RESUMO
Introducción. La disminución del agua corporal es un proceso fisiológicamente natural vinculado al avance de la edad; la diabetes podría incrementar esta relación. Objetivo. Analizar el grado de correlación entre el porcentaje de agua corporal total con la edad en adultos con y sin diabetes mellitus tipo 2 de la población peruana. Material y Métodos. Estudio observacional, analítico, retrospectivo y transversal. Los datos provinieron de la encuesta nacional demográfica del año 2022. La población fue de 29 737 adultos, de los cuales 16 956 son mujeres y 12 781. La muestra fue el total de la población encuestada. Las variables fueron: diabetes mellitus tipo-2, agua corporal total (ACT), porcentaje de agua corporal, sexo, edad. Las pruebas empleadas fueron el chi-cuadrado de Pearson, V de Cramer y correlación de Spearman. Resultados. El porcentaje de adultos con bajos niveles porcentuales de agua corporal total fue más frecuente en diabéticos que en no diabéticos. En la prueba de asociación V de Cramer, se encontró asociaciones estadísticamente significativas, las cuales fueron de un efecto mayor en hombres que en mujeres con y sin diabetes. En hombres diabéticos, la edad y el ACT se correlacionan de forma moderada y negativa (Rho=-0,601), en no diabéticos, se correlacionó baja y negativamente (Rho=-0,237). En mujeres diabéticas, la correlación es baja y negativa (Rho=-0,308), mientras que, en no diabéticas, es muy baja (Rho=-0,056). Conclusión. Existe una mayor correlación negativa entre la edad y el agua corporal total en diabéticos que en no diabéticos de ambos sexos. Palabras Clave: agua corporal; diabetes mellitus tipo 2; correlación de datos; envejecimiento; Perú
Introduction. The decrease in body water is a physiologically natural process linked to the advancement of age; diabetes could increase this relationship. Objective.To analyze the degree of correlation between the percentage of total body water with age in adults with and without type 2 diabetes mellitus in the Peruvian population. Material and Methods. Observational, analytical, retrospective and cross-sectional study. The data came from the national demographic survey of the year 2022. The population was 29,737 adults, of which 16,956 are women and 12,781. The sample was the total population surveyed. The variables were: type-2 diabetes mellitus, total body water (ACT), percentage of body water, sex, age. The tests used were Pearson's chi-square, Cramer's V and Spearman's correlation. Results:The percentage of adults with low percentage levels of totalbody water was more frequent in diabetics than in non-diabetics. In Cramer's V association test, statistically significant associations were found, which were of a greater effect in men than in women with and without diabetes. In diabetic men, age and ACTcorrelated moderately and negatively (Rho=-0.601), in non-diabetics, it correlated low and negatively (Rho=-0.237). In diabetic women, the correlation is low and negative (Rho=-0.308), while in non-diabetics it is very low (Rho=-0.056). Conclusions. Thereis a greater negative correlation between age and total body water in diabetics than in non-diabetics of both sexes. Key words:body water; diabetes mellitus,type 2; correlation of data; aging; Peru
Assuntos
Humanos , Masculino , Feminino , Diabetes Mellitus Tipo 2 , Peru , Água Corporal , Envelhecimento , Correlação de DadosRESUMO
RESUMEN: Durante la práctica del paracaidismo, una deficiente composición corporal no sólo puede afectar el rendimiento deportivo, sino que, además, incrementa la probabilidad de sufrir una lesión o accidente grave. Conocer las características de sus componentes, podría ayudar a prevenirlas. El objetivo del estudio fue describir la composición corporal, ángulos de fase y agua corporal total en paracaidistas chilenos de alta competencia. Participaron del estudio 8 paracaidistas profesionales del Team Chile® (33,4 ± 4,9 años) con más de seis años de experiencia. La evaluación de las masas grasa, muscular, libre de grasa, magra y visceral, así como el ángulo de fase y el agua corporal total obtenida a través de impedancia bioeléctrica. Los deportistas presentaron un peso corporal de 76,7 ± 5,7 kg, estatura 1,72 ± 0,1 m e IMC 26,0 ± 1,9 kg/m2. La composición corporal promedio mostró un 20,6 ± 3,0 % de masa grasa, 44,9 ± 2,0 % de masa muscular y 79,4 ± 3,0 % de masa libre de grasa. El ángulo de fase promedio fue de 7,25 ± 0,33°. El agua corporal total de los participantes fue de 44,6 ± 3,2 1. Se concluye que los resultados obtenidos pueden ser utilizados por los profesionales de las ciencias del deporte como valores de referencia para el control de la composición corporal, fase angular y agua corporal en paracaidistas para optimizar el rendimiento deportivo y evitar lesiones.
SUMMARY: Unsuitable body composition in skydivers not only affect the sport performance but also could increase the probability of risk injury or severe accident; hence, to determine body composition characteristics could be helpful to prevent such events. This study aimed to describe body composition, phase angle, and total body water in highly trained Chilean skydivers. Eight Team Chile® professional skydivers (33.4 ± 4.9 years) with more than 6 years of experience participated in this study. Fat mass, muscle mass, fat-free mass, lean mass, visceral mass, phase angle, and total body water were measured by bioelectrical impedance. Skydivers had a bodyweight of 76.7±5.7 kg, a height of 1.72 ±0.1 m, and a body mass index of 26.0 ±1.9 kg/m2. Regarding body composition, they had a fat mass of 20.6 ±3.0 %, a muscle mass of 44.9 ±2.0 %, and a fat-free mass of 79.4 ±3.0 %. Phase angle and total body water were 7.25 ±0.3° and 344.6±3.2, respectively. The present findings could be useful to science sport professionals as reference values of body composition, phase angle, and total body water of highly trained skydivers to improve sports performance and avoid injuries.
