Can Bioelectrical Impedance Analysis Identify Malnutrition in Preoperative Nutrition Assessment?

Barbosa-Silva, Maria Cristina G.; Barros, Aluísio J D; Post, Cora Luiza Araújo; Waitzberg, Dan Linetzky; Heymsfield, Steven B.

doi:10.1016/s0899-9007(02)00932-2

Cited by 139 publications

(116 citation statements)

References 28 publications

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“…Bioelectrical impedance analysis is a relatively new tool for the assessment of nutrition status; it is useful as diagnostic method both in health and in chronic disease (amyotrophic lateral sclerosis 18 , cirrhosis 25 , hemodialysis 27 , hiv 28 , cancer). An alternative method, bioelectrical impedance spectroscopy, is a technique that measures impedance using 50 or more frequencies; the resulting values are then used to calculate the resistance of the extracellular and intracellular water.…”

Section: Discussionmentioning

confidence: 99%

“…Resistance is restriction to the flow of electrical current, primarily related to the amount of water present in the tissues. Reactance is the resistive effect produced by the tissue interfaces and cell membranes 25 . Thanks to its potential to detect changes in tissue electrical properties, pa has been found to be an indicator for cell membrane integrity, distribution of water between the intracellular and extracellular spaces, and prediction of body cell mass in various disease conditions [26][27][28][29][30][31][32][33][34] .…”

Section: Introductionmentioning

confidence: 99%

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Bioelectrical Impedance Phase Angle as a Prognostic Indicator of Survival in Head-and-Neck Cancer

Wladysiuk

Mlak²,

Morshed

et al. 2016

Current Oncology

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bioelectrical Impedance Phase Angle as a Prognostic Indicator of Survival in Head-and-Neck Cancer

Wladysiuk

Mlak²,

Morshed

et al. 2016

Current Oncology

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“…It has been shown to be important in the assessment of severity and prognosis, as it reflects different electrical properties of tissues that are affected by disease, nutritional status and hydration, considering it evaluates different dimensions of nutritional status, incorporating both the functional and the morphological assessment 413 - 15 Therefore, its value is influenced by body cell mass and the amount of body fluid 1617 …”

Section: Discussionmentioning

confidence: 99%

“…According to Barbosa-Silva et al, this parameter allows routine monitoring through a single or sequenced analysis of the sick child, which can be interpreted as an indicator of fluid distribution between the intra- and extracellular spaces and integrity of all cell membranes 15. The low value of PA suggests cell death or decreased integrity of cell membranes, while high values are compatible with higher value of reactance and a large amount of intact cell membranes 14…”

Section: Discussionmentioning

confidence: 99%

Phase angle and World Health Organization criteria for the assessment of nutritional status in children with osteogenesis imperfecta

Pileggi

Scalize

Camelo

2016

Revista Paulista de Pediatria (English Edition)

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Objective:To compare the phase angle of patients with osteogenesis imperfecta treated at a tertiary university hospital with patients in a control group of healthy children, and to assess the nutritional status of these patients through the body mass index proposed by the World Health Organization.Methods:Cross-sectional study carried out in a university hospital that included seven patients with osteogenesis imperfecta and a control group of 17 healthy children of the same gender and age. Weight and height were measured and bioelectrical impedance was performed. Subsequently, the phase angle was calculated based on resistance and reactance values.Results:The phase angle of the group of children with osteogenesis imperfecta was significantly lower than that of the control group (p<0.05). The body mass index criterion for age of the World Health Organization showed no difference between groups.Conclusions:Children with osteogenesis imperfecta have a nutritional risk detected by the phase angle, which is a useful tool for nutritional screening. The calculation result could help in the diet therapy of patients with osteogenesis imperfecta.

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“…The SGA has been shown to identify patients with risk of nutritional complications and who would potentially benefit from nutritional therapy. 37 Increased nutritional risk and alteration in body composition are common in ill subjects and their influence on mortality has been shown in various studies. 38 Several studies 25,39,40 have demonstrated the association between PhA and markers of nutritional risk.…”

Section: Discussionmentioning

confidence: 99%

Low phase angle determined by bioelectrical impedance analysis is associated with malnutrition and nutritional risk at hospital admission

2013

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s u m m a r yBackground & aims: This study determined the association between phase angle (PhA), by bioelectrical impedance analysis (BIA) and nutritional risk by Nutritional Risk Screening (NRS-2002), Subjective Global Assessment (SGA), hospital length of stay (LOS) and 30 day non-survival in patients at hospital admission compared to healthy controls. Methods: PhA was determined by BIA in patients (n ¼ 983, 52.7 AE 21.5 yrs, M 520) and compared to healthy age-, sex-and height-matched controls. Low PhA was set at <5.0 (men) and <4.6 (women) as previously determined (Kyle, in press). Results: PhA was lower in patients (men 6.0 AE 1.4, women 5.0 AE 1.3 ) than controls (men 7.1 AE 1.2 , women 6.0 AE 1.2 , un-paired t-test p < 0.001). Patients were more likely to have low PhA than controls: NRS-2002: no risk (relative risk (RR) 1.7, 95th confidence interval (CI) 1.2e2.3), moderate risk (RR 4.5, CI 3.4e5.8) and severe risk (RR 7.5, CI 5.9e9.4); similar results were obtained by SGA; LOS !21 days (RR 6.9, CI 5.1e9.1) and LOS 5e20 days (RR 5.2, CI 3.9e6.9) and non-survivors (RR 3.1, CI 2.1e3.4) compared to survivors. Conclusions: There is a significant association between low PhA and nutritional risk, LOS and nonsurvival. PhA is helpful to identify patients who are at nutritional risk at hospital admission in order to limit the number of in-depth nutritional assessments.

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Can Bioelectrical Impedance Analysis Identify Malnutrition in Preoperative Nutrition Assessment?

Cited by 139 publications

References 28 publications

Bioelectrical Impedance Phase Angle as a Prognostic Indicator of Survival in Head-and-Neck Cancer

Bioelectrical Impedance Phase Angle as a Prognostic Indicator of Survival in Head-and-Neck Cancer

Phase angle and World Health Organization criteria for the assessment of nutritional status in children with osteogenesis imperfecta

Low phase angle determined by bioelectrical impedance analysis is associated with malnutrition and nutritional risk at hospital admission

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