Métodos para a medição da composição corporal em atletas amputados: revisão sistemática
DOI:
https://doi.org/10.47197/retos.v66.107971Palavras-chave:
Antropometria, composição corporal, atletas amputados, índices de avaliação, métodos de mediçãoResumo
Introdução: A medição da composição corporal em atletas amputados apresenta desafios únicos e é crucial para otimizar a sua saúde e desempenho. Esta revisão sistemática avalia os métodos existentes, focando-se na sua precisão, acessibilidade e aplicabilidade para esta população.
Objectivo: Conhecer os métodos existentes para medir ou estimar a composição corporal e as suas características em atletas amputados.
Metodologia: A revisão, realizada através das bases de dados Pub-Med/Medline, Scopus e Web of Science até junho de 2024, aplica critérios de inclusão como o estudo de atletas amputados, identifica algumas medidas de composição corporal e artigos de investigação revistos por pares. Estão excluídos os estudos sobre amputados que realizam atividade física, exercício físico ou reabilitação e os artigos não revistos por pares.
Resultados: Com um total de vinte e oito artigos analisados, são encontradas limitações em cada método de medição para amputados. A absorciometria de raios X de dupla energia é reconhecida pela sua elevada precisão, mas pode subestimar a massa magra total; a análise de impedância bioelétrica oferece maior acessibilidade, mas requer adaptações metodológicas para amputados, e os estudos antropométricos necessitam de equações apropriadas para avaliação final.
Discussão: A revisão conclui que embora os métodos atuais forneçam informações valiosas, existe uma necessidade premente de desenvolver e validar técnicas específicas para atletas amputados. Métodos de medição melhorados irão melhorar a monitorização da saúde e do desempenho desta população, promovendo melhores resultados desportivos e bem-estar geral.
Referências
Alvero Cruz, J., Correas Gómez, L., Ronconi, M., Vázquez Fernández, R., & Porta i Manzañido, J. (2011). La bioimpedancia eléctrica como método de estimación de la composición corporal: normas prácticas de utilización. Rev Andal Med Deporte, 4(4), 167–174.
Barbosa-Silva, M. C. G., & Barros, A. J. D. (2005). Bioelectrical impedance analysis in clinical practice: A new perspective on its use beyond body composition equations. Current Opinion in Clinical Nu-trition and Metabolic Care, 8(3), 311–317. https://doi.org/10.1097/01.mco.0000165011.69943.39
Bergamini, E., Morelli, F., Marchetti, F., Vannozzi, G., Polidori, L., Paradisi, F., Traballesi, M., Cappozzo, A., & Delussu, A. S. (2015). Wheelchair Propulsion Biomechanics in Junior Basketball Players: A Method for the Evaluation of the Efficacy of a Specific Training Program. Biomed Research In-ternational, 2015. https://doi.org/10.1155/2015/275965
Bergman, R. N., Stefanovski, D., Buchanan, T. A., Sumner, A. E., Reynolds, J. C., Sebring, N. G., Xiang, A. H., & Watanabe, R. M. (2011). A better index of body adiposity. Obesity, 19(5), 1083–1089. https://doi.org/10.1038/oby.2011.38
Borga, M., West, J., Bell, J. D., Harvey, N. C., Romu, T., Heymsfield, S. B., & Leinhard, O. D. (2018). Ad-vanced body composition assessment: From body mass index to body composition profiling. Journal of Investigative Medicine, 66(5), 887–895. https://doi.org/10.1136/jim-2018-000722
Borges, M., de Athayde Costa e, A., de Faria, F. R., Godoy, P. S., Melo, E. R. B., Calegari, D. R., & Gorla, J. I. (2017). Composição corporal e desempenho motor no handebol em cadeira de rodas. Revista Brasileira de Cineantropometria e Desempenho Humano, 19(2), 204–213. https://doi.org/10.5007/1980-0037.2017v19n2p204
Campa, F., Toselli, S., Mazzilli, M., Gobbo, L. A., & Coratella, G. (2021). Assessment of Body Composition in Athletes: A Narrative Review of Available Methods with Special Reference to Quantitative and Qualitative Bioimpedance Analysis. Nutrients, 13(5). https://doi.org/10.3390/nu13051620
Carter, J. E. L., & Heath, B. H. (1990). Somatotyping: development and applications (Vol. 5). Cambridge university press.