Assuntos
Humanos , Masculino , Adulto , Aviação , Composição Corporal , Antropometria , Água Corporal , Chile , Impedância ElétricaRESUMO
RESUMEN La preeclampsia es una importante causa de mortalidad materna mundial, identificar de manera temprana las gestantes con riesgo de desarrollarla, es una medida preventiva de gran impacto. La medición del agua corporal se ha documentado desde 1994, y desde 2015 se demostró su relación con el riesgo de desarrollar preeclampsia. Por lo anterior se realizó una revisión de la relación del agua corporal y la preeclampsia hasta junio de 2019, con 17 artículos seleccionados. Producto de la revisión se concluyó que la medición del agua corporal en gestantes podría detectar la aparición de preeclampsia para establecer un seguimiento estricto temprano a las mujeres con mayor riesgo de presentarla. Estas mediciones se realizan con métodos sencillos, no invasivos y de bajo costo, como la impedancia eléctrica por análisis espectral. Sin embargo, se requieren estudios con mayor rigor metodológico para el estudio de una prueba diagnóstica como la que se propone. MÉD.UIS.2021;34(2): 49-60.
ABSTRACT Preeclampsia is an important cause of maternal mortality worldwide. Early identification of pregnant women at risk of developing it is a preventive measure of great impact. Body water measurement has been documented since 1994, and since 2015 it was stablished its relationship with risk of developing preeclampsia. Therefore, a review of the relationship between body water and preeclampsia was carried out until June 2019, with 17 papers selected. As a result of the review, it was concluded that the measurement of body water in pregnant women could detect the appearance of preeclampsia to establish a strict early follow-up of women with a higher risk of presenting it. These measurements are made with simple, non-invasive and low-cost procedure, such as electrical impedance by spectral analysis. However, studies with greater methodological rigor are required for the study of a diagnostic test such as the one proposed. MÉD.UIS.2021;34(2): 49-60.
Assuntos
Humanos , Feminino , Gravidez , Mortalidade Materna , Pré-Eclâmpsia , Água Corporal , Gravidez , Indicadores de Morbimortalidade , Impedância Elétrica , Líquido Extracelular , PrevisõesRESUMO
PREGUNTA DE INVESTIGACIÓN: ¿Cuál será la composición corporal, el agua corporal total, y el agua extra e intracelular relacionados a los cambios después del ejercicio submáximo de 30 minutos y post rehidratación con agua pura en adultos residentes permanentes de gran altitud, La Paz, Bolivia, gestión 2019? OBJETIVO: Determinar la composición corporal, el agua corporal total, y el agua extra e intracelular relacionados a los cambios después del ejercicio submáximo de 30 minutos y post rehidratación con agua pura en adultos residentes permanentes de gran altitud, La Paz, Bolivia, gestión 2019. MATERIAL Y MÉTODOS: el trabajo de investigación fue tipo experimental, antes y después, sobre Fisiología de Altitud, en 29 jóvenes residentes de gran altitud (3600 m.s.n.m.). Se evaluó variables antes y después de realizar una prueba de ejercicio submáxima, de 30 minutos, y la rehidratación post ejercicio, tras el consumo de agua pura. Variables dependientes fueron: 1. Composición corporal, medida a través del análisis de impedancia bioeléctrica (AIB), 2. Volumen de agua corporal total, determinado por AIB. 3. Agua extra e intracelular evaluada por AIB y 4. Estado de rehidratación, evaluado por el cambio de peso post ejercicio, y mediante el AIB. Las variables independientes fueron el ejercicio a través de la prueba submáxima de 30 minutos y la rehidratación con agua pura. RESULTADOS: en jóvenes residentes de gran altitud, se estima que el porcentaje de agua corporal total en las mujeres está disminuida en relación a la referencia de poblaciones del nivel del mar. La masa grasa corporal está muy incrementada en las mujeres. La diferencia de agua basal versus el agua post ejercicio entre varones y mujeres no es significativa. La diferencia de agua del líquido extra e intracelular basal versus el agua post ejercicio entre varones y mujeres no es significativa. La diferencia en la distancia recorrida en 30 minutos de ejercicio de trote submáximo es estadísticamente significativa a favor de los varones (4424 vs. 3619 metros). La correlación del IMC y el porcentaje de masa grasa es muy baja (r=0.109). El IMC entre varones y mujeres no presenta diferencia estadísticamente significativa (26±3 vs 24±3 respectivamente). La frecuencia de exceso de grasa corporal evaluada por AIB, es del 55% en las mujeres y de 0% en varones. La presión arterial sistémica en varones (PS: 107±6 y PD:73± 4mmHg) y en mujeres (PS:104±8 y PD:70± 7mmHg), está disminuida en relación a referencia del nivel del mar. La frecuencia respiratoria esta incrementada tanto en varones (21±2) y mujeres (23±3). CONCLUSIONES: el método de AIB permite evaluar la composición corporal y el agua corporal total y por tanto la masa grasa, mismo que fue validado en altitud por el método estándar de referencia de dilución isotópica en estudios previos en altitud. El ejercicio de trote submáximo ejecutado, ha exigido más a los universitarios estudiados. Se verifica que en el mismo tiempo los varones han recorrido una mayor distancia que las mujeres. Se estima que en mujeres la masa grasa corporal (MGC) esta incrementada y que el exceso de grasa (obesidad) es del 55%. La diferencia del agua al momento basal y post ejercicio y el LEC y LIC entre varones y mujeres no es significativa. El IMC subestima en este grupo la frecuencia de obesidad, principalmente en mujeres. El uso de técnicas nucleares, ha permitido a través del análisis del deuterio estudiar el agua, la composición corporal, y se asocia fuertemente con determinaciones similares mediante el uso de la bioimpedancia eléctrica.
RESEARCH QUESTION: what will be the body composition, the total body water, and the extra and intracellular water related to the changes after submaximal exercise of 30 minutes and post rehydration with pure water in permanent resident adults of high altitude, La Paz, Bolivia, management 2019? OBJECTIVE: to determine the body composition, the total body water, and the extra and intracellular water related to the changes after submaximal exercise of 30 minutes and post rehydration with pure water in permanent residents of high altitude adults, La Paz, Bolivia, management 2019. MATERIAL AND METHODS: the research work was experimental, before and after, on Altitude Physiology, in 29 young residents of high altitude (3600 m.a.s.l.). Variables were evaluated before and after performing a 30-minute submaximal exercise test and post-exercise rehydration after consuming pure water. Dependent variables were: 1. Body composition, measured through bioelectrical impedance analysis (AIB), 2. Total body water volume, determined by AIB. 3. Extra and intracellular water evaluated by AIB and 4. Rehydration status, evaluated by post-exercise weight change, and by AIB. The independent variables were exercise through the 30-minute submaximal test and rehydration with pure water. RESULTS: in young residents of high altitude, it is estimated that the percentage of total body water in women is decreased in relation to the reference of sea level populations. Body fat mass is greatly increased in women. The difference in basal water versus post-exercise water between men and women is not significant. The difference in water from basal extra and intracellular fluid versus post-exercise water between men and women is not significant. The difference in distance covered in 30 minutes of submaximal jogging exercise is statistically significant in favor of men (4424 vs. 3619 meters). The correlation of BMI and the percentage of fat mass is very low (r = 0.109). The BMI between men and women did not present a statistically significant difference (26 ± 3 vs 24 ± 3 respectively). The frequency of excess body fat evaluated by AIB is 55% in women and 0% in men. The systemic blood pressure in men (PS: 107 ± 6 and PD: 73 ± 4mmHg) and in women (PS: 104 ± 8 and PD: 70 ± 7mmHg), is decreased in relation to the sea level reference. Respiratory rate is increased in both men (21 ± 2) and women (23 ± 3). CONCLUSIONS: the AIB method allows evaluating body composition and total body water and therefore fat mass, which was validated at altitude by the isotopic dilution reference standard method in previous studies at altitude. The submaximal trot exercise performed has demanded more from the university students studied. It is verified that in the same time the men have traveled a greater distance than the women. It is estimated that in women the body fat mass (FGM) is increased and that the excess fat (obesity) is 55%. The difference in water at baseline and post-exercise and the LEC and LIC between men and women is not significant. The BMI underestimates the frequency of obesity in this group, mainly in women. The use of nuclear techniques has allowed the analysis of deuterium to study water, body composition, and is strongly associated with similar determinations through the use of electrical bioimpedance.
Assuntos
Humanos , Água Corporal , Quantidade de Água , Ingestão de Líquidos , Altitude , Estudantes , Universidades , Exercício Físico , Taxa RespiratóriaRESUMO
Resumen Introducción: El jabón para el aseo cutáneo es de empleo común entre la población, sin embargo, es posible que cause daño a las células de la piel y modifique la barrera cutánea. Objetivo: Determinar el efecto citotóxico de los jabones en queratinocitos cultivados in vitro y correlacionarlo con la irritación clínica. Método: Se realizó una encuesta para conocer los jabones comerciales más utilizados y su cantidad; posteriormente, se evaluó su citotoxicidad en cultivos de queratinocitos humanos mediante el método de resazurina. Los jabones con mayor y menor citotoxicidad se aplicaron en piel de voluntarios sanos para evaluar su efecto en la barrera cutánea mediante ensayos de colorimetría y pérdida transepidérmica de agua. Resultados: De los jabones analizados, 37 % demostró ser tóxico para los queratinocitos in vitro. El jabón con mayor toxicidad indujo el mayor índice de eritema y pérdida transepidérmica de agua, en comparación con el jabón menos tóxico y el vehículo empleado como solución control. Conclusión: Los jabones comercializados para el aseo cutáneo pueden incluir ingredientes químicos que dañan los queratinocitos humanos y causan irritación subclínica de la barrera cutánea. Su utilización puede agravar dermatosis preexistentes, generar dermatitis xerósica o de contacto irritativa y causar atrofia y dermatoporosis.
Abstract Introduction: The use of soap for skin cleansing is common among the population. However, it is possible that it causes damage to skin cells and disrupts the skin barrier. Objective: To determine the cytotoxic effect of soaps on in vitro-cultured keratinocytes and to correlate it with clinical irritation. Method: A survey was conducted to find out the most widely used commercial soaps and their number. Subsequently, their cytotoxicity was evaluated in human keratinocyte cultures using the resazurin assay. The soaps with the highest and lowest cytotoxicity were applied to the skin of healthy volunteers to assess their effect on the skin barrier using colorimetry and transepidermal water loss (TEWL) assays. Results: Of the analyzed soaps, 37 % were shown to be toxic to keratinocytes in vitro. The soap with the highest toxicity induced the highest rate of erythema and TEWL, in comparison with the least toxic soap and the vehicle used as the control solution. Conclusion: Soaps marketed for skin cleansing can contain chemical ingredients that damage human keratinocytes and cause skin barrier subclinical irritation. Their use can worsen preexisting dermatoses, generate xerotic or irritant contact dermatitis, and cause atrophy and dermatoporosis.
Assuntos
Humanos , Sabões/efeitos adversos , Queratinócitos/efeitos dos fármacos , Testes de Irritação da Pele , Irritantes/efeitos adversos , Pele/efeitos dos fármacos , Sabões/química , Água Corporal , Células Cultivadas , Dermatite Irritante/etiologia , Colorimetria , Eritema/induzido quimicamente , Voluntários Saudáveis , Concentração de Íons de HidrogênioRESUMO
Resumen La hiponatremia es el trastorno hidroelectrolítico más frecuente observado en pacientes hospitalizados y es importante resaltar que se ha asociado a morbilidad y mortalidad de estos. Esta entidad representa un proceso fisiopatológico relacionado con una alteración en la homeostasis del agua, en la cual los pacientes presentan síntomas en su mayoría neurológicos, que se correlacionan con el nivel de sodio y el tiempo de aparición del trastorno. Se realizó una búsqueda en las bases de datos PubMed y Lilacs de monografías, artículos de revisión y artículos originales con el objetivo de revisar aspectos sobre la clínica, diagnóstico y manejo de la entidad. Para el diagnóstico, la batería de estudios se solicita en función del contexto clínico, actuando temprano y permitiendo la corrección del trastorno de acuerdo al escenario respectivo. La hiponatremia es un problema médico frecuente que bajo un abordaje práctico y sencillo permite tomar decisiones clínicas de forma oportuna. MÉD.UIS. 2020;33(2):85-93.
