Phase angle and extracellular water-to-total body water ratio estimated by bioelectrical impedance analysis are associated with levels of hemoglobin and hematocrit in patients with diabetes

Hori, Taiki; Nakamura, Shingen; Yamagami, Hiroki; Yasui, Saya; Hosoki, Minae; Hara, Tomoyo; Mitsui, Yukari; Masuda, Shiho; Kurahashi, Kiyoe; Yoshida, Sumiko; Harada, Takeshi; Kuroda, Akio; Otoda, Toshiki; Yuasa, Tomoyuki; Endo, Itsuro; Matsuhisa, Munehide; Abe, Masahiro; Aihara, Ken‐ichi

doi:10.1016/j.heliyon.2023.e14724

Cited by 7 publications

(7 citation statements)

References 65 publications

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“…In parallel with the reduction in fat content during the 8 days of water-only fasting, there was a reduction in absolute FFM values. The percentage of FFM showed a significant increase after the fasting intervention, which indicates its saving during this period due to the stabilization of muscle mass containing significant water and protein reserves [19,30].…”

Section: Fasting Impact On Body Massmentioning

confidence: 88%

Effect of 8 days of water-only fasting and vigorous exercise on anthropometric parameters, lipid profile and HOMA-IR in middle-aged men

Pilis,

Stec

et al. 2023

Biomedical Human Kinetics

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Study aim: The aim of the present study was to determine the effect of 8 days of water-only fasting and physical exercise on somatic variables, lipid profile, insulin resistance and cardiovascular function in middle-aged men. Material and methods: Body weight, body composition, lipid profile, serum concentrations of insulin, glucose, β-hydroxybutyrate (β-HB), heart rate (HR), blood pressure and the homeostasis model assessment of insulin resistance (HOMA-IR) were determined in 16 apparently healthy men at rest and after aerobic exercise. This test procedure was also repeated after 8 days of water-only fasting. Results: Fasting intervention resulted in a reduction in body weight and fat mass (p < 0.001). The simultaneous effect of fasