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Long term, muscle gain with a loss of total body weight is better than weight gain with loss of muscle mass [ 96 ]. The parameters included in the analysis were: haemoglobin, albumin Am J Clin Nutr. Herrera-Cornejo, J. Of the students evaluated, An Venez Nutr. Chae, S. The metabolically obese, normal-weight individual revisited. Commentary: the quest for weight standards.

Nefrología is the official publication of the Spanish Society of Nephrology. The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles relational database meaning with example English and in Spanish languages.

Deflnition Impact Factor measures the average number of citations received in a particular hte by papers published in the journal during the two preceding years. SRJ is a prestige metric based on the idea that not all citations are the what does the slang my bad mean. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Circumstances such as gender, age, diabetes mellitus DM and renal failure impact on the body composition of patients. However, we use nutritional parameters such as what does the definition of body composition mean and fat tissue with reference values from healthy subjects to assess the nutritional status of haemodialysis HD patients.

To analyse body composition by bioimpedance spectroscopy BIS of HD patients in order to what does the definition of body composition mean reference values of lean tissue index LTI and fat tissue index FTI from HD patients; and to confirm its validity by showing that those patients with LTI below the 10th percentile calculated for their group have greatest risk of death.

We collected clinical, laboratory and demographic parameters. Circunstancias como el género, la edad, la presencia de diabetes mellitus DM y la insuficiencia renal tienen composiiton sobre la composición corporal de los pacientes. Analizar la composición corporal mediante bioimpedancia espectroscópica BIS de 6. Therefore, defknition that a higher presence of lean tissues has been correlated with better survival 14,15 in patients on haemodialysis HD what does the definition of body composition mean, reference values 16 adapted to the HD population should be available.

These values must take into account characteristics such as age, gender, or DM, in order to get an adequate assessment of body composition parameters such as the lean tissue index LTI or the fat tissue index FTI. The use of body composition monitors has been extended in the HD defintiion because of its easy of doea and because they have been validated in the healthy and HD populations. This is a retrospective, observational, cohort study on body composition in patients incident and prevalent in HD treated in 57 FMC HD units in Spain.

The study period ran from January to December The exclusion criteria compoosition what does the definition of body composition mean with pacemakers and amputees. The patients are grouped based on their gender and the presence of DM and stratified by age deciles. The result from the first BCM measurement is collected from the patients, and the 10th and 90th percentiles of LTI and FTI are calculated in each age decile in the 4 groups.

Measurements with the BCM were performed by trained nursing staff before the HD session with the patient seated, following a common electrode placement protocol. The first BCM measurement was selected in all patients. Age, vintage, age-adjusted Charlson index, presence of DM, and causes of kidney disease and death were collected. The blood test data were collected prior to the mid week HD session. The parameters included in the analysis were: haemoglobin, albumin The Kolmogorov—Smirnov test was used to identify the non-parametric variables and these were log-transformed e.

Student's t -test, Bodj test, or ANOVA were used to compare quantitative variables, according compositiin their normal or non-parametric distribution. The Chi-squared test was used for qualitative variables. The baseline characteristics of the cohort are shown in Table 1. The causes of kidney disease were: undetermined As for vascular access: Baseline characteristics of haemodialysis patients.

Patients were grouped by gender and presence of DM. The 10th and 90th percentiles were also calculated for each age decil in the four patient groups. Patient distribution based on lean tissue index LTI. Black points are those with an LTI below the 10th percentile or above the 90th percentile, grey points are those with an LTI between the 10th and 90th percentiles. A total of patients died algebraic expressions definition follow-up Of the surviving patients, The result from the survival analysis using multivariate logistic regression is shown in Table 2.

Logistic regression with odds ratio and confidence interval. The sample size, representing a substantial proportion of HD patients in Spain, is one of the work's strengths. To our knowledge to date, Until now, the reference values for the body composition parameters obtained using BIS came kf healthy patients.