Abstract Hyponatremia is the most frequent hydroelectrolytic disorder observed in hospitalized patients and it is important to note that it has been associated with morbidity and mortality in this patients. This entity represents a pathophysiological process related to an alteration in water homeostasis, in which patients present symptoms mostly neurological, that correlate with the sodium level and the time of onset of the disorder. A search of the PubMed and Lilacs databases of monographies, review articles and originals articles was performed with the objective to review clinical, diagnostic and management aspects of this entity. For diagnosis, the clinical laboratory studies are requested depending on the clinical context, acting early and allowing correction of the disorder according to the respective scenario. Hyponatremia is a frequent medical problem that requires a practical and simple approach favoring clinical decisions in a timely manner. MÉD.UIS. 2020;33(2):85-93.
Assuntos
Humanos , Sódio , Eletrólitos , Hiponatremia , Água Corporal , Solução SalinaRESUMO
Introducción: El agua mantiene un rango normal en personas aparentemente sanas, el cual se altera ante la existencia de diversas enfermedades. Objetivo: Conocer cuánto se diferencian los valores de agua corporal total estimados por las ecuaciones de agua corporal total, de Kushner, de Deurenberg y de Heitman, con respecto a los obtenidos clínicamente por el método de impedancia bioeléctrica a 50 kHz. Métodos: Se realizó un estudio descriptivo y transversal, de abril a diciembre del 2018, en 62 individuos: 31 adultos aparentemente sanos y 31 niños y adolescentes con diferentes enfermedades, ingresados en el Hospital Infantil Docente Sur Dr. Antonio María Béguez César de Santiago de Cuba (24 en el Servicio de Misceláneas y 7 en el de Oncopediatría). El agua corporal total y los parámetros bioeléctricos se estimaron con el analizador de impedancia bioeléctrica Bodystat® 1500-MDD, a 50 kHz, por el método tetrapolar ipsilateral derecho. Se utilizó el criterio de Bland-Altman, para un 95 % de confianza, a fin de conocer si las ecuaciones de Kushner, de Deurenberg y de Heitman podían sustituir a la ecuación de referencia. Resultados: Las ecuaciones de agua corporal total, de Kushner y de Deurenberg no mostraron diferencias significativas respecto a la ecuación de referencia, mientras que la ecuación de Heitman sí presentó diferencias significativas en relación con el resto de las ecuaciones. El método de Bland-Altman demostró que la ecuación de Kushner posee mayor concordancia con la ecuación de referencia. Conclusiones: La ecuación de Kushner es la de mayor exactitud para la estimación del agua corporal total en personas sanas y en las afectadas por entidades clínicas.
Introduction: The water maintains a normal range in apparently healthy people, which changes with the existence of diverse diseases. Objective: To know how the values of total body water estimated by Kushner, Deurenberg and Heitman equations of total body water, differ regarding those obtained clinically by the method of bioelectric impedance at 50 kHz. Methods: A descriptive and cross-sectional study was carried out, from April to December, 2018, in 62 individuals: 31 apparently healthy adults and 31 children and adolescents with different diseases, admitted to "Dr. Antonio María Béguez César" Southern Teaching Children Hospital in Santiago de Cuba (24 in the Miscellaneous Service and 7 in Oncopediatrics Service). The total body water and the bioelectric parameters were considered with the analyzer of bioelectric impedance Bodystat® 1500-MDD, at 50 kHz, for the right ipsilateral tetrapolar method. The approach of Bland-Altman was used, for 95% of confidence in order to know if Kushner, Deurenberg and Heitman equations could substitute the reference equation. Results: Kushner and Deurenberg equations of total body water didn't show significant differences regarding the reference equation, while Heitman equation presented significant differences related to the rest of the equations. The Bland-Altman method demonstrated that the equation of Kushner has higher concordance with the reference equation. Conclusions: Kushner equation has the highest accuracy for the estimate of total body water in healthy people and in those affected by diseases.
Assuntos
Água Corporal , Impedância ElétricaRESUMO
A carne de frango é a mais consumida no Brasil. O alto consumo acarretou no aumento da produção avícola e uma maior preocupação com os casos de fraudes por absorção excessiva de água em carcaças. Objetivou-se avaliar o percentual de água resultante do descongelamento em carcaças de frangos comercializadas em Campo Grande MS. Foram avaliadas 30 amostras de frangos congelados, de cinco diferentes marcas, para avaliar o percentual de água resultante do descongelamento através do Método de Gotejamento ou Drip Test. Verificou-se que das 30 amostras analisadas, 23 (76,6%) estavam fora dos padrões estabelecidos pela legislação, por apresentarem absorção excessiva de água, que resultaram em maior gotejamento. O excesso de água absorvida indica falhas no processamento tecnológico e possível prática de fraude pelas indústrias.
Assuntos
Animais , Absorção , Alimentos Congelados/análise , Carne/análise , Água , Galinhas , Água CorporalRESUMO
ABSTRACT BACKGROUND: Malnutrition is a frequent condition among hospitalized patients and a factor of increased risk of postoperative complication. OBJECTIVE: This study aimed to evaluate the impact of malnutrition on phase angle (PA), body water distribution and clinical outcomes in surgical patients with colorectal disease. METHODS: This retrospective study was performed in a tertiary hospital with 40 patients admitted electively. In the preoperative evaluation, global subjective assessment and bioelectrical impedance analysis were performed to determine nutritional status, PA, extracellular water (ECW), intracellular water (ICW) and total body water (TBW). In postoperative evaluation, the length of hospital stay and severe complications, according to Clavien-Dindo classification, were determined. The optimal PA cutoff for malnutrition screening was determined by ROC curve analysis. RESULTS: Seventeen (42.5%) patients were diagnosed as malnourished and 23 (57.5%) as well-nourished according to global subjective assessment. Twelve (30.0%) patients developed severe complications. The malnourished group presented lower values of serum albumin (P=0.012), hematocrit (P=0.026) and PA (P=0.002); meanwhile, ECW/ICW (P=0.019) and ECW/TBW (P=0.047) were higher. Furthermore, 58.8% of malnourished patients developed severe postoperative complications compared to 8.7% of well-nourished. Malnutrition was independent predictor of severe postoperative complications (OR=15.00, IC: 2.63-85.68, P=0.002). The optimal PA cutoff obtained was 6.0º (AUC=0.82, P=0.001), yielding sensitivity, specificity, positive predictive value and negative predictive value of 76.5%, 87.0%, 81.3% and 83.4%, respectively. CONCLUSION: Malnutrition was an independent predictive factor for severe complications in patients underwent to elective major coloproctological surgery. Besides that, malnutrition was associated with lower PA values and greater ratio of ECW. The PA provided great accuracy in nutritional screening, implying a useful marker of malnutrition.
