THE USE OF SMALL SKIN SURFACE AREAS FOR WHOLE BODY SWEATING ASSESSMENT

1965 ◽  
Vol 43 (6) ◽  
pp. 971-977 ◽  
Author(s):  
Arthur C. Custance
Keyword(s):  
Body Weight ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Skin Surface ◽  
Moisture Loss ◽  
Whole Body ◽  
Surface Areas ◽  
Short Period ◽  
The Subject ◽  
Total Body

It is possible to obtain a continuous record of the sweating rate of an active subject by monitoring changes in total body weight. However, elaborate equipment is required that is capable of accommodating the treadmill (or other exercising device) as well as the subject. The balance must be rugged enough to withstand the movements of the subject, yet sensitive enough to respond to small changes in weight. It would be a great convenience to be able, instead, to monitor small representative areas of the skin surface with confidence that they faithfully reflect whole body reactions.In this research, moisture loss from a representative area of the skin of the dorsum under a capsule covering 14 sq. cm was measured by an apparatus which automatically altered the flow of dry air to keep the humidity of the effluent constant. In four subjects exercising on a treadmill at 3.5 m.p.h. the correlation coefficient between the area under the curves so obtained and the total body weight loss was very high (more than 0.93), and there was also good correlation after sweating was partially suppressed by atropine. Short-period fluctuations were simultaneous and highly correlated between bilaterally symmetrical areas of skin. It is concluded that moisture loss from a single area of skin can be used to represent changes in the rate and pattern of sweating of the whole body.

scholarly journals SUN-543 Real World Evidence of Successful Weight Management for the Obese Population: Complete Reversal of Obesity Related Metabolic Co-Morbidities and Weight Loss in Patients Attending a Multidisciplinary Weight Management Clinic in Australia

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Zoe Rock ◽  
Juliana Chen ◽  
Joanna Jaques ◽  
Bernard L Champion ◽  
Reginald V Lord ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Weight Management ◽  
Exercise Physiology ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Management Interventions ◽  
Co Morbidity ◽  
Total Body ◽  
Total Body Weight Loss

Abstract Over 2.5 billion people worldwide are overweight or obese. Multidisciplinary weight management interventions have evolved to address the complexity of weight loss for those with one or more chronic diseases, and the trend of weight regain. The aim of these interventions is to encourage sustainable lifestyle changes, resulting in weight loss and weight maintenance and improvements in comorbidities. While some prospective clinical trials have demonstrated efficacy, results are often not reported by real life practices. The aim of this study was to evaluate the effectiveness of a Sydney based multidisciplinary weight management clinic with endocrinology, dietetics, exercise physiology, psychology, and bariatric surgical domains. All patients who attended the clinic for weight loss purposes between March 2017 and April 2019 were included (n=220). A retrospective chart review was conducted. Patient data on weight, BMI, waist circumference, body composition measurements, and selected blood test results and co-morbidities were analysed. All patient therapy included endocrinological input for co-morbidity identification and management, lifestyle intervention (dietetic and exercise physiology input) with optional adjunct pharmacotherapy or psychological counselling. Of the 220 cohort, 20 of the patients had sleeve gastrectomy. Patient retention in the clinic after the first consultation was 85% (n=186), a high rate within the weight management community. 59% of patients achieved a minimum of 5% total body weight loss, including 18% who achieved greater than 10% total body weight loss. Additionally, 31% of patients lost enough weight to decrease their BMI class by up to 2 or more classes. Of the gastric sleeve cohort average excess body weight loss was 32kg (21-56kg) enhanced by multidisciplinary care in the lead up to surgery. Across the cohort some patients completely reversed co-morbidities; including dyslipidaemia (n=1), hypertension (n=3), NAFLD (n=1), pre-diabetes (n=8) and type 2 diabetes (n=3), OSA (n=1). These results demonstrate that obesity is a chronic condition that can be successfully managed. We have demonstrated significant durable weight loss and improvement in metabolic co-morbidities with holistic coordinated care. Future directions include translating this model of care into standard practice in Australia and other countries where obesity to date not received the same coordinated approach as other chronic conditions.

Loss of lean body mass within one week as a major determinant for total weight loss at one month after gastrectomy for gastric cancer.