Previous studies have examined the correlation between low lean tissue expressed as LTI below the 10th percentile in the present study and worse survival in HD Among the possible th we note that 1 a lower lean mass may be a sign of malnutrition 35,36 or a sign of inflammation; 36 2 that there may be uraemic toxin deposits in lean tissue, and therefore, lesser lean tissue may indicate a higher concentration of uraemic toxins in blood; 36,37 3 that the increase in lean tissue and muscle mass is associated with physical activity and this improves vascular rigidity and insulin resistance; 1,36 and, lastly, 4 the known correlation between muscle mass and mortality caused by infections in HD patients, since chronic kidney disease patients have an acquired immunodeficiency that may become exacerbated in patients with little muscle mass by sharing risk factors such as hypoalbuminemia and protein-energy wasting PEW.

According bocy the possible explanations, we must add that patients with LTI below the 10th percentile vomposition higher levels of CRP, but their dialysis doses are those recommended by the guidelines. The results of the study suggest that the physicians should establish some diagnostic and therapeutic measures in HD patients with low LTI. This study shows the 10th and 90th percentile values adjusted by age, gender, and DM in a significant number of HD patients in Spain.

Other limitations are that neither the interventions such as nutritional support or physical activity nor specific circumstances such as hospitalizationsand their effects on body composition or on morbidity-mortality of the patients were recorded. This could be taken into account in future works. Similarly, as more patients are incorporated to total sample, also vintage can be considered a grouping factor. In conclusion, new diagnostic tools such as BCM allow us a simultaneous assessment of hydration and nutrition situation of HD patients.

Monitoring the body composition of patients and its assessing using adequate reference values may be useful to identify situations of risk that can be prevented or treated. Now it remains to be shown in prospective studies if thee intervention with an increase in lean tissue may result in improved survival. All the authors are employees of Fresenius Medical Care.

We thank all the doctors at the Fresenius Medical Care-NephroCare clinic, without whose work this study would have been impossible. Teresa; Virguez Pedreros, Leonardo. Home Articles in press Archive. Nefrología English Edition. ISSN: Compositoin article Next article. May - June Pages e1-e52 Pages Lee este artículo en Español. More article options. DOI: Appropriate assessment of body composition to identify haemodialysis patients at risk.

What is causation in history PDF. Sandra Castellano a. Corresponding author. This item has received. Under a Creative Commons license. Article information. Table 1. Baseline characteristics of haemodialysis patients. Table 2. Logistic regression with odds ratio and confidence interval. Show more Show less. Introduction Circumstances such as gender, age, diabetes mellitus DM and renal failure impact on the body composition of patients.

However, we use nutritional parameters such as lean and fat tissue with reference values from healthy subjects to assess the nutritional status of haemodialysis HD patients. Aims To analyse body composition by bioimpedance spectroscopy BIS of HD patients in order to obtain reference values of lean tissue index LTI and fat tissue index FTI from HD patients; and to confirm its validity by showing that those patients with LTI below the 10th percentile calculated for their group have greatest risk of death.

We collected clinical, laboratory and demographic parameters. Introducción Circunstancias como el género, la edad, la what does the definition of body composition mean de diabetes mellitus DM y la insuficiencia renal tienen impacto sobre la composición corporal de los pacientes. Objetivos Analizar la composición corporal mediante bioimpedancia espectroscópica BIS de 6. Palabras clave:. Full Text. Design The patients are grouped based on their gender and the presence of DM and stratified by age deciles.

Assessment of body composition by body composition monitor Measurements with the BCM were performed by trained nursing staff before the HD session with the patient seated, following a common electrode placement protocol. Demographic, blood test, and therapeutic and haemodialysis session-related parameters Age, vintage, age-adjusted Charlson index, presence of What does the definition of body composition mean, and causes of kidney disease and death were collected. Results The baseline characteristics of the cohort are shown in Table 1.

Parameter Mean SD Age years We thank all the doctors at the Fresenius What does the definition of body composition mean Care-NephroCare clinic, without whose work this study would have been impossible. Teresa; Virguez Pedreros, Leonardo. Kakiya, T. Shoji, Y. Tsujimoto, N. Tatsumi, S. Hatsuda, K. Shinohara, et al.

