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InBody

Aşırı Yeme İsteğini Önlemenin Yolları

By Body Composition, Diet, Nutrition

At dinner last night, one slice of chocolate cake somehow turned into half a cake…

Today, you stuffed yourself with five buttery rolls at the office potluck. That wouldn’t have been so bad if you didn’t eat three plates of food.

We’ve all been there, and we all know how those post-binge episodes go — from guilt to frustration to promising yourself that it’s going to be the last time you stuff yourself with unhealthy food! (Not to mention the dreaded food coma…)

You thought you’ve overcome overeating for good, yet it turns out that you’re back to square one when it comes to getting your cravings under control.

Why is it so hard to break out of this cycle?

Is there a way to kick this ceaseless habit for good?

Does it have to do with self-control and having an endless supply of willpower?

Or is there some otherworldly, mystical force that you need to tap on in order to break free from binge-eating episodes?

To help us figure out if it’s sorcery or science, this article is divided into two parts.

First, you’ll learn about the possible reasons why it’s so tempting to finish a large box of pizza all by yourself. Second, you’ll discover how to put an end to compulsive overeating and finally take your body composition goals seriously.

With obesity affecting more than one-third of the U.S. adult population, getting out of the binge-diet cycle remains a puzzle to many.

To have a greater understanding as to how overeating happens, it makes sense to initially get a grasp of how our appetite, or the desire to eat, works.

Understanding Overeating

How Appetite Works

It’s worth noting that appetite is a tad different from hunger. Think of hunger as a need to eat while appetite is more like a desire to snack mindlessly even after you had lunch.

At a fundamental level, hunger and appetite are both influenced by a network of pathways involving the neuroendocrine system. Appetite regulation, satiety, and energy balance involve the following:

The smart folks over at ASAPscience simplified the science of hunger and cravings in a two-minute video below. It talks about the body’s hunger-regulation system and why we’re tempted to go for second helpings.

In essence, high-calorie foods rich in fat and sugar were extremely desirable to our hunter-gatherer ancestors for survival because they were scarce. However, this instinct for fatty and sugary meals still remain even though these types of food are now available 24/7.

Eventually, the continual intake of high-calorie fat and sugar-laden food overrides the human body’s natural hunger regulation system, leading to habitual overeating.

In a nutshell, the more you gorge on food laced with too much fat and sugar, the more likely that you’re going to get addicted to it.

On Homeostatic and Hedonic Hunger

portion control

Another way of understanding appetite is to look at it from the perspective of eating for two main reasons— as a response to hunger (homeostatic) and for pleasure (hedonic).

In a review of studies differentiating the two, the researchers described that homeostatic hunger is the result of the prolonged absence of energy intake or the food itself, while hedonic hunger is strongly influenced by the availability and palatability of food in your environment. Furthermore, a 2016 study found out that intense feelings of pleasure derived from palatable foods (hedonic hunger) predicts the likelihood of losing control when eating among female college freshmen.

 

Why You Really Overeat and Binge

indulgence in ice cream

At first thought, it seems like putting an end to overeating is simply a matter of telling your brain to stop consuming food. Yet we all know that it’s not that easy, right?

Your brain may be the main driving force behind your cravings, but it’s not acting alone.

The frequency and the amount of food you finish is also influenced by a complex interaction of the following factors:

1. Genetic Influences

Your gut, hormones, and brain may be working together to control appetite, but your genetic makeup also has a say as if you’re the type to overindulge.

For instance, a London study on children revealed that genetic influences on weight and abdominal fat accumulation are high in children who are born since the onset of the childhood obesity epidemic. Furthermore, there is evidence indicating that specific genes can possibly impact your likelihood of frequent LOC (loss of control) eating episodes.

2. Environmental Influences

Environmental factors also contribute to the rise of food cravings. These factors include the atmosphere of the room and the presence/absence of distractions during meals. This also applies to social and cultural cues. Remember a time when you overindulged because everyone seems to be in the mood for feasting?

Finally, child feeding practices by parents during the first years of childhood tend to impact one’s eating behavior later in life. A review of studies on the parental influence on eating behavior revealed the following interesting findings:

  • Restrictive feeding practices by caregivers are associated with overeating and poorer self-regulation of food intake among preschool-age children.
  • Restricting access to palatable snacks and desserts like cookies in children may be counterproductive because it will eventually promote their intake.
  • Higher levels of parental control and pressure to eat healthily were associated with lower fruit and vegetable intakes and higher intake of dietary fat among young girls.

3. Psychological Influences

Did you know that not sleeping enough or getting stressed over finals week could lead to you reaching out for the cookie jar 5x a day when we’re not actually hungry?

It turns out that your appetite and hunger regulation is also influenced by these behavioral factors.

In fact, evidence from longitudinal studies suggests that chronic life stress may be linked to weight gain, with a greater effect seen in men.  Furthermore, your work schedule can also impact how much you eat. A study revealed that shift workers may be particularly vulnerable to the tendency to eat the largest meals in the evening as they remain awake longer during the times when you naturally feel hungry for high calorie sweet, salty, and starchy foods.

