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Total body water percentage and 3rd space water are novel risk factors for training-related lower extremity muscle injuries in young males

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Chinese Journal of Traumatology 2024年第3期27卷 168-172页

作者： Liang Chen Ke-Xing Jin Jing Yang Jun-Jjie Ouyang Han-Gang Chen Si-Ru Zhou Xiao-Qing Luo Mi Liu Liang Kuang Yang-Li Xie Yan Hu Lin Chen Zhen-Hong Ni Xiao-Lan Du Department of Orthopedic Daping HospitalArmy Medical UniversityChongqing400042China Department of Rehabilitation Medicine Daping HospitalArmy Medical UniversityChongqing400042China Department of Wound Repair and Rehabilitation Medicine Center of Bone Metabolism and RepairLaboratory for Prevention and Rehabilitation of Training InjuriesState Key Laboratory of Trauma and Chemical Poisoning.Trauma CenterResearch Instiute of SurgeryDaping HospitalArmy Medical UniversityChongqing.400042China War Trauma Medical Center Daping HospitalArmy Medical UniversityChongqing400042.China Department of Military Basic Training and Army Management Army Health Service Training BaseArmy Medical UniversityChongqing400042China Department of Army Occupational Disease Laboratory for Prevention and Rehabilitation of Training InjuriesState Key Laboratory of Trauma and Chemical PoisoningResearch Institute of SurgeryDaping HospitalArmy Medical UniversityChongqing400042.China

Purpose:To identify the risk factors for training-related lower extremity muscle injuries in young males by a non-invasive method of body composition ***:A total of 282 healthy young male volunteers aged 18-20 years participated in this cohort *** location,degree,and injury rate were adjusted by a questionnaire based on the overuse injury assessment methods used in epidemiological studies of sports *** occurrence of training injuries is monitored and diagnosed by physicians and treated *** body composition was measured using the BodyStat QuadScan 4000 multifrequency bio-impedance system at 5,50,100 and 200 kHz to obtain 4 impedance *** Shapiro-Wilk test was used to check whether the data conformed to a normal *** of normal distribution were shown as mean±SD and analyzed by t-test,while those of non-normal distribution were shown as median(Q1,Q3)and analyzed by Wilcoxon rank sum *** receiver operator characteristic curve and logistic regression analysis were performed to investigate risk factors for developing training-related lower extremity injuries and ***:Among the 282 subjects,78(27.7%)developed training *** extremity training injuries revealed the highest incidence,accounting for 23.4%(66 cases).These patients showed higher percentages of lean body mass(p=0.001),total body water(TBW,p=0.006),extracellular water(p=0.020)and intracellular water(p=0.010)as well as a larger ratio of basal metabolic rate/total weight(p=0.006),compared with those without lower extremity muscle *** the contrary,the percentage of body fat(p=0.001)and body fat mass index(p=0.002)were *** regression analysis showed that TBW percentage>65.35%(p=0.050,odds ratio=3.114)and 3rd space water>0.95%(p=0.045,odds ratio=2.342)were independent risk factors for lower extremity muscle ***:TBW percentage and 3rd space water measured with bio-impedance method are potential ris

关键词： Body composition Training injuries Lower extremity bio-impedance

Determinants of Regional Obesity (Visceral and Subcutaneous Obesity) within Cardiovascular Risk Factors in the Cardiology Department of the University Clinics of Kinshasa

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World Journal of Cardiovascular Diseases 2022年第9期12卷 444-456页

作者： Fabien Kintoki Mbala Junior Mabidi Mbangi Aliocha Natuhoyila Nkodila Jean-Robert Makulo Risassi Pascal Bayauli Eleuther Kintoki Vita Benjamin Longo-Mbenza Raoul Gombet Christian Kisoka Lusunsi Faculty of Medicine University of Kinshasa Kinshasa DR Congo Cardiology Unit Department of Internal Medicine University Clinics of Kinshasa Kinshasa DR Congo Department of Family Medicine and Primary Health Care Protestant University in Congo Kinshasa DR Congo Nephrology Unit Department of Internal Medicine University Clinics of Kinshasa University of Kinshasa Kinshasa DR Congo Cardiometabolic Unit Department of Internal Medicine University Clinics of Kinshasa University of Kinshasa Kinshasa DR Congo Walter Sisulu University Mthatha South Africa Marien Ngouabi University Brazzaville Republic of Congo Department of Public Health Lomo University of Research Kinshasa DR Congo