Cavedon, V., Brugnoli, C., Sandri, M., Bertinato, L., Giacobbi, L., Bolčević, F., Zancanaro, C., & Milanese, C. (2022). Physique and performance in male sitting volleyball players: implications for classifica-tion and training. PeerJ, 10, e14013. https://doi.org/10.7717/peerj.14013
Cavedon, V., Sandri, M., Peluso, I., Zancanaro, C., & Milanese, C. (2021). Body composition and bone mineral density in athletes with a physical impairment. PeerJ, 9, e11296. https://doi.org/10.7717/peerj.11296
Cavedon, V., Sandri, M., Venturelli, M., Zancanaro, C., & Milanese, C. (2020). Anthropometric Prediction of DXA-Measured Percentage of Fat Mass in Athletes With Unilateral Lower Limb Amputation. Frontiers in Physiology, 11(December), 1–11. https://doi.org/10.3389/fphys.2020.620040
Cavedon, V., Zancanaro, C., & Milanese, C. (2018). Anthropometry, Body Composition, and Performance in Sport-Specific Field Test in Female Wheelchair Basketball Players. Frontiers in Physiology, 9, 1–13. https://doi.org/10.3389/fphys.2018.00568
Cherif, M., Said, M. A., Bannour, K., Alhumaid, M. M., Chaifa, M. Ben, Khammassi, M., & Aouidet, A. (2022). Anthropometry, body composition, and athletic performance in specific field tests in Paralym-pic athletes with different disabilities. Heliyon, 8(3). https://doi.org/10.1016/j.heliyon.2022.e09023
Choi, H.-J., Ko, C.-Y., Chang, Y., Kim, G.-S., Choi, K., & Kim, C.-H. (2021). Development and validation of bioimpedance prediction equations for fat-free mass in unilateral male amputees. PEERJ, 9. https://doi.org/10.7717/peerj.10970
Choi, H.-J., Ko, C.-Y., Chang, Y., Kim, G.-S., & Kim, C.-H. (2022). Validation of body composition assess-ment for unilateral amputees via BIA by comparison with DXA. MEASUREMENT, 198. https://doi.org/10.1016/j.measurement.2022.111145
Company, J., & Ball, S. (2010). Body Composition Comparison: Bioelectric Impedance Analysis with Dual-Energy X-Ray Absorptiometry in Adult Athletes. Measurement in Physical Education and Exercise Science, 14, 186–201. https://doi.org/10.1080/1091367X.2010.497449
de Lucia, E., Lemma, F., Tesfaye, F., Demisse, T., & Ismail, S. (2002). The use of armspan measurement to assess the nutritional status of adults in four Ethiopian ethnic groups. European Journal of Clinical Nutrition, 56(2), 91–95. https://doi.org/10.1038/sj.ejcn.1601289
Diego, M. I. A., Rueda, F. M., & Conches, M. G. (2010). Repercusión del ejercicio físico en el amputado. Archivos de Medicina Del Deporte, 27(138), 291–302.
Durnin, J. V, & Womersley, J. (1974). Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. The Brit-ish Journal of Nutrition, 32(1), 77–97. https://doi.org/10.1079/BJN19740060
Faulkner, J. A. (1968). Physiology of swimming and diving. In Baltimore: Academic Press. Exercise physiology. Baltimore: Academic Press.
