Lab Exam 2- Lab 7 Flashcards

(58 cards)

1
Q

being overweight or obese increases the risk of

A

several chronic diseases

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2
Q

obesity

A

a complex, multifactorial disease involving the interaction of physiological, metabolic, genetic, social, cultural, and behavioral factors

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3
Q

body composition

A

makeup of the body

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4
Q

what is the information obtained from body composition used for

A

risk assessment
individualization of exercise Rx
evaluating interventional progress

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5
Q

anthropometry

A

measurement of the body

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6
Q

what measurements are used to assess components of the body

A

weight, height, and waist circumference

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7
Q

BMI

A

uses height and weight measurements and is a measure of the ratio of body weight to height

BMI= body wieght (kg)/height (m2)

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8
Q

how many categories is BMI divided into for adults

A

6
under weight
normal
over weight
obese class 1
obese class II
obese class III

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9
Q

why is BMI not an adequate measurement of disease risk

A

because there is no way to determine the composition of the weight

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10
Q

waist circumference

A

assess central obesity by measuring abdominal obesity and fat distribution and provides additional information to BMI

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11
Q

fat located in the abdominal region (visceral fat) is associated with

A

a greater health risk than peripheral fat and is an independent risk predictor when BMI not markedly increased

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12
Q

what measurement system should be used for assessments of obesity and monitoring efficacy of weight loss programs

A

waist circumference

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13
Q

why is there so much error in assessing body composition

A

no direct in vivo method to measure the different components of the body

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14
Q

any body composition technique performed on live humans is

A

indirect or doubly indirect

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15
Q

indirect methods

A

derived from direct methods involving cadavers

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16
Q

doubly indirect methods

A

derived from indirect methods

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17
Q

as methods become further away from the direct method

A

there is greater error in the estimate

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18
Q

body composition measurements may utilize what to make estimates

A

prediction equations

population specific & generalizable equations

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19
Q

population specific equation

A

inaccurate if applied to individuals who differ in physical characteristics

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20
Q

generalizable equation

A

developed from diverse, heterogenous samples, and account for differences in age, gender, sex, or ethnicity

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21
Q

what equation does this lab use

A

the Siri equation

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22
Q

Siri equation

A

predicts percent body fat, a generalizable equation

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23
Q

individuals who are farther away from the average in physical characteristics can be

A

under or overestimated in terms of body fat percentage using the Siri equation

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24
Q

skinfold measurements

A

performed using a quality skinfold caliper
assess % body fat with a SEE ~3.5%

25
are skinfold measurements indirect or doubly indirect
doubly indirect - the equations used to predict body density from skinfolds are based on hydrostratic weighing, which is an indirect method that utilizes water displacement to estimate fat mass
26
skin fold measurements are based on two primary assumptions
1) subcutaneous fat is directly proportional to total fat 2) the skin fold sites selected are representative of total body subcutaneous fat
27
the proportion of subcutaneous to total body fat varies with
age sex race/ethnicity among other factors
28
major limitations of skinfold analysis
technician training applicability of equations to the individual being tested skinfold site measurement accuracy measurement technique
29
what is the SEE of skin fold measurements
3.5%
30
bioelectrical impedance analysis (BIA)
simple, inexpensive, quick, and non-invasive way to measure body composition based on idea that electrical current flows at different rates through the body depending on its compositions
31
body is mostly composed of
water with ions, through which an electrical current can flow
32
what else other than water with ions does the body contain
non-conducting materials (body fat) that provide resistance to the flow of the electrical current
33
body fat causes what in BIA
a greater resistance (impedance) than fat-free mass and slows the rate at which the electrical current travels
34
DEXA
dual energy x-ray absorptiometry uses X-ray scan to quantify the parameters of body composition
35
DEXA quantifies body weight into three chemical components
lean soft tissue fat soft tissue bone
36
why is the % body fat significantly higher in DEXA than anthropometric results?
because DEXA can measure subcutaneous fat, visceral fat, retroperitoneal and intramuscular fat
37
bone mineral density scores (BMD)
measured as SD from the mean and include a t and z score
38
t score
compares your bone density to the average bone density of young healthy adults of the same sex
39
z score
compares your bone density to the average bone density of someone your same age, sex, and race/ethnicity
40
the risk for bone fractures doubles with
every SD below normal in regards to BMD
41
what is the accepted standard for interpretations of body fat %
there are NO accepted standards for % body fat and all methods of measurement are indirect or involve error
42
is there a national standard for body fat %
no
43
is there a national standard for BMI and waist circumfrence?
yes
44
according to NHANES what is the recommended "health standard" for body fat percentage in both men and women
men-8-22% under 35 years old women- 20-35% under 35years old
45
accuracy
how close a measured value is to the true value
46
precision
how close measured values are to each other
47
bias
whether there are systematic differences between measured and true values
48
athlete triad
recognized by ACSM as a syndrome of three interrelated conditions that include low energy availability, functional hypothalamic amenorrhea, or hypogonadic hypogonadism, and osteoperosis
49
energy availability (EA)
(dietary intake-exercise EE)/FFM expressed in kcal/kg
50
the cutoff at EA at which negative health consequences occur
varies within individuals but studies where EA has been manipulated show deleterious effects with EA less than 30kcal/kg FFM/day
51
how many sites are used for skin fold measurements
7
52
body mass index is indicative of
body size
53
waist circumference is indicative of
body fatness
54
upper body obesity is aka
android - fat in abdominal area greater health risk
55
lower body obesity is aka
gynoid - fat in hips and thighs lower health risk
56
DEXA assessment is what type of measurement
indirect
57
skin fold and BIA are what type of measurement
doubly indrect
58
osteoporosis risk factors
ACCESS alcohol use corticosteroid use calcium low estrogen low smoking sedentary lifestyle