 

Your Action Plan to Curb Overeating (Without Depriving Yourself)

Whether it’s stress or social pressure that’s driving you to overeat, we all know how frustrating it is to realize that you gave in to your cravings (again!). The good news is you can do something the next time you’re about to open your third bag of chips.

For a start, consider the following easy yet sustainable solutions to put an end to overeating, minus the horrible feeling of self-deprivation.

1. Learn to recognize the difference between homeostatic and hedonistic hunger.

As mentioned earlier, you can eat because you’re hungry but you can also eat for pleasure.

It can be a struggle to figure out the difference between the two because it requires you to be more mindful and listen to your body. As a result, misinterpreting these signals can lead to overeating.

While these cues will differ from one person to another (as well as depend on the time of day), you can learn to recognize your motivation for eating and adjust your eating habits by asking the following question:

Am I eating as a response to a physical cue (e.g. growling stomach, headache) or am I eating because I am feeling stressed, anxious, or overjoyed?

Whether you’re stressed about deadlines or bummed about your annual employee performance review, talking to a friend or journaling may be more helpful than emotional eating.

2. Be mindful of your “food environment”.

food environment

Your “food environment” may be divided into two parts:

  1. Your social interaction and the overall atmosphere of your environment
  2. How your food is served

To help promote a positive food environment, consider the following best practices:

  • Keep an eye on your portions.

Before eating two bagels in one sitting, savor one piece instead. Furthermore, you might also want to use smaller plates and bowls to avoid taking in too much when you’re in a buffet. Research reveals that larger plates can make a serving of food appear smaller, and smaller plates can lead people to misjudge the same serving size of food as being significantly larger.

  • Press pause (whether on your TV or phone) until you’re done with lunch or dinner.

When you’re distracted, you tend to eat mindlessly. As a result, you’ll be less sensitive to satiety cues because your brain is paying more attention to other things.

  • Be like the Okinawans in Japan by only eating until your 80 percent full.

Known for having one of the longest life expectancies in the world,  Okinawans call this practice as “Hara Hachi Bu”, and this can be a useful guideline to help stop overeating.

  • Eat slowly.

A Greek study found that eating at a slower pace tended to increased fullness and reduce hungry feelings in overweight and obese participants.

Surround yourself with people who are taking steps to eat more mindfully.

Whether it’s your co-worker who’s into calorie counting or your brother who’s a geek when it comes to meal planning, being around others who eat mindfully will help reinforce your own good habits and perhaps teach you some new tips and tricks as well.

3. Make tiny adjustments to your daily habits that may impact your eating behavior.

Curbing overeating is not about making massive changes in your life but rather making tiny adjustments to your daily habits.

Going on a “healthy” detox diet or juice cleanse right after binging may help your weight loss temporarily, but it’s not sustainable in the long run. Instead, you’ll likely end up going through the same cycle of overeating, feeling guilty, restricting yourself, and giving in again to cravings. That’s why making smaller healthy changes is more effective for changing your lifestyle permanently.

These are three examples of tiny adjustments you can make to your daily habits.

  • Stop skimping on sleep, pronto.

As mentioned earlier, lack of sleep can lead to eating more and sabotage your weight loss efforts. Are you struggling to get a good night’s sleep? Establishing a consistent bedtime routine may be a good start. An irregular bedtime schedule is linked to poor sleep quality.

  • Eat breakfast when you can.

There may be some exceptions (like when you’re doing intermittent fasting), but skipping your morning meal usually leads to overeating because you end up feeling famished throughout the day. On the other hand, a healthy high protein breakfast has been shown to stabilize blood sugar levels, increased satiety, and reduced hunger cues.

  • Do whole food swaps instead of cutting out certain foods entirely or adopting crazy diets.

Remember how high-calorie food that’s loaded with salt and sugar tends to encourage overeating? That why food choices are important. By opting for whole food alternatives, you will eventually reduce your cravings for unhealthy sweets and salty treats.

Don’t just adopt the latest trending diet and toss all the junk food residing in your fridge right away. A good rule of thumb is to have at least 80 percent of your daily meals from whole food sources and devote the rest to the not-so-healthy food items. And when the craving hits reach for a healthy snack like fruit or nuts. By doing so, you won’t feel deprived, which in turn can lead to another binging episode.

Special Note on Food Addiction

A lot of people can relate to overeating (because it happens to the best of us too!) but food addiction is a different story. If you feel that your binging episodes has turned into more than just a bad habit that you can change, seek professional help.

The Takeaway: Mindful Eating Can Go a Long Way for Your Body Composition

mindfulness with food

If you’ve noticed, the majority of the points discussed in the action plan has something to do with mindfulness.

Recognizing if you’re truly hungry or simply eating as a response to stress or other environmental factors requires constant practice and a heightened sense of self-awareness.