Ferro, A., Garrido, G., Villacieros, J., Pérez, J., & Grams, L. (2017). Nutritional habits and performance in male elite wheelchair basketball players during a precompetitive period. Adapted Physical Ac-tivity Quarterly, 34(3), 295–310. https://doi.org/10.1123/apaq.2016-0057
Frost, A. P., Giest, T. N., Ruta, A. A., Snow, T. K., & Millard-Stafford, M. (2017). Limitations of body mass index for counseling individuals with unilateral lower extremity amputation. PROSTHETICS AND ORTHOTICS INTERNATIONAL, 41(2), 186–193. https://doi.org/10.1177/0309364616650079
Gamonales Puerto, J. M., Durán-Vaca, M., Gámez-Calvo, L., Hernández-Beltrán, V., Muñoz-Jiménez, J., & León, K. (2021). Fútbol para personas con amputaciones: Revisión sistemática exploratoria (Football for people with amputations: Exploratory systematic review). Retos, 42, 145–153. https://doi.org/10.47197/retos.v42i0.86380
Gao, P., Zhao, R., Wang, S., & Han, T. (2024). Physical Fitness Parameters of Elite Chinese Wheelchair Curlers. International Journal of Morphology, 42(1), 46–51. https://doi.org/10.4067/S0717-95022024000100046
Garthe, I., Raastad, T., Refsnes, P. E., & Sundgot-Borgen, J. (2013). Effect of nutritional intervention on body composition and performance in elite athletes. European Journal of Sport Science, 13(3), 295–303. https://doi.org/10.1080/17461391.2011.643923
Grams, L., Garrido, G., Villacieros, J., & Ferro, A. (2016). Marginal Micronutrient Intake in High-Performance Male Wheelchair Basketball Players: A Dietary Evaluation and the Effects of Nu-tritional Advice. PLOS ONE, 11(7), e0157931. https://doi.org/10.1371/journal.pone.0157931
Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McGuinness, L., McDonald, S., Stewart, L. A., Thomas, J., Tricco, A. C., Welch, V. A., Whiting, P., Moher, D., Glan-ville, J., Chou, R., Brennan, S. E., Boutron, I., Akl, E., … Tetzlaff, J. M. (2021). Pravila PRISMA 2020. Medicina Fluminensis, 57(4), 444–465. https://doi.org/10.21860/medflum2021_264903
Guchan, Z., Bayramlar, K., & Ergun, N. (2017). Determination of the effects of playing soccer on physical fitness in individuals with transtibial amputation. JOURNAL OF SPORTS MEDICINE AND PHYS-ICAL FITNESS, 57(6), 879–886. https://doi.org/10.23736/S0022-4707.16.06336-2
Haarbo, J., Gotfredsen, A., Hassager, C., & Christiansen, C. (1991). Validation of body composition by dual energy X-ray absorptiometry (DEXA). Clinical Physiology, 11(4), 331–341.
Hart, N. H., Nimphius, S., Spiteri, T., Cochrane, J. L., & Newton, R. U. (2015). Segmental Musculoskeletal Examinations using Dual-Energy X-Ray Absorptiometry (DXA): Positioning and Analysis Con-siderations. Journal of Sports Science & Medicine, 14(3), 620–626.
Hector, A. J., & Phillips, S. M. (2018). Protein recommendations for weight loss in elite athletes: A focus on body composition and performance. International Journal of Sport Nutrition and Exercise Metabolism, 28(2), 170–177. https://doi.org/10.1123/ijsnem.2017-0273
Hernández Díaz, A. R., Acosta Díaz, L., Hernández Rojas, A. L., Moreira Martínez, M. M., & Rodríguez Ló-pez, M. (2021). Comportamiento de las amputaciones no traumáticas de miembros inferiores durante 2019-2020. Revista de Ciencias Médicas de Pinar Del Río Rev, 25(3), 1–7. http://revcmpinar.sld.cu/index.php/publicaciones/article/view/5048
Jackson, A. S., & Pollock, M. L. (1978). Generalized equations for predicting body density of men. British Journal of Nutrition, 40(3), 497–504.