RESUMO CONTEXTO: A desnutrição é uma condição frequente entre pacientes hospitalizados e é um fator de risco para complicações pós-operatórias. OBJETIVO: Este estudo tem como objetivo avaliar o impacto da desnutrição sobre o ângulo de fase (AF), a distribuição de água corporal e complicações clínicas em pacientes cirúrgicos com doença colorretal. MÉTODOS: Trata-se de um estudo retrospectivo realizado em um hospital universitário terciário com 40 pacientes admitidos eletivamente. Na avaliação pré-operatória, foram realizadas a avaliação subjetiva global e análise de bioimpedância elétrica com a finalidade de determinarem o estado nutricional, AF, água extracelular (AEC), água intracelular (AIC) e água corporal total (ACT). Na avaliação pós-operatória, o tempo de internação hospitalar e a presença de complicações graves, segundo a classificação de Clavien-Dindo, foram determinados. O melhor ponto de corte do AF para o rastreamento de desnutrição foi obtido a partir da análise da curva ROC. RESULTADOS: Dezessete (42,5%) pacientes foram diagnosticados como desnutridos e 23 (57,5%), como bem nutridos de acordo com a avaliação subjetiva global. Doze (30,0%) pacientes desenvolveram complicações pós-operatórias graves. O grupo desnutrido apresentou menores valores de albumina sérica (P=0,012), hematócrito (P=0,026) e AF (P=0,002); enquanto que as relações de AEC/AIC (P=0,019) e AEC/ACT (P=0,047) estiveram elevadas. Além disso, 58,8% dos pacientes desnutridos desenvolveram complicações pós-operatórias graves em comparação a 8,7% dos pacientes bem nutridos. A desnutrição foi fator preditivo independente para o desenvolvimento de complicações pós-operatórias graves (OR=15,00, IC: 2,63-85,68; P=0,002). O melhor ponto de corte do AF obtido foi 6.0º (AUC=0,82; P=0,001) com sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo de 76,5%, 87,0%, 81,3% e 83,4%, respectivamente. CONCLUSÃO: A desnutrição foi fator preditivo para o desenvolvimento de complicações graves em pacientes submetidos à cirurgia eletiva coloproctológica de grande porte. Além disso, a desnutrição foi associada a menores valores de AF e maior proporção de AEC. O AF forneceu boa acurácia no rastreamento da desnutrição, sugerindo seu uso como potencial marcador de desnutrição.
Assuntos
Humanos , Masculino , Feminino , Adolescente , Idoso de 80 Anos ou mais , Complicações Pós-Operatórias/etiologia , Neoplasias Colorretais/cirurgia , Desnutrição/complicações , Índice de Gravidade de Doença , Água Corporal , Neoplasias Colorretais/complicações , Avaliação Nutricional , Estado Nutricional , Estudos Transversais , Valor Preditivo dos Testes , Estudos Retrospectivos , Curva ROC , Sensibilidade e Especificidade , Desnutrição/diagnóstico , Gastroenteropatias/cirurgia , Gastroenteropatias/classificação , Gastroenteropatias/complicações , Pessoa de Meia-IdadeRESUMO
A existência de mudanças cíclicas no peso corporal e no metabolismo de água e eletrólitos no ciclo menstrual é amplamente estudada na literatura, porém os resultados a este respeito mostram-se divergentes. Acredita-se que a progesterona seja a principal responsável pela retenção de líquidos e sódio, principalmente após a fase ovulatória, onde ocorre a maior concentração deste hormônio e, desta forma, a retenção de líquidos pode interferir na composição corporal. Para confirmar essa hipótese, sete mulheres saudáveis (22,71 ± 2,63 anos; 62,20 ± 7,62 kg; 161,57 ± 3,15 cm; 27,40 ± 3,58 %G), praticantes de treinamento resistido com peso, há no mínimo, dois meses e que não faziam uso de contraceptivos orais, foram avaliadas durante as fases do ciclo menstrual fase folicular, entre o 3º e 5º dia; fase ovulatória, entre o 9º e 10º dia; e fase lútea, entre 17º e 21º dia pelo método da impedância bioelétrica (Quantum BIA-II® - RJL Systems, Inc. Clinton: MI-EUA), no qual foram mensuradas as variáveis: água corporal total, água intracelular e água extracelular em litros; percentual de gordura; massa gorda e massa magra em kg. Para verificar a distribuição da amostra foi utilizado o teste de Shapiro Wilk e a homogeneidade através do teste de Levene. Foi adotado o teste ANOVA One Way, com o Post-Hoc de Bonferroni. Para comprovação estatística foi adotado o p ≤ 0,05. Não foram encontradas diferenças significativas entre as variáveis analisadas em cada fase do ciclo menstrual. Sendo assim, conclui-se que variações que ocorrem durante o CM não são capazes de influenciar morfologicamente a composição corporal de mulheres saudáveis e fisicamente ativas....(AU)
The existence of cyclical changes in body weight and in the metabolism of water and electrolytes in the course of the menstrual cycle is widely studied in the literature, but the results in this regard show themselves to be divergent. It is believed that progesterone is the main responsible for the retention of liquids and sodium, especially after the ovulatory phase, when the highest concentration of this hormone occurs and, in this way, fl uid retention can interfere in body composition. To confi rm this hypothesis, seven healthy women (22.71 ± 2.63 years, 62.20 ± 7.62 kg, 161.57 ± 3.15 cm, 27.40 ± 3.58 % fat), training practitioners who were weighted for at least two months and did not use oral contraceptives, were evaluated during the menstrual cycle - follicular phase, between the 3rd and 5th days; ovulatory phase, between the 9th and 10th days; and Luteal Phase, between 17 and 21 days - by the bioelectrical impedance method (Quantum BIA-II® - RJL Systems, Inc. Clinton: MI-USA), in which the following variables were measured: total body water, intracellular water and extracellular water in liters; fat percentage; fat mass and lean mass in kg. The Shapiro Wilk test and the homogeneity through the Levene test were used to verify the distribution of the sample. The ANOVA One Way test was adopted with Bonferroni Post-Hoc. For statistical proof, p ≤ 0.05 was adopted. No signifi cant diff erences were found between the variables analyzed at each stage of the menstrual cycle. Therefore, it is concluded that variations that occur during MC are not able to morphologically infl uence the body composition of healthy and physically active women....(AU)
Assuntos
Humanos , Feminino , Composição Corporal , Água Corporal , Ciclo Menstrual , Educação Física e TreinamentoRESUMO
Mediante la utilización de la Ciencia Nuclear es posible hacer uso de los isótopos estables, identificados como trazadores, que permiten la aplicación del principio fisiológico de "dilución isotópica" en el organismo y con él se puede medir el agua corporal total. En los estudios de fisiología de altura, también se aplica el fundamento que aporta la ley de conservación de masas en un organismo. La práctica de este método permite generar conocimiento en altitud, haciendo bien las cosas correctas, por lo que se logra ser efectivo en los estudios realizados en diferentes grupos poblacionales habitantes permanentes de gran altitud. La técnica nuclear, ha permitido mediante el análisis del deuterio en sujetos estudiados, establecer la composición corporal, determinando el porcentaje del agua corporal total y la masa grasa corporal. Se estima que los habitantes permanentes de gran altitud presentarían una composición corporal con menor porcentaje de agua corporal que los habitantes de nivel del mar.
