scholarly journals The Relationship between “Shofuku-Fujin” (Abnormality of Abdominal Examination in Japanese Kampo Medicine) and Body Composition by Bioelectrical Impedance Analysis: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Tatsuya Ishige ◽  
Hiroshi Odaguchi ◽  
Toshihiko Hanawa

Shofuku-fujin is an abnormal physical finding in Kampo medical practice. It is assumed to be often found in the elderly and contributes to the selection of Kampo formulas used mainly in elderly patients. However, few objective reports about Shofuku-fujin have been published to date. The aim of this study was to clarify the clinical features of patients showing Shofuku-fujin by using bioelectrical impedance analysis (BIA) and to objectively assess the potential clinical implications of these findings. We conducted a cross-sectional study of 1330 patients who visited our institute to undergo a medical examination by using data collected from September 2010 to March 2016. We extracted data on patient sex and age, anthropometric data, and body composition data that could potentially affect the appearance of Shofuku-fujin. Logistic regression analyses were performed by sex to analyze the various factors related to the appearance of Shofuku-fujin. Of the 1330 patients, the data of 386 men and 942 women were used for analysis. Multivariate logistic regression analysis showed that Shofuku-fujin was associated with older age (odds ratio (OR), 1.07; 95% confidence interval (CI), 1.05–1.10; p  < 0.001), lower skeletal muscle mass index (SMI) (OR, 0.60; 95% CI, 0.43–0.85; p  = 0.004), and lower body fat percentage (OR, 0.89; 95% CI, 0.85–0.93; p  < 0.001) in men and older age (OR, 1.06; 95% CI, 1.04–1.07, p  < 0.001) and lower body fat percentage (OR, 0.94; 95% CI, 0.92–0.96; p  < 0.001) in women. On the basis of these results, the factors causing the appearance of Shofuku-fujin were aging, decreased muscle mass, and decreased body fat in men and aging and decreased body fat in women. Our results demonstrated that it may be better to consider a loss of muscle mass when examining a male patient with Shofuku-fujin.

2022 ◽  
Vol 5 (S2) ◽  
pp. 36-43
Author(s):  
Nur Farisya Athirah Zulkifli ◽  
Bee Suan Wee

Lack of physical activity among adolescents is one of the factors which lead to the accumulation of body fat and increase prevalence of obesity among Malaysian population. Therefore, this study was aimed to determine the association between body fat percentage and physical activity level among adolescents in Kuala Nerus, Terengganu. This cross-sectional study involved 300 participants consists of 44.7% male and 55.3% female aged between 10 to 16 years old. Anthropometric measurements included body weight, height and waist circumference. Body fat percentage (%BF) was assessed using bioelectrical impedance analysis (BIA). Physical activity was assessed by physical activity questionnaire (PAQ-C) and pedometers in a subsample (n = 50). The result shows that the mean body fat percentage and BMI of the participants were 23.02±9.41% and 20.03±4.77 kg/m2, respectively. Mean PAQ-C score and pedometer steps count for both genders were 1.9±0.42 and 6079±1878, respectively. Male has higher PA level compared to female in their daily life based on PAQ-C score and pedometer steps count. PAQ-C score and pedometer step counts were negatively associated with %BF however there is no significant association between screen time and %BF. As a conclusion, the problems of obesity can be solved by providing strategies to promote active living among adolescents in Malaysia not only focus on increasing physical activity but also emphasise reduction in sedentary behaviours.


2018 ◽  
Vol 14 (3) ◽  
pp. 99
Author(s):  
Rahmani Welan ◽  
Gusti Revilla ◽  
Desmawati Desmawati

Background: One of the conditions on premenopausal period is the increase in body fat, among which are caused by levels of the fluctuating estrogen hormone. Increase fat affects the body fat percentage and adipsin levels. Adipsin plays a role in the stimulation of insulin secretion by producing C3a, in which C3AR1 (C3a Receptor 1) fragments interact with beta cells to secrete insulin.Objective: The purpose of this study is to determine correlation of body fat percentage with adipsin levels on premenopause.Design: This was an analytical study with cross-sectional design. Body fat percentage was obtained by examination using Bioelectrical Impedance Analysis (BIA). Venous blood was taken at the mediana cubiti area used for serum adipsin levels. Adipsin levels were analyzed by Enzyme-linked Immunosorbent Assay (ELISA) technique.Results: The mean of body fat percentage on premenopausal was 36,18 ± 8,35%. The mean of adipsin levels on premenopausal was 117,05 ± 87,93 ng/ml. Result of Pearson test analysis got value r = 0,632 and value p = 0.0005 (p <0,05).Conclusions: There is a positive significant correlation between the percentage of body fat with adipsin levels on premenopause.


2020 ◽  
Vol 9 (12) ◽  
pp. 3873
Author(s):  
José Ignacio Martínez-Montoro ◽  
María Molina-Vega ◽  
Maite Asenjo-Plaza ◽  
María Concepción García-Ruiz ◽  
Enrique Varea-Marineto ◽  
...  