2015 ◽  
Vol 33 (3_suppl) ◽  
pp. 219-219
Author(s):  
Toru Aoyama ◽  
Takaki Yoshikawa ◽  
Taiichi Kawabe ◽  
Hirohito Fujikawa ◽  
Tsutomu Hayashi ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Lean Body Mass ◽  
Body Mass ◽  
Early Period ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Late Period ◽  
Total Body ◽  
Total Body Weight Loss

219 Background: Postoperative changes in body weight and composition during first 1 month after gastrectomy remained unclear. Methods: The patients who underwent gastrectomy for gastric cancer between May 2010 and October 2013 were examined. Body weight and composition were evaluated by bioelectrical impedance analyzer within 1 week before surgery (first measurement), at 1 week after surgery (second measurement), and at 1 month after surgery (third measurement). The changes of the early period were defined as the differences until the second measurement, while those of the late period as the differences from the second to the third measurement. Results: Two-hundred forty four patients were selected for this study. Total body weight loss (BWL) within 1 month was -3.4 kg and the rate of body weight at 1 month to the preoperative body weight was 94.1%. BWL was significantly greater in the early period rather than that of the late period (-2.1 kg vs -1.2 kg, p<0.001). In the early period, loss of lean body mass was significantly greater than loss of fat mass (-1.5 kg vs -0.6 kg, p<0.001). The same trend was observed regardless of type of gastrectomy and surgical approach. Conclusions: Loss of lean body mass within 1 week was a major determinant for total body weight loss at 1 month. To maintain lean body mass within 1 week and total body weight at 1 month, future trial should be focused on not the surgical approach but nutritional intervention within 1 week.

scholarly journals Weight Loss Medications in Young Adults after Bariatric Surgery for Weight Regain or Inadequate Weight Loss: A Multi-Center Study

Children ◽  
2018 ◽  
Vol 5 (9) ◽  
pp. 116 ◽  
Author(s):  
Alexander Toth ◽  
Gricelda Gomez ◽  
Alpana Shukla ◽  
Janey Pratt ◽  
Hellas Cena ◽  
...  
Keyword(s):  
Weight Loss ◽  
Young Adults ◽  
Body Weight ◽  
Weight Change ◽  
Weight Regain ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Percent Weight Loss ◽  
Total Body ◽  
Weight Loss Medications

This paper presents a retrospective cohort study of weight loss medications in young adults aged 21 to 30 following Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) between November 2000 and June 2014. Data were collected from patients who used topiramate, phentermine, and/or metformin postoperatively. Percentage of patients achieving ≥5%, ≥10%, or ≥15% weight loss on medications was determined and percent weight change on each medication was compared to percent weight change of the rest of the cohort. Our results showed that 54.1% of study patients lost ≥5% of their postsurgical weight; 34.3% and 22.9% lost ≥10% and ≥15%, respectively. RYGB had higher median percent weight loss (−8.1%) than SG (−3.3%) (p = 0.0515). No difference was found in median percent weight loss with medications started at weight plateau (−6.0%) versus after weight regain (−5.4%) (p = 0.5304). Patients taking medications at weight loss plateau lost 41.2% of total body weight from before surgery versus 27.1% after weight regain (p = 0.076). Median percent weight change on metformin was −2.9% compared to the rest of the cohort at −7.7% (p = 0.0241). No difference from the rest of the cohort was found for phentermine (p = 0.2018) or topiramate (p = 0.3187). Topiramate, phentermine, and metformin are promising weight loss medications for 21 to 30 year olds. RYGB patients achieve more weight loss on medications but both RYGB and SG benefit. Median total body weight loss from pre-surgical weight may be higher in patients that start medication at postsurgical nadir weight. Participants on metformin lost significantly smaller percentages of weight on medications, which could be the result of underlying medical conditions.

Determinants of Total Body Weight Loss Among Palestinian Adults Post–Bariatric Surgery

2022 ◽  
Vol 37 (1) ◽  
pp. 41-54
Author(s):  
Monia Kittana ◽  
Manal Badrasawi ◽  
May Hamdan ◽  
Kifaya Abu Sharkh ◽  
Nabeela Shabaneh
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Body Weight ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Total Body ◽  
Post Bariatric Surgery ◽  
Total Body Weight Loss

Enhanced renal Na+ reabsorption by carbohydrate in beverages during restitution from thermal and exercise-induced dehydration in men

2012 ◽  
Vol 303 (8) ◽  
pp. R824-R833 ◽  
Author(s):  
Yoshi-ichiro Kamijo ◽  
Shigeki Ikegawa ◽  
Yoshiyuki Okada ◽  
Shizue Masuki ◽  
Kazunobu Okazaki ◽  
...  
Keyword(s):  
Body Weight ◽  
Serum Insulin ◽  
Urine Volume ◽  
Plasma Osmolality ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
High Carbohydrate ◽  
Total Body ◽  
Exercise Induced ◽  
Reabsorption Rate

