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The importance of the compartment model of body composition analysis in women with severe obesity.

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Title: The importance of the compartment model of body composition analysis in women with severe obesity.
Alternate Title: La importancia del modelo compartimental de análisis de composición corporal en mujeres con obesidad severa.
Authors: Vidal-Linhares, Renato1,2,3,4, Barros-Costa, Mônica5, Monnerat Marino-Rosa, Felipe3, André Castilla, Fábio3, Carlos do Vale-Quaresma, José6, Fernandes-Filho, José1,2,3
Source: Revista Facultad de Medicina de la Universidad Nacional de Colombia. Oct-Dic2021, Vol. 69 Issue 4, p1-6. 6p.
Subjects: BODY composition, WAIST-hip ratio, OBESITY in women, MORBID obesity, PHYSICAL therapy assessment, BODY mass index, MUSCLE mass
Geographic Terms: RIO de Janeiro (Brazil)
Abstract (English): Introduction. Obesity is usually diagnosed based only on body mass index (BMI), which may lead to an unreliable body composition analysis. Objective: To analyze the body characteristics of morbidly obese (class III) women referred to bariatric surgery using the compartment model of body composition analysis. Materials and methods: Cross-sectional study conducted in 2017 in 14 morbidly obese women aged between 25 and 51 years, who attended clinical and physical therapy assessment prior to undergo- ing bariatric surgery at a university hospital in Rio de Janeiro, Brazil. Body composition analysis was performed using an octopolar bioimpedance scale. The Pearson's correlation coefficient was used to analyze the correlation between variables, with a significance level of p<0.05. Results: A high mean percentage of fat body was observed (51.2%), mainly in the trunk. BMI was correlated with total fat in kilograms (r=0.93), total body fat percentage (TBF%) (r=0.67), total body water (r=0.63), and muscle mass (r=0.60); besides, a moderate correlation with the waist-to-hip ratio (WHR) was found (r=0.55). WHR showed a correlation with TBF% (r=0.60) and a moderate correlation with to- tal fat in kilograms (r=0.57). Moreover, the sarcopenia index was correlated with muscle mass (r=0.79) and total body water (r=0.78). All these correlations were statistically significant (p<0.05). There were no sarcopenia cases. Conclusion: A higher concentration of fat in the trunk and the upper limbs was observed in the study population; however, none of the participants had sarcopenia. On the other hand, BMI showed a stronger correlation with both total fat (kg) and TBF% than with WHR. Such findings suggest that assessing these patients based only on BMI or WHR may hinder the development individualized treatment strategies. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción. Por lo general, el diagnóstico de obesidad se basa en el índice de masa corporal (IMC), lo que puede resultar en un análisis de la composición corporal no confiable. Objetivo. Analizar las características corporales de mujeres mórbidamente obesas (Clase III) remi- tidas a cirugía bariátrica mediante el modelo compartimental de análisis de composición corporal. Materiales y métodos. Estudio transversal realizado en 2017 en 14 mujeres con obesidad mórbida con edades entre los 25 y 51 años que se encontraban en valoración clínica y por fisioterapia antes de someterse a cirugía bariátrica en un hospital universitario de Rio de Janeiro, Brasil. El análisis de la composición corporal se realizó mediante una balanza de bioimpedancia octopolar. Se utilizó el coeficiente de correlación de Pearson para analizar la correlación entre variables, con un nivel de significancia de p<0.05. Resultados. Se observó un alto porcentaje promedio de grasa corporal (51.2%), principalmente en el tronco. El IMC se correlacionó con la grasa total en kilogramos (r=0.93), el porcentaje de grasa corpo- ral total (r=0.67), el agua corporal total (r=0.63) y la masa muscular (r=0.60); además, se encontró una correlación moderada con el índice cintura-cadera (IC-C) (r=0.55). Por su parte, el IC-C mostró una correlación con el porcentaje de grasa corporal total (r=0.60) y una correlación moderada con la gra- sa total en kilogramos (r=0.57). Además, el índice de sarcopenia se correlacionó con la masa muscular (r=0.79) y el agua corporal total (r=0.78). Todas estas correlaciones fueron estadísticamente signifi- cativas. No se observó sarcopenia en la muestra. Conclusión. Se observó una mayor concentración de grasa en el tronco y las extremidades superiores, pero ninguna de las participantes tuvo sarcopenia. Por otra parte, el IMC mostró una mayor correla- ción con la cantidad de grasa (tanto en kilogramos como en porcentaje de grasa total) que con el IC-C. Estos hallazgos sugieren que evaluar este tipo de pacientes basándose únicamente en el IMC o el I-CC puede dificultar el desarrollo de estrategias de tratamiento individualizado. [ABSTRACT FROM AUTHOR]
Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Introduction. Obesity is usually diagnosed based only on body mass index (BMI), which may lead to an unreliable body composition analysis. Objective: To analyze the body characteristics of morbidly obese (class III) women referred to bariatric surgery using the compartment model of body composition analysis. Materials and methods: Cross-sectional study conducted in 2017 in 14 morbidly obese women aged between 25 and 51 years, who attended clinical and physical therapy assessment prior to undergo- ing bariatric surgery at a university hospital in Rio de Janeiro, Brazil. Body composition analysis was performed using an octopolar bioimpedance scale. The Pearson&#39;s correlation coefficient was used to analyze the correlation between variables, with a significance level of p&lt;0.05. Results: A high mean percentage of fat body was observed (51.2%), mainly in the trunk. BMI was correlated with total fat in kilograms (r=0.93), total body fat percentage (TBF%) (r=0.67), total body water (r=0.63), and muscle mass (r=0.60); besides, a moderate correlation with the waist-to-hip ratio (WHR) was found (r=0.55). WHR showed a correlation with TBF% (r=0.60) and a moderate correlation with to- tal fat in kilograms (r=0.57). Moreover, the sarcopenia index was correlated with muscle mass (r=0.79) and total body water (r=0.78). All these correlations were statistically significant (p&lt;0.05). There were no sarcopenia cases. Conclusion: A higher concentration of fat in the trunk and the upper limbs was observed in the study population; however, none of the participants had sarcopenia. On the other hand, BMI showed a stronger correlation with both total fat (kg) and TBF% than with WHR. Such findings suggest that assessing these patients based only on BMI or WHR may hinder the development individualized treatment strategies. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
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  Data: Introducci&#243;n. Por lo general, el diagn&#243;stico de obesidad se basa en el &#237;ndice de masa corporal (IMC), lo que puede resultar en un an&#225;lisis de la composici&#243;n corporal no confiable. Objetivo. Analizar las caracter&#237;sticas corporales de mujeres m&#243;rbidamente obesas (Clase III) remi- tidas a cirug&#237;a bari&#225;trica mediante el modelo compartimental de an&#225;lisis de composici&#243;n corporal. Materiales y m&#233;todos. Estudio transversal realizado en 2017 en 14 mujeres con obesidad m&#243;rbida con edades entre los 25 y 51 a&#241;os que se encontraban en valoraci&#243;n cl&#237;nica y por fisioterapia antes de someterse a cirug&#237;a bari&#225;trica en un hospital universitario de Rio de Janeiro, Brasil. El an&#225;lisis de la composici&#243;n corporal se realiz&#243; mediante una balanza de bioimpedancia octopolar. Se utiliz&#243; el coeficiente de correlaci&#243;n de Pearson para analizar la correlaci&#243;n entre variables, con un nivel de significancia de p&lt;0.05. Resultados. Se observ&#243; un alto porcentaje promedio de grasa corporal (51.2%), principalmente en el tronco. El IMC se correlacion&#243; con la grasa total en kilogramos (r=0.93), el porcentaje de grasa corpo- ral total (r=0.67), el agua corporal total (r=0.63) y la masa muscular (r=0.60); adem&#225;s, se encontr&#243; una correlaci&#243;n moderada con el &#237;ndice cintura-cadera (IC-C) (r=0.55). Por su parte, el IC-C mostr&#243; una correlaci&#243;n con el porcentaje de grasa corporal total (r=0.60) y una correlaci&#243;n moderada con la gra- sa total en kilogramos (r=0.57). Adem&#225;s, el &#237;ndice de sarcopenia se correlacion&#243; con la masa muscular (r=0.79) y el agua corporal total (r=0.78). Todas estas correlaciones fueron estad&#237;sticamente signifi- cativas. No se observ&#243; sarcopenia en la muestra. Conclusi&#243;n. Se observ&#243; una mayor concentraci&#243;n de grasa en el tronco y las extremidades superiores, pero ninguna de las participantes tuvo sarcopenia. Por otra parte, el IMC mostr&#243; una mayor correla- ci&#243;n con la cantidad de grasa (tanto en kilogramos como en porcentaje de grasa total) que con el IC-C. Estos hallazgos sugieren que evaluar este tipo de pacientes bas&#225;ndose &#250;nicamente en el IMC o el I-CC puede dificultar el desarrollo de estrategias de tratamiento individualizado. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Revista Facultad de Medicina de la Universidad Nacional de Colombia is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.15446/revfacmed.v69n4.86035
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      – SubjectFull: OBESITY in women
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