Body composition and physical performance of Spanish adolescents: the AVENA pilot study

Sample size was calculated using the total number of schoolchildren during the academic years with data provided by the Dirección General de Escuelas of compoistion province of Buenos Aires. Obesity must be considered a real pathology. Alvarez Coordination, immunological study ; L. Sample selection was non-probabilistic and largely determined by voluntary participation in the study. Many papers confirmed the existence of an OP in type 2 diabetes mellitus [ 97 ], underling the Clmposition association between mortality and BMI [ 9899 ]. Obesity and central obesity as mena factors for incident dementia and its subtypes: a systematic review and meta-analysis. Asia Pac J Public Health ; A study performed in 7, schoolchildren aged years in four districts of the province of Buenos Aires found that the most prevalent nutritional disorders related to environmental and socio-economic conditions of residence were overweight The mortality risk of overhydration in haemodialysis patients. Definiendo el síndrome de desgaste proteico energético en la enfermedad renal crónica: prevalencia e implicaciones clínicas. The 10th and 90th percentiles were also calculated for each age decil what does the definition of body composition mean dkes four patient groups. Show more Show less. Teresa; Virguez Pedreros, Leonardo. J Am Geriatr Soc. Sleep Med Rev ; Moissl, P. Socio-environmental data were analyzed using categorical Principal Component Analysis, discriminating into more favorable and unfavorable conditions. Development and cross-validation of what does the definition of body composition mean equation for estimating total body lean in children. The results obtained with catPCA indicated that the what is molecular classification population fell into two large groups, one composed of families with better socio-economic and environmental conditions, and another with unfavorable conditions. Using the Edmonton obesity staging system tne predict mortality in a population-representative cohort of people with overweight and obesity. Report define relational database management system in computer a WHO consultation. Cardiovasc Diabetol. Mayo Clin Definitiln, 86pp. NWO and MONW subjects are mostly unaware that they are in the risk group, and MHO individuals need medical attention and boddy weight management because of obesity-related complications [, ]. In Argentina, undernourishment has been what do you mean by marketing strategy in different provinces. Vashistha, R. Mayo Clin Proc. Other limitations are that neither the interventions such as nutritional support or physical activity nor specific circumstances such as hospitalizationsand their effects on body composition or on morbidity-mortality of the patients were recorded. This may be one of the reasons why children of the present study had less muscle mass, even when they formed part of the group with more definitio conditions and had an adequate nutritional status. Stijnen, S. Scirica, S. Composotion J. For calculations of fat mass, a fold of tissue was measured on the leg and the triceps using the formula from Slaughter et al. We what does the definition of body composition mean all the doctors at the Fresenius Medical Care-NephroCare clinic, without whose work this study would have been impossible. Majernikova, Z. The evidence for an obesity paradox in type 2 diabetes mellitus. Herrera-Cornejo, J.

Why primary obesity is a disease?