Keil, M., Totosy de Zepetnek, J. O., Brooke-Wavell, K., & Goosey-Tolfrey, V. L. (2016). Measurement pre-cision of body composition variables in elite wheelchair athletes, using dual-energy X-ray ab-sorptiometry. European Journal of Sport Science, 16(1), 65–71. https://doi.org/10.1080/17461391.2014.966763
Kim, J., Wang, Z. M., Heymsfield, S. B., Baumgartner, R. N., & Gallagher, D. (2002). Total-body skeletal muscle mass: Estimation by a new dual-energy X-ray absorptiometry method. American Jour-nal of Clinical Nutrition, 76(2), 378–383. https://doi.org/10.1093/ajcn/76.2.378
Lefebvre, C., Glanville, J., Briscoe, S., Littlewood, A., Marshall, C., Metzendorf, M.-I., Noel-Storr, A., Rader, T., Shokraneh, F., Thomas, J., & others. (2019). Searching for and selecting studies. Cochrane Handbook for Systematic Reviews of Interventions, 67–107. https://doi.org/10.1002/9781119536604.ch4
Lohman, T. G. (1992). Advances in body composition assessment. Current issues in exercise science series. Monograph, 3.
Lohman, T. G., Roche, A. F., Martorell, R., & others. (1988). Anthropometric standardization reference manual.
Mally, F., Litzenberger, S., Willwacher, S., Braunstein, B., Brüggemann, G.-P., & Sabo, A. (2016). Kinetics of elite unilateral below-elbow amputee running: Comparison of symmetry of an impaired and an unimpaired athlete and the influence of additional weight on the impaired limb. Sports Engi-neering, 19, 185–199. https://doi.org/10.1007/s12283-016-0204-z
Marfell-Jones, M. J., Stewart, A. D., & De Ridder, J. H. (2012). International standards for anthropometric assessment.
Meshtel, A. V, Antonov, A. G., Zhilkin, A. N., Rybakova, P. D., Miroshnikov, A. B., & Smolensky, A. V. (2024). [Comparative analysis of body fat measurement using two bioelectric impedance de-vices and three household scales (with the function of determining body composition) with du-al-energy X-ray absorptiometry]. Voprosy pitaniia, 93(2), 95–104. https://doi.org/10.33029/0042-8833-2024-93-2-95-104
Molik, B., Kosmol, A., Laskin, J. J., Morgulec-Adamowicz, N., Skucas, K., Dabrowska, A., Gajewski, J., & Ergun, N. (2010). Wheelchair basketball skill tests: Differences between athletes’ functional classification level and disability type. Fizyoterapi Rehabilitasyon, 21(1), 11–19.
Molik, B., Laskin, J. J., Kosmol, A., Marszałek, J., Morgulec-Adamowicz, N., & Frick, T. (2013). Relation-ships between anaerobic performance, field tests, and functional level of elite female wheel-chair basketball athletes. Human Movement, 14(4), 366–371. https://doi.org/10.2478/humo-2013-0045
Nowak, A. M., Molik, B., Kosmol, A., Szczepaniak, M., & Marszalek, J. (2021). Application of the arm-cranking 30-second Wingate Anaerobic Test (the WAnT) to assess power in amputee football players. ACTA OF BIOENGINEERING AND BIOMECHANICS, 23(3), 13–23. https://doi.org/10.37190/ABB-01807-2021-02
OMS. (2024). Discapacidad: datos y cifras. https://www.who.int/es/news-room/fact-sheets/detail/disability-and-health
OMS, G. (1995). El estado físico: uso e interpretación de la antropometría.
