined as menstrual periods occurring at predictable intervals and no missed periods in the past six months. Additionally, participants were asked if they were currently using any form of hormonal contraception, and if so, what type. A logistic regression was run with menstrual regularity (1 = regular; 0 = irregular) as the dependent variable and body fat percentage (BFP) and contraceptive type as the predictors. RESULTS: Out of the 76 participants (mean±SD age: 23.2±5.1 years; height: 164.5±6.5 cm; weight: 65.2±13.6 kg; BFP: 32.3±8.5%), 54 (71%) reported having a regular menstrual cycle. Of the 45 (59%) participants using hormonal contraception, 27 (60%) used a combined oral contraceptive pill, six (13%) used a progestin-only pill, nine (20%) used an IUD, two (4%) used a hormonal implant, and one (2%) used a vaginal ring. Overall, a higher BFP was associated with a greater likelihood of menstrual regularity (coefficient±SE: 0.08 ± 0.04; p = 0.04) while IUD use was associated with a lower likelihood (coefficient±SE: -1.8 ± 0.9; p = 0.04). No other hormonal contraception type was independently associated with self-reported menstrual regularity. CONCLUSION: These results collectively suggest, within a population of generally healthy, young adult females, that lower BFP and hormonal IUD use are both independently associated with a lower likelihood of having a regular menstrual cycle. When assessing the lack of a regular menstrual cycle, practitioners may consider hormonal IUD use as one potential factor in addition to a general assessment of body composition and energy availability. However, this analysis was limited by a relatively small sample size, which may have reduced the ability to detect the relationship between menstrual regularity and less commonly used contraceptive types. Future research is required to determine the relationship between these contraceptive types and menstrual regularity in generally healthy adult females

    The Effects of Severity of Losses of Well Clear on Minimum Operations Performance Standards End-To-End Verification and Validation Simulation Study for Integrating Unmanned Aircraft Systems into the National Airspace System Using Detect and Avoid Systems

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    As Unmanned Aircraft Systems (UAS) make their way to mainstream aviation operations within the National Airspace System (NAS), research efforts are underway to develop a safe and effective environment for their integration into the NAS. Detect and Avoid (DAA) systems are required to account for the lack of eyes in the sky due to having no human on-board the aircraft. The technique, results, and lessons learned from a detailed End-to-End Verification and Validation (E2-V2) simulation study of a DAA system representative of RTCA Special Committee(SC)-228s proposed Phase I DAA Minimum Operational Performance Standards (MOPS), based on specific test vectors and encounter cases, will be presented in this paper

    The Impact of Harvesting and Site Preparation on Stormflow and Water Quality in East Texas

