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Showing posts with label body composition. Show all posts
Showing posts with label body composition. Show all posts

Thursday, July 11, 2013

Do you think her bone density is at a safe level, given that she is currently running and cycling in an attempt to lose weight?

Readers of Walking Magazine strike me as being intensely interested in health.  Especially as it relates to getting older.

As we get older we typically lose muscle, lose bone, dry out while gaining fat and weight.  Depressing as this might be, much of this decline is as much to do with controllable factors as it is to do with true "Ageing".  I am talking about controllable factors such as nutritional imbalances, medication side effects and lack of exercise (and sometimes too much exercise!).

We can measure our rate of physical decline - and its reversal - by the use of Bioelectrical Impedence Analysis (BIA) technology which is now available, embedded in bathroom weighing scales.  I have now done thousands of assessments of body composition (Weight, muscle, fat, water and bone) using this technology.  I sell these machines, the Salter 9106, for $99.89 delivered within NZ so that my clients can self-monitor their progress to health and fitness.  many people have these machines sitting idly in their bathrooms.  Its time to put them to good use!

The following is a letter from a Walking Magazine reader who has some questions about BIA which I want to share with other readers (Name withheld and personal identifying information has been removed).

"Hi Gary,

I lent my BIA scales to XXXX who's trying to lose weight and was somewhat alarmed at her bone reading of 1.9 kg. I've just read over your article and see that she falls within the 'normal' range, however I still feel that this number is too low. Here are her other stats:
Salter 9106 BIA Scales
  • age: 42, 
  • height: 165 cm, 
  • weight: 87.4 kg, 
  • fat: 39.7 %, 
  •  bone: 1.9 kg, 
  • water: 44.5 %, 
  • muscle: 34.7 %. 
She has a history of competitive racing (marathons and triathlons).....
Do you think her bone density is at a safe level, given that she is currently running and cycling in an attempt to lose weight?

Kind regards."
______________________________
Gary:
BIA (Bio Impedance Analysis) works by passing a weak current through the body.  With the help of some nifty technology that senses the way the current is "impeded" by water, bone and fat, and with the help some smart mathematical algorithms, BIA weighing scales can work out quite accurately the makeup of a person's body.

The BIA scales being used, in this case, are the Salter 9106 model which I have found to be simple to use, affordable and consistently accurate for home use.  Here are two key points to bear in mind when using BIA scales for monitoring body composition:

1 Use Athlete Mode only

There are two modes: "Athlete" and "Sedentary".  Use "Athlete Mode" only even if the person is currently sedentary: We are all athletes in waiting!  The reason for using one mode only is because the machine makes some arbitrary changes between the two and confusion can be caused if one switches from one mode to the other.

2 Repeat Measure on the same day of week at the same time of day

One reading, on its own, can be misleading.  Repeat the weigh-in on a weekly basis at the same time of the day wearing minimum clothing each time and record the readings.  This helps you to detect and discard any outliers and enables you to see trends in body composition changes, such as the gradual loss of fat as a percentage of total weight.

Now, some observations about your friend's body composition

(I am assuming that the scales have been set in "Athlete" mode.)
  1. Body Fat Percent: At 39% she is carrying several excess kilograms.  A healthy body less percent for a female is about 25%.  A very fit woman may be as low as 15% fat. Less than 15% and the woman must take great care with her nutrition to ensure she remains in good health.
  2. Bone Mass: The BIA measure of bone is of estimated mass in kilograms: Not bone density.  In my experience, an estimated bone mass of 1.9 Kg is fine and does not in any way represent increased risk of fracture.  As an aside, bone mass and bone density are not accurate predictors of fracture risk (Take note that this statement applies, as well, to X-ray densitometry such as the Dexa-Scan).  Bone is living tissue, not inanimate chalk.  The key to strong bones is partly to do with how much bone one has in relation to body weight; but a much greater factors are how well nourished the body is to fuel the constant processes of bone remodeling that respond unceasingly to the physical stresses upon the body and the presence of drugs such as asthma steroid medication and bisphosphonates which can thin and weaken bones.  Better predictors of fracture risk include: Poor balance, being obese, poor leg muscle strength and the use of prescription drugs such as for blood pressure.
  3. How to use BIA scales to monitor health: As a person's health improves, there is a percent increase in water and muscle, while there will be a decrease in fat percent.  Bone will increase by 1-200 grams; but over a long time - months and years - not weeks.  It is possible to improve these measures regardless of age.  In fact, I find that some of the most dramatic improvements happen in people well past 60 years.  It is best to take readings weekly as outlined earlier and chart the results using a computer programme such as Excel.

 

As a general rule: The slower and the more steady the rate of improvement in measures of body composition, the more likely those gains will be lasting, rather than being transitory!

 

How can she improve her body composition?

Lose weight - Then run
 In my opinion, running when carrying several excess kilograms of fat is simply not enjoyable. and carries with it a high level of risk of stress injury.  Rather than running, your friend would be better off doing a mix of brisk walking, cycling and other activities for the upper body such as swimming. 

What she eats is very important
I have found that weight loss through calorie restriction usually ends in disappointment with any lost weight quickly regained.  Lasting fat loss is best achieved by a diet that is not unduly calorie restrictive and which is rich in protein, fats (including animal fats such as butter), plenty of vegetables (70% of them cooked, the rest raw), while being relatively low in sugars and carbohydrates, including most fruits.  The best time to eat fruit and carbohydrates when trying to lose fat is before and after exercise.  Processed foods that claim to be 99% fat free are best avoided because they are likely to be rich sources of hidden carbohydrates which, when in excess, are converted into fat by the liver.

Generally, the more that one eats in the way of quality food, the more one can exercise and the more energy one burns even while at rest.  The result is a gradual loss of excess fat, an increase in muscle, bone and water and one feels great!

Calorie restriction diets tend to fail miserably
Calorie restriction, such as low fat diets, tend to shut down the metabolism while at rest and tend to make exercise an unpleasant effort.  Generally, one must compensate for the lack of available energy by backing off on the intensity and volume of exercise.  People on calorie restriction diets tend to feel very tired throughout the day.  Any weight loss may include loss of muscle and even bone, as well as some fat - Not good!  Hence, calorie restriction weight loss programmes tend to have a very poor track record.

Looking at the body composition results, I wonder if your friend is suffering from "burnout"?

Have you ever wondered what happens to "retired" marathon runners and triathletes?

These athletes seldom retire: Most grind to a painful and very tired halt!  Like dying elephants, they quietly leave the herd, disappearing into the thick undergrowth, never to be seen again.  The attention of the masses, meanwhile, is on the next up and coming youthful champion.

Burnout is a  modern epidemic constituting at least 80% of my business and most common in older active people.  Other than feeling constantly tired and constantly getting sick there are physical signs of burnout that include fat gain, loss of muscle and bone and suffering one niggling injury after another.

If this appears to be the case with your friend, it would be advisable to consult a natural health practitioner for advice about what to do while keeping the exercise at a relatively low intensity for the time being.

If you do purchase a Salter 9106 BIA scale off me, then email (gary@garymoller.com) your readings and questions and I will give some advice and guidance.

 

About this website 
The advice in these articles is given freely without promise or obligation. Its all about giving you and your family the tools and information to take control of your health and fitness.
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Tuesday, December 25, 2012

How to measure your body composition and what it all means

"Measuring your body composition is helpful for tracking your progress with any fitness or lifestyle changes, as a measure of health status and to motivate you with your goals.  Weighing yourself on a set of standard bathroom scales only provides you with your weight.  People can become obsessed with numbers!  The number on the scale is not the most important thing here, what's important is what that weight is made up of and how this is changing over time......"
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About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.

Saturday, February 11, 2012

How to interpret Body Composition using the Salter 9106


Hi Gary I recently purchased the 9106 Salter Body Analyser and Scale. The instruction manual was received, however could you please clarify the following so I can interpret the Bone Mass feature and the Muscle Mass feature (the manual seems to dwell on the body fat percentage and body water percentage withe tables).

What should a healthy range of muscle mass and bone mass be for : Athlete female/Athlete male/Female/Male

Kind regards and I look forward to your reply
___________________________
Gary:
Athletic Male late 50's
These are difficult questions to answer because we are all the same but also a little different.  Also, with age we tend to lose muscle, bone and water while fat increases as a proportion of total weight.  There are also ethnic differences.  So, it is better to talk in generalities and not be too hard and fast about what are ideals.  I am even a little reluctant to talk about "ranges".

Athletic Male late 30's
I have been doing body composition measurements for about 30 years and the number must now be in the thousands.  I have settled on using the 9106 Salter Body Analyser and Scale because:

  • It is very simple to set up and use in the privacy of one's own home.
  • It is remarkably accurate: The only thing that varies from one reading to another is the person being tested.  Whereas when using devices like calipers, the person conducting the test is the greatest variable.
  • It is available in most countries, or can be shipped internationally, so I can have people take their readings no matter where they live and email me a spreadsheet of their results.  By having everybody using the exact same machine, we have consistency in results which makes my job much easier when giving advice and guidance.
  • Athletic Male early 20's
  • It is inexpensive while being every bit as accurate as much more expensive machines.  The 9106 Salter Body Analyser and Scale retails for about NZ$140-160 but can be purchased off me for much less. This is because I want my clients to have the same machine so that we have consistency in readings.

How does BIA (bioelectical impedence analysis) work?  Read this Wikipedia page for more.  BIA, using the 9106 Salter Body Analyser and Scale is very accurate when repeated on the same person.  If other makes and models of machines are used then there will be confusing variations in readings due to the lack of industry standards.  So, when using BIA it is essential that readings are all done on the same machine.  In this case the 9106.

I do not generally like to compare one person's readings with another person's.  It is preferential only to compare one person's multiple readings spread over a long period of time, with little reference to comparisons with other people's readings.  What really counts is any changes that happen in a person's readings over time - not in comparison with anybody else.

Athletic Female early 20's
I never use the "sedentary mode" on these scales.  Always use the "athlete mode" regardless of current or historic activity levels so as to avoid any confusing results, should you decide to switch to athlete mode later on because your client has taken up an exercise programme.  Assume that everybody being tested is going to be active, if not immediately, then some time later.  If you switch between active and sedentary, you will not be able to compare before and after readings.

People usually want to reduce their body fat percent, increase hydration, increase lean mass and increase bone mass.  Lean mass will change very slowly over several months.  Changes in bone may take years to alter, but is possible.

Athletic Male in his 50's
There are cases where a person needs to increase their fat percentage, such as a thin woman wishing to get pregnant.  As a general rule of thumb, she should have a body fat percent of no less than 15% and preferably greater than 20% but not higher than 30%.   This healthy fat percent sends positive signals to the ovaries that now is a good time to bear a child.

A healthy sedentary woman will be between 20 and 30 percent fatness while a male will be between 15-25%.  It is not uncommon to find men with an excess of 40% fat and women exceeding 50%.  Such high levels are clearly unhealthy and more common than not.

Athletic Female in her 40's
Using the 9106 Salter Body Analyser and Scale is most helpful when monitoring weight loss. The key to healthy weight loss, in the majority of cases, is to reduce fat while increasing or maintaining hydration, muscle and bone mass.  This is best achieved with moderate exercise and a healthy wholefoods diet than with severe calorie restriction and boot-camp-style exercise thrashings.  Focusing on weight loss alone, without regard to retaining lean mass may not be healthy and may be unsustainable over the long term: As lean mass is lost, along with fat, the risk is that metabolism declines (energy is required to maintain lean muscle mass, so less muscle = less base metabolic needs).  In this case, fat will go on as soon as the effort to restrict calorie and to participate in unpleasant exercise weakens, as it will.  The usual result is the person ends up getting even fatter due to the lowered metabolism associated with the loss of lean muscle that is not recovered as the calories come back in.
Sedentary Male in his 30's

A healthy and very fit female athlete will be from 15-20% fat and a male 10-15%.  If a female drops below 10% fat she risks her periods stopping and the gradual loss of bone mass leading to stress fractures, chronic fatigue and other health issues.  If a male drops below about 8%, he also risks similar health and injury issues.

Bone mass is not measured by the 9106 Salter Body Analyser and Scale as a percentage of body mass, but as total kilograms.  Bone readings are typically 1.5 to 2.5 Kg in a healthy female.  In the male the range is typically from 2.0 to 3.5 Kg.  I have never had a reading higher than 3.7 Kg.  Bone mass is typically higher the larger the person; but this is not the absolute rule.  I have had readings as low as 2 Kg bone in males weighing as much as 130 Kg.  This is because there are a number of factors, other than size, that determines bone mass, including the nutrient density of their food, exercise levels, sunlight (vitamin D) and exposure to environmental toxins such as lead (Common in men who work with their hands).

Athletic Male in his 40's
Because bone mass should never vary over anything less than several months, if not years, use the bone mass readings as a means of ensuring that your 9106 Salter Body Analyser and Scale is working properly: If a subject has readings of, say, 1.9 Kg bone, this should not vary more than about 100 grams between successive readings.  If there is a discrepancy greater than 100 grams between readings, then question the accuracy of that reading.

Hydration is an interesting one.  There is no relationship between hydration levels and how much a person drinks daily.  I am wrong to say that: There is an inverse relationship: People who drink the most water (mostly young women) tend to be clustered at the low hydration end!

Water follows salt:  Drinking lots of water flushes out mineral salts = dehydration and fatigue

Please read my article here about this issue of drinking and hydration.  Is this not a case of "Brain-washing" by the water bottling industry?  (Hyponatremia - in medical jargon).

Sedentary Female in her 40's
Water will only be retained in the cells if there is sufficient and balanced minerals in the cell, including sodium.  If there are insufficient minerals, or imbalance, the cells will not take up the water and it will be dumped via the kidneys.  Some minerals are inevitably lost with the excess urine.  So, my advice is to drink only sufficient water to replace what is lost daily while ensuring the diet is rich in minerals.  Pink Himalayan sea salt is a rich source of over 80 different minerals, including sodium.

You can use any scale, including the 9106 Salter Body Analyser and Scale to measure water requirements during exercise.

1 liter of water = I kilogram

So, weigh immediately before exercise in minimal dry clothing, then weigh immediately after with minimal clothing that is dry and compare.  If, say, 500ml of water was consumed during the exercise and weight loss is one Kg, then another liter of water needs to be drunk over the next hour to fully replenish fluid loss - Make that nearer1.5 liters just to be a little on the positive side.


Athletic Female in her 30's
Another factor, when interpreting measures of water as a proportion of body mass, is a person's percent body fat.  Fat tissue contains very little water, so as a person gains fat, his/her percent water will decline.  As fat is lost, percent water tends to go up.

Muscle mass in a fit, healthy female will vary from about 35% to the low 40's.  It is quite rare to have a male with more than about 46% muscle.

One point of note when dealing with athletes: If you are dealing with athletes, such as kayakers, who work mostly their upper body and not so much their legs, then you may get readings that have body fat slightly higher and slightly lower lean mass than expected.  You will get slightly lower body fat and slightly higher lean with athletes such as runners and cyclists.  Just be aware of this when interpreting readings for specialist athletes.

Athletic Female mid 40's
As a person works to improve their health and general physical condition, we would expect to see a gradual decline in fat percent, and an increase in water and muscle.  Bone, in kilograms, should not change from one month to another.  However, you may see a pleasing gain of about 100g over several months if the diet and exercise regime is having a positive effect on bone strength and if other factors, such as the presence of lead in the bones, is being addressed.  From about the 3rd decade of life, these measures of good health (high lean muscle, low fat, high hydration and plenty of bone) gradually decline in the ageing population.  It is possible to reverse all of these measures of advancing age - even in subjects of advanced age.

Please post your questions as comments below this article and I will do my best to answer them, thanks.



_______________________________________
About this website
The advice in these articles is given freely without promise or obligation.  Its all about giving you and your family the tools and information to take control of your health and fitness.

Thursday, March 26, 2009

A female long distance runner with a stress fracture

A high performance female distance runner has to be thin, while muscular.  The tendency, too often, is to run longer and further while getting far too thin.  The end result is breakdown, including fracturing of bones.

Lorraine, pictured to the right, ran up to 120 miles a week and ran many, many marathons, some at sub-2hr 30 min pace and did so for almost 30 years.  She was thin, while strong.  She had and still has very strong bones.

Here is what I recommend to expedite the healing of a stress fracture and to prevent further occurences:
  • Read my E-Book "Too Thin To Win".
  • Get a body composition analysis, including bone mass using a BIA Scale like the Salter 9106 (purchase off this site).  Get body fat above 15% and keep it there.
  • Restore regular periods (This should happen once body fat is above 15%)
  • Take a 3 daily dose of Active Elements tissue salts (the online assessment off this website helps me work out your prescription).  Read my articles about tissue sats.
  • Have some quality protein and a range of fats in each meal (3-5 small servings per day)
  • Sunbathe and on days there is no sun, take 1-4,000iu of vitamin D.  Refer to my many articles about vitamin D and osteoporosis.
  • Do not wear orthotics because these interfere with shock absorbing foot mechanics.  Read my articles on weak feet and get a pair of Formthotics Shock Stop inner soles off this site.
  • Aquajog and/or swim as often as you like and only walk or ride a bike until given medical clearance to run.
  • When resuming running, run off road with your Formthotics and not on pavement.  Keep close to home until fully healed.  Run only every second day (3-4 runs per week).
  • Aquajog, etc on the days between.
  • The more you run, the more you eat while monitoring body composition.
It may be possible to resume running in just a few weeks, if these recommendations are followed to the letter.  If not, then is may be six or more weeks before even a short trot can be attempted.

Once back running freely
Stick to this advice for at least one year while continuing to monitor body composition (Body fat ~15%).

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Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.

Saturday, June 14, 2008

"Drink more water, drink, drink, drink".

That's the message we hear time and time again from the sports fitness industry and the commercial interests that have a vested interest in promoting the sales of bottled water. They tell us that the key to health and longevity is to drink more water, but is this really true?

The problem is, when dealing with people face-to-face about health issues, I just can not see a connection between how much water one drinks and health. The opposite might be the case: The more water one drinks, the more likely there are chronic health issues like lack of energy, weight gain, weak bones, aching joints and muscles and so on. How could this be? The following is some informed, healthy speculation:

The answer may be to do with distortion of the delicate salt balance within each cell. There are 12 salts found inside the cell (Referred to as the "salts of Schussler"): Sodium phosphate, sodium, sulphate, sodium chloride, potassium phosphate, potassium sulphate, potassium chloride, calcium phosphate, calcium sulphate, calcium fluoride, iron phosphate and silicon dioxide.

Too little of any of these salts, or an imbalance, and the health of the cell is compromised and this shows as failing energy and eventual ill health of all descriptions.

The modern diet lacks most of these salts while supplying enormous amounts of sodium chloride. Tissue salts are lost daily through the urine, sweat and the shedding of skin and hair. If one drinks lots of water, especially if it is distilled, precious tissue salts are flushed out of the system. Some medications, like blood pressure diuretics, accelerate this loss of tissue salts.

If there is insufficient of any of the 12 tissue salts in the cells, the cell reduces its water content to maintain as near a healthy salt electrolyte balance as it can in these less than perfect circumstances. If there is an excess of any of the 12 salts in relation to the others, the excess is discarded while those in short supply are retained to ensure the correct concentration is retained within the cells. This explains why the percentage hydration of the body tends to decline with age: The desperate attempts of the body to maintain a viable salt balance.

The graphs associated with this article are of people of differing age, gender, fitness and health. These are the results of "bioelectrical impedance analysis" (BIA) which allows us to work out the ratios of fat, muscle, bone and water in the body. With age, the percent water in the cells tends to decline from a healthy 60+% to 50% or even lower. But this need not be the inevitable result of ageing, as these charts indicate. Tissue dehydration is more closely associated with a diet that is deficient in the tissue salts, inactivity and ill health than age. Incidentally, all of the people graphed with tissue water 60% or greater have undergone a course of tissue salt therapy.

The answer, to me, is to have a diet that is rich in salts, as opposed to industrially processed foods that tend to be soaked in sodium chloride alone. This pretty much equates to the traditional diets of native societies as one would find in places like Samoa and Okinawa prior to the destructive influence of Western food processing. For most of us, a course in supplementing tissue salts would appear to be warranted, especially as we get older. Get this right and the water issue pretty much takes care of itself.

So, how much water should one drink to be healthy? The answer is different for each person because so much depends on size (volume), metabolism, temperature, humidity, type of activity, duration and so on. A general of thumb is to drink sufficient water daily to be peeing 3-6 times a day while not having to get up in the middle of the night due to a bursting bladder. I will write in more detail in a follow up article.

Note: For more information about the importance of tissue salts for health, try a Google or Yahoo internet search for "Active Elements Gary Moller". To do the free Active Elements Assessment which includes a free report prepared by me (Gary Moller), please go here to log in and get started.

Footnote:
You can now easily monitor subtle changes in body composition (And therefore your overall state of health) and you can do this at home. All you need is a body composition analyser - The
Salter 9106. These personal weighing scales with body composition analysis technology costs less than $100. They are remarkably accurate and consistent and use a technology that cost almost $5,000 for just a few years ago. Such is the progress of technology. Or you can search for them in a store near you (Salter is an international brand). You need the 9106 model which is the machine I use and which my results database is collected from.

The Salter 9106 accurately measures weight, fat, bone, water, and muscle - thus providing an accurate measure of health status. As one's health diminishes, fatness usually increases while hydration and leanness decreases. The converse is true as health improves.


Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.