Ozkan, A., Kayihan, G., Koklu, Y., Ergun, N., Koz, M., Ersoz, G., & Dellal, A. (2012). The Relationship Be-tween Body Composition, Anaerobic Performance and Sprint Ability of Amputee Soccer Play-ers. JOURNAL OF HUMAN KINETICS, 35, 141–146. https://doi.org/10.2478/v10078-012-0088-3
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetz-laff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Alonso-Fernández, S. (2021). Decla-ración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revis-ta Española de Cardiología, 74(9), 790–799. https://doi.org/10.1016/j.recesp.2021.06.016
Petri, C., Campa, F., Holway, F., Pengue, L., & Arrones, L. S. (2024). ISAK-Based Anthropometric Stand-ards for Elite Male and Female Soccer Players. Sports, 12(69), 1–15. https://doi.org/10.3390/sports12030069
Piccoli, A., Rossi, B., Pillon, L., & Bucciante, G. (1994). A new method for monitoring body fluid varia-tion by bioimpedance analysis: The RXc graph. Kidney International, 46(2), 534–539. https://doi.org/10.1038/KI.1994.305
Plank L. D. (2005). Dual-energy X-ray absorptiometry and body composition. Current opinion in clini-cal nutrition and metabolic care, 8(3), 305–309. https://doi.org/10.1097/01.mco.0000165010.31826.3d
Rietveld, T., Vegter, R. J. K., van der Slikke, R. M. A., Hoekstra, A. E., van der Woude, L. H. V., & De Groot, S. (2019). Wheelchair mobility performance of elite wheelchair tennis players during four field tests: Inter-trial reliability and construct validity. PLoS ONE, 14(6), 1–16. https://doi.org/10.1371/journal.pone.0217514
Rivas, L. G., Mielgo-Ayuso, J., Norte-Navarro, A., Cejuela, R., Cabañas, M. D., & Martínez-Sanz, J. M. (2015). Body composition and somatotype in university triathletes. Nutricion Hospitalaria, 32(2), 799–807. https://doi.org/10.3305/nh.2015.32.2.9142
Rodrigues, M. N., Silva, S. C. da, Monteiro, W. D., & Farinatti, P. de T. V. (2001). Comparison of body fat estimation by bioelectric impedance, skinfold thickness, and underwater weighing. Revista Brasileira de Medicina Do Esporte, 7, 125–131.
Rodríguez, K. C. M., Martínez, L. S. V., Vázquez, V. V., & Moreno, P. J. F. (2023). Comparación de dos mé-todos para estimar el porcentaje de grasa en futbolistas amputados. Estudio piloto. In Cultura Física: Avances de Investigación Científica en Educación Física y Entrenamiento Deportivo (p. 77). https://itson.mx/publicaciones/Documents/ciencias-sociales/Cultura Física.pdf#page=77
Hernández Roldan, R., Anderson Quiñonez, J., Arenas, J., Urrea, A. M., Barbosa-Granados, S., & Aguirre Loaiza, H. H. (2021). Características Psicológicas en Deportistas con Discapacidad Física (Psychological Characteristics in athletes with physical disability). Retos, 40, 351–358. https://doi.org/10.47197/retos.v1i40.83079
Saltan, A., Bakar, Y., & Ankarali, H. (2017). Wheeled mobility skills of wheelchair basketball players: a randomized controlled study. Disability and Rehabilitation: Assistive Technology, 12(4), 390–395. https://doi.org/10.1080/17483107.2016.1177857
Shuster, A., Patlas, M., Pinthus, J. H., & Mourtzakis, M. (2012). The clinical importance of visceral adipos-ity: A critical review of methods for visceral adipose tissue analysis. British Journal of Radiology, 85(1009), 1–10. https://doi.org/10.1259/bjr/38447238
Simim, M. A. M., Silva, B. V. C., Marocolo, M., Mendes, E. L., De Mello, M. T., & Da Mota, G. R. (2013). An-thropometric profile and physical performance characteristic of the Brazilian amputee football (soccer) team. Motriz. Revista de Educacao Fisica, 19(3), 641–648.
