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Body Composition Chapter 4. Body Composition. The relative proportion of fat and fat-free tissue in the body Body composition is not determined by body weight per se, but what the weight is composed of Most commonly uses the 2-compartment model. Confusing Terminology.
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Body Composition • The relative proportion of fat and fat-free tissue in the body • Body composition is not determined by body weight per se, but what the weight is composed of • Most commonly uses the 2-compartment model
Confusing Terminology • Overweight- deviation in body weight from some standard in relation to height • Overfat- body fat greater than some standard (BMI ≥ 25) • Obesity- higher amounts of fat that detrimentally affects health (BMI ≥ 30)
Health Consequences of Obesity • Coronary Heart Disease • Hypertension • Type II Diabetes • Hyperlipidemia • Cancers • Orthopedic problems • Poor self-image
Body Composition Terminology • Fat weight (FW)- total fat amount in pounds • % fat- percentage of total body weight that is fat weight • Fat-free weight (FFW) – total fat-free tissue in pounds • % fat-free- percentage of total body weight that is fat-free tissue
Fat Weight + Fat-Free Weight = Body Weight% Fat + % Fat Free = 100%
Computational Example • Weight = 200 lbs; % fat = 20%; • Fat Weight = 200 x .20 = 40 lbs • Fat-Free Weight = 200 - 40 = 160 lbs
Computing Ideal Weight • Ideal Weight = FFW / Ideal % FFW • Example • Body Wt = 180; %fat = 20%; What is ideal body weight at 10% fat? • FW = 180 lbs x .20 = 36 lbs • FFW = 180 - 36 = 144 lbs • IBW = 144 / .90 = 160 lbs
Components of Fat-Free Weight • Muscle • Bone • Organ Systems
Components of Fat Weight • Essential Fat • most is non-visible • associated with deeper body structures • Non-essential or Storage Fat • Beneath the skin and visible • Adipose tissue fat
Gender Differences In Body Fatness Gender Differences in Body Composition
Gender Differences • Females are proportionately fatter than males (as % of body mass) • Female sex hormones promote fat deposition • Male sex hormones promote muscle growth • Most of the female’s increase in fatness is due to an increase in the essential fat stores • Males and females have similar levels of non-essential fat
Quantification of Body Composition • Height/Weight Ratio • Body Mass Index (BMI), Quetelet Index • Body density or % fat • Waist to Hip Ratio
Height/Weight Ratio • Subjective measure • Assumes an average proportion of weight is fat • May incorporate frame size • Not a very desirable method
Body Mass Index • Weight/Height2 ; kg/meters2 • Extensively used in epidemiology studies • Most commonly used measure to define obesity • Does not measure fatness
Problems With BMI • Weight = 280 lbs • Height = 77 inches • %fat = 30% (obese) • BMI = 33 (obese) • Weight = 280 lbs • Height = 77 inches • %fat = 15% (healthy) • BMI = 33 (obese)
Waist/Hip Ratio • Waist circumference/Hip circumference • Waist- smallest circumference between the umbilicus and xiphoid process • Hip – largest circumference around the buttocks • Implication is that as waist get bigger there is more abdominal storage fat
Density and % Fat • Hydrodensitometry • (Underwater Weighing) • Hydrostatic Weighing • Air Displacement Plethysmography • Anthropometry • Skinfolds • Circumferences & Diameters • Bioelectrical Impedance
Hydrodensitometry (UWW) • Measures body volume using Archimedes' principle • Loss of weight in water is equal to the weight of the volume of water displaced • Density = mass or weight/volume
Advantages of Hydrodensitometry • One of the most accurate methods • Disadvantages of Hydrodensitometry • Very subject dependent • Takes 15 minutes • Requires the ability to submerge subject under water • High skill required of technician
Plethsmyography (Bod Pod) • Body volume is determined by using Boyle’s Law – volume is inversely proportional to pressure. • Bod Pod measures pressure differences. • Density = mass or weight/volume
Advantages of Plethysmography • Good accuracy • Little requirement from subject so good for children and older adults • Takes 5 minutes • Low skill required of technicial • Disadvantages of Plethysmography • Cost of equipment is $30,000
Skinfolds • Based on the principle that subcutaneous fat at various locations (ie. The skinfolds) is predictive of total body fatness • Most equations use at least 2 skinfolds • Generally, the more skinfolds the more accurate the prediction of body fatness
Advantages of Skinfolds • Subject has to do little • Many specific equations are available • Cost effective • Only takes 2-3 minutes • Moderate accuracy • Disadvantages of Skinfolds • High technical skill required
Bioelectric Impedance Analysis (BIA) • Measures the resistance to a small electrical current introduced into the body (Impedance) • Once the impedance is determined then body water is determined. • Principle is that water is a good conductor and fat is a poor conductor of the electrical current. • More resistance = less body water = more fat • Less resistance = more body water = more muscle
Advantages of BIA • Subject has to do little • Only need access to hand and foot • Equipment is relatively inexpensive- $2000 • Moderate accuracy • Disadvantages of BIA • Highly dependent on hydration status
Interpreting % Fat Values • All methods of measuring % fat have a certain amount of inaccuracy! This inaccuracy is determined by the Standard Error of Estimate (SEE). • The SEE tells you the amount of deviation from the true % fat you can expect from a particular method.
There is a 67% probability that the true % fat is within + or - one SEE from the measured value. • Example: Measure % fat = 20%; SEE = 3 % units of body fat There is a 67% probability that the true % fat is between + or - one SEE or 3 % units of fat. or between 17 - 23 %.
There is a 95% probability that the true % fat is within + or - two SEE from the measured value. • Example: Measured %fat = 20% SEE = 3 % There is a 95% probability that the true %fat is within + or - two SEE or 6% of the measured value or 14 - 26 %.
SEE of Common Methods • UWW – 1.5-2.5% • Plethysmography – 2.2-3.7% • Skinfolds – 3-4% • Bioelectric Impedance • Whole Body – 3-4% • Segmental – 4-6%
Healthy Values for %Fat • Reasonable & Healthy %fat Range • Males: 10 - 20% • Females: 15 - 30%
Computing UWW WT in air (kg) BD = Wt in air – WT in H2O - RV (L) +0.1 Density H2O
Converting Density to % FatSiri Equation 495 - 450 %fat = Density