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Human body composition as related to surface area

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Abstract

There is a linear relationship between extracellular fluid and body surface area in man. During growth the body cell mass, fat-free solids, and body fat proportions of body weight increase while the extracellular fluid fraction decreases. Growth stops in men as soon as the body cell mass reaches 22.5 kg/m2 body surface area and in women when it reaches 16.9 kg/m2. The non-muscle cell mass and the muscle cell mass reach a 1:4 ratio in men whereas in women a 1:3.5 proportion—which is more favorable for pregnancy and lactation—is reached. The body composition of the newborn and the infant have fetal characteristics with a low body fat: surface area ratio and a low non-muscle cell mass: surface area ratio. The basal metabolic rate depends on the amount of non-muscle cell mass present, and the total energy change depends on body cell mass.

This has been established by measurements of total body potassium, thiosulfate space, total body sodium, 24 h urine creatinine values and basal metabolic rate.

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Abbreviations

BCM:

body cell mass (kg)

BF:

depot fat (kg)

Cr:

creatinine in urine (g/day)

ECF:

extracellular fluid (kg)

EFFS:

extracellular fatfree solids (kg)

H:

height (cm)

ICF:

intracellular fluid (kg)

L:

length (cm)

LBM:

lean body mass (kg)

n :

number of cases investigated

MCM:

muscle cell mass (kg)

nMCM:

non-muscle cell mass (kg)

SA:

surface area (m2)

TBK:

total body potassium (mmol)

TBNa:

total body sodium (mmol)

TBW:

total body water (kg)

W:

body weight (kg)

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Dedicated to Prof. Dr. H. R. Wiedemann on occasion of his 65th birthday

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Burmeister, W. Human body composition as related to surface area. Eur J Pediatr 135, 147–151 (1980). https://doi.org/10.1007/BF00441633

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  • DOI: https://doi.org/10.1007/BF00441633

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