Comparison of Body Composition Assessment Methods in Patients with Human Immunodeficiency Virus-Associated Wasting Receiving Growth Hormone

Esposito, John G.; Thomas, Scott; Kingdon, Lori; Ezzat, Shereen

doi:10.1210/jc.2006-0431

Cited by 8 publications

(4 citation statements)

References 34 publications

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“…Use of skin fold caliper as an alternative may be another option to assess body composition in individuals with T2DM. The method has worked well in other patient populations when assessors are well trained [17]. …”

Section: Discussionmentioning

confidence: 99%

Bioelectrical Impedance and Dual-Energy X-Ray Absorptiometry Assessments of Changes in Body Composition Following Exercise in Patients with Type 2 Diabetes Mellitus

et al. 2012

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We aimed to compare the level of agreement between leg-to-leg bioelectrical impedance analysis (LBIA) and dual-energy X-ray absorptiometry (DXA) for assessing changes in body composition following exercise intervention among individuals with Type 2 diabetes mellitus (T2DM). Forty-four adults with T2DM, age 53.2 ± 9.1 years; BMI 30.8 ± 5.9 kg/m2 participated in a 6-month exercise program with pre and post intervention assessments of body composition. Fat free mass (FFM), % body fat (%FM) and fat mass (FM) were measured by LBIA (TBF-300A) and DXA. LBIA assessments of changes in %FM and FM post intervention showed good relative agreements with DXA variables (P < 0.001). However, Bland-Altman plot(s) indicated that there were systematic errors in the assessment of the changes in body composition using LBIA compared to DXA such that, the greater the changes in participant body composition, the greater the disparity in body composition data obtained via LBIA versus DXA data (FFM, P = 0.013; %FM, P < 0.001; FM, P < 0.001). In conclusion, assessment of pre and post intervention body composition implies that LBIA is a good tool for assessment qualitative change in body composition (gain or loss) among people with T2DM but is not sufficiently sensitive to track quantitative changes in an individual's body composition.

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Section: Discussionmentioning

confidence: 99%

Bioelectrical Impedance and Dual-Energy X-Ray Absorptiometry Assessments of Changes in Body Composition Following Exercise in Patients with Type 2 Diabetes Mellitus

et al. 2012

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“…Due to gender differences in body composition and HIV-associated wasting, results will not be readily applicable to HIV-infected males [25] and children.…”

Section: Discussionmentioning

confidence: 99%

“…One of the limitations of the proposed study is that only female participants will be included. Due to gender differences in body composition and HIV-associated wasting, results will not be readily applicable to HIV-infected males [ 25 ] and children.…”

Section: Discussionmentioning

confidence: 99%

Assessing the impact of a food supplement on the nutritional status and body composition of HIV-infected Zambian women on ARVs

Zulu¹,

Byrne

Munthali

et al. 2011

BMC Public Health

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BackgroundZambia is a sub-Saharan country with one of the highest prevalence rates of HIV, currently estimated at 14%. Poor nutritional status due to both protein-energy and micronutrient malnutrition has worsened this situation. In an attempt to address this combined problem, the government has instigated a number of strategies, including the provision of antiretroviral (ARV) treatment coupled with the promotion of good nutrition. High-energy protein supplement (HEPS) is particularly promoted; however, the impact of this food supplement on the nutritional status of people living with HIV/AIDS (PLHA) beyond weight gain has not been assessed. Techniques for the assessment of nutritional status utilising objective measures of body composition are not commonly available in Zambia. The aim of this study is therefore to assess the impact of a food supplement on nutritional status using a comprehensive anthropometric protocol including measures of skinfold thickness and circumferences, plus the criterion deuterium dilution technique to assess total body water (TBW) and derive fat-free mass (FFM) and fat mass (FM).Methods/DesignThis community-based controlled and longitudinal study aims to recruit 200 HIV-infected females commencing ARV treatment at two clinics in Lusaka, Zambia. Data will be collected at four time points: baseline, 4-month, 8-month and 12-month follow-up visits. Outcome measures to be assessed include body height and weight, body mass index (BMI), body composition, CD4, viral load and micronutrient status.DiscussionThis protocol describes a study that will provide a longitudinal assessment of the impact of a food supplement on the nutritional status of HIV-infected females initiating ARVs using a range of anthropometric and body composition assessment techniques.Trial RegistrationPan African Clinical Trial Registry PACTR201108000303396.

