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Assessment of obesity and its clinical implication
PostPosted: Mon 18:57, 02 Sep 2013
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Assessment of obesity and its clinical implications,[link widoczny dla zalogowanych]
Thang S Han,[link widoczny dla zalogowanych], specialist registrar,[link widoczny dla zalogowanych], Naveed Sattar, Mike Leandepartment of diabetes and endocrinology, University College London Hospitals.
Obesity could be assessed in a number of ways. Each method has advantages and disadvantages,[link widoczny dla zalogowanych], and also the appropriateness and scientific acceptability of each method will depend on the problem.
For weight measurement subjects should ideally maintain light clothing and bare feet,[link widoczny dla zalogowanych], fasting,[link widoczny dla zalogowanych], and with empty bladder; repeat measures are best made at same time of day
Levels of health risks related to waist circumference (cm), defined by waist circumference action levels in white men and women
The assessment methods often measure different factors of obesity-for example,[link widoczny dla zalogowanych], total or regional adiposity. Additionally they produce different results when they're accustomed to estimate morbidity and mortality. If you find increased excess fat,[link widoczny dla zalogowanych], there will also be necessary increases in some lean tissue,[link widoczny dla zalogowanych], such as the fibrous and vascular tissues in adipose tissue,[link widoczny dla zalogowanych], heart muscle, bone mass,[link widoczny dla zalogowanych], and truncal or postural musculature. Each one of these non-fat tissues possess a higher density (1.0 g/ml) than fat (0.7 g/ml). The density of non-fat tissues can also be increased by physical activity,[link widoczny dla zalogowanych], which of course has a tendency to reduce excess fat.
The correlation of visceral fat with waist circumference is strong. Adapted from Han TS et al,[link widoczny dla zalogowanych]. Int J Obes Relat Metab Disord 1997,[link widoczny dla zalogowanych];21: 587-93
In general,[link widoczny dla zalogowanych], measurements of bodyweight and body dimensions (anthropometry) are used to reflect body fat in large (epidemiological) studies or perhaps in clinic settings as a result measurements give a rapid and cheap way to estimate body fatness and fat distribution. Densitometry or imaging techniques are utilized in smaller scale studies for example many studies.相关的主题文章:


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