Bioelectrical Impedance Analysis for Prediction of Early Complications after Gastrectomy in Elderly Patients with Gastric Cancer: the Phase Angle Measured Using Bioelectrical Impedance Analysis

Yu, Byunghyuk; Park, Ki Bum; Park, Ji Yeon; Lee, Seung Soo; Kwon, Oh Kyoung; Chung, Ho Young

doi:10.5230/jgc.2019.19.e22

Cited by 24 publications

(12 citation statements)

References 35 publications

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“…In terms of muscle quality, phase angle and ECW/ICW have been recommended as indicators of muscle quality ( 60 , 61 ). Phase angle is a major parameter previously investigated as a predictor of morbidity and mortality for several pathological conditions or critical illnesses, such as mortality in intensive care or in postoperative patients ( 62 – 64 ), sarcopenia, frailty ( 65 ), and Human Immunodeficiency Virus infection ( 66 ). It is also suggested as a potential indicator for diabetes ( 67 ), hyperlipidemia ( 68 ), and hypertension ( 69 ), which are known risk factors of cognitive impairment.…”

Section: Discussionmentioning

confidence: 99%

Segmental Bioimpedance Variables in Association With Mild Cognitive Impairment

Doan

Kim

et al. 2022

Front. Nutr.

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ObjectiveTo examine the changes in body composition, water compartment, and bioimpedance in mild cognitive impairment (MCI) individuals.MethodsWe obtained seven whole-body composition variables and seven pairs of segmental body composition, water compartment, and impedance variables for the upper and lower extremities from the segmental multi-frequency bioelectrical impedance analysis (BIA) of 939 elderly participants, including 673 cognitively normal (CN) people and 266 individuals with MCI. Participants’ characteristics, anthropometric information, and the selected BIA variables were described and statistically compared between the CN participants and those with MCI. The correlations between the selected BIA variables and neuropsychological tests such as the Korean version of the Mini-Mental State Examination and Seoul Neuropsychological Screening Battery – Second Edition were also examined before and after controlling for age and sex. Univariate and multivariate logistic regression analyses with estimated odds ratios (ORs) were conducted to investigate the associations between these BIA variables and MCI prevalence for different sexes.ResultsParticipants with MCI were slightly older, more depressive, and had significantly poorer cognitive abilities when compared with the CN individuals. The partial correlations between the selected BIA variables and neuropsychological tests upon controlling for age and sex were not greatly significant. However, after accounting for age, sex, and the significant comorbidities, segmental lean mass, water volume, resistance, and reactance in the lower extremities were positively associated with MCI, with ORs [95% confidence interval (CI)] of 1.33 (1.02–1.71), 1.33 (1.03–1.72), 0.76 (0.62–0.92), and 0.79 (0.67–0.93), respectively; with presumably a shift of water from the intracellular area to extracellular space. After stratifying by sex, resistance and reactance in lower extremities remained significant only in the women group.ConclusionAn increase in segmental water along with segmental lean mass and a decrease in body cell strength due to an abnormal cellular water distribution demonstrated by reductions in resistance and reactance are associated with MCI prevalence, which are more pronounced in the lower extremities and in women. These characteristic changes in BIA variables may be considered as an early sign of cognitive impairment in the elderly population.

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Section: Discussionmentioning

confidence: 99%

Segmental Bioimpedance Variables in Association With Mild Cognitive Impairment

Doan

Kim

et al. 2022

Front. Nutr.

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“…Body-composition studies using bioelectrical impedance analysis (BIA) could be leveraged to determine fat and lean-muscle percentages, which may be important for obese patients with concomitant nutrition disorders/sarcopenia 5,61 . BIA in the perioperative setting has primarily been used for abdominal procedures 62,63 . However, Purcell et al 64 studied the use of preoperative BIA in TJA, which demonstrated the ability to identify malnourished patients using a quick and inexpensive technique.…”

Section: Preoperative Screening and Patient Optimizationmentioning

confidence: 99%

Team Approach: Nutritional Assessment and Interventions in Elective Hip and Knee Arthroplasty

et al. 2022

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Nutritional assessment is a critical element of routine preoperative assessment and should be approached by an interdisciplinary team that involves the primary care physician, dietitian, and orthopaedist.» Patients should be stratified on the basis of their nutritional risk, which influences downstream optimization and deficiency reversal.» The scientific literature indicates that nutritional supplementation affords protection against adverse outcomes and helps functional recovery, even among patients who are not at nutritional risk.» Published investigations recommend a sufficient preoperative interval (at least 4 weeks) to ensure an adequate nutritional intervention in malnourished patients as opposed to regarding them as nonsurgical candidates.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A805).

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“…Yu et al [52] 52 patients with stage IV colorectal cancer PA is a prognostic factor in patients with advanced colorectal cancer. Gupta et al [44] 250 elderly colorectal cancer patients PA >5° was associated with better prognosis and a relative hazard of death 0.456 Barao et al [45] 50 patients with advanced colorectal cancer (23 patients) and patients on follow-up after CRC treatment (27 patients)…”

Section: Silva Et Al [42]mentioning

confidence: 99%

The Potential of Phase Angle as a Nutritional Assessment Tool and Prognostic Factor in Patients with Gastrointestinal Cancers

Mantzorou¹,

Tolia²,

Pavlidou³

et al. 2022

AustinJNutriFoodSci

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Malnutrition is a common finding in patients with cancer and can significantly affect disease progress and patients’ survival. Gastrointestinal Cancers (GIC) are amongst the most common cancer types. In gastroin-testinal cancer patients, the prevalence of malnutrition has been estimated to be around 39-67%. Body composition reflects the nutritional status. Bio-Impedance Analysis (BIA) is a noninvasive, time- and cost-effective technique to analyse body composition. This review paper aims to critically summarise the currently available clinical data on the efficiency of the easily obtainable BIA measure, Phase Angle (PA), in the evaluation of malnutrition in GIC patients and on disease progression and prognosis. PubMed database was thoroughly searched, in order to identify clinical studies that explore the role of BIA- derived raw data and weight loss on disease prognosis and progress, as well on assessing malnutrition. Phase angle may be used as a nutritional screening tool in patients with gastrointestinal cancers. However, it cannot distinguish between stages of cachexia. Concerning the role of PA as a prognostic factor, current studies show that PA may be used as a prognostic factor of survival, yet further studies are needed for firm conclusions regarding post-operative complications and disease characteristics. Due to the fact that gastrointestinal cancers are a group of various cancers, further studies should be undertaken, in order to evaluate the role of BIA and PA on all gastrointestinal cancer sites and types.

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Bioelectrical Impedance Analysis for Prediction of Early Complications after Gastrectomy in Elderly Patients with Gastric Cancer: the Phase Angle Measured Using Bioelectrical Impedance Analysis

Cited by 24 publications

References 35 publications

Segmental Bioimpedance Variables in Association With Mild Cognitive Impairment

Segmental Bioimpedance Variables in Association With Mild Cognitive Impairment

Team Approach: Nutritional Assessment and Interventions in Elective Hip and Knee Arthroplasty

The Potential of Phase Angle as a Nutritional Assessment Tool and Prognostic Factor in Patients with Gastrointestinal Cancers

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