Objective: This study aimed to determine searching for the determinants of regional obesity (visceral and subcutaneous obesity) within the cardiovascular risk factors (CVRF) in patients followed in cardiology at the University Clinics of Kinshasa (UCK) in the Democratic Republic of Congo (DRC). Material and Methods: Cross-sectional and analytical study had sought the determinants of regional obesity (visceral and subcutaneous obesity) by bio-impedance inside the CVRF during the period from July 1 to September 31, 2014. The multivariate analysis (logistic regression) has established the levels of association between regional obesity and CVRF. The statistical significance threshold was set at p Results: A total of 642 patients participated in the present study. The frequencies of visceral and subcutaneous obesity were respectively 45.5% (without significant distinction between the two sexes: Men 48% n = 92/188 vs. Women 44.1 n = 200/454;p = 0.148) and 60.7% with a predominance in women (36.2 n = 68/188 vs. 70.9% n = 322/454;p that alongside regional obesity was: advanced age, tobacco use, alcohol use, physical inactivity, high blood pressure (HBP), diabetes mellitus (DM) and Chronic renal failure (CRF) in the respective proportions of 50.8%, 13.4%, 44.2%, 86.3%, 10.7%, 13.4% and 0.3%. The determinants of regional obesity were advanced age, smoking and obesity on body mass index (BMI) for visceral obesity;advanced age, female gender, alcohol intake and obesity on BMI and waist circumference (WC) as well as hypertriglyceridemia for subcutaneous obesity. Conclusion: This study showed a significant frequency of regional obesity with the following determinants: advanced age, female gender, smoking, alcohol, BMI/WC obesity and hypertriglyceridemia.

关键词： Regional Visceral Subcutaneous Adipose Tissue bio-impedance Determinant CVRF DRC

Acute heart failure (suspected or confirmed): Initial diagnosis and subsequent evaluation with traditional and novel technologies

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World Journal of Cardiovascular Diseases 2013年第3期3卷 290-300页

作者： Ahmad Shoaib Thato Mabote Mohamed Zuhair Xenophon Kassianides John G. F. Cleland Department of Cardiology University of Hull Castle Hill Hospital Kingston upon Hull UK

Acute or worsening heart failure is a common reason for hospitalization which carries a high mortality. Prompt diagnosis or exclusion of HF and its cause and precipitating factors can improve the quality and efficiency of care, shorten hospital stay, reduce readmission and improve prognosis. While the clinician remains central to reaching a clinical diagnosis of heart failure, the use of traditional and novel diagnostic technologies will improve the specificity and sensitivity of the diagnosis of heart failure diagnosis and provide insights into its pathophysiogical profile and help tailor therapy to individual patient need. Chest X-rays and electrocardiograms are generally available;echocardiograms less so. Novel technologies include both invasive and non-invasive methods to detect increases in intrathoracic fluid, pulmonary congestion, left ventricular filling pressures, cardiac output and vascular function. However, few of these technologies have been subjected to randomised controlled trials investigating their ability to improve patient management.

关键词： Heart Failure (HF) Acute Heart Failure Syndrome AHFS bio-impedance Diagnosis Monitoring

Hematocrit level correlates with lungs resistivity in elderly patients with cardiogenic pulmonary edema

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Journal of biomedical Science and Engineering 2011年第1期4卷 76-81页

作者： Marina Arad Avraham Adunsky Sharon Zlochiver Ofer Barnea Shimon Abboud 不详

Regular monitoring of pulmonary congestion in car-diogenic pulmonary edema (CPE) patients is neces-sary for its adequate management via pharmaceuti-cal treatment. It is well known that the development of CPE is accompanied with an increase in hema-tocrit, plasma protein concentration and colloid os-motic pressure due to the decrease in the plasma volume. In the present study the mean left and right lung resistivity values taken pre- and post treatment with diuretics using a hybrid bio-impedance electri-cal impedance tomography system were correlate to the measured changes in hematocrit level. A marginal significant correlation was found between the abso-lute mean lung resistivity and hematocrit levels (Pearson’s correlation coefficient of R = 0.4, p-value = 0.057). When the change in the mean lung resistivity of a patient was plotted vs. the change in hematocrit readout, a significant linear correlation was found (R = 0.7, p-value = 0.02). These results support the validity of the resistivity measurements using bio-impedance system in monitoring changes of pulmonary edema in CPE patients.

关键词： bio-impedance Parametric EIT Cardiogenic Pulmonary Edema Hematocrit