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Cited by 162Body Composition Measurement TechniquesNutrition and Health in AgingMuscle metabolism and nutrition

Body composition in chronic undernutrition

Barac-Nieto, M, Spurr, GB, Lotero, H, Maksud, MG·1978·The American Journal of Clinical Nutrition
DOI 10.1093/ajcn/31.1.23
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Abstract

Anthropometric (height, weight, and skinfolds), biochemical (serum proteins, albumin, and cholesterol), metabolic (nitrogen balance and creatinine excretion), hematological (plasma volume, hemoglobin, hematocrit, bone marrow hemosiderin, percent transferrin saturation, vitamin B12, and folic acid) variables and body water compartments (total and extracellular) have been measured in 49 adult male subjects who exhibited a wide range of nutritional states from normal to severely undernourished. Changes in body composition associated with moderate degrees of nutritional compromise were related principally to decreases in body cell mass (-15%). Body fat was normal. With severe nutritional involvement, both fat depots (-29%) and body cell mass (-29%) were significantly diminished. Muscle cell mass was more affected than other cells in the body (-41%). These data could indicate that in the group with moderate compromise, energy reserves (and hence energy balance) were maintained but dietary protein deficiencies were not compensated for. Both calorie and protein deficiencies were evident in the subjects with severe undernutrition. Multiple regression equations (r greater than 0.8) were developed that allow prediction of muscle cell mass, fat-free weight, and body cell mass from simple anthropometry and serum albumin levels. Decreases in serum albumin concentration were best related to deficits in muscle mass (r = 0.77).

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Crossref · 10.1093/ajcn/31.1.23

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  • Adult malnutrition in areas with endemic malnutrition has similar characteristics to childhood malnutrition.

    “Adult malnutrition in areas with endemic malnutrition has similar characteristics.97”

    From Hypoalbuminemia: Pathogenesis and Clinical Significance (2019) · cites this paper as [97]

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Authors
Barac-Nieto, M., Spurr, G., Lotero, H., & Maksud, M.
Affiliations
  • Medical College of Wisconsin (US)
  • Universidad del Valle (CR)
Corresponding author
Spurr, GB
ORCID
Lotero, H
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
1978-01
Volume
31
Issue
1
Pages
23-40
ISSN
0002-9165 (ISSN-L)
DOI
10.1093/ajcn/31.1.23
OpenAlex
W1951028754
Cited by
162
References
51
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 6 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 1 · 2012: 3
FWCI
4.02
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
Keywords
chronic malnutrition, body composition, body cell mass, muscle mass, fat-free mass, serum albumin, protein deficiency, energy balance, fat depots, nitrogen balance, hematological parameters, body water compartments, regression prediction equations
MeSH terms
Adolescent, Adult, Anthropometry, Blood Cells, Body Composition, Body Fluid Compartments, Body Water, Chronic Disease, Colombia, Humans, Male, Middle Aged, Nutrition Disorders, Protein-Energy Malnutrition, Lipid Metabolism

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