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Encyclopedia of Health and Medicine

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upper arm circumference 307<br />

LUNGS, raising the risk for atherosclerosis <strong>and</strong> CAD<br />

with prolonged use. As well, smokeless tobacco<br />

contains carcinogens that release into the mouth<br />

<strong>and</strong> is the leading cause <strong>of</strong> oral cancers. Doctors<br />

diagnose 30,000 people with oral cancers due to<br />

smokeless tobacco use each year in the United<br />

States; about 8,000 Americans die each year from<br />

such oral cancers.<br />

CARCINOGENS IN SMOKELESS TOBACCO<br />

acetaldehyde<br />

arsenic<br />

benzopyrene<br />

cadmium<br />

crotonaldehyde<br />

formaldehyde<br />

hydrazine<br />

nitrosamine acids<br />

polonium-210 (radon)<br />

tobacco-specific<br />

volatile aldehydes<br />

nitrosamines (TSNAs)<br />

volatile nitrosamines<br />

See also CARCINOGEN; HALITOSIS; SMOKING<br />

AND<br />

CANCER; SMOKING AND HEALTH; SMOKING CESSATION.<br />

triceps skinfold A measure <strong>of</strong> the thickness <strong>of</strong> a<br />

fold <strong>of</strong> SKIN at the triceps (MUSCLE at the back <strong>of</strong><br />

the upper arm), which indicates BODY FAT PERCENT-<br />

AGE. Triceps skinfold thickness is easy for doctors,<br />

nutritionists, <strong>and</strong> fitness pr<strong>of</strong>essionals to measure<br />

as a means <strong>of</strong> monitoring loss <strong>of</strong> body fat. A tensioned<br />

caliper, placed over a segment <strong>of</strong> pinched<br />

skin at the triceps, measure the skinfold thickness<br />

in millimeters. The thickness value corresponds<br />

roughly to the body fat percentage. For example, a<br />

triceps skinfold measurement <strong>of</strong> 10 millimeters<br />

(mm) corresponds to approximately 10 percent<br />

body fat; <strong>of</strong> 35 mm to approximately 35 percent<br />

body fat. The triceps skinfold measurement may<br />

also serve as an indicator for adequate nutrition in<br />

infants <strong>and</strong> young children, with less than 5 mm<br />

(5 percent body fat) indicating insufficient nutrition.<br />

See also BODY MASS INDEX (BMI); UPPER ARM CIR-<br />

CUMFERENCE; WAIST CIRCUMFERENCE; WAIST TO HIP<br />

RATIO.<br />

upper arm circumference A measurement <strong>of</strong><br />

the distance around the center <strong>of</strong> the upper arm,<br />

which serves as an approximate measure <strong>of</strong> LEAN<br />

MUSCLE MASS. Upper arm circumference, also called<br />

mid-upper arm circumference (MUCA), is one<br />

method to estimate appropriate nutrition. The<br />

muscles store protein, thus measuring the size <strong>of</strong><br />

muscles provides an approximation <strong>of</strong> the body’s<br />

protein supply. In undernutrition <strong>and</strong> MALNUTRI-<br />

TION MUSCLE size shrinks because the body metabolizes<br />

protein stores to generate energy.<br />

Overnutrition (overweight <strong>and</strong> OBESITY) results in<br />

exaggerated muscle size as a consequence <strong>of</strong> high<br />

amounts <strong>of</strong> fat in the muscle fibers. RESISTANCE<br />

EXERCISE such as weightlifting enlarges the upper<br />

arm muscles, which can make upper arm measurement<br />

less accurate as an assessment <strong>of</strong> lean<br />

muscle mass.<br />

UPPER ARM CIRCUMFERENCE AND HEALTH<br />

Measurement<br />

<strong>Health</strong> Risk Correlation<br />

(centimeters)<br />

25 OBESITY, significant health risk<br />

See also BODY MASS INDEX (BMI); TRICEPS SKIN<br />

FOLD; WAIST CIRCUMFERENCE; WAIST TO HIP RATIO;<br />

WEIGHT LOSS AND WEIGHT MANAGEMENT.

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