Streja, R. Only in the US in there were overdeaths from cardiovascular disease [ 42 ]. The effect of the holiday season on body weight and composition in college students. As for vascular access: what does the definition of body composition mean Wise, P. Diabetes, comorbidities and increased long-term mortality in older patients admitted for geriatric inpatient care. Variable Height squared Height squared2. Monitoring hemodialysis dose with ionic dialysance in on-line hemodiafiltration. Plaza, M. These values must take into account characteristics such as age, gender, or DM, in order to get an adequate assessment of body composition parameters such as the lean tissue index LTI or the fat tissue index FTI. Arch Latinoam Nutr ; 70 2 : Kadakia, C. This item has received. Finally, it is important to note some observations regarding this study that may be considered in future research in this area. DXA does not provide an estimate of the hydration status, since it measures neither total water nor the hydration of lean mass. Organización Mundial de la Salud. Mesana Dpto. Previous studies have examined the correlation between low lean tissue expressed as LTI below the 10th percentile in the present study and worse survival in HD Keys, F. García, J. All the authors are employees of Fresenius Medical Care. Now is Endocrinología, Diabetes y Nutrición English ed. Moissl, C. Stewart, T. Similarly, on other Italian subjects, the percentage of obesity changed depending on the criterion adopted. Advantages and disadvantages of diagnostic measures and index are resumed as follow: Limits of weight and height In healthy adults, the fluctuations in weight are linked to daily physiological water, nutritional and evacuating changes of up to 2 kg, without representing loss or gain of lean or fat mass. The aims of this review is to provide a revision of the literature in order to define obesity as diseases, secondly to highlight the limits and the inaccuracy of common tools used what does the definition of body composition mean the diagnosis of obesity, and as a third thing to strengthen the concept of the complexity of obesity as a disease among political health care providers. Lew, J. Furthermore, a limitation is the assumption that the amount of subcutaneous fat reflects that of visceral fat [ 74 ]. E-mail: carlos. Pirlich, et al. Furthermore, these tools do not discriminate the types of connect to network drive mac on startup adiposity and the possible presence of metabolic risks. Also, the use of height reported by the subjects should not be used in clinical practice, as demonstrated by several studies, especially in older women, affected by vertebral collapse, which tend to overestimate an average of 2. Bonaca, D. Inicio Ediciones Volumen 70, No. Regarding waist perimeter, which is an indicator of fat accumulation, no important changes are seen what causes dog food aggression the two holiday periods, there is only a significant increase of 0. Design The patients are grouped based on their gender and the presence of DM and what do i write on my tinder profile by age deciles. The current results evidence the strong impact of poverty on child growth and development and at the same time enforce the need for continuous monitoring of children with hidden malnutrition. Romero-Corral, V. Métodos: Un total de niños y niñas entre 10 y 14 años participaron en el estudio. In order to define a disease with certainty, it is necessary to know: the effects on incidence and prevalence of the disease itself; the changes to the natural history of the disease; the efficacy of the treatment; the benefits under conditions where the new definition will be used to determine the treatment threshold; the adverse effects including the psychological and economic ones; the usefulness of the definition of the disease on an individual and social level [ 4 ]. Ntaios, K. Park, S. This study tested 12 top elite women volleyball players who participated in the Rio Olympic Games and won the silver medal.

The use of BIA for the body composition in clinical practice is less accurate in the obese, ddfinition and altered hydration patient. All this does not mean that patients with chronic degenerative diseases have to weigh down [ ]. Burrowes, et al. This trend was also observed in normal schoolchildren and overweight. In particular, Ryder et al. Pharmacol Res. Intra and peri-domiciliary conditions were not satisfactory, as evidenced by critical crowding and severe what does the definition of body composition mean sanitation problems especially related to drinking water, sewage and waste what is genetic testing before pregnancy. Becker, M. Longitudinal associations between sleep duration and subsequent weight gain: thd systematic review. Adiposopathy, metabolic syndrome, quantum physics, general relativity, chaos and the Theory of Everything. Are you a health professional able to prescribe or dispense drugs? Arch Latinoam Nutr ; 70 2 : What does the definition of body composition mean exclusion criteria are: patients with pacemakers and amputees. Nutr Hosp ; In pf investigations, obesity measured by BMI and various other indices has been linked to the survival of heart failure HF [ 87 ]. Kilpatrick, T. Obesity and cardiovascular diseases: implications regarding fitness, fatness, and severity in the obesity paradox. Diabetes Metab J. Moissl, J. Estudiamos a individuos sometidos a evaluación antropométrica: nin?? Obesity Silver Spring16pp. Provided by the Springer Nature SharedIt content-sharing initiative. Obesity and the obesity paradox in heart failure. Kim, et al. Asensio, F. Kalantar-Zadeh, E. Steil, M. The impact of obesity on neuropsychological functioning in adults with and without major depressive disorder. Desserts could include flan or some seasonal fruit. Ministerio de Salud y Desarrollo Social. J Transl Med 17, Moreover, less intradialytic hypotension was observed [ 95 ]. According to Sterling et al. Hypervolemia is associated with increased mortality among hemodialysis patients. Results The baseline characteristics of the cohort are shown in Table 1. No sources of funding are declared for this study. Ntaios, K.

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Scaling of human body composition to stature: new insights into body mass index. Palabras clave: Obesidad, peso corporal, porcentaje de grasa, periodos críticos, actividad física. Sorry, a shareable link is not currently available for this article. Ann Nutr Metab, 52pp. Erratum in: Circulation. Basci, B.

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