The idea of mindfulness may sound like a meditation fad or just another self-help woo-woo. However, mindfulness-based interventions in addressing compulsive overeating and other obesity-related eating behaviors have gained popularity recently. In fact, a systematic review of related studies on the topic supports its efficacy.

Overall, beating overeating and taking your body composition seriously begins with this single step—uncover the reason behind your binging habit. Keep in mind that you need to know the “why” first before diving into the “how” of putting an end to your tendency to overeat. Once you figure out your “why” the benefits are tremendous: a healthier relationship with food, weight loss, and a better sense of control. Good luck and here’s to a happier more mindful life.

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Kyjean Tomboc is a nurse turned freelance healthcare copywriter and UX researcher.  After experimenting with going paleo and vegetarian, she realized that it all boils down to eating real food.

Metabolizmanın Vücut Kompozisyonu Üzerindeki Etkileri

By Body Composition

When it comes to body composition testing and analysis, most people instantly think of body fat percentages and muscle mass . Yet today’s medical BIA (bioelectrical impedance analysis) devices do so much more than just measure body fat and muscle mass.

Body fat percentages are only one part of a complete body composition analysis. For body composition devices using Direct Segmental Multi Frequency-BIA technology (DSM-BIA), you can also measure and track other valuable indicators of your health like your visceral fat, body water distribution, segmental readings, and phase angle values.

Although your body fat percentage can be a strong indicator of your overall health and current state of your body composition, the aforementioned outputs are equally useful metrics that can help predict or detect health issues.

In this article, let’s go beyond the usual discussions on body fat and muscle mass when it comes to body composition. Read on for a in-depth explanation  about your Phase Angle (PhA) – one of the most valuable, and misunderstood, health indicators provided by medical grade BIA devices.

What’s Phase Angle Anyway?

In his book The Water Secret: The Cellular Breakthrough to Look and Feel 10 Years Younger, celebrity dermatologist and skin care expert Dr. Howard Murad writes:

PhAs have given us a remarkable window into how the body responds to changes in health — for better or worse. This explains why people with illnesses such as HIV or cancer, or those who are nutritionally deficient, routinely exhibit low PhAs. As expected, PhAs also decrease with age as your body loses its capacity to repair and return over new cells as quickly as it did in its youth. The true age of a human being can be determined by the changes in the Phase Angle. 

Furthermore, he elaborated:

The Phase Angle goes up when you’re healthy and down when you’re ill. It also goes down as you age. When you increase your Phase Angle, you slow down aging.

Slow down aging, did that catch your attention? But before we get to that, we need to learn the basics of PHa by reviewing the established facts and research.

Demystifying Phase Angle

Your PhA is a direct measurement of your cell integrity and the distribution of water within and outside the cell membrane. In his book Supercharge Your Cell Vitality, author Dr. Greg Barsten refers to PhA as merely a fancy name for cell membrane health.

Cell membranes hold in the important parts of the cell and also regulate what comes in and out. Think of this regulation like a fortress drawbridge.

In healthy humans, the cell membrane consists of a layer of non-conductive (insulator) lipid material sandwiched between two layers of conductive fluids (body water). When there are two conducting materials surrounding an insulator, we often refer to this insulator as a capacitor. That said, your cell membrane is like a fortress with capacitor-like capabilities that not only try to prevent currents from entering the cells but also other unwanted materials like toxins and waste. What this means is that healthy cells (or stronger capacitors) are better at preventing these unwanted substances from entering cells.

How is Phase Angle Measured?

In BIA, PhA is the relationship between resistance and reactance.

To understand these variables, you have to understand what lean body mass and body cell mass means.

Your Lean Body Mass (LBM) is the total weight of your organs, skin,  bones, body water, and muscles. It describes the entire weight of your body minus your body fat.  This is why it’s also often referred to as fat-free mass.

On Resistance, Reactance, and Impedance

Resistance happens when a conductor transfers the energy of (or moves) an electrical current. The greater the conductor, the lower the resistance. In the human body, low resistance is associated with large amounts of LBM. High resistance is associated with smaller or low amounts of LBM.

Body fluids consisting of water and charged ions readily conducts electrical currents. Both extracellular water or ECW (water and ionized sodium Na+) and intracellular water or ICW (water and ionized potassium K+)  provide a conductive pathway. When a person has a lot of lean body mass, they have a lot of body water, meaning greater conductivity of the current and less overall resistance.

It’s also worth noting that resistance in the body is proportional to one’s LBM because water is contained solely within your LBM. The unit of measurement for resistance is ohms.

Reactance, on the other hand, gauges your cells’ ability to store energy. Your body has high reactance if your cells can store energy easily and it has low reactance if it stores energy poorly. Cells that are “healthy” or those with intact cellular membranes hold the electrical energy charge “longer.”

For this reason, your body reactance is proportional to both the amount and strength of the cells in your body. Like resistance, the unit of measurement for reactance is ohms.

