Abstract
Body composition science is concerned with tracking changes in the body component proportions. Body fat, fat-free, and lean masses undergo significant changes in chronic, metabolic, cardiovascular, cancerous disorders and others. Quantitative studies of these changes can be performed with simple, non-invasive, and inexpensive methods. The collected data could have significant clinical values in the prediction, diagnosis, and prognosis of multiple serious diseases particularly those encumbering the healthcare system. However, there is inadequate attention to this field in the medical curricula. We suggest in this article a specific course of “clinical body composition” as an elective for the medical students and/or an essential part of the pre-medical curriculum.
References
Lavie CJ, Milani RV, Ventura HO, Romero-Corral A. Body composition and heart failure prevalence and prognosis: getting to the fat of the matter in the “obesity paradox”. Mayo Clin Proc. 2010 Jul;85(7):605–8.
Jacquelin-Ravel N, Pichard C. Clinical nutrition, body composition and oncology: A critical literature review of the synergies. Crit Rev Oncol Hematol. 2012 Apr 20. Article in press. [Epub ahead of print]. Accessed online on August 30, 2012.
Centers for Disease Control and Prevention. Rising Health Care Costs Are Unsustainable. April 2011.
Thibault R, Pichard C. The evaluation of body composition: a useful tool for clinical practice. Ann Nutr Metab. 2012;60(1):6–16.
Rourke KM, Kavey RE. Teaching medical school students total body composition assessment techniques in the diagnosis and treatment of obesity. J Am Diet Assoc. 1999 Aug;99(8):976–8.
Ricciardi R, Talbot LA. Use of bioelectrical impedance analysis in the evaluation, treatment, and prevention of overweight and obesity. J Am Acad Nurse Pract. 2007 May;19(5):235–41.
Chan DC, Watts GF, Barrett PH, Burke V. Waist circumference, waist-to-hip ratio and body mass index as predictors of adipose tissue compartments in men. QJM. 2003 Jun;96(6):441–7.
Stanley TL, Grinspoon SK. Body composition and metabolic changes in HIV-infected patients. J Infect Dis. 2012 Jun;205Suppl 3:S383–90.
Gupta D, Lis CG, Dahlk SL, Vashi PG, Grutsch JF, Lammersfeld CA. Bioelectrical impedance phase angle as a prognostic indicator in advanced pancreatic cancer. Br J Nutr. 2004 Dec;92(6):957–62.
Gupta D, Lammersfeld CA, Vashi PG, King J, Dahlk SL, Grutsch JF, Lis CG. Bioelectrical impedance phase angle in clinical practice: implications for prognosis in stage IIIB and IV non-small cell lung cancer. BMC Cancer. 2009 Jan 28;9:37.
Paiva SI, Borges LR, Halpern-Silveira D, Assunção MC, Barros AJ, Gonzalez MC. Standardized phase angle from bioelectrical impedance analysis as prognostic factor for survival in patients with cancer. Support Care Cancer. 2010 Feb;19(2):187–92.
Santarpia L, Marra M, Montagnese C, Alfonsi L, Pasanisi F, Contaldo F. Prognostic significance of bioelectrical impedance phase angle in advanced cancer: preliminary observations. Nutrition. 2009 Sep;25(9):930–1.
Davis MP, Yavuzsen T, Khoshknabi D, Kirkova J, Walsh D, Lasheen W, Lagman R, Karafa MT. Bioelectrical impedance phase angle changes during hydration and prognosis in advanced cancer. Am J Hosp Palliat Care. 2009 Jun–Jul;26(3):180–7.
Ross PJ, Ashley S, Norton A, Priest K, Waters JS, Eisen T, Smith IE, O’Brien ME. Do patients with weight loss have a worse outcome when undergoing chemotherapy for lung cancers? Br J Cancer. 2004 May 17;90(10):1905–11.
Gallar-Ruiz P, Digioia C, Lacalle C, Rodríguez-Villareal I, Laso-Laso N, Hinostroza-Yanahuaya J, Oliet-Pala A, Herrero-Berron JC, Ortega-Marcos O, Ortiz-Libreros M, Mon-Mon C, Cobo-Jaramillo G, Vigil-Medina A. Body composition in patients on haemodialysis: relationship between the type of haemodialysis and inflammatory and nutritional parameters. Nefrologia. 2012 Jul 17;32(4):467–476.
Schiper L, Sadigursky D, Rosario DA, Schiper SP, Passos LC, Faintuch J. Hip fracture prognosis: could bioimpedance be an alternative to conventional nutritional assessment? Nutr Hosp. 2011 Jul–Aug;26(4):904–6.
Lo JC, Mulligan K, Tai VW, Algren H, Schambelan M. “Buffalo hump” in men with HIV-1 infection. Lancet. 1998 Mar 21;351(9106):867–70.
Carr A, Samaras K, Burton S, Law M, Freund J, Chisholm DJ, Cooper DA. A syndrome of peripheral lipodystrophy, hyperlipidaemia and insulin resistance in patients receiving HIV protease inhibitors. AIDS. 1998 May 7;12(7):F51–8.
Van Loan MD, Strawford A, Jacob M, Hellerstein M. Monitoring changes in fat-free mass in HIV-positive men with hypotestosteronemia and AIDS wasting syndrome treated with gonadal hormone replacement therapy. AIDS. 1999 Feb 4;13(2):241–8.
Harris KC, Kuramoto LK, Schulzer M, Retallack JE. Effect of school-based physical activity interventions on body mass index in children: a meta-analysis. CMAJ. 2009 Mar 31;180(7):719–26.
Sunderland KL, Tryggestad JB, Wang JJ, Teague AM, Pratt LV, Zhang SX, Thompson DM, Short KR. Pigment epithelium-Derived Factor (PEDF) Varies with Body Composition and Insulin Resistance in Healthy Young People. J Clin Endocrinol Metab. 2012 Aug 28. Article in press. [Epub ahead of print]. Accessed online on August 30, 2012.
Siervo M, Ruggiero D, Sorice R, Nutile T, Aversano M, Iafusco M, Vetrano F, Wells JC, Stephan BC, Ciullo M. Body mass index is directly associated with biomarkers of angiogenesis and inflammation in children and adolescents. Nutrition. 2012 Mar;28(3):262–6.
Arimura ST, Moura BM, Pimentel GD, Silva ME, Sousa MV. Waist circumference is better associated with high density lipoprotein (HDL-c) than with body mass index (BMI) in adults with metabolic syndrome. Nutr Hosp. 2011 Nov–Dec;26(6):1328–32.
Ockenga J, Manns MP. The impact of body composition analysis in HIV-infected patients: quantifying therapeutic effects. AIDS. 1999 Feb 4;13(2):279–80.
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Marreez, Y.M.A.H. Incorporation of “Human Body Composition” Course in the Medical or Premedical Curriculum. Med.Sci.Educ. 23, 196–200 (2013). https://doi.org/10.1007/BF03341621
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DOI: https://doi.org/10.1007/BF03341621