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一种测量肥胖成年人身体密度的新方法。

A new method for measuring the body density of obese adults.

作者信息

Garrow J S, Stalley S, Diethelm R, Pittet P, Hesp R, Halliday D

出版信息

Br J Nutr. 1979 Sep;42(2):173-83. doi: 10.1079/bjn19790105.

DOI:10.1079/bjn19790105
PMID:476035
Abstract
  1. A new apparatus is described with which it is possible to measure the volume (and hence density) of obese patients without requiring them to immerse totally in water. Replicate measurements of subjects with 6, 23 and 38 kg body fat had a standard deviation not greater than 0.3 kg fat. 2. In nineteen obese women body fat was measured by density, total body water, and total body potassium at the beginning, and again at the end, of a period of 3--4 weeks on a reducing diet, during which they lost 5.43 (SD 1.83) kg in weight. The composition of weight loss was also estimated both by energy balance and nitrogen balance during the interval between the two measurements of body composition. 3. The estimates of fat content of the ninetten women at the start of the balance period were 45.63 (SD 14.50) kg by density, 48.07 (SD 13.88) kg by K and 47.09 (SD 13.85) kg by water. The correlation coefficient between the density and K estimate was 0.949, and for the density and water estimate it was 0.971. 4. It is concluded that measurement of density by the new method provides a convenient method for estimating body fatness, and change in fat content, which compares favourably with estimates based on total body water or total body K. However, these methods cannot be used to provide an accurate estimate of the composition of a small weight loss in an individual since deviations up to 4 kg fat occur between fat loss based on change in density and those based on the more reliable (but more tedious) energy balance method.
摘要
  1. 本文描述了一种新装置,使用该装置可以测量肥胖患者的体积(进而得出密度),而无需患者完全浸入水中。对体脂分别为6千克、23千克和38千克的受试者进行重复测量,其标准偏差不超过0.3千克脂肪。2. 对19名肥胖女性在进行为期3 - 4周的减肥饮食前后,通过密度法、总体水法和总体钾法测量了她们的体脂。在此期间,她们体重减轻了5.43(标准差1.83)千克。在两次身体成分测量的间隔期内,还通过能量平衡和氮平衡估算了体重减轻的组成。3. 在平衡期开始时,通过密度法估算的这19名女性的脂肪含量为45.63(标准差14.50)千克,通过钾法为48.07(标准差13.88)千克,通过水法为47.09(标准差13.85)千克。密度法和钾法估算结果之间的相关系数为0.949,密度法和水法估算结果之间的相关系数为0.971。4. 得出结论:用新方法测量密度为估算身体脂肪含量及其变化提供了一种便捷方法,与基于总体水或总体钾的估算方法相比具有优势。然而,由于基于密度变化的脂肪减少量与基于更可靠(但更繁琐)的能量平衡法的脂肪减少量之间存在高达4千克脂肪的偏差,这些方法不能用于准确估算个体少量体重减轻的组成。

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