Impedance is the sum of resistance and reactance, but when evaluated trigonometrically, the relationship between resistance and reactance creates a ratio. This ratio is your PhA and is expressed in degrees.

You can measure your PhA and cell health using a Bioelectrical impedance device that sends electrical currents is used to assess cell membrane health. Impedance is measured by introducing a small alternating current into the body and measuring the effects on the current caused by the body. In humans, 50 KHz is considered ideal to maximize reactance and determine the point where cells are strongest at resisting the current (thus creating the highest PhA).

As the current travels in your body,  your body water will naturally resist the flow of the energy current as it travels and this is referred to as resistance.  To keep it simple, when the current encounters a cell, the cell wall will cause a “delay” as the voltage builds up enough energy to pass through the cell wall while the current continues instantaneously.  The brief time delay caused by the cells is compared to the amount of water, providing us with a PhA, in degrees. Impedance is a combination of these two values.

Why You Should Care About Your Phase Angle

What does PhA have to do with your overall health?

By tracking your PhA, you’ll be able to gain a more precise picture of your health because it examines cell integrity health and the amount of water inside them.

Based on established research findings, higher PhA values suggest greater cellular integrity and reflects better overall cell health.  A low PhA, on the other hand, is highly predictive of decreased muscle strength, impaired quality of life, and increased mortality in old adults with cancer. Low phase angles tend to be consistent in individuals with malnutrition,  HIV/AIDS infection, cancer (discussed in detail below), chronic alcoholism, and old age.

Thus, keeping your pHa high through healthy lifestyle habits is encouraged.

How do you know if you’re PhA is within normal values or not?

This is where things get interesting.

While it has been shown that certain factors can influence one’s PhA (age, gender, and BMI), it has been shown that there are considerable differences between phase angle reference values across different populations. These differences are not only explained by age or BMI and may be due to differences between impedance analyzers.

In short, PhA values tend to differ based on the BIA device you’re using. In clinical practice, multi-frequency- and segmental-BIA may have advantages over single-frequency BIA in these conditions, but further studies and validation are still required.

Below is an example of PhA reading using InBody’s 770 model.

Phase Angle Reading Example:

Finally, it’s important to note that phase angle is dependent on every person’s individual makeup. To gauge progress, comparing your current phase angle readings to your previous readings is more important than comparing your PhA values with someone else’s.

Your Body Composition and Phase Angle: What’s the Connection?

Can improving your body composition help increase your phase angle values? It sure does.

A 2016 study revealed that age plus a combination of FFM (fat-free mass) and height were the most important variables that influence PhA variability among healthy subjects. The same research concluded that the ECW:ICW ratio may justify the variations shown in PhA when it comes to several clinical situations and severe obesity. When someone has inflammation or edema (causing a higher ECW/TBW), the health of their cells (and their phase angle) will be negatively affected.

Based on the study’s results, you are likely to increase your chances of improving your cellular health and PhA values if you take steps towards improving your body composition, whether it’s through nutrition, exercise, or a combination of both.

Other lifestyle factors that are most likely to impact phase angle variability include but are not limited to:

  • Toxicity exposure
  • Consumption of highly processed meals
  • Lack of quality sleep
  • Stress (physical, mental, and emotional)
  • Lack of consistent physical activity
  • Excess intake of coffee, alcohol, and refined sugar

The same research concluded that the ECW:ICW ratio may justify the variations shown in PhA when it comes to several clinical situations and severe obesity.

In a healthy body, an ICW:ECW ratio of 3:2 is considered ideal. However, certain health conditions like renal disease, chronic inflammation, and even increased body fat mass in obesity (due to disruption of one of your body’s hormone systems (the renin-angiotensin-aldosterone system) can potentially cause your ECW to go up.

For instance, patients with symptoms associated with heart failure have a limited ability for the heart to circulate blood, causing edema. Edema is irregular swelling caused by accumulation of fluid in certain tissues within the body. When this happens, PhA values will likely go down because the pressure from excess ECW causes cells normal functions to become compromised. In fact, phase angle seems to be an independent prognostic marker in patients with ADHF (acute decompensated heart failure) because of fluid retention. For the cells to function properly, it’s important to maintain or restore ideal (or near ideal) ECW (or extracellular) balance.

The link between your phase angle values and body composition can be summarized through the following:

Increased phase angle may be a result of:

  • Gains in muscle mass
  • Loss of inflammation and reduction of body fat

Decreased phase angle may be a result of:

  • Loss of muscle tissue
  • Increased inflammation

But wait, there’s one caveat: an increase in PhA is not always a good thing, nor should a decrease in your PhA values always be frowned upon.

Phase Angle: Implications for Clinical Practice

In regards to PhA’s use in clinical settings, research literature and data reveal the following:

A 2012 study found a significant association between low PhA and increased nutritional risk, increased hospital length of stay and non-survival. The researchers concluded that gauging PhA values can help quickly identify patients who are at nutritional risk at hospital admission. This will help save time on the hospital staff’s end (and possibly save the patient’s life)  because they can forego in-depth nutritional assessments by doing a quick BIA test instead.

