ABSTRACT
BACKGROUND: The body adiposity index (BAI) comprises a simple method for estimating body fat (BF) that needs to be validated in patients with severe obesity. The present study aimed to determine BAI accuracy with respect to the determination BF in patients with severe obesity. METHODS: A cross-sectional prospective study comparing two methods for BF estimation was conducted in 433 patients with severe obesity between August 2012 to December 2014. BF was estimated by bioelectrical impedance analysis (BIA) with specific equations developed for BF estimation in patients with severe obesity and BAI. The BF estimation in 240 patients with severe obesity (Group 1: G1) was used to evaluate BAI limitations and to develop a specific equation in this population. The new equation proposed was validated in another 158 patients with severe obesity (Group 2: G2). RESULTS: There was a significant difference between BF determination by BIA and BAI (P = 0.039). The mean (SD) BF in G1 was 52.3% (6.1%) determined by BIA and 51.6% (8.1%) determined by BAI. Sex, waist-hip ratio (WHR) and obesity grade determined significant errors on BF estimation by BAI. A new equation (modified body adiposity index; MBAI) was developed by linear regression to minimise these errors [MBAI% = 23.6 + 0.5 × (BAI); add 2.2 if body mass index ≥ 50 kg m-2 and 2.4 if WHR ≥ 1.05]. The new equation reduced the difference [1.2% (5.9%), P < 0.001 to 0.4% (4.12%), P = 0.315] and improved the correlation (0.6-0.7) between methods. CONCLUSIONS: BAI present significant limitations in severe obesity and MBAI was effective for BF estimation in this population.
Subject(s)
Adiposity , Obesity, Morbid/diagnosis , Absorptiometry, Photon , Adult , Body Mass Index , Cross-Sectional Studies , Electric Impedance , Female , Humans , Linear Models , Male , Middle Aged , Prospective Studies , Waist Circumference , Waist-Hip RatioABSTRACT
Different parts of plant foods are generally discarded by consumers such as peel, stalk and leaves, which could however possess a nutritional value. However, few studies have analysed the composition of these marginal foods. The phenolic compound, flavonoid, polyamine, nitrate and pesticide contents of parts of vegetables that are usually discarded--but which were cultivated according to conventional and non-conventional procedures--were analysed to provide suggestions on how to improve the consumption of these parts and to reduce the production of urban solid waste. Few, but significant, differences between the two manuring procedures were observed. Higher nitrate content and the presence of organochlorine pesticides were found in conventional cultivated papaya peel, lemon balm leaves, jack fruit pulp, and beet stalk and peel. Discarded parts of plant foods such as stalk, leaves and peels can be used as a source of antioxidant compounds, such as phenolic compounds.
Subject(s)
Antioxidants/analysis , Crops, Agricultural/chemistry , Fertilizers , Food Contamination/prevention & control , Food, Organic/analysis , Nitrates/analysis , Pesticide Residues/analysis , Waste Products/analysis , Antioxidants/economics , Antioxidants/metabolism , Artocarpus/chemistry , Artocarpus/growth & development , Artocarpus/metabolism , Beta vulgaris/chemistry , Beta vulgaris/growth & development , Beta vulgaris/metabolism , Brazil , Carica/chemistry , Carica/growth & development , Carica/metabolism , Crops, Agricultural/economics , Crops, Agricultural/growth & development , Crops, Agricultural/metabolism , Cymbopogon/chemistry , Cymbopogon/growth & development , Cymbopogon/metabolism , Environmental Pollutants/analysis , Environmental Pollutants/metabolism , Fertilizers/adverse effects , Flavonoids/analysis , Flavonoids/economics , Flavonoids/metabolism , Food, Organic/economics , Hydrocarbons, Chlorinated/analysis , Hydrocarbons, Chlorinated/metabolism , Ipomoea batatas/chemistry , Ipomoea batatas/growth & development , Ipomoea batatas/metabolism , Manure , Nitrates/metabolism , Organic Agriculture/methods , Pesticide Residues/metabolism , Phenols/analysis , Phenols/economics , Phenols/metabolism , Waste Products/economicsABSTRACT
INTRODUCTION: Overweight and obesity are risk factors to appearance of cardiovascular diseases and anthropometry is important as clinical tool for planning and health policymaking at population level. Thus, aim of this work was to compare the simple body fat percentage (%BF) obtained straight by bioeletric impedance (BIA) to the one obtained by the equation of Segal et al (1988), which uses the BIA resistance value, overweight among adult women. METHODS: This study conducted with 86 adult women (50.5±11.0 years old). Body weight and height were measured and estimated the body mass index (BMI). %BF was assessed by BIA (Biodynamics® model 450) and Segal equation. RESULTS: %BF derived from BIA (38.0±4.6%) and Segal et al (1988) (38.7±8.1%) were similar (p=0.85). However, when the women were distributed, in two groups based on their BMI, overweight (n=40; BMI=27.3±1.2 kg/m²) and obesity (n=46; BMI= 36.2±5.1 kg/m²), the two methods presented results significant different (p=0.000). The %BF of overweight women was 34.6±3.6% by BIA and 30.3±2.1% when estimated by Segal equation. In obese women, the %BF was 41.0±3.0% and 46.0±2.6%, respectively. CONCLUSION: BIA overestimated %BF in overweight (+14.2%; +3.0 kg) and underestimated in obese (-10.9%;-4.4 kg) women.