Using the Nuclear Science it is possible to make use of stable isotopes, identified as tracers, which allow the application ofthe physiological principle of "isotopic dilution" in the organism and with it the total body water can be measured. In the studies of physiology at high altitude, the foundation that the law of conservation of masses in an organism is also applied. The practice of this method allows to generate knowledge at altitude doing the right things well, so it is effective in studies conducted in different population groups permanent inhabitants of high altitude. The nuclear technique, has allowed by means of the analysis of the deuterium in studied subjects, to establish the corporal composition, determining the percentage of the total corporal water and the body fat mass. It is estimated that permanent inhabitants of high altitude would have a body composition with a lower percentage of body water than sea level inhabitants.
Assuntos
Humanos , Composição Corporal , Água CorporalRESUMO
BACKGROUND: Little information is available on the validity of anthropometry or impedance-based equations for prediction of total body water (TBW) in African children. This study was designed to validate and develop equations to predict total body water in Cameroonian children. METHODS: TBW was measured by deuterium dilution in 102 children between 24 and 60 months of age and compared with the ones predicted by 5 anthropometric and 7 BIA equations. Multiple linear regression analysis was used to develop prediction equations for TBW from anthropometric parameters. RESULTS: Unacceptable discrepancies in the estimates of TBW at individual level were noted with all the equations tested. The following new anthropometry and BIA equations for the estimation of TBW were respectively developed: TBW = 6.488 + 0.434 × sex−0.039 × age + 0.670 × weight−0.081 × MUAC (cm)−0.372 × BMI (adjustedR2= 0.71,RMSE = 3.6), and TBW =−6.206 + 0.0037 × height2/Z−0.041 × age + 0.265 × weight + 0.1214 × height (adjustedR2=0.68, RMSE = 1.4). The cross-validation procedures revealed that the predicted values of TBW compared with measured values are accurate at a group level. CONCLUSION: The current published anthropometric and BIA equations are invalid for the estimation of TBW in Cameroonian preschool children. The newly developed anthropometry or BIA prediction equations are valid for use in Cameroonian children aged 2460 months
Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Antropometria/métodos , Água Corporal/química , Deutério/análise , Deutério/farmacocinética , Impedância ElétricaRESUMO
Objetivos: Comparar la precisión de las fórmulas antropométricas de Watson, Hume-Weyers, y el basado en elporcentaje del peso según sexo, para estimar el agua corporal total en relación a la medida por bioimpedanciaeléctrica considerando ésta como gold standard. Material y métodos: Se enrolaron 17 voluntarios sanos entre 21a 29 años de edad, con antropometría normal y en condiciones de vida cotidiana. Para evaluar la precisión en laestimación del agua corporal se usó la t de Student pareada y para estimar el error sistemático se usó el análisisde regresión lineal y la correlación de Pearson...
Objectives: To compare the precision of Watson´s, Hume-Weyers´ anthropometric formula and that based on thebody percentage by gender to estimate de total body water in relation to that measured by electric bio impedanceconsidering the latter as the gold standard. Methods: 17 healthy volunteers with normal anthropometric valuesbetween 21 and 29 years were recruited. Paired students´ t-test was used to evaluate the precision in the estimationof body water, and logistic regression analysis and Pearson´s correlation was used to evaluate systematic error...
Assuntos
Humanos , Antropometria , Água Corporal , Impedância Elétrica , Estudos Transversais , Epidemiologia DescritivaRESUMO
Objetivos: Determinar el grado de precisión de las fórmulas antropométricas de Watson, Hume-Weyers, y lacalculada en función del peso ideal y el sexo para estimar el agua corporal con la medida por impedancia eléctrica,en jóvenes con sobrepeso u obesidad. Material y métodos: Se enroló a 13 voluntarios sanos con edad entre 21 a29 años, asintomáticos y con índice masa corporal (IMC) mayor de 25. Se evaluó la precisión en estimar el aguacorporal en relación con la impedancia eléctrica de cada individuo con la t de Student apareada, y para estimar elerror sistemático se utilizó análisis de regresión lineal...
Objectives: To determine the precision in estimating body water using the anthropometric formula of Watsonïs, Hume-Weyersï, and ideal body water and gender, compared to that measured by electric bio impedance in overweight or obese young adults. Methods: 13 healthy volunteers with body mass index above 25 between 21 and 29 years were recruited. Paired studentsï t-test was used to evaluate the precision in the estimation of body water, and logistic regression analysis was used to evaluate systematic error...