Another set of studies came up with identical conclusions. This time around, the implications of PhA to a patient’s nutritional status are more specific. It turns out that bioimpedance-derived PhA can be a potential nutritional indicator for patients with advanced colorectal cancer and breast cancer.

Finally, a research paper presented at the 2011 AAAI (Association for the  Advancement of Artificial Intelligence) 2011 Spring Symposium suggested that phase angle is an independent indicator of prognosis in cancer (of most types) because it illustrates cell membrane integrity and function that may not be possible with other approaches that gauge prognosis. In fact, the paper suggested phase angle-based biometric scoring systems for determining prognosis among cancer patients. This is good news because BIA is quick and noninvasive in comparison to tools and tests used in cancer prognosis.

The Takeaway

Your PhA values can clue you in with what’s going on in your body. It can help identify health risks and address existing health issues and help track progress of lifestyle changes (diet and exercise). For most people, it has helped them make data-driven health and wellness decisions.  Medical practices also use it to personalize a patient’s health care plan.

However, keep in mind that your PhA values are only part of the equation when it comes to assessing the current state of your health.

The rest of the body composition outputs (body fat, muscle mass, body water ratio)  are equally valuable so finding a BIA device that can provide more detailed outputs is crucial. For instance, changes in your body fat percentages can be tricky to explain if the only outputs you have are merely body fat mass and fat-free mass values. For more accurate results, make sure you choose your BIA device wisely.

 

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Kyjean Tomboc is a nurse turned freelance healthcare copywriter and UX researcher.  After experimenting with going paleo and vegetarian, she realized that it all boils down to eating real food.

Vücut Analiz Cihazı (BIA) Seçme Rehberi

By BIA

People are finally taking notice: body composition is useful for measuring health; BMI is not.  Even the New York Times is publishing stories about the pitfalls and inaccurate uses of BMI.  The jury is in: if you want to be on the cutting edge of health and fitness, you need to be involved with body composition analysis. To do that, you need a device that measures body composition, and some of the most popular body composition tools are devices that use bioelectrical impedance analysis (BIA).

BIA devices are becoming one of the most popular and convenient ways to measure body fat percentage and body composition because of their speed, convenience, and accuracy. There is no shortage of them to buy, and costs range greatly.  Some are under $50, while others range in the tens of thousands.

Why?  What’s the difference between them?

Fundamentally, all BIA devices operate using the same method: a small, safe, electric current is sent through a person’s body.  Along the way, it encounters resistance due to the variation in water content in different parts of your body – like in fat and muscle – and that resistance is measured.  This information is then analyzed and translated into useful outputs, such as body fat percentage and lean body mass.

So if every device uses the same method, why the range in price? What are some things to consider when looking for a BIA device, especially those that influence the cost? Here, we’ll break down the most important things to look into when buying a BIA device to measure body composition.

Check the frequencies

All BIA devices use at least one electric current set at a specific frequency to measure body composition.  In the past, this frequency was traditionally set at 50 kHz.  Some devices today continue to use this single frequency.

However, beginning the early 1990s, research began to accumulate suggesting that single frequency devices set at 50 kHz did not accurately predict changes in total body water, and that the use of multiple frequencies – multiple currents set at a different frequencies – was a superior method in terms of accuracy.  So, the first thing you will want to check when looking at BIA devices whether it is a single or multifrequency device because generally speaking, devices that use multiple frequencies are found to be more accurate.

Why are multifrequency devices typically more accurate?  The answer lies with how BIA devices measure that resistance – more accurately termed “impedance” – when the current travels through the body.

As the current travels, the water in your body will naturally resist the flow of the current as it travels.  This is called resistance.  When the current encounters a cell, the cell wall will cause a “delay” as the current builds up enough energy to pass through the cell wall.  This brief “time delay” is referred to as reactance.  Impedance is a combination of these two values.

How does this apply to frequencies? Lower frequencies don’t have enough energy to pass through cell walls easily, so they often follow an easier path by traveling around cells. This means lower frequencies are better suited for measuring extracellular water.  Conversely, higher frequencies are better suited to penetrating cell walls and can measure both intracellular and extracellular water. The end result is that those frequencies can measure all of your body water and provide you with an accurate result for your lean body mass.

Ideally, you will want a device that uses at least two frequencies – one on the lower end and the other on the higher end. The more frequencies you have, the better the device is able to gather the information required to accurately measure your total body water, and from there, your body composition.

See what outputs it provides

BIA devices range widely in capabilities and the outputs they are able to produce.  Some devices only measure your body fat percentage, while others can give much more information.  Typically, the better quality the BIA device, the more comprehensive outputs you will receive.

Every BIA device on the market will at least give body fat percentage.  Using body fat percentage as an indicator of your overall health and weight is a very useful metric and a much better tool than simply monitoring your scale weight.

