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12-Body Composition
weight gain and loss for performance

         Nutrition and Fitness




               Dr. Siham Gritly
People’s bodies are shaped by the
     activities they perform




              Dr. Siham Gritly
Composition of body weight




         Dr. Siham Gritly
Nutrition, fitness and body composition

• Nutrition and fitness are closely interrelated
  factors;
• * to body composition,
• * muscular capability
• * respiratory and cardiovascular capacity

• Body composition is the term used to describe the
  different components such as muscle, bone, fat,
  and other tissue that make up a person’s total
  body weight.

                        Dr. Siham Gritly
• Water is the most abundant chemical compound in living
  human cells, accounting for 65-90% of each cell.

• All organic compounds contain carbon, which is why
  carbon is the second most abundant element in the body.

• Six elements account for 99% of the mass of the human
  body: oxygen, carbon, hydrogen, nitrogen, calcium, and
  phosphorus.

• Although aluminum and silicon are abundant in the earth's
  crust, they are found in trace amounts in the human body

                          Dr. Siham Gritly
Body composition and physical fitness
• In physical fitness, body composition is used to
  describe the percentages;-
• * fat,
• * bone,
• * muscle
• Because muscular tissue takes up less space in our
  body than fat tissue, body composition, as well as our
  weight, determines leanness (non fat weight).
• Two people of equal height and body weight may look
  completely different from each other because they have
  a different body composition.

                        Dr. Siham Gritly
components of body composition

• A two-component of body composition divides
  the body into;

• 1-fat component

• 2-fat-free component (Lean body mass)



                    Dr. Siham Gritly
Fat component
• Body fat is the most variable constituent of the body.
  The total amount of body fat consists of essential fat
  and storage fat.
• Fats, the energy reserve of body stored as triglycerides
  in adipose tissue and under the skin and around internal
  organs (bone
  marrow, lung, liver, spleen, kidneys, intestine, heart and
  lipid rich tissues in nervous system)

• Adipose tissue is located under the skin (storage fat)

• Triglycerides are the main fat depot
                          Dr. Siham Gritly
• Fat in the marrow of bones, in the heart,
  lungs, liver, spleen, kidneys, intestines,
  muscles, and lipid-rich tissues throughout the
  central nervous system is called essential fat,




                      Dr. Siham Gritly
• Fats functions are provision of energy
  and It provides protection for different
  body organs and serves as an insulator to
  conserve body heat.

• excess body fat may impair physical
  performance and activity.


                   Dr. Siham Gritly
• Body fat, or adipose tissue, is composed of a
  mixture of mostly fat, some protein, and water.

• A pound of body fat (454 g) is approximately
  87% fat, or (454 0.87) 395 g, and 395 g 9
  kcal/g = 3555 kcal.



                     Dr. Siham Gritly
Lean body mass (muscle, bone, and organs)

• Lean body mass represents the weight of
  muscles, bones, ligaments, tendons, and
  internal organs.

• Lean body mass includes a small percentage of
  essential fat.



                    Dr. Siham Gritly
weight gain and loss for
             performance
• To maintain healthy body weight, balance
  kcalories from foods should be balance with
  kcalories expended.

• When energy in balances with energy out, a
  person’s body weight is stable



                     Dr. Siham Gritly
• Weight loss, is a reduction of the total body
  mass, due to a mean loss of fluid, body fat or
  adipose tissue and/or lean mass, namely bone
  mineral deposits, muscle, tendon and other
  connective tissue.




                     Dr. Siham Gritly
Weight-Management Strategies, For
          Weight Loss
• * Energy out should exceed energy in by about
  500 kcalories/day. your physical activity enough
  to spend more energy than consume from foods.

• *Eat small portions.

• *Limit high-fat foods. Make legumes, whole
  grains, vegetables, and fruits central to your diet
  plan.

                         Dr. Siham Gritly
• *Limit concentrated sweets.

• * Drink a glass of water before you begin to eat and
  another while you eat. Drink plenty of water throughout
  the day.

• * Keep a record of diet and exercise habits

• * Learn alternative ways to deal with emotions and
  stresses.

• *Eat slowly.
                         Dr. Siham Gritly
Weight-Management Strategies For
         Weight Gain
• *Energy in should exceed energy out by at least
  500 kcalories/day.

