Bioelectrical impedance analysis for perioperative water management in adult cardiovascular valve disease surgery

Watanabe, Tatsuya; Ishida, Nobuhiro; Takaoka, Munenori; Tsujimoto, Kotone; Kondo, Kensuke; Isoda, Ryutaro; Yukawa, Takuro; Tokunaga, Naoyuki; Ishida, Akira; Fukazawa, Takuya; Morita, Ichiro; Yoshida, Hideo; Kurabayashi, Masahiko; Yamatsuji, Tomoki

doi:10.1007/s00595-020-02184-3

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…Thus, BIA allows an exact estimation of the fat and muscle mass of the body and the intracellular and extracellular water content inside and outside the cells [ 40 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Bioelectrical Impedance Analysis as a Contemporary Biomarker of Obesity in Adults with Marfan- or Loeys-Dietz-Syndrome

Freilinger¹,

Suleiman²,

Bischoff³

et al. 2022

Rev. Cardiovasc. Med.

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Background: It is clinically widely overlooked that many patients with Marfan- (MFS) or Loeys-Dietz-Syndrome (LDS) are obese. While anthropometric routine parameters are not very suitable, the modern Bioelectrical Impedance Analysis (BIA) seems superior for the acquisition of reliable noninvasive assessment of body composition of patients. The aim of the study was to assess the body composition of patients with MFS/LDS by BIA in order to detect occult obesity, which may be a risk marker for aortic or vascular complications. Methods: In this exploratory cross-sectional study, 50 patients (66% female; mean age: 37.7 11.7 [range: 17–64] years) with a molecular genetic (n = 45; 90%) or clinical (n = 5; 10%) proven diagnosis of MFS or LDS were enrolled between June 2020 and February 2022. All BIA-measurements were performed with the Multifrequence-Impedance-Analyzer Nutriguard-MS (Data Input, Poecking, Germany). Results: The MFS/LDS collective was significantly different from an age-, sex-, and BMI-adjusted control in terms of body fat, percent cellularity, body cell mass, extra cellular mass/body cell mass index, and phase angle (all p 0.05). The mean BIA-measured bodyfat was 31.7 8.7% [range: 9.5–53.5%], while the mean calculated BMI of the included patients was 23.0 4.8 kg/ [range: 15.2–41.9 kg/ ]. Therefore, using the obesity cut-off values for the body fat percentage of 25% in men and 35% in women, the BIA classifies as many as 28 patients (56.0%) as obese. In contrast only 12 patients (24.0%) were pre-obese, respectively 3 (6.0%) obese by BMI. The significant difference ( p 0.001) had an accordance of 42.7%. Overall, 15 patients (13 MFS; 2 LDS) had previous aortic surgery (n = 14) and/or interventional treatment (n = 2) for aortic complications (aneurysm, aortic dissection). 11 out of these 15 (73.3%) were currently classified as obese by BIA. Conclusions: The fact that many patients with MFS or LDS are obese is widely unknown, although obesity may be associated with impaired vascular endothelial function and an increased risk of cardiovascular complications. Also, in patients with MFS/LDS, BIA allows a reliable assessment of the body composition beyond the normal anthropometric parameters, such as BMI. In the future, BIA-data possibly may be of particular importance for the assessment of the vascular risk of MFS/LDS patients, besides the aortic diameters.

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“…Thus, BIA allows an exact estimation of the fat and muscle mass of the body and the intracellular and extracellular water content inside and outside the cells [ 40 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Bioelectrical Impedance Analysis as a Contemporary Biomarker of Obesity in Adults with Marfan- or Loeys-Dietz-Syndrome

Freilinger¹,

Suleiman²,

Bischoff³

et al. 2022

Rev. Cardiovasc. Med.

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“…Thus, BIA allows an exact estimation of the fat and muscle mass of the body and the intracellular and extracellular water content inside and outside the cells ( 29 , 30 ). According to the World Health Organization (WHO), obesity is defined as body fat percentage cut-off values of 25% in men and 35% in women were used ( 31 ).…”

Section: Introductionmentioning

confidence: 99%

The relation of aortic dimensions and obesity in adults with Marfan or Loeys-Dietz syndrome

Suleiman¹,

Freilinger²,

Meierhofer³

et al. 2022

Cardiovasc Diagn Ther

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Background: Aortic aneurysm and aortic dissection can have a major impact on the life expectancy of Marfan syndrome (MFS) or Loeys-Dietz syndrome (LDS) patients. Although obesity can influence the development of aortic complications, evidence on whether obesity influences the development of aortic aneurysm or dissection in MFS and LDS is limited. The aim of the present study was to elucidate the relationship between aortic size and body composition, assessed by modern bioelectrical impedance analysis (BIA) in MFS/LDS-patients. Methods: In this exploratory cross-sectional study in MFS or LDS patients, enrolled between June 2020 and May 2022, 34 patients received modern BIA and magnetic resonance imaging (MRI) (n=32) or computed tomography (CT) imaging (n=2) of the entire aorta. A P value of <0.05 was considered significant.Results: Fifty-one patients (66% female; mean age: 37.7±11.7; range, 17-68 years) with MFS or LDS were enrolled; 34 patients, 27 with MFS and 7 with LDS, underwent aortic MRI or CT scanning. The mean aortic length was 503.7±58.7 mm, and the mean thoracic aortic length and abdominal aortic length were 351.5±52.4 and 152.2±27.4 mm, respectively. The aortic bulb and the ascending aorta were measured only in the non-surgically repaired patients. Fifteen MFS (88.2%) and two LDS (40.0%) patients had an aortic aneurysm. In these, the aortic bulb tended to be larger in MFS than in LDS patients [42.6×41.9×41.2 vs. 37.8×37.4×36.8 mm; P=0.07 (−1.1; 9.1); P=0.07 (−1.2; 8.4); P=0.07 (−1.5; 7.9)]. BIA revealed mean body fat levels of 31.6%±8.7% (range, 9.5-53.5%), indicating that 18 patients (52.9%) were obese. There was a significant correlation between body fat content and thoracic aortic length (R=−0.377; P=0.02), muscle mass and total aortic length (R=0.359; P=0.03), thoracic aortic length (R=0.399; P=0.02), extracellular mass (ECM),

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Bioelectrical Impedance Analysis and Body Composition in Cardiovascular Diseases

Popiołek-Kalisz

Szczygieł

2023

Current Problems in Cardiology

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Bioelectrical impedance analysis for perioperative water management in adult cardiovascular valve disease surgery

Cited by 4 publications

References 20 publications

Bioelectrical Impedance Analysis as a Contemporary Biomarker of Obesity in Adults with Marfan- or Loeys-Dietz-Syndrome

Bioelectrical Impedance Analysis as a Contemporary Biomarker of Obesity in Adults with Marfan- or Loeys-Dietz-Syndrome

The relation of aortic dimensions and obesity in adults with Marfan or Loeys-Dietz syndrome

Bioelectrical Impedance Analysis and Body Composition in Cardiovascular Diseases

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