Prothro J W, Rosenbloom C A
Department of Nutrition and Dietetics, Georgia State University, Atlanta 30303, USA.
Gerontology. 1995;41(1):22-38. doi: 10.1159/000213659.
The measurements obtained on 103 male and female subjects, 60-103 years of age, who were participants in a community nutrition program, included weight, height, knee height, body mass index, triceps skinfold, midarm circumference, midarm muscle area, total body fat, total body water, and lean body mass. Over the 43-year range of this cross-sectional study, 78% of body weight loss in men and 51% in women was attributable to lean tissue, while fat tissue accounted for 22% of weight loss in men and 53% in women. Analysis of variance of the measured values over the age interval showed trends that were not statistically significant among males, but females showed significant decreases in weight, body mass index, triceps skinfold, midarm muscle area, total body fat (% and lb), total body water (l), and lean body mass; also, a significant increase in total body water (%) was observed in females. Ethnic differences among the parameters included higher triceps skinfold in white than in black males and larger knee height and midarm circumference in white than in black females. Comparison of parameters by gender within each ethnic group showed larger body weight and midarm muscle area in white males than in white females; triceps skinfold was larger in black females than in black males. t tests indicated that subjects who received home-delivered meals had significantly smaller mean body weight, body mass index, triceps skinfold, midarm circumference and total body fat (% and lb) than those who came to a senior center for the noon meal. Elderly who lived alone had a higher total body fat (%) than those who lived with other(s). In females, significant correlation coefficients (r) were shown by weight, total body water (l), and lean body mass with all parameters. The weakest r values in females were those for height and for triceps skinfold with other parameters. In males, there was no single parameter that correlated with all others; triceps skinfold correlated with none. The strongest correlations in the male were for weight with total body water and with lean body mass, and for midarm circumference with midarm muscle area.
对103名年龄在60至103岁之间、参与社区营养项目的男性和女性受试者进行的测量包括体重、身高、膝高、体重指数、肱三头肌皮褶厚度、上臂围、上臂肌肉面积、全身脂肪、全身水分和瘦体重。在这项横断面研究的43年时间范围内,男性体重减轻的78%和女性体重减轻的51%归因于瘦组织,而脂肪组织分别占男性体重减轻的22%和女性体重减轻的53%。对年龄区间内测量值的方差分析显示,男性中这些趋势无统计学意义,但女性的体重、体重指数、肱三头肌皮褶厚度、上臂肌肉面积、全身脂肪(%和磅)、全身水分(升)和瘦体重显著下降;此外,女性的全身水分(%)显著增加。参数的种族差异包括白人男性的肱三头肌皮褶厚度高于黑人男性,白人女性的膝高和上臂围大于黑人女性。在每个种族组内按性别比较参数显示,白人男性的体重和上臂肌肉面积大于白人女性;黑人女性的肱三头肌皮褶厚度大于黑人男性。t检验表明,接受送餐服务的受试者的平均体重、体重指数、肱三头肌皮褶厚度、上臂围和全身脂肪(%和磅)显著低于那些到老年中心吃午餐的受试者。独居老年人的全身脂肪(%)高于与他人同住的老年人。在女性中,体重、全身水分(升)和瘦体重与所有参数均显示出显著的相关系数(r)。女性中最弱的r值是身高和肱三头肌皮褶厚度与其他参数的相关性。在男性中,没有一个参数与所有其他参数相关;肱三头肌皮褶厚度与任何参数均无相关性。男性中最强的相关性是体重与全身水分和瘦体重的相关性,以及上臂围与上臂肌肉面积的相关性。