However, just as relying solely on scale weight isn’t advisable, neither is relying solely on body fat percentage.  This is because body fat percentages can fluctuate for many reasons, not all of these changes are related to weight gain or loss.

Here are a few other BIA outputs to look for and some reasons why you would want to track these in addition to body fat:

  • Skeletal Muscle Mass: Skeletal Muscle Mass is the muscle that you can grow and develop through exercise and proper nutrition.  It also has a significant influence on change in Lean Body Mass.  However, Lean Body Mass can also be influenced by other factors such as body water. If you are tracking Skeletal Muscle Mass, you’ll be able to cross reference your muscle gains against your Lean Body Mass to ensure that those gains are due to muscle, not water.
  • Body Water Analysis: Since BIA devices all measure total body water via impedance, if your device can give you this information, you’ll know how much total body water you have.  If your device can further break this down into intracellular and extracellular water components, you’ll be able to understand your body water levels are properly balanced.  With that information, you’ll know if you have any unusual swelling due to inflammation, injury, etc.
  • Phase Angle: Phase Angle is a measurement of the relationship between reactance, resistance, and impedance.  It’s able to give you an idea of the integrity of your cell walls, which gives an indication of their ability to retain water.  This has an impact on your overall health.  By tracking Phase Angle, you’ll be able to get an idea about the health of your individual cells and how much water is inside them.

Find out what information it needs (important)

All BIA devices are going to require your weight at the very minimum.  For this reason, many BIA devices take the form of bathroom scales.  These devices measure your weight and calculate your body composition results using your weight at the time of testing.

However, not all BIA devices are scales.  BIA technology is being used in handheld devices for convenience, as well as devices that use adhesive electrodes and require a person to lie down while testing.  These types of devices will require a user to enter in their weight manually.  However, unless you weigh yourself right before testing, this information would have to be estimated based on your memory, which could cause inaccurate results.

Another fairly common user input requirement is age or gender.  However, these requirements aren’t to personalize your results; they’re to tell the device which equations to use to calculate your results.  In the BIA industry, these equations are known as empirically derived prediction variables – also sometimes referred to as “empirical estimations.”

For example, the average person tends to gain body fat mass as they age.  This trend has been observed over time, and equations have been developed to account for this fat gain.  By entering in your age, the BIA device will compare the raw data it gets from you and adjust it based on the data it has for your age.

BIA devices often use empirical estimations to improve the accuracy of their results.  They work on the basis of adjusting the raw results for an individual of your age and gender.  Age and gender are common to nearly all BIA devices.

Height is also a common requirement for many BIA devices. It’s an unbiased physical attribute, just like weight.  Unlike age and gender, however, height is necessary not because adjustments need to be made to results, but instead to give the BIA device a frame to understand the impedance results.

Impedance increases as height increases because the current has to physically travel further and will encounter more resistance.  However, high impedance is also associated with a greater proportion of fat mass to lean body mass.  With accurate height measurements, the BIA device will understand how to interpret the impedance values correctly, which is why nearly all BIA devices require height measurements.

Understand what’s measured and what’s not

The design of many BIA devices are such that impedance is measured for a certain section of the body, and the results of that section are used to estimate the remaining sections of the body.  Before choosing a BIA device, you should know what exactly your device is measuring and what it is estimating.

Home scales that use BIA technology to determine body composition operate by sending currents up one leg and down the other.  Impedance is only actually measured for the legs.  In order to calculate the upper body, the device will make assumptions about the composition of your body based on the composition of your legs (and if using age and gender data, adjusting for those as well).

Handheld BIA devices only measure impedance in the arms and upper body.  Similar to how the legs are measured, these types of BIA devices will estimate the lower half of the body with the results from the upper body.

Other devices that use the “Whole Body” impedance use a method that is somewhat misleading.  Unlike scales and handheld devices, the current does travel through the entire body in the sense that it travels from through both the upper and lower body.  However, “Whole Body” impedance devices do not actually directly measure the entire body.  Typically, “Whole Body” impedance devices get most of their measurement data from the arm and leg that the electrodes are placed on.  Just like handhelds and scales, these devices must estimate results for the rest of the body.

Finally, there are devices that use Direct Segmental Multifrequency-BIA technology (DSM-BIA).  These devices programmed in such a way that they analyze your body in five distinct sections – the two arms, the two legs, and the torso.

Each of these sections is analyzed independently, and from these, a measurement for the entire body is produced.  This is similar to how DEXA machines operate, and when compared against DEXA results, DSM-BIA technology was found to be accurate.  In comparison to other BIA methods, DSM-BIA offers results that are based on direct measurements, without using estimations to compensate for the areas that were not directly measured.