Obesity is associated with decreased circulating testosterone levels, the main male sex hormone. However, there are a number of different male sex hormones whose dynamics remain poorly understood regarding this pathology. In this regard, 17 hydroxyprogesterone (17-OH progesterone), as an important precursor of testosterone synthetized in testes and adrenal glands, could play an essential role in testosterone deficiency in male obesity. Moreover, similarly to testosterone, 17-OH progesterone could be closely associated with visceral fat distribution and metabolic dysfunction. Thus, the aim of this study was to assess serum 17-OH progesterone levels in non-diabetic obese young men and to evaluate their relationship with clinical, analytical, and anthropometric parameters. We conducted a cross-sectional study including 266 non-diabetic men with obesity (BMI ≥ 30 kg/m2) aged 18–49 years; 17-OH progesterone and total testosterone (TT) were determined by high-performance liquid chromatography mass spectrometry. 17-OH progesterone levels were significantly lower in tertile 3 of body fat percentage in comparison with tertile 1 (0.74 ng/mL vs. 0.94 ng/mL, p < 0.01; Bonferroni correction) and in comparison with tertile 2 (0.74 ng/mL vs. 0.89 ng/mL, p = 0.02; Bonferroni correction). 17-OH progesterone levels correlated negatively with weight, BMI, waist circumference, insulin, homeostatic model assessment of insulin resistance (HOMA-IR), and visceral fat, and positively with TT, free testosterone (FT), luteinizing hormone, and fat-free mass percentage. Multivariate linear-regression analysis showed that body fat percentage and HOMA-IR were inversely associated with 17-OH progesterone levels, while FT and ACTH were positively linked to circulating 17-OH progesterone levels. In conclusion, in a population of non-diabetic obese young men, 17-OH progesterone levels were inversely associated with adiposity. Body fat percentage and insulin resistance were negatively related to 17-OH progesterone levels, whereas FT and ACTH levels were positively associated with 17-OH progesterone levels.


2018 ◽  
Vol 12 (2) ◽  
pp. 191
Author(s):  
Anisaul Makarimah ◽  
Lailatul Muniroh

Menarche is first menstruation that an indicator of teenage girlsenter puberty phase. Nowadays the age of menarche has decreasedin tothe younger. The purpose of this study was to analyze the relation between nutritional status and body fat percentage with menarche age. This research used cross sectional design with sample size of 37 female students who had experienced menstruation and selected using simple random sampling. Data were collected by anthropometric measurements to assess nutritional status, body fat percentage using Bioelectrical Impedance Analysis (BIA). Data were analyzed by Spearman correlation test. The results showed that more than half of respondents had normal nutritional status (51.4%) and healthy body fat percentage. There was a correlation between nutritional status (p=0.029, r= -0.360) and body fat percentage (p =0.048, r=-0.328) with age of menarche among teenage girls at the Muhammadiyah GKB 1 Gresik Elementary School. The conclusion of this study was higher nutritional status (score of z-score) and fat percentage will decrease the age of menarche. Research suggestion is to normalize nutritional status and percent body fat. By maintaining consumption pattern and increase physical activity, such as cycling, swimming, and others.


Author(s):  
Manman Chen ◽  
Jieyu Liu ◽  
Ying Ma ◽  
Yanhui Li ◽  
Di Gao ◽  
...  

To investigate the associations between body fat percentage (BF%) with childhood blood pressure (BP) levels and elevated BP (EBP) risks, and further examine the validity of bioelectrical impedance analysis (BIA), we conducted a cross-sectional study of 1426 children and adolescents aged 7–17 years in Beijing, 2020. EBP, including elevated systolic BP (ESBP) and elevated diastolic BP (EDBP), was defined based on the age- and sex-specific 90th BP reference values of children and adolescents in China. BF% was measured by dual-energy X-ray absorptiometry (DEXA) and BIA devices, and was divided into four quartiles. Log-binomial models were applied to calculate odds ratios (ORs) and 95% confidence intervals (95%CI). Girls tended to have higher BF% levels than boys (p < 0.05). There was 41.0% of girls who developed EBP. High BF% was associated with increased BP levels with ORs of 0.364 (95%CI = 0.283–0.444) for SBP, 0.112 (95%CI = 0.059–0.165) for DBP, and 1.043 (95%CI = 1.027–1.059) for EBP, while the effects were more pronounced in girls and older-aged children. BIA devices agreed well with BF% assessment obtained by DEXA. High BF% might have negative effects on childhood BP. Convenient measurements of body fat might help to assess childhood obesity and potential risks of hypertension.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Worapaka Manosroi ◽  
Pichitchai Atthakomol

Abstract Background Excess aldosterone has been shown to be associated with obesity; however, there is currently a lack of data regarding the relationship between percentage of body fat and primary aldosteronism (PA), particularly pertaining to Asian populations. Furthermore, essential hypertension may mimic the condition of PA and there needs to be differentiation between the two. This study aimed to assess the association between percentage of body fat and PA. Methods A cross-sectional study was conducted in the outpatient department of the Endocrine and Metabolism Unit of the tertiary care medical center in Thailand. Data was obtained from 79 patients who had been screened for PA due to hypertension in young-onset, hypokalemia, adrenal incidentaloma or resistance hypertension. Essential hypertension was defined as patients who had high blood pressure and were negative for PA screening. Body fat percentage was assessed by bioelectrical impedance analysis. The relationship between percentage of body fat and a diagnosis of PA was assessed using logistic regression analysis, including adjustment for confounding factors. Results The participants were divided into a PA group (n = 41) and an essential hypertension group (n = 38). After controlling for confounding variables (age, sex, body mass index, cholesterol and insulin resistance status), the odds ratio of having PA in males with a percentage of body fat > 25% and females with percentage > 30% was 1.82 (95%CI = 1.79–1.86, p < 0.001). Conclusion A higher percentage of body fat is associated with an increased risk of PA. Further studies need to be conducted to confirm the relationship between body fat percentage and PA.


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