Siri, W. E. (1961). Body composition from fluid space and density. Techniques for Measuring Body Composition, 1, 223–224.
Soylu, Ç., Yıldırım, N. Ü., Akalan, C., Akınoğlu, B., & Kocahan, T. (2021). The Relationship Between Ath-letic Performance and Physiological Characteristics in Wheelchair Basketball Athletes. Re-search Quarterly for Exercise and Sport, 92(4), 639–650. https://doi.org/10.1080/02701367.2020.1762834
Stewart, A., Marfell-Jones, M., Olds, T., & De Ridder, H. (2011). International society for advancement of kinanthropometry. International Standards for Anthropometric Assessment, 115.
Tachibana, K., Mutsuzaki, H., Shimizu, Y., Doi, T., Hotta, K., & Wadano, Y. (2019). Influence of functional classification on skill tests in elite female wheelchair basketball athletes. Medicina (Lithuania), 55(11), 1–10. https://doi.org/10.3390/medicina55110740
Tzamaloukas, A. H., & Murata, G. H. (1996). Estimating urea volume in amputees on peritoneal dialysis by modified anthropometric formulas. In Advances in peritoneal dialysis. Conference on Peri-toneal Dialysis (Vol. 12, pp. 143–146).
Tzamaloukas, A. H., Patron, A., & Malhotra, D. (1994). Body mass index in amputees. JPEN. Journal of Parenteral and Enteral Nutrition, 18(4), 355–358. https://doi.org/10.1177/014860719401800414
Vanlandewijck, Y. C., Verellen, J., & Tweedy, S. (2011). Towards evidence-based classification in wheel-chair sports: impact of seating position on wheelchair acceleration. Journal of Sports Sciences, 29(10), 1089–1096. https://doi.org/10.1080/02640414.2011.576694
Weber, V. M. R., Fernandes, D. Z., Vieira, E. R., Ferreira, S. A., da Silva, D. F., & Queiroga, M. R. (2021). Ad-aptation of Anaerobic Field-Based Tests for Wheelchair Basketball Athletes. Research Quarterly for Exercise and Sport, 92(4), 715–722. https://doi.org/10.1080/02701367.2020.1769009
Whiting, P., Savović, J., Higgins, J. P. T., Caldwell, D. M., Reeves, B. C., Shea, B., Davies, P., Kleijnen, J., & Churchill, R. (2016). ROBIS: A new tool to assess risk of bias in systematic reviews was devel-oped. Journal of Clinical Epidemiology, 69, 225–234. https://doi.org/10.1016/j.jclinepi.2015.06.005
Yanci, J., Granados, C., Otero, M., Badiola, A., Olasagasti, J., Bidaurrazaga-Letona, I., Iturricastillo, A., & Gil, S. M. (2015). Sprint, agility, strength and endurance capacity in wheelchair basketball players. Biology of Sport, 32(1), 71–78. https://doi.org/10.5604/20831862.1127285
Yüksel, M. F., & Sevindi, T. (2018). Examination of Performance Levels of Wheelchair Basketball Play-ers Playing in Different Leagues. Sports, 6(18), 1–8. https://doi.org/10.3390/sports6010018
Yurdakul, E., & Kizilci, H. M. (2021). A comparison of physical performance analyses of amputee pro-fessional and elite footballers. JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS, 61(7), 916–922. https://doi.org/10.23736/S0022-4707.21.11859-6
Zorba, E., & Saygın, Ö. (2009). Fiziksel Aktivite ve Fiziksel Uygunluk.(2. Baskı). In İstanbul: İnceler Of-set.
Zwierzchowska, A., Rosołek, B., Sikora, M., & Celebańska, D. (2022). Forced Sedentariness and Sports Activity as Factors Differentiating Anthropometric Characteristics, Indices, and Body Composi-tion in People with Disabilities. Biology, 11(6), 1–10. https://doi.org/10.3390/biology11060906
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