• *Increase your food intake enough to store more
  energy than you expend in exercise.

• * Exercise and eat to build muscles.

• * Expect weight gain to take time (1 pound per
  month would be reasonable).

                       Dr. Siham Gritly
• * Eat at least three meals a day.

• *Eat large portions of foods and expect to feel
  full.

• * Eat snacks between meals.

• * Drink plenty of juice and milk.

                      Dr. Siham Gritly
how to estimated energy
          requirement (EER),
• To determine estimated energy requirement
  (EER), the appropriate equation is use,

• For men 19 years and older:
• EER = [662 − (9.53 × age)] + PA × [(15.91 × wt) +
  (539.6 × ht)]

• • For women 19 years and older:
• EER = [354 − (6.91 × age)] + PA × [(9.36 × wt) +
  (726 × ht)]

                      Dr. Siham Gritly
• For example, consider an active 30-year-old
  male who is 5 feet 11 inches tall and weighs
  178 pounds. First, converts his weight from
  pounds to kilograms and his height from
  inches to meters, if necessary:
• 178 lb ÷ 2.2 = 80.9 kg
• 71 in ÷ 39.37 = 1.8 m


                     Dr. Siham Gritly
• Next, considers his level of daily physical activity and selects the
  appropriate PA factor from the previous table.

• Then, inserts his age, PA factor, weight, and height into the
  appropriate equation:

• EER = [662 − (9.53 × 30)] + 1.25 ×[(15.91 × 80.9) + (539.6 × 1.8)]
• (A reminder: Do calculations within the parenthesis first.) He
  calculates:

• EER = [662 − 286] + 1.25 × [1287 + 971]
• (Another reminder: Do calculations within the brackets next.)



                                Dr. Siham Gritly
• EER = 376 + 1.25 × 2258
• (Do multiplication before addition.)
• EER = 376 +2823
• EER = 3199
• The estimated energy requirement for an active
  30-year-old male who is 5 feet 11 inches tall and
  weighs 178 pounds is about 3200 kcalories/day.
• His actual requirement probably falls within a
  range of 200 kcalories above and below this
  estimate.

                       Dr. Siham Gritly
• age in years,
•  weight (wt) in kilograms,
• height (ht) in meters,
• physical activity (PA) factor from the reference
  table.
• To convert pounds to kilograms, divide by 2.2;
• to convert inches to meters, divide by 39.37

                      Dr. Siham Gritly
Physical Activity Equivalents and Their PA Factors
           sources; Melvin- Nutrition for Health, fitness & Sport
Physical   Descriptio Physical Activity                  Men,     Wom     Boys   Girls,
activity   n          Equivalents                        19+ yr   en, 1   , 3–   3–18 yr
level                                                    PA       PA      18yr   PA
                                                         Factor   Facto   PA     Factor
                                                                  r19+    Fact
                                                                  yr      or
1.0 to     Sedentary   Only those physical               1.0      1.0     1.0    1.0
1.39                   activities required for
                       typical daily living
1.4 to     Low active Daily living + 30–60 min           1.11     1.12    1.13   1.16
1.59                  moderate activity
1.6 to     active      Daily living + ≥ 60 min           1.25     1.27    1.26   1.31
1.89                   moderate activity
1.9 and    Very        Daily living + ≥ 60 min           1.48     1.45    1.42   1.56
above      active      moderate activity and ≥
                       60 min vigorous activity
                       or≥ 120 min moderate
                       activity       Dr. Siham Gritly
Body composition and obesity
• Obesity is defined as a total body fat percentage
  over 25%(men) or 35%(women), or a body mass
  index of 30 or more.

• Increase in Body fat will be lead to the risk of
  coronary heart disease, diabetes and high blood
  pressure and cancer.
• Aim to reduce body weight slowly, with a weight
  loss of 5-10kg over 12 weeks.
•

                       Dr. Siham Gritly
Body mass index (BMI)
• Body mass index (BMI) is a simple ratio of weight-for
  height that is commonly used to classify overweight
  and obesity in adults.
• It is calculated as the weight in kilograms divided by
  the square of the height in metres (kg/m2).

