4018932 Stonry Copp, STANISLAV V. Kast, Eptrit CHEN and Roger CHRistENFELD J. chron, Dis. 1965, Vol. 18, pp. 1279-1289. Pergamon Press Ltd. Printed in Great Britain STOECKLE, J. D, and Davipson, G. E.: Bodily comptaints and other symptoms of depressive reaction, J. Amer, med. Ass, 180, 134, 1962. STOECKLE, J. D., Zota, I. K. and Davipson, G. E.; The quantity and significance of psychological distress in medical patients: Some preliminary observations about the decision to seek medical aid, J. chron. Dis, 17, 959, 1964. Cuen, E. and Coss, S.: Family structure in relation to health and disease (A review of the titerature), J. chron. Dis, 12, 544, 1960. Kine, S. : Psychosocial factors associated with rheumatoid arthritis: An evaluation of the literature, J. chron. Dis. 2, 287, 1955, Moos, R.: Personality factors associated with rheumatoid arthritis: a review, J. chron. Dis. 17, 41, 1964. GranaM. D. T., Lunpy, R. M., BENJAMIN, L. S., Kasier, J. D., Lewis, W. C., Kunisu, N. Q, and Grawam, F. K.: Specific attitudes in initial interviews with patients having different ‘psychosomatic diseases’, Psychosom. Med. 24, 257, 1962. Suariro, A. P.: Psychophysiologic mechanisms in hypertensive vascular disease, Ann. intern, Med. 53, 64, 1960. HagsureG, E., JuLius, §., McGinn, N. F., McLeop, J. and Hooper, $. W.: Personality traits and behavioral patterns associated with systolic blood pressure levels in young college males, J. chron, Dis. 17, 405, 1964. THomas, C. B.: Psychophysiologic aspects of blood pressure regulation: the clinicians view, Psychosom, Med. 26, 454, 1964. MEASURES OF BODY FAT AND RELATED FACTORS IN NORMAL ADULTS—I INTRODUCTION AND METHODOLOGY R. C. STEINKAMP, M.D.*, N. L. COHEN, M.P.H.f, W. E. Siri, T. W. SARGENT, Ph.D. § and H. E. WatsH, M.A.** With the technical assistance of: T. McKey, B.S., G. Bron, B.A., E.M. Hutson, B.S., M. H. Rourke, M.P.H.tt, N. D. Kunkel, M.S., E. Isaacs, M.A. and A. T. Huber, B.A. California State Department of Public Health, Bureau of Public Health Nutrition and the Donner Laboratory, University of California, Berkeley, California. (Received 15 November 1964) THE DEVELOPMENT oflaboratory methods to determine body fat in the human hasgiven impetus to distinguishing obesity (excess body fat) from overweight (body weight greater than a standard weight for height and sex), and to developing simpler methods for predicting the amount of body fat. There has been much interest in distinguishing obesity from overweight since certain chronic diseases with high incidence and mortality rates have been associated with overweight. These diseases are of public health concern. The availability of a simple yet accurate anthropometric tool to estimate amount of body fat would aid in the epidemiological study of some common degenerative diseases and provide guidance for preventive measures. This paper presents the methods used in the development of such an anthropometric tool. {t is impossible here to review the voluminousliterature on body composition. Two symposia conducted in the past five years [1, 2] and a monograph [3] provide documentation of the extensive and varied recent research in thisfield. In 1921, MATIEGKA [4] first attempted to estimate body composition by anthropometric means in order to establish bases for physical fitness. He emphasized the need for validation with cadaver analyses. From his approach was developed the concept of standard weight for height. Other attempts to define optimum body measurements have been made [5-7]. Since BEHNKE ef a/, developed the measurement of body specific gravity [8] and the concept of lean body mass [9] considerable impetus has been afforded the correlation of physical measurements to reference determinations of body composition [10-13]. Supported in part by National Institutes of Health Grant CD 00009 (formerly A-5907}. *Medical Consultant, Bureau of Public Health Nutrition, CSDPH. tAssociate Public Health Statistician, Bureau of Public Health Nutrition, CSDPH. tPhysicist to the Donner Laboratory, University of California, Berkeley. §Staff Biophysicist, Donner Laboratory, University of California, Berkeley. **Chief, Bureau of Public Health Nutrition, CSDPH. +tDecéased 26 April 1963 1279

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