We examined whether carbohydrate in beverages accelerated fluid retention during recovery from thermal and exercise-induced dehydration and whether it was caused in part by an enhanced renal Na+ reabsorption rate due to insulin secretion. After dehydrating by ∼2.3% body weight by exercise in a hot environment, seven young men underwent high-carbohydrate, low-carbohydrate, or control rehydration trials by drinking one of three beverages with 3.4 g glucose + 3.1 g fructose, 1.7 g glucose + 1.6 g fructose, or 0.0 g glucose + 0.0 g fructose per deciliter, respectively, in a common composition of electrolyte solution: 21 meq/l [Na+], 5 meq/l [K+], 16.5 meq/l [Cl−], 10 meq/l [citrate−3]. They drank the same amount of beverage as total body weight loss within 30 min. During the 60 min before the start of drinking and the following 180 min, we measured plasma volume (PV), plasma glucose ([Glc]p), serum insulin ([Ins]s), plasma Na+ concentrations, and the renal clearances of inulin, lithium, and Na+ with plasma vasopressin ([AVP]p) and aldosterone concentrations ([Ald]p) every 30 min. After dehydration, PV decreased by ∼5% and plasma osmolality increased by ∼6 mosmol/kgH2O in all trials with no significant differences among them. We found in the high-carbohydrate trial that 1) PV increased faster than in the control trial and remained at the higher level than other trials for the last 60 min ( P < 0.05); 2) accumulated urine volume was smallest after 90 min ( P < 0.05); 3) the renal Na+ reabsorption rate was greatest for the first 120 min ( P < 0.05); 4) during which period [AVP]p and [Ald]p were not significantly different from other trials (both, P > 0.9); and 5) [Glc]p and [Ins]s were highest from 45 to 105 min ( P < 0.05) during rehydration. Thus carbohydrate in beverages enhances renal Na+ reabsorption, and insulin is possibly involved in this enhancement.

Impact of Preoperative Percent Total Body Weight Loss on Outcomes Following Sleeve Gastrectomy

2017 ◽  
Vol 13 (10) ◽  
pp. S121-S122
Author(s):  
Abhishek Parmar ◽  
Joseph Drosdeck ◽  
Amy Douglas ◽  
Farah Husain ◽  
Donn Spight ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Sleeve Gastrectomy ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Total Body ◽  
Total Body Weight Loss

scholarly journals Sa1949 A SIMPLE FLUOROSCOPIC SCORE IMMEDIATELY AFTER ENDOSCOPIC SLEEVE GASTROPLASTY PREDICTS TOTAL BODY WEIGHT LOSS

2020 ◽  
Vol 91 (6) ◽  
pp. AB218-AB219
Author(s):  
Kaveh Hajifathalian ◽  
Andrea S. Kierans ◽  
Shawn L. Shah ◽  
Amit Mehta ◽  
Angela Wong ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Endoscopic Sleeve Gastroplasty ◽  
Sleeve Gastroplasty ◽  
Total Body ◽  
Total Body Weight Loss

Operation Everest. II: Nutrition and body composition

1988 ◽  
Vol 65 (6) ◽  
pp. 2545-2551 ◽  
Author(s):  
M. S. Rose ◽  
C. S. Houston ◽  
C. S. Fulco ◽  
G. Coates ◽  
J. R. Sutton ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Weight ◽  
Prolonged Exposure ◽  
Caloric Intake ◽  
Body Weight Loss ◽  
Total Body Weight ◽  
Environmental Variable ◽  
High Mountain ◽  
Sufficient Cause ◽  
Total Body

Progressive body weight loss occurs during high mountain expeditions, but whether it is due to hypoxia, inadequate diet, malabsorption, or the multiple stresses of the harsh environment is unknown. To determine whether hypoxia due to decompression causes weight loss, six men, provided with a palatable ad libitum diet, were studied during progressive decompression to 240 Torr over 40 days in a hypobaric chamber where hypoxia was the major environmental variable. Caloric intake decreased 43.0% from 3,136 to 1,789 kcal/day (P less than 0.001). The percent carbohydrate in the diet decreased from 62.1 to 53.2% (P less than 0.001). Over the 40 days of the study the subjects lost 7.4 +/- 2.2 (SD) kg and 1.6% (2.5 kg) of the total body weight as fat. Computerized tomographic scans indicated that most of the weight loss was derived from fat-free weight. The data indicated that prolonged exposure to the increasing hypoxia was associated with a reduction in carbohydrate preference and body weight despite access to ample varieties and quantities of food. This study suggested that hypoxia can be sufficient cause for the weight loss and decreased food consumption reported by mountain expeditions at high altitude.

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