• BMI Calculator and Formula
• Metric BMI Formula: weight (kg) / [height (m)]2

• Example: Weight = 68 kg, Height = 165 cm (1.65 m)
• Calculation: 68 / (1.65)2 = 24.98

                         Dr. Siham Gritly
Classification of Body mass index (BMI)
            WHO recommendation
  BMI less than 18.4 is classified as underweight
  for height
  BMI 18.5 – 24.9 is classified as normal weight
  for height
• BMI 25.0 – 29.9 is classified as overweight
• BMI 30.0 – 39.9 is classified as obese
• BMI more than 40 is classified as severely
  obese
                     Dr. Siham Gritly
• body builder will have a lot of muscle and
  therefore weigh more than a non-active
  individual.
• His BMI may be higher, but his body fat will be
  low.
• Therefore, the BMI calculation is only a useful
  index of the body fatness and should be used
  in conjunction with other measures of fat
  distribution e.g. waist circumference

                     Dr. Siham Gritly
Assessing Body Composition and Percent
                 Body Fat
• Practical methods of assessing body
  composition
• the two-component (fat and fat-free mass)
  assess by;-
1-Underwater Weighing or Hydrostatic Weighing

2-Skinfold Thickness Measurement

3-Bioelectrical Impedance
                    Dr. Siham Gritly
Other techniques for assessing body composition


• Height & Weight

• Circumference Measurements

• Waist Girth & Waist-to-Hip Ratio

• Body Mass Index

                      Dr. Siham Gritly
2-bioelectrical impedance analysis (BIA),
• Bioelectrical impedance Estimate body fat content by sending
  a painless, low energy electrical current through the body.




                          Dr. Siham Gritly
• Bioelectrical impedance is another common
  method of assessing body fat percentage.

• This method determines total body weight, the
  percent and amount of body fat, muscle mass,
  water,



                     Dr. Siham Gritly
Bioelectrical impedancemeasures body fat by using a low-
intensity electrical current. Because electrolyte-containing
fluids, which readily conduct an electrical current, are found
primarily in lean body tissues, the leaner the person, the less
resistance to the current. The measurement of electrical
resistance is then used in a mathematical equation to
estimate the percentage of body fat.




                            Dr. Siham Gritly
3-Hydrostatic Underwater
Weighing
• Underwater weighing is based upon
 Archimedes Principle which states that the floating force on a
   submerged object is equal to the weight of the fluid that is
   displaced by the object.

• this principle is used to determine a person's percentage of
  body fat because the density of fat mass and fat-free mass
  are constant.

• Lean tissue, such as bone and muscle, are more dense than
  water, and fat tissue is less dense than water.



                            Dr. Siham Gritly
•    Basically, muscle sinks and fat floats. Therefore, a person
    with more body fat will weigh less underwater and be more
    floating. Someone with more muscle will weigh more
    underwater.


• A special calculation is then used to determine lean weight
  and fat weight and determine a person's percentage of body
  fat. By volume fat weighs less than muscle, and pound for
  pound fat and muscle each have a constant mass and displace a
  specific amount of water.
•


                              Dr. Siham Gritly
During underwater weighing, the person exhales as much air as
possible and then holds his or her breath and bends over at the
waist. When the person is totally submerged, under water
weight is recorded . Body volume is calculated by entering this
value and weight in air into formula




                           Dr. Siham Gritly
Air displacement plethysmography estimates body
composition by having a person sit inside a chamber while
computerized sensors determine the amount of air displaced
by the person’s body




                          Dr. Siham Gritly
Dual energy X-ray absorptiometry (DEXA) uses two low-dose X-
rays that differentiate among fat-free soft tissue (lean body
mass), fat tissue, and bone tissue, providing a precise
measurement of total fat and its distribution in all but
extremely obese subjects




                           Dr. Siham Gritly
Youtube
• An instructional video on how to use the
  Bioelectrical Impedance Analysis (BIA)
  machine

• Getting Hydrostatic body fat test
  measurements at Fitness Wave



                     Dr. Siham Gritly
2-Skinfold Thickness
Measurement
• Because underwater weighting it is
  complicated and requires special equipment,
  most exercise physiologists use simple
  skinfold measurements to determine body
  fat percent. The American College of Sports
  Medicine says that when performed by a
  trained, skilled, tester, they are up to 98%
  accurate.