Summary

There are a lot of things to consider when looking for a BIA device.  When you’re assessing which device to go with, it will help you to remember the following:

  • Accuracy generally will increase with multi-frequency devices.  You’ll want at least two frequencies for reliable measurements.
  • You can do more with more results. Changes in body fat percentages can be tricky to explain if the only outputs you have are Fat and Fat Free Mass.
  • Check what information the device needs from you in order to test.  If it requires your age and/or gender, it may be giving you estimations based on the results of the general population.
  • Understand what the device is actually measuring and what it is estimating.  If accuracy is important to you, you’ll want as much of the body measured as possible.

Source: https://uk.inbody.com/blog/a-guide-to-buying-your-first-bia-device/

Skinny Fat Olup Olmadığınızı Nasıl Anlarsınız

By Blog, Health
Editor’s Note: This post was updated on July 20, 2018for accuracy and comprehensiveness. It was originally published on July 1, 2015.
by InBody USA

The term “skinny fat” has been around for a while now, but it seems to have started trending following a feature in TIME Magazine. In it, outwardly skinny and visually healthy people were surprised to learn that they had the same medical issues as an obese person.

Bottom line, looking skinny doesn’t mean you’re healthy if you are skinny fat.

If you’re a little unclear on what exactly skinny fat means, it refers to someone who has a weight and BMI that is normal for that person’s height but has much more fat than and not enough muscle recommended for optimal health.

Many people just assume that if their weight and/or BMI is normal, they have nothing to worry about. This has a lot to do with misconceptions about BMI’s usefulness in assessing weight and health. For example, according to the World Health Organization (WHO), if your BMI is between 18.5 and 24.99, you are considered to be in the normal range for sufficient health. So if you have a BMI of 22, you’re automatically in the clear, right?

Not so fast – although the WHO has set these ranges, they are quick to qualify them with the following:

[BMI] should be considered as a rough guide because it may not correspond to the same body fat percentage in different individuals.

Source: WHO

The fixation on weight, thinness, and BMI is where so many people get fooled into living unhealthy lifestyles. They feel like exercising daily and eating a healthy diet doesn’t apply to them because they look skinny. But looking the part doesn’t always mean you fit the part.

As Long as I Look Good, That’s All That Matters!

If only that were the case.

Unfortunately, that attitude is exactly what causes people to become skinny fat in the first place.  The appearance of being skinny seems to outweigh being fit and healthy. However, because of the way fat can be stored, skinny fat people risk having serious health problems.

Not all fat gets stored under the skin. Fat that people can see is referred to as subcutaneous fat, but there’s a second type – visceral fat – and it’s the worse of the two.  If you’re skinny fat, you likely have a lot of this second type.

Visceral fat is internal fat that develops in the abdominal cavity, gets stored around the organs, and wraps around your kidneys, intestines, stomach, and liver.  It’s sneaky because while it’s easy to see subcutaneous fat, it isn’t so easy to see the visceral fat in your midsection.

Having large amounts of visceral fat can spell a heap of trouble, according to Harvard Medical School.  Visceral fat has been linked with:

So while on the exterior, skinny fat people might look attractive, on the inside, their bodies may be at high risk for a number of health problems and syndromes.

How can you tell if you’re skinny fat?  It’s not as easy as looking in the mirror or standing on a scale. You need to understand what your weight is made of.

It’s Not Just About Weight

How your weight is distributed determines whether you fall into the skinny fat category.  Weight alone cannot tell whether you’re skinny fat or not, which is precisely why so many people don’t realize that they are.

The term “skinny fat” is actually a popular term that describes a very real medical condition called sarcopenic obesity. This condition refers to an individual who may have what would be considered a normal/healthy weight, but metabolically, this person shares many health characteristics as someone who is overweight or obese

A person who is sarcopenic obese will have high fat mass and low muscle mass.

One of the best ways to determine whether you may be skinny fat is to have your body composition analyzed and your percentage of body fat determined.

How to Tell If You’re Skinny Fat

Once you’re able to get reliable information about your body fat percentage, you can compare it against the recommended percent body fat ranges. The recommended ranges for healthy men are between 10-20% body fat, and for women, the ranges are 18-28%.1

If your body fat exceeds these ranges, but you have a normal weight when you stand on the scale, you may be skinny fat.

There are several ways to have your body composition analyzed, all of which come with differing degrees of convenience and accuracy. Here are three ways to measure body composition:

Calipers

Probably one of the most common forms of body composition analysis. Calipers operate by pinching the fat that is held just under the skin (subcutaneous fat) and estimating the internal (or visceral) fat, which is where many skinny fat people hide their weight.

Getting consistent results from test to test can be an issue as well because each test administrator will have a different degree of skill than the person who conducted the test before. Even if it is the same person conducting the test, there is always the risk of human error (pinching softer/harder, etc.) with each test.

So, although this is probably the most accessible way to measure your body fat, it won’t be the most accurate. This is because calipers only actually measure the subcutaneous fat and then use prediction equations or tables based upon your age to guess the visceral fat.

Clinical Tests

It is possible to have your body composition determined in a clinical setting using tests and procedures such as hydrostatic weighing and dual x-ray absorptiometry (DEXA). However, these procedures both require specialized equipment, and in the case of DEXA, exposes your body to low levels of radiation. Although both of these tests are regarded as being highly accurate, because of the limited access, they may not be the easiest to access for regular testing to track changes in body composition.

