Body composition analysis by bioelectrical impedance in chronic maintenance dialysis patients: Comparisons to the National Health and Nutrition Examination Survey III

Dumler, Francis; Kilates, Cristina

doi:10.1053/jren.2003.50022

Cited by 38 publications

(32 citation statements)

References 42 publications

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“…A study that compared maintenance dialysis patients with healthy persons (34) found that MHD patients had a lower LBM across both men and women. Another study (35) also found that FM and LBM were significantly lower in dialysis patients than in the general population.…”

Section: Resultsmentioning

confidence: 87%

Survival predictability of lean and fat mass in men and women undergoing maintenance hemodialysis

Noori¹,

Kövesdy²,

Dukkipati³

et al. 2010

The American Journal of Clinical Nutrition

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Section: Resultsmentioning

confidence: 87%

Survival predictability of lean and fat mass in men and women undergoing maintenance hemodialysis

Noori¹,

Kövesdy²,

Dukkipati³

et al. 2010

The American Journal of Clinical Nutrition

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“…[30][31][32][33] Previous authors have also used BIA to determine body composition and nutritional status in HD patients. [34] Studies conducted on the healthy population have shown that the foot-to-foot BIA device is a useful alternative to the conventional and more laborious and technical tetra polar BIA system. [35] A literature search indicates that no other authors have assessed the utility and accuracy of foot-to foot BIA for evaluating nutritional status in HD patients.…”

Section: Discussionmentioning

confidence: 99%

Increased Body Mass Index Is Not a Reliable Marker of Good Nutrition in Hemodialysis Patients

et al. 2007

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Objective. The aim of the study was to assess the body fat (BF) composition in hemodialysis (HD) patients using anthropometry and bioelectrical impedance analysis (BIA) and investigate relationships between BIA-determined BF composition and nutritional parameters in different weight groupings. Design. Cross-sectional study. Setting. A tertiary-care university hospital. Methods. 164 HD patients (M/F: 89/75, mean age: 48.4 ± 15.8 years, mean HD duration: 58.2 ± 42.6 months) were divided into three groups according to body mass index (BMI): normal weight (NW: BMI 18.5-24.9), overweight (OW: BMI 25-29.9), obese (OB, BMI ≥ 30). Biochemical parameters and BF composition using anthropometry and foot-to-foot BIA were compared between three groups. Results. Ninety-six (59%) patients were NW, 40 (24%) were OW, and 28 (17%) were OB. Average mean skinfold thickness (p = 0.005), mid-arm circumference (p = 0.001), BF% (p = 0.001), and fat-free mass (FFM) (p = 0.03) were all significantly greater in the OB group than in the NW group. Compared to the NW patients, the OB group had significantly higher serum levels of glucose (p = 0.03), total cholesterol (p = 0.02), and triglycerides (p = 0.02), but significantly lower serum albumin (p = 0.05) and blood urea nitrogen (p = 0.05). The OB group also had significantly higher white blood cell count (p=0.002) and serum CRP (p = 0.001) than the NW group. Conclusions. The results suggest that BIA-determined BF composition is correlated with body mass index. In addition, obesity is associated with elevated CRP and white blood cell count and lower serum albumin level in HD patients.

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“…Measurements were carried out on the non-access site of the body in standardized conditions (quiet environment, ambient temperature 22 °C to 24°C after the patient was laying for at least 30 minutes), to remove potential causes of bias 17. With regard to the placement of electrodes, an inner sensing electrode was attached on the dorsal surface of the patients' wrist and an outer source electrode placed on the dorsal surface of the third metacarpal bone, the second pair of electrodes being positioned on the anterior surface of the ankle and the third metatarsal bone, respectively.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Nutritional Parameters among Adult and Elderly Hemodialysis Patients

Çelik¹,

Öç²,

Kara³

et al. 2011

Int. J. Med. Sci.

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Aim: The aim of this study was to compare the nutritional biochemical parameters, prealbumin levels, and bioimpedance analysis parameters of adult and elderly hemodialysis (HD) patients.Methods: This prospective cross-sectional study included 50 adult HD patients (42.0 % female). Nutritional status was assessed by post-dialysis multifrequency bioimpedance analysis (BIA), serum prealbumin and other nutritional biochemical parameters.Results: Mean age of patients was 57.4±15.1 years (range: 30-83 years) and mean dialysis duration was 68.3 ± 54.5 months (range: 3-240 months). When the patients were divided into two groups according to age of patients (<65 and ≥65), prealbumin (p=0.003), blood urea nitrogen (BUN) (p=0.000), serum creatinine (p=0.013), albumin (p=0.016), protein catabolic rate per normalized body weight (nPCR) (p=0.001), intracellular water (ICW)/total body weight (0.003) , body fat mass (p00.000), lean body mass (p=0.031), lean dry mass (p=0.001), illness marker (p=0.005), basal metabolism (p=0.007), body mass index (BMI) (p=0.028), body fat mass index (BFMI) (p=0.000), fat free mass index (FFMI) (p=0.040) values were significantly different between the groups. In the elderly patients (age ≥65), body fat mass, illness marker, BMI, BFMI were higher compared to adult patients (age <65). Additionally, in the elderly patients, prealbumin, BUN, creatinine, albumin, nPCR, ICW/ total body weight, lean body weight, lean dry weight, basal metabolism and FFMI were lower than adult patients.Conclusions: Our results indicate that BFMI were higher, albumin, prealbumin, nPCR and lean body mass and FFMI were lower in elderly patients compared to adults. These results imply that elderly HD patients may be prone sarcopenic obesity and may require special nutritional support.

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Body composition analysis by bioelectrical impedance in chronic maintenance dialysis patients: Comparisons to the National Health and Nutrition Examination Survey III

Cited by 38 publications

References 42 publications

Survival predictability of lean and fat mass in men and women undergoing maintenance hemodialysis

Survival predictability of lean and fat mass in men and women undergoing maintenance hemodialysis

Increased Body Mass Index Is Not a Reliable Marker of Good Nutrition in Hemodialysis Patients

Comparison of Nutritional Parameters among Adult and Elderly Hemodialysis Patients

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