                     Dr. Siham Gritly
• Skinfold thickness (SFT) is defined as a measure
  of the double thickness of the epidermis,
  underlying fascia and subcutaneous adipose
  tissue Measured at four sites:
• 1-biceps (midpoint of front upper arm),
• 2-triceps (midpoint of back upper arm),
• 3-subscapular (directly below point of shoulder
  blade at angle of 45 degrees),
• 4- supra‐iliac (directly above iliac crest in
  mid‐axillary line). Rapid surveys often involve
  only biceps.
                      Dr. Siham Gritly
supra‐iliac (directly above iliac crest in mid‐axillary line
(waistline). Measured horizontally with the subject
breathing gently




                          Dr. Siham Gritly
triceps skin fold thickness
Triceps: A mark is made at the mid-upper
arm, midline of the posterior aspect of the arm over
the triceps muscle, measured with the elbow bent at
90o, used for identifying the biceps and triceps SFT.
During the measurement, the arm should be hanging
freely by the side, palms inwards towards the thighs.




                       Dr. Siham Gritly
Biceps skin fold thickness
 Biceps: Measured midline of the anterior aspect of
the arm, over the biceps muscle, mid-point on the arm
as below.




                       Dr. Siham Gritly
Subscapular: Found just below and lateral to the
bottom tip of the scapula, measured in a 45o angle.
Subjects stand with their arm relaxed by their side. The
scapula was palpated with the fingertips to find the
bottom of the bone and the SFT is then measured in the
natural crease. Subject’s shoulders are relaxed




                         Dr. Siham Gritly
References
• Ellie Whitney and Sharon Rady Rolfes; Under standing
  Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage
  Learning

• Sareen S. Gropper, Jack L.Smithh and James L. Groff; 2007.
  advanced Nutrition and Human Metabolism, fifth ed. Wadsworth
  CENGAGE learning
•
  Brodie, D. A. (1988). Techniques of measurement of body
  composition Part II. Sports Medicine, 5, 74-98.
  Heyward, V. H. (1991). Advanced fitness assessment & exercise
  prescription. Champaign: Human Kinetics Publishers.




                             Dr. Siham Gritly
References
Jackson, A.S. & Pollock, M.L. (1985) Practical
  assessment of body composition. The
  Physician and Sportsmedicine, 13, 5, 76-90

• Melvin H Williams 2010; Nutrition for Health,
  Fitness and Sport. 9th ed, McGraw Hill

• World Health Organization Report (WHO
  1987)
                     Dr. Siham Gritly

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12 13-body composition

  • 1. 12-Body Composition weight gain and loss for performance Nutrition and Fitness Dr. Siham Gritly
  • 2. People’s bodies are shaped by the activities they perform Dr. Siham Gritly
  • 3. Composition of body weight Dr. Siham Gritly
  • 4. Nutrition, fitness and body composition • Nutrition and fitness are closely interrelated factors; • * to body composition, • * muscular capability • * respiratory and cardiovascular capacity • Body composition is the term used to describe the different components such as muscle, bone, fat, and other tissue that make up a person’s total body weight. Dr. Siham Gritly
  • 5. • Water is the most abundant chemical compound in living human cells, accounting for 65-90% of each cell. • All organic compounds contain carbon, which is why carbon is the second most abundant element in the body. • Six elements account for 99% of the mass of the human body: oxygen, carbon, hydrogen, nitrogen, calcium, and phosphorus. • Although aluminum and silicon are abundant in the earth's crust, they are found in trace amounts in the human body Dr. Siham Gritly
  • 6. Body composition and physical fitness • In physical fitness, body composition is used to describe the percentages;- • * fat, • * bone, • * muscle • Because muscular tissue takes up less space in our body than fat tissue, body composition, as well as our weight, determines leanness (non fat weight). • Two people of equal height and body weight may look completely different from each other because they have a different body composition. Dr. Siham Gritly
  • 7. components of body composition • A two-component of body composition divides the body into; • 1-fat component • 2-fat-free component (Lean body mass) Dr. Siham Gritly
  • 8. Fat component • Body fat is the most variable constituent of the body. The total amount of body fat consists of essential fat and storage fat. • Fats, the energy reserve of body stored as triglycerides in adipose tissue and under the skin and around internal organs (bone marrow, lung, liver, spleen, kidneys, intestine, heart and lipid rich tissues in nervous system) • Adipose tissue is located under the skin (storage fat) • Triglycerides are the main fat depot Dr. Siham Gritly
  • 9. • Fat in the marrow of bones, in the heart, lungs, liver, spleen, kidneys, intestines, muscles, and lipid-rich tissues throughout the central nervous system is called essential fat, Dr. Siham Gritly
  • 10. • Fats functions are provision of energy and It provides protection for different body organs and serves as an insulator to conserve body heat. • excess body fat may impair physical performance and activity. Dr. Siham Gritly
  • 11. • Body fat, or adipose tissue, is composed of a mixture of mostly fat, some protein, and water. • A pound of body fat (454 g) is approximately 87% fat, or (454 0.87) 395 g, and 395 g 9 kcal/g = 3555 kcal. Dr. Siham Gritly
  • 12. Lean body mass (muscle, bone, and organs) • Lean body mass represents the weight of muscles, bones, ligaments, tendons, and internal organs. • Lean body mass includes a small percentage of essential fat. Dr. Siham Gritly
  • 13. weight gain and loss for performance • To maintain healthy body weight, balance kcalories from foods should be balance with kcalories expended. • When energy in balances with energy out, a person’s body weight is stable Dr. Siham Gritly
  • 14. • Weight loss, is a reduction of the total body mass, due to a mean loss of fluid, body fat or adipose tissue and/or lean mass, namely bone mineral deposits, muscle, tendon and other connective tissue. Dr. Siham Gritly
  • 15. Weight-Management Strategies, For Weight Loss • * Energy out should exceed energy in by about 500 kcalories/day. your physical activity enough to spend more energy than consume from foods. • *Eat small portions. • *Limit high-fat foods. Make legumes, whole grains, vegetables, and fruits central to your diet plan. Dr. Siham Gritly
  • 16. • *Limit concentrated sweets. • * Drink a glass of water before you begin to eat and another while you eat. Drink plenty of water throughout the day. • * Keep a record of diet and exercise habits • * Learn alternative ways to deal with emotions and stresses. • *Eat slowly. Dr. Siham Gritly
  • 17. Weight-Management Strategies For Weight Gain • *Energy in should exceed energy out by at least 500 kcalories/day. • *Increase your food intake enough to store more energy than you expend in exercise. • * Exercise and eat to build muscles. • * Expect weight gain to take time (1 pound per month would be reasonable). Dr. Siham Gritly
  • 18. • * Eat at least three meals a day. • *Eat large portions of foods and expect to feel full. • * Eat snacks between meals. • * Drink plenty of juice and milk. Dr. Siham Gritly
