Body composition assessment by bioelectrical impedance analysis among patients treated with L-dopa for Parkinson’s disease

Abstract

Introduction: Among the consequences of Parkinson's disease are disorders in body composition and weight loss. Aim of the research: An analysis of body composition of patients with Parkinson's disease treated with L-dopa. Material and methods: A group of 32 patients was examined, including 26 (81.25%) females and 6 (18.75%) males. The study was conducted in the Laboratory for Posturology in the Institute of Physiotherapy at the faculty of Medicine and Medical Sciences, Jan Kochanowski University in Kielce. Body composition was assessed using bioelectrical impedance analysis, which consists of the evaluation of resistance to the flow of an electric current. Results and conclusions: The majority of body composition parameters remained within the normal ranges. The mean body mass index (BMI) index in patients with Parkinson' disease was 24.12 kg/m 2 and remained within the normal range. The metabolic age of patients was 42.34 years and was considerably lower than the calendar age-54.28 years. Highly significant differences were observed between males and females according to body height (Z = 3.7541; p = 0.0002), body weight (Z = 3.2592; p = 0.0011), fat mass (%) (Z = 3.1627; p = 0.0016), fat-free mass (kg) (Z = 3.7417; p = 0.0002), muscle mass (kg) (Z = 3.7421; p = 0.0002), visceral fat (Z = 1.9892; p = 0.0467), total body water (kg), total body water content (%) (Z = 3.7428; p = 0.0002), extracellular water (kg) (Z = 3.7448; p = 0.0002), intracellular fluid (kg) (Z = 3.7424; p = 0.0002), and the ratio of extracellular water to total body water (%) (Z = 2.9223; p = 0.0035). There were also significant positive correlations between metabolic age and the Overall Stability Index (r = 0.4057, p = 0.0212) and Front-Back Stability Index (r = 0.3507, p = 0.0490). Streszczenie Wprowadzenie: Jedną z konsekwencji choroby Parkinsona są zaburzenia składu ciała i redukcja jego masy. Cel pracy: Analiza składu ciała pacjentów z chorobą Parkinsona leczonych L-dopą. Materiał i metody: Przebadano grupę 32 osób, w tym 26 (81,25%) kobiet i 6 (18,75%) mężczyzn. Badanie wykonano w Laboratorium Posturologii w Instytucie Fizjoterapii na Wydziale Lekarskim i Nauk o Zdrowiu Uniwersytetu Jana Kochanowskiego w Kielcach. Skład ciała oceniano metodą impedancji bioelektrycznej. Wyniki i wnioski: Większość parametrów składu ciała badanych mieściła się w normie. Średni wskaźnik masy ciała (BMI) pacjentów z chorobą Parkinsona wynosił 24,12 kg/m 2. Wiek metaboliczny badanych wynosił 42,34 roku i był znacz nie niższy od wieku kalendarzowego-54,28 roku. Wysoce istotne różnice między kobietami a mężczyznami dotyczyły wysokości ciała (Z =

Bone Mineral Density, TBS, and Body Composition Indexes in Ukrainian Men with Parkinson’s Disease

“…Contrary to the data above, some current study by Wilczyński and Półrola [27] did not confirm BC changes in PD subjects but demonstrated the sex features in fat mass (%), fat-free and muscle mass (kg), visceral fat, and other parameters of BC. Despite the fact that some studies confirmed the presence of sarcopenic obesity in PD subjects, some recent research studies demonstrated that appendicular lean body mass reliably correlated with cerebral cholinergic innervations in PD subjects independent of age [28].…”

Assessment of Risk Factors for Falls among Patients with Parkinson’s Disease

“…In people with Parkinson's disease, falls occur more frequently in the general elderly population [ 1 ]. They are reported as experienced by 38-68%, constituting one of the most significant causes of morbidity and mortality [ 2 , 3 ]. Recurrent falls often cause traumatic consequences and shorten the duration of life in patients with PD by 7 years [ 4 , 5 ].…”

Prevalence of Malnutrition in Patients with Parkinson’s Disease: A Systematic Review

“…We took into consideration 49 studies [ 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ] in which BMI was assessed, resulting in 5727 patients, 57.3% of whom were men and 40.9% of whom were women. The lowest reported mean BMI was 17.84 kg/m 2 [ ...…”

“…Many authors opted not to provide information on the exact number of patients at risk of malnutrition or malnourished, only the mean score of the questionnaire for the entire cohort studied [ 13 , 14 , 17 , 19 , 20 , 23 , 24 , 25 , 26 , 27 , 28 , 35 , 37 , 44 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ].…”