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    In 1979, nine small forested watersheds were instrumented in East Texas to determine the effect of intensive forest management practices on water quantity and quality. Three replications of three treatments were used: 1) clearcutting - followed by shearing ant windrowing, 2) clearcutting - followed by roller chopping and 3) undisturbed control. Following treatment, the sheared and windrowed sites exposed 57% of the surface soil compared to 16% for the chopped watersheds. During 1981, the first year after treatment, stormflow volumes increased with the intensity of the site disturbance. Sites sheared produced the greatest amount of stormflow (5.76 inches), followed by chopped (3.26 inches) and the undisturbed watersheds (1.03 inches). Stormflow volumes decreased 66% and 57% on the sheared and chopped watersheds the second year following treatment. Stormflow volumes in 1983 were 2.46, 1.75 and 0.84 inches for the sheared, chopped and control watersheds, respectively. Sediment losses were significantly higher on the sheared watersheds (2,620 lb/acre) than the chopped (22 lb/acre), during 1981. By the fall of 1982, the exposure of mineral soil on the sheared sites decreased to 20% and to 4% on the chopped sites. For this reason and the lower volume of runoff, sediment loss for 1982 dropped to 71.3, 4.9 and 4.5 lb/acre for the sheared, chopped and undisturbed watersheds, respectively. Sediment losses in the third year following treatment continued decreasing on the sheared sites (30.9) and remained approximately the same on the chopped and control sites. Nitrate concentrations were significantly different between treatments during 1981: Sheared - 205 ppb, chopped - 96 ppb and control ~ 10 ppb. During 1982, although nitrate concentrations were lower, the sheared watersheds still had a significantly higher concentration. Nitrate concentrations in 1983 remained low at 54, 20 and 10 ppb for the sheared, chopped and control watersheds, respectively. Total nitrogen concentration on the sheared sites was 2,155 ppb, which was significantly higher than the chopped (999 ppb) or the control sites (996 ppb) for 1981. The first year total nitrogen export from the sheared sites (2.79 lb/acre) was 3.5 times greater than the chopped loss (0.76 lb/acre) and 12 times greater than the loss on the control sites (0.24 lb/acre). The second year following treatment, total nitrogen concentrations were not significantly different and total nitrogen loss on the sheared areas was less than half of the loss recorded from the control sites during 1981. Total nitrogen loss in the third year after treatment was reduced to 0.37, 0.20 and 0.08 lb/ acre for the sheared, chopped and control treatments, respectively. Total phosphorus concentrations for 1981 were 221, 85 and 54 ppb for the sheared, chopped and control watersheds, respectively. Total phosphorus loss for this period was only 0.297 lb/acre from the sheared treatments, but was significantly higher than the chopped or undisturbed treatments. A drop in sediment concentrations and runoff in 1982 reduced phosphorus losses on the sheared watersheds by over 90%. Total phosphorus export in 1983 decreased on sheared sites (0.019 lb/acre), but increased slightly on chopped (0.011 lb/acre) and control sites (0.006 lb/acre). Calcium, potassium and sodium concentrations during 1981, were highest for the chopped treatments, while magnesium concentrations were highest on the sheared treatments. Export of these elements was greatest from the sheared sites, except for calcium, which was lost in greater quantities on the chopped sites. During 1982 there was no significant difference between treatments for Ca, Mg, K and Na concentrations. Cation concentrations and losses on the treated watersheds continued declining in the third year following treatment. Increases in stormflow and sediment and nutrient losses appear to be temporary on sheared and chopped treatments. Rapid revegetation established surface cover and reduced mineral soil exposure. As the stabilization of sites continues, treatment differences should diminish. Limiting shearing and windrowing activities to the more gentle slopes will reduce first year erosion and prevent increases in sediment and nutrient losses. Roller chopping on the other hand, appears to cause only minor changes to water yield and quality on slopes of up to 25%

    Unmanned Aircraft Systems Detect and Avoid System: End-to-End Verification and Validation Simulation Study of Minimum Operations Performance Standards for Integrating Unmanned Aircraft into the National Airspace System

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    As Unmanned Aircraft Systems (UAS) make their way to mainstream aviation operations within the National Airspace System (NAS), research efforts are underway to develop a safe and effective environment for their integration into the NAS. Detect and Avoid (DAA) systems are required to account for the lack of "eyes in the sky" due to having no human on-board the aircraft. The technique, results, and lessons learned from a detailed End-to-End Verification and Validation (E2-V2) simulation study of a DAA system representative of RTCA SC-228's proposed Phase I DAA Minimum Operational Performance Standards (MOPS), based on specific test vectors and encounter cases, will be presented in this paper

    The Effect of Body Composition Methodology on Resulting Energy Availability Assessments