BIA Scales and Devices

BIA devices are devices that use small electric currents to measure body composition. These are the body composition results of someone who fits the skinny fat/sarcopenic obese body profile:

Below are results from an InBody Test, a medical body composition analyzer:

This section is taken from the InBody Result Sheet. 

For this person, who is a 5’4” female, 135.3 pounds is just above her ideal weight, but within what is considered normal (BMI 23.2).  However, it’s clear to see that this person does not have enough Skeletal Muscle Mass and has excessive body fat. If you do the math, this person has a body fat percentage of 35.0%. This surpasses all upper limits of percent body fat ranges, which are usually around 28%.

BIA devices are quick, easy to use, and depending on the manufacturer, can be quite accurate in determining body composition results for all areas of the body – including the abdominal area, where visceral fat builds up over time.

Visceral Fat area over 100 square meters increases the risk for metabolic syndrome.

When using a BIA device, it’s important to look into how the device you are using determines body composition and how accurate its results are.  Some handheld devices may only directly measure your arms and estimate the remainder, while others may only directly measure your legs and estimate the upper body.  Whenever possible, use a BIA device that directly measures the entire body for the most accurate results.

If you find out you are skinny fat through body composition, the next step is to figure out how to improve.

How Do People Become Skinny Fat?

Image Credit: LifeSpan

First, you need to understand how you may have become skinny fat.

Essentially, the net result of losing muscle mass (and decreasing metabolic rate) and gaining fat mass due to maintaining the same caloric intake with a lower metabolic rate creates the skinny fat condition.  Diet and exercise (or lack thereof) play key roles here.

Carbohydrates and foods that are high in calories are great for creating energy potential in the body, but if that energy is not used through activity and exercise, it will become stored in the body as fat.

Similarly, muscle mass decreases over time when the muscles are not being used. If you work in a 9-5 job that requires you to be seated and not move around for most of the day, skeletal muscle mass is likely to decrease over time.  Fat mass will also increase as mobility decreases.

Sitting all day, eating an unhealthy diet, and skipping workouts is a recipe for muscle loss and fat gain.  Many people have sedentary lifestyles due to work and are prime candidates for muscle loss and fat gain if they don’t do anything to guard against it.

However, this isn’t the only way muscle loss and fat gain can occur.

Michael Matthews over at Muscle For Life, in an exceptionally well-researched piece, has another take on how people become skinny fat. Instead of losing muscle because they don’t exercise, he shows that people can lose muscle because they don’t diet and exercise the right way:

Conventional weight loss advice:

  1. Severe calorie restriction
  2. Excessive amounts of cardio
  3. Minimal weightlifting with an emphasis on high-rep training
Source: Muscle For Life

If you try to cut calories, while at the same time run on a treadmill an 1 hour a day 5 days a week, your body may not have the energy it needs to perform.  After a certain point, your body will start metabolizing muscle because it needs energy once the other options are exhausted. Weight loss will occur at the expense of both fat and muscle loss, which will do very little to improve body fat percentage and becoming less skinny fat.

Now that you understand the cause, here is the solution.

How To Overcome Being Skinny Fat

It all goes back to improving your body composition.

People who want to be thin and healthy need to increase their muscle mass and reduce their fat mass.  

This can be done in a number of ways, such as eating a protein-rich diet, but one of the best ways is to increase Skeletal Muscle Mass from weight training that focuses on heavy, compound exercises.

Why weight training?  Lifting heavy weights is the best way to increase muscle growth, and correspondingly, Lean Body Mass.

With increased lean body mass, your Basal Metabolic Rate (BMR) increases. In plain speech, the higher your BMR, the more calories your body naturally burns when it is doing nothing (i.e. sleeping).  The more calories you burn at rest, the greater the fat loss.

If you are worried that building muscle might make you look bulky instead of skinny, don’t!  Muscle is much denser than fat, meaning that if you weighed the same as you do now, but you had more muscle than fat, you would actually appear thinner.  Except in this thin body, you would be healthier.

Most people don’t know that muscle is also heavier than fat.  So, perhaps ironically, if you were to increase your muscle/Lean Body Mass to the point where you were able to reduce your body fat percentage significantly, you may actually weigh more than you did when you had a skinny fat body.

This is why understanding your body composition is so important.  If you were just measuring your weight with a scale and judging your appearance in the mirror, you may have never known you were potentially at risk for health problems.

Also, misunderstandings about building muscle/gaining weight due to muscle may have led you to avoid strength training altogether and instead focused on insane levels of cardio coupled with calorie restriction. This is how many people become skinny fat in the first place.

So, now you know the facts.  Just because someone looks skinny, don’t just assume they are healthy.  Don’t aspire to be skinny, aspire to be healthy.  Because at the end of the day, being healthy is always attractive.