Abstract
Aim
To evaluate the association of calf circumference (CC) with lean and fat mass in postmenopausal women with high body fat percentage.
Methods
A cross-sectional study with 50 postmenopausal women who had high body fat percentage was performed. CC was measured at the maximal circumference using a nonelastic tape, and values lower than 33 cm were considered as inadequate. Total lean mass (TLM), total fat mass (TFM), leg lean mass (LLM), and leg fat mass (LFM) were obtained by dual-energy X-ray absorptiometry.
Results
Women with adequate CC presented higher body mass index (30.7 ± 5.1 vs. 25.0 ± 2.8 kg/m2; p = 0.003), body fat percentage (43.8 ± 5.6 vs. 39.1 ± 4.1; p = 0.029), and TLM (38.0 ± 4.6 vs. 31.5 ± 2.5 kg; p < 0.001) than those individuals classified with inadequate CC, respectively. Multivariate generalized linear model analysis showed that CC predicted TLM and TFM as well as LLM and LFM in a similar way.
Conclusion
CC was similarly associated with fat mass and lean mass in postmenopausal women with high body fat percentage.
Similar content being viewed by others
Abbreviations
- BMI:
-
body mass index
- CC:
-
calf circumference
- GLM:
-
generalized linear model
- LFM:
-
leg fat mass
- LLM:
-
leg lean mass
- MMI:
-
muscle mass index
- SAD:
-
sagittal abdominal diameter
- TLM:
-
total lean mass
- TFM:
-
total fat mass
- WC:
-
waist circumference
References
Peixoto LG, et al. Calf circumference is associated with muscle mass of hospitalized individuals. Revista Brasileira de Nutrição Clínica. 2016;31(2):167–71.
Rolland Y, Lauwers-Cances V, Cournot M, Nourhashémi F, Reynish W, Rivière D, et al. Sarcopenia, calf circumference, and physical function of elderly women: a cross-sectional study. J Am Geriatr Soc. 2003;51(8):1120–4.
Landi F, et al. Calf circumference, frailty and physical performance among older adults living in the community. Clin Nutr. 2014;33(3):539–44.
Hwang AC, Liu LK, Lee WJ, Peng LN, Chen LK. Calf circumference as a screening instrument for appendicular muscle mass measurement. J Am Med Dir Assoc. 2018;19(2):182–4.
Bonnefoy M, Jauffret M, Kostka T, Jusot JF. Usefulness of calf circumference measurement in assessing the nutritional state of hospitalized elderly people. Gerontology. 2002;48(3):162–9.
WHO, Obesity: preventing and managing the global epidemic. 2000, WHO: Geneva: Switzerland.
de Souza NC, de Oliveira EP. Sagittal abdominal diameter shows better correlation with cardiovascular risk factors than waist circumference and BMI. J Diabetes Metab Disord. 2013;12:41.
Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Jama, 2001. 285(19): p. 2486–97.
Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation, 2002. 106(25): p. 3143–421.
Pagotto V, et al. Calf circumference: clinical validation for evaluation of muscle mass in the elderly. Rev Bras Enferm. 2018;71(2):322–8.
de Branco FMS, et al. Protein timing has no effect on lean mass, strength and functional capacity gains induced by resistance exercise in postmenopausal women: a randomized clinical trial. Clin Nutr. 2019. https://doi.org/10.1016/j.clnu.2019.01.008.
Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, et al. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol. 1998;147(8):755–63.
TG., L., Advances in body composition assessment. 1992, Champaign: Human Kinetics Books.
Landi F, Cruz-Jentoft AJ, Liperoti R, Russo A, Giovannini S, Tosato M, et al. Sarcopenia and mortality risk in frail older persons aged 80 years and older: results from ilSIRENTE study. Age Ageing. 2013;42(2):203–9.
Kawakami R, Murakami H, Sanada K, Tanaka N, Sawada SS, Tabata I, et al. Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia in Japanese men and women. Geriatr Gerontol Int. 2015;15(8):969–76.
Statement of authorship
RPFC, SMB, and AMM wrote the manuscript; PCN and LTR participated in data collection, analysis and writing the manuscript; FLO participated in the interpretation of the data and contributed with the revision of the manuscript; and EPO carried out the conception and design of the study, participated in the interpretation of the data and writing the manuscript, and contributed with the revision of the manuscript.
Funding
We are thankful to FAPEMIG for the financial support.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
This study was approved by the Research Ethics Committee (protocol number 1.090.676) of the Federal University of Uberlandia.
Informed consent
Written informed consent was obtained from all participants prior to the study.
Rights and permissions
About this article
Cite this article
Cruz, R.P.F., Barreiro, S.M., Mendonça, A.M. et al. Calf circumference is similarly associated with fat mass and lean mass in postmenopausal women with high body fat percentage. Nutrire 45, 6 (2020). https://doi.org/10.1186/s41110-019-0109-2
Received:
Accepted:
Published:
DOI: https://doi.org/10.1186/s41110-019-0109-2