  • 19. how to estimated energy requirement (EER), • To determine estimated energy requirement (EER), the appropriate equation is use, • For men 19 years and older: • EER = [662 − (9.53 × age)] + PA × [(15.91 × wt) + (539.6 × ht)] • • For women 19 years and older: • EER = [354 − (6.91 × age)] + PA × [(9.36 × wt) + (726 × ht)] Dr. Siham Gritly
  • 20. • For example, consider an active 30-year-old male who is 5 feet 11 inches tall and weighs 178 pounds. First, converts his weight from pounds to kilograms and his height from inches to meters, if necessary: • 178 lb á 2.2 = 80.9 kg • 71 in á 39.37 = 1.8 m Dr. Siham Gritly
  • 21. • Next, considers his level of daily physical activity and selects the appropriate PA factor from the previous table. • Then, inserts his age, PA factor, weight, and height into the appropriate equation: • EER = [662 − (9.53 × 30)] + 1.25 ×[(15.91 × 80.9) + (539.6 × 1.8)] • (A reminder: Do calculations within the parenthesis first.) He calculates: • EER = [662 − 286] + 1.25 × [1287 + 971] • (Another reminder: Do calculations within the brackets next.) Dr. Siham Gritly
  • 22. • EER = 376 + 1.25 × 2258 • (Do multiplication before addition.) • EER = 376 +2823 • EER = 3199 • The estimated energy requirement for an active 30-year-old male who is 5 feet 11 inches tall and weighs 178 pounds is about 3200 kcalories/day. • His actual requirement probably falls within a range of 200 kcalories above and below this estimate. Dr. Siham Gritly
  • 23. • age in years, • weight (wt) in kilograms, • height (ht) in meters, • physical activity (PA) factor from the reference table. • To convert pounds to kilograms, divide by 2.2; • to convert inches to meters, divide by 39.37 Dr. Siham Gritly
  • 24. Physical Activity Equivalents and Their PA Factors sources; Melvin- Nutrition for Health, fitness & Sport Physical Descriptio Physical Activity Men, Wom Boys Girls, activity n Equivalents 19+ yr en, 1 , 3– 3–18 yr level PA PA 18yr PA Factor Facto PA Factor r19+ Fact yr or 1.0 to Sedentary Only those physical 1.0 1.0 1.0 1.0 1.39 activities required for typical daily living 1.4 to Low active Daily living + 30–60 min 1.11 1.12 1.13 1.16 1.59 moderate activity 1.6 to active Daily living + ≥ 60 min 1.25 1.27 1.26 1.31 1.89 moderate activity 1.9 and Very Daily living + ≥ 60 min 1.48 1.45 1.42 1.56 above active moderate activity and ≥ 60 min vigorous activity or≥ 120 min moderate activity Dr. Siham Gritly
  • 25. Body composition and obesity • Obesity is defined as a total body fat percentage over 25%(men) or 35%(women), or a body mass index of 30 or more. • Increase in Body fat will be lead to the risk of coronary heart disease, diabetes and high blood pressure and cancer. • Aim to reduce body weight slowly, with a weight loss of 5-10kg over 12 weeks. • Dr. Siham Gritly
  • 26. Body mass index (BMI) • Body mass index (BMI) is a simple ratio of weight-for height that is commonly used to classify overweight and obesity in adults. • It is calculated as the weight in kilograms divided by the square of the height in metres (kg/m2). • BMI Calculator and Formula • Metric BMI Formula: weight (kg) / [height (m)]2 • Example: Weight = 68 kg, Height = 165 cm (1.65 m) • Calculation: 68 / (1.65)2 = 24.98 Dr. Siham Gritly
  • 27. Classification of Body mass index (BMI) WHO recommendation BMI less than 18.4 is classified as underweight for height BMI 18.5 – 24.9 is classified as normal weight for height • BMI 25.0 – 29.9 is classified as overweight • BMI 30.0 – 39.9 is classified as obese • BMI more than 40 is classified as severely obese Dr. Siham Gritly
  • 28. • body builder will have a lot of muscle and therefore weigh more than a non-active individual. • His BMI may be higher, but his body fat will be low. • Therefore, the BMI calculation is only a useful index of the body fatness and should be used in conjunction with other measures of fat distribution e.g. waist circumference Dr. Siham Gritly
  • 29. Assessing Body Composition and Percent Body Fat • Practical methods of assessing body composition • the two-component (fat and fat-free mass) assess by;- 1-Underwater Weighing or Hydrostatic Weighing 2-Skinfold Thickness Measurement 3-Bioelectrical Impedance Dr. Siham Gritly
  • 30. Other techniques for assessing body composition • Height & Weight • Circumference Measurements • Waist Girth & Waist-to-Hip Ratio • Body Mass Index Dr. Siham Gritly
  • 31. 2-bioelectrical impedance analysis (BIA), • Bioelectrical impedance Estimate body fat content by sending a painless, low energy electrical current through the body. Dr. Siham Gritly
  • 32. • Bioelectrical impedance is another common method of assessing body fat percentage. • This method determines total body weight, the percent and amount of body fat, muscle mass, water, Dr. Siham Gritly