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    Energy availability (EA) is defined as the total daily energy available to an individual after accounting for that expended during exercise and standardized to fat-free mass (FFM). Generally, EA values less than 30 kcal/kg FFM/day are considered “low” and have been associated with deleterious effects on reproductive and hormonal health in females. However, it is unclear whether the method used to estimate FFM influences the resulting EA values to a degree that may affect interpretation and clinical decision-making. PURPOSE: To determine the effect of FFM values derived from various methods of body composition assessment on the resulting range and interpretation of EA values. METHODS: Four EA estimates were generated in 38 healthy females (mean ± SD age: 25.6 ± 6.2 years; height: 163.6 ± 7.4 cm; weight: 64.7 ± 13.8 kg) using different combinations within a reasonable range of lower and higher (25 and 35 kcal/kg bodyweight, respectively) energy intake values and lower and higher (3.5 and 7 kcal/kg bodyweight, respectively) exercise energy expenditure values. Resulting estimates were then standardized to FFM values from air displacement plethysmography (ADP), bioelectrical impedance spectroscopy (BIS), and bioelectrical impedance analysis (BIA) from both a research-grade (multi-frequency) and consumer-grade (dual-frequency) device. Resulting EA values were then compared to those using FFM from dual-energy x-ray absorptiometry (DXA). Each estimate was assigned to one of three EA “zones”: “low” (less than 30 kcal/kg FFM), “reduced” (30-44.9 kcal/kg FFM), or “adequate” (≥45 kcal/kg FFM). Individual EA estimates that were in different zones when compared between two devices were considered discordant. RESULTS: When compared to DXA-derived estimates, EA values were discordant in up to 13-16% of individuals depending on body composition method used. Discordant values were generally more common in the plots assuming higher (35 kcal/kg bodyweight) energy intake values and were most likely to be considered “adequate” using DXA-derived FFM versus “reduced” using alternate methods. CONCLUSION: EA estimates are generally robust to the method of body composition assessment used. However, divergent interpretations may occur in a small minority of individuals in which alternate methods may provide lower EA values than DXA

    A Between-sex Comparison of the Validity of Body Fat Percentage Estimates From Four Bioelectrical Impedance Analyzers

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    Bioelectrical impedance analysis (BIA) devices administer electrical currents through surface electrodes in contact with the hands and/or feet. The measured reactance and resistance of various bodily tissues to these currents are then used to estimate body fat percentage (BFP) and other body composition values of interest based on algorithms derived from validation data. Owing to different patterns of fat distribution between sexes, it is unclear whether the configuration of electrodes (i.e., hand-to-hand, foot-to-foot, or hand-to-foot) may affect the validity of these devices in males versus females. PURPOSE: The purpose of this study was to determine the validity of BFP values across four BIA devices – one consumer-grade foot-to-foot device (RENPHO Smart Bathroom Scale), one consumer-grade hand-to-hand device (Omron HBF-306), one consumer-grade octapolar device (InBody H20N), and one research-grade octapolar device (Seca mBCA 515/514) – against a criterion four-compartment model (4C), and to compare these values between males and females. METHODS: Seventy-four healthy participants (35 males and 39 females) were included in this analysis. Participants abstained from all food, fluid, caffeine, and alcohol for at least 8 hours prior to each visit. Total error (TE) was calculated as the root mean square error between the estimate of each BIA device and that of the 4C model. Standard error of the estimate (SEE) was defined as the residual standard error value from ordinary least squares regression. Constant error (CE) was calculated as the average difference between the estimate of each BIA device and that of the 4C model. RESULTS: Participants had a mean ±SD age of 27.2 ±7.3 years, height of 168.1 ±8.9 cm, weight of 72.2 ±16.7 kg, and 4C BFP of 24.9 ±9.2%. In the entire sample, ranges for validity metrics of interest were as follows: TE: 3.2% (Seca) to 7.2% (RENPHO); SEE: 3.3% (Seca) to 5.7% (RENPHO); CE: -0.02 ±3.4% (InBody) to -3.46 ±4.1% (Omron). Across all devices, both TE and SEE were lower in females, with the largest between-sex differences observed for the InBody and RENPHO. Both octapolar devices (InBody and Seca) exhibited low group-level error in males and females (all CE within ±0.32%). Meanwhile, the RENPHO and Omron devices generally underestimated BFP with a greater degree of underestimation in females (CE of -2.6% and -3.7%, respectively) than males (CE of -0.1% and -3.2%, respectively), particularly for the RENPHO. CONCLUSION: Among the four BIA devices investigated, octapolar devices tended to have higher validity overall. All devices demonstrated lower TE and SEE in females, with the greatest between-sex differences observed in the InBody and RENPHO models. Users should be aware that commercially available hand-to-hand or foot-to-foot BIA devices such as the Omron and RENPHO models used in this study may systematically underestimate BFP compared to a criterion 4C model. In contrast, hand-to-foot octapolar analyzers exhibit strong group-level validity in both sexes
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