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“…Mesmo presente em cerca de 83% dos pacientes que utilizam os inibidores de protease no esquema de TARV (7) , cabe ressaltar que alguns portadores do HIV/AIDS que não utilizam TARV, também apresentam a lipodistrofia, o que demonstra que podem existir outros fatores etiológicos para o desenvolvimento da síndrome lipodistrófica (3) . Devido à grande incidência de casos de lipodistrofia nos portadores de HIV/AIDS, muitos estudos buscaram acompanhar e relatar as alterações na composição corporal desses indivíduos, com foco na redistribuição da gordura corporal (6)(7)(8)(9)(10)(11)(12)(13)(14) . Referindo-se aos métodos utilizados para a avaliação da composição corporal, observa-se que os pesquisadores utilizam os métodos indiretos (Ultrassonografia, Absortometria de Raios-X de Dupla Energia, Tomografia computadorizada e Ressonância Magnética), no entanto, estes, apesar de serem precisos, são bastante onerosos, exigem uma estrutura física complexa e uma equipe de pessoal extremamente especializada, portanto, de baixa viabilidade para o uso na maioria dos hospitais e ambulatórios que tratam de pacientes com HIV/AIDS nos países em desenvolvimento, como o Brasil.…”

Section: Introductionunclassified

O Uso Da Antropometria Para Avaliar a Distribuição De Gordura Corporal De Pacientes Com Hiv/Aids

Matheus¹,

Santos²,

Behenck³

et al. 2015

ACS

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Introdução: A presença de alterações morfológicas, caracterizadas como redistribuição da gordura corporal, em pessoas infectadas pelo HIV tem sido relatada. Mesmo não sendo uma regra, estas mudanças na composição corporal não são eventos raros na prática clínica. Neste contexto, a antropometria torna-se uma ferramenta de destaque, auxiliando no diagnóstico e acompanhamento destas alterações durante o manejo ambulatorial de pessoas infectadas pelo HIV. Objetivo: Analisar a composição corporal de portadores do HIV/AIDS, avaliada através de diferentes métodos de análise. Casuística e Métodos: Foi avaliada a composição corporal de 15 voluntários (11 homens e 4 mulheres), portadores de HIV/AIDS, que recebiam terapia antirretroviral por meio da antropometria e ultrassonografia. Os dados foram analisados através da estatística descritiva, da correlação de Pearson e do teste t de Student. Resultados: Não foram encontradas diferenças estatísticas significativas entre os valores obtidos através dos métodos de ultrassonografia e antropometria e ainda, os resultados revelaram elevados índices de correlação. Conclusão: O método pode ser empregado em indivíduos com HIV/AIDS de forma eficaz no acompanhamento das alterações provocadas pela doença e pela terapia antirretroviral.

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Comparison of Body Composition Assessment Methods in Patients with Human Immunodeficiency Virus-Associated Wasting Receiving Growth Hormone

Abstract: SKF was more accurate than BIS when measuring body composition in patients with HIV wasting before and after rhGH treatment; nonetheless, the accuracy of BIS increased after treatment. Change in FM because of treatment was not accurately assessed with SKF.

Cited by 8 publications

References 34 publications

Bioelectrical Impedance and Dual-Energy X-Ray Absorptiometry Assessments of Changes in Body Composition Following Exercise in Patients with Type 2 Diabetes Mellitus

Bioelectrical Impedance and Dual-Energy X-Ray Absorptiometry Assessments of Changes in Body Composition Following Exercise in Patients with Type 2 Diabetes Mellitus

Assessing the impact of a food supplement on the nutritional status and body composition of HIV-infected Zambian women on ARVs

O Uso Da Antropometria Para Avaliar a Distribuição De Gordura Corporal De Pacientes Com Hiv/Aids

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