Assuntos
Masculino , Feminino , Humanos , Adulto , Adulto Jovem , Água Corporal , Impedância Elétrica , Obesidade , Sobrepeso , Estudos Controlados Antes e Depois , Estudo ObservacionalRESUMO
ABSTRACT OBJECTIVE: To correlate different methods of body composition assessment in overweight or obese schoolchildren, using deuterium oxide (D2O) dilution as a reference. METHODS: Percentage of total body water (%TBW), fat free mass (%FFM), and body fat (%BF) were assessed by D2O and tetrapolar electrical bioimpedance analysis (BIA) in 54 obese and overweight students aged 6-9 years. Skinfold thickness (ST), body mass index (BMI), conicity index (CI), waist circumference (WC), waist-to-height ratio (WHtR), and waist-to-hip (WHR) ratio were also used. RESULTS: Mean values for body composition were 38.4% ± 8.4% BF, 44.9% ± 6.1% TBW and 61.6% ± 8.4% FFM. There was no significant difference in body weight, body fat mass (FM), TBW, and FFM between genders. Regarding D2O, ST underestimated %BF, and overestimated %FFM in both genders (p < 0.05). BIA overestimated %TBW in the group as a whole and in males (p < 0.05). The only positive and strong correlations occurred in females regarding the WC (s= 0.679), CI (r = 0.634), and WHtR (r = 0.666). CONCLUSIONS: In this sample of obese and overweight children, there were strong correlations between body composition measured by D2O and some indices and anthropometric indicators in females, but there was no positive and strong correlation of fat tissue with the indices/indicators at all ages and in both genders.
RESUMO OBJETIVO: Correlacionar diferentes métodos para avaliação de composição corporal em escolares diagnosticados com sobrepeso e obesos com o uso como referência da diluição de óxido de deutério (D2O). MÉTODOS: O percentual de água corporal total (%ACT), massa livre de gordura (%MLG) e gordura corporal (%GC) foi obtido pelo D2O e pela bioimpedância elétrica tetrapolar (BIA), em 54 estudantes com sobrepeso e obesos, entre seis-nove anos. O método das dobras cutâneas (DC) com o uso de triciptal e panturrilha, índice de massa corporal (IMC), índice de conicidade (IC), circunferência de cintura (CC), relação cintura/estatura (RCE) e relação cintura/quadril (RCQ) também foi usado. RESULTADOS: Os valores médios para composição corporal aferidos pelo D2O foram 38,4 ± 8,4%GC, 44,9 ± 6,1%ACT e 61,6 ± 8,4%MLG. Não houve diferença significativa entre peso corporal, massa corporal de gordura (MG), ACT e MLG entre os sexos. Considerando o D2O, DC subestimou o %GC e superestimou o %MLG em ambos os sexos (p < 0,05); BIA superestimou %ACT no grupo como um todo e no masculino (p < 0,05). As únicas correlações fortes e positivas ocorreram no grupo feminino nas variáveis CC (s = 0,679), IC (r = 0,634) e RCE (r = 0,666). CONCLUSÕES: Nessa amostra de crianças obesas e com sobrepeso, houve fortes correlações entre a composição corporal mensurada pelo D2O e alguns índices e indicadores antropométricos nas meninas, mas nenhuma correlação forte e positiva do tecido adiposo foi encontrada com os índices/indicadores em todas as idades e ambos os sexos.
Assuntos
Criança , Feminino , Humanos , Masculino , Antropometria/métodos , Composição Corporal/fisiologia , Óxido de Deutério , Impedância Elétrica , Técnicas de Diluição do Indicador/instrumentação , Índice de Massa Corporal , Água Corporal , Obesidade , Sobrepeso , Fatores Sexuais , Dobras Cutâneas , Razão Cintura-Estatura , Circunferência da Cintura/fisiologiaRESUMO
OBJETIVO: Analisar o crescimento e a composição corporal de recém-nascidos pré-termo na idade gestacional corrigida de termo e ao alcançarem um peso entre 3,0 e 3,5 kg. MÉTODOS: Estudo longitudinal, realizado no Instituto Fernandes Figueira, Rio de Janeiro, com 39 recém-nascidos pré-termo e que apresentaram muito baixo peso ao nascer. Medidas antropométricas e água corporal total foram avaliadas no primeiro, no sétimo e no dia da recuperação do peso de nascimento, na idade gestacional corrigida do termo e em torno de três semanas de idade gestacional corrigida (correspondente ao tempo de vida para alcançar um peso entre 3,0 e 3,5 kg). O grupo de referência foi constituído por 32 recém-nascidos a termo, adequados para a idade gestacional, avaliados no segundo dia de vida. Considerou-se restrição de crescimento o escore-Z menor do que -2 para peso, comprimento e perímetro cefálico. RESULTADOS: Na idade de termo, 71,8% dos recém-nascidos pré-termo apresentaram restrição do crescimento para peso, 61,5% para comprimento e 25,6% para perímetro cefálico. Com três semanas de idade gestacional corrigida, esses recém-nascidos apresentaram a prega cutânea tricipital e a circunferência abdominal estatisticamente maiores que o grupo de referência enquanto o comprimento e a porcentagem de água corporal total foram menores. CONCLUSÃO: Os recém-nascidos pré-termo apresentaram perfil antropométrico e de água corporal diferente dos recém--nascidos a termo, sugerindo acúmulo de gordura. Houve recuperação do crescimento entre a idade de termo e três semanas de idade corrigida, sendo mais evidente esse crescimento em relação ao perímetro cefálico e peso.
OBJECTIVE: To analyze growth and body composition of preemies at term gestational age and when they reach a weight of 3.0 to 3.5 kg. METHODS: This longitudinal study was conducted at Instituto Fernandes Figueira, Rio de Janeiro, and included 39 preemies with very low birth weight. Anthropometric measurements and bioelectrical impedance analysis were performed in 5 occasions: days 1 and 7 after birth; at birth weight recovery; at term-corrected gestational age; and at around three weeks of corrected gestational age (age needed to reach a weight of 3.0 to 3.5 kg). A reference group comprising 32 term newborns, appropriate for gestational age, was evaluated at day 2 after birth. Growth restriction was defined as a Z-score below -2 for weight, length, and head circumference. RESULTS: At term age, 71.8% of the preemies presented growth restriction for weight, 61.5% for length, and 25.6% for head circumference. When the preemies reached three weeks of corrected gestational age, triceps skinfold thickness and abdominal circumference were greater than those of the reference group, and length and percent of total body water were lower. CONCLUSION: The anthropometric profile and total body water of preemies were different from those of term newborns, suggesting fat deposition. There was catch up growth between term age and three weeks of corrected gestational age, which was more evident for head circumference and weight.
Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Composição Corporal , Água Corporal , Recém-Nascido Prematuro , AntropometriaRESUMO
Se evaluó la relación entre biomarcadores de estrés oxidativo (ácido úrico, bilirrubina y proteína C-reactiva) con el estado nutricional en 321 adultos de Ecuador, pertenecientes al personal administrativo de la Universidad Técnica del Norte, con edades de 43 ± 10 años, (46,30% femenino y 53,61% masculino). Se obtuvo información sociodemográfica, de estilo de vida y epidemiológica; se calculó el índice de Masa Corporal (IMC), porcentaje de grasa y agua corporal, se midió la circunferencia de la cintura (CC) y la presión arterial y se determinó las concentraciones de ácido úrico, bilirrubina y Proteína C reactiva (PCR). Se encontró que 17,9% de la población presentó obesidad y 51,72% sobrepeso. Los valores más elevados de ácido úrico se encontraron en obesos, hipertensos y en quienes realizan actividad física. La bilirrubina total, directa e indirecta se encontró en límites superiores en los grupos con obesidad abdominal, y con actividad física. Las variables % de grasa y de agua influyen en la PCR en el grupo con baja grasa corporal y en las mujeres. En hombres, la PCR se asocia con IMC y CC. En los grupos sobrepeso, alta grasa corporal y PHT, el ácido úrico mostró relación con el % de grasa y la CC En los obesos con el % de agua e IMC y en los grupos obesidad abdominal e HT se asoció con % de agua y CC Se concluye que el porcentaje de agua corporal es un importante indicador nutricional para el desarrollo de estrés oxidativo en esta población.
In this work it was evaluated the relationship between oxidative stress biomarkers (uric acid, bilirubin and C-reactive protein) with nutritional status in 321 adults of Ecuador, belonging to administrative staff of of the Universidad Tècnica del Norte , aged 43 ± 10 years old (46 30% female and 53.61% male). Socio demographic and epidemiological information and lifestyle were obtained through a survey; The Body Mass Index (BMI) and body fat and body water percentages were calculated; waist circumference (WC) and blood pressure was measured. Determinations of uric acid, bilirubin, and serum C-reactive protein (PCR) were performed. 17.9% of the populations were obese and 51.72% overweight. The highest values of uric acid were found in obese, hypertensive and physical activity groups. The total direct and indirect bilirubin were found in upper limits in abdominal obesity and physical activity groups. The CRP level was influenced by % fat and % water in the low body fat group and in females. In male, BMI and WC were associated with CRP. Uric acid showed relationship with % fat and WC in overweight, high body fat and PHT groups, uric acid was associated with the % water and BMI in obese. Finally, uric acid was associated with % water and the WC in the abdominal obesity, and HT groups .The body water percentage is an important indicator to development of oxidative stress in this population.
Assuntos
Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tecido Adiposo/fisiologia , Água Corporal/fisiologia , Estado Nutricional/fisiologia , Estresse Oxidativo/fisiologia , Biomarcadores , Índice de Massa Corporal , Bilirrubina/sangue , Pressão Sanguínea/fisiologia , Proteína C-Reativa/análise , Equador , Exercício Físico/fisiologia , Fatores Socioeconômicos , Inquéritos e Questionários , Ácido Úrico/sangue , Circunferência da CinturaRESUMO
OBJETIVO: Observar o comportamento dos vetores ponteados no gráfico de resistência e de reactância corrigidos pelo comprimento corporal (RXc) através da análise vetorial de impedância bioelétrica (BIVA) e os valores de ângulo de fase (AF) em recém-nascidos (RNs) pré-termo estáveis, considerando a hipótese que o RN pré-termo apresenta o seu comportamento vetorial na BIVA sugestivo de menor quantidade de água e de tecidos moles corporais, comparativamente à referência do RN a termo. MÉTODOS: Foi realizado estudo de corte transversal em RNs pré-termo, de ambos os sexos, que se encontravam em uma unidade de cuidados intermediários de um hospital terciário. Coletaram-se dados relacionados ao nascimento e à alimentação, bem como dados de bioimpedância elétrica (800 mA, 50 kHz). Os gráficos e as análises vetoriais foram realizados através do BIVA software. RESULTADOS: Um total de 108 RNs pré-termo foram estudados, separados por faixa etária (< 7 dias e > 7 dias). A maioria dos RNs pré-termo encontrou-se fora da normalidade (acima dos intervalos de tolerância de 95%) existentes na literatura para RNs a termo, e observou-se uma tendência para a dispersão dos pontos no quadrante superior direito no gráfico RXc. O AF dos RNs < 7 dias foi de 4,92° (±2,18), e a dos RNs > 7 dias, de 4,34° (±2,37). CONCLUSÃO: Os RNs pré-termo se comportam de maneira semelhante entre si. A maioria deles possui menor quantidade absoluta de água corporal e apresenta menor quantidade tanto de massa livre de gordura quanto de massa gorda, em valores absolutos, quando comparados com os RNs a termo.
OBJECTIVE: To observe the behavior of the plotted vectors on the RXc (R - resistance - and Xc - reactance corrected for body height/length) graph through bioelectrical impedance analysis (BIVA) and phase angle (PA) values in stable premature infants, considering the hypothesis that preterm infants present vector behavior on BIVA suggestive of less total body water and soft tissues, compared to reference data for term infants. METHODS: Cross-sectional study, including preterm neonates of both genders, in-patients admitted to an intermediate care unit at a tertiary care hospital. Data on delivery, diet and bioelectrical impedance (800 mA, 50 kHz) were collected. The graphs and vector analysis were performed with the BIVA software. RESULTS: A total of 108 preterm infants were studied, separated according to age (< 7 days and > 7 days). Most of the premature babies were without the normal range (above the 95% tolerance intervals) existing in literature for term newborn infants and there was a tendency to dispersion of the points in the upper right quadrant, RXc plan. The PA was 4.92° (±2.18) for newborns < 7 days and 4.34° (±2.37) for newborns > 7 days. CONCLUSION: Premature infants behave similarly in terms of BIVA and most of them have less absolute body water, presenting less fat free mass and fat mass in absolute values, compared to term newborn infants.