  • 33. Bioelectrical impedancemeasures body fat by using a low- intensity electrical current. Because electrolyte-containing fluids, which readily conduct an electrical current, are found primarily in lean body tissues, the leaner the person, the less resistance to the current. The measurement of electrical resistance is then used in a mathematical equation to estimate the percentage of body fat. Dr. Siham Gritly
  • 34. 3-Hydrostatic Underwater Weighing • Underwater weighing is based upon Archimedes Principle which states that the floating force on a submerged object is equal to the weight of the fluid that is displaced by the object. • this principle is used to determine a person's percentage of body fat because the density of fat mass and fat-free mass are constant. • Lean tissue, such as bone and muscle, are more dense than water, and fat tissue is less dense than water. Dr. Siham Gritly
  • 35. • Basically, muscle sinks and fat floats. Therefore, a person with more body fat will weigh less underwater and be more floating. Someone with more muscle will weigh more underwater. • A special calculation is then used to determine lean weight and fat weight and determine a person's percentage of body fat. By volume fat weighs less than muscle, and pound for pound fat and muscle each have a constant mass and displace a specific amount of water. • Dr. Siham Gritly
  • 36. During underwater weighing, the person exhales as much air as possible and then holds his or her breath and bends over at the waist. When the person is totally submerged, under water weight is recorded . Body volume is calculated by entering this value and weight in air into formula Dr. Siham Gritly
  • 37. Air displacement plethysmography estimates body composition by having a person sit inside a chamber while computerized sensors determine the amount of air displaced by the person’s body Dr. Siham Gritly
  • 38. Dual energy X-ray absorptiometry (DEXA) uses two low-dose X- rays that differentiate among fat-free soft tissue (lean body mass), fat tissue, and bone tissue, providing a precise measurement of total fat and its distribution in all but extremely obese subjects Dr. Siham Gritly
  • 39. Youtube • An instructional video on how to use the Bioelectrical Impedance Analysis (BIA) machine • Getting Hydrostatic body fat test measurements at Fitness Wave Dr. Siham Gritly
  • 40. 2-Skinfold Thickness Measurement • Because underwater weighting it is complicated and requires special equipment, most exercise physiologists use simple skinfold measurements to determine body fat percent. The American College of Sports Medicine says that when performed by a trained, skilled, tester, they are up to 98% accurate. Dr. Siham Gritly
  • 41. • Skinfold thickness (SFT) is defined as a measure of the double thickness of the epidermis, underlying fascia and subcutaneous adipose tissue Measured at four sites: • 1-biceps (midpoint of front upper arm), • 2-triceps (midpoint of back upper arm), • 3-subscapular (directly below point of shoulder blade at angle of 45 degrees), • 4- supra‐iliac (directly above iliac crest in mid‐axillary line). Rapid surveys often involve only biceps. Dr. Siham Gritly
  • 42. supra‐iliac (directly above iliac crest in mid‐axillary line (waistline). Measured horizontally with the subject breathing gently Dr. Siham Gritly
  • 43. triceps skin fold thickness Triceps: A mark is made at the mid-upper arm, midline of the posterior aspect of the arm over the triceps muscle, measured with the elbow bent at 90o, used for identifying the biceps and triceps SFT. During the measurement, the arm should be hanging freely by the side, palms inwards towards the thighs. Dr. Siham Gritly
  • 44. Biceps skin fold thickness Biceps: Measured midline of the anterior aspect of the arm, over the biceps muscle, mid-point on the arm as below. Dr. Siham Gritly
  • 45. Subscapular: Found just below and lateral to the bottom tip of the scapula, measured in a 45o angle. Subjects stand with their arm relaxed by their side. The scapula was palpated with the fingertips to find the bottom of the bone and the SFT is then measured in the natural crease. Subject’s shoulders are relaxed Dr. Siham Gritly
  • 46. References • Ellie Whitney and Sharon Rady Rolfes; Under standing Nutrition, Twelfth Edition. 2011, 2008 Wadsworth, Cengage Learning • Sareen S. Gropper, Jack L.Smithh and James L. Groff; 2007. advanced Nutrition and Human Metabolism, fifth ed. Wadsworth CENGAGE learning • Brodie, D. A. (1988). Techniques of measurement of body composition Part II. Sports Medicine, 5, 74-98. Heyward, V. H. (1991). Advanced fitness assessment & exercise prescription. Champaign: Human Kinetics Publishers. Dr. Siham Gritly
  • 47. References Jackson, A.S. & Pollock, M.L. (1985) Practical assessment of body composition. The Physician and Sportsmedicine, 13, 5, 76-90 • Melvin H Williams 2010; Nutrition for Health, Fitness and Sport. 9th ed, McGraw Hill • World Health Organization Report (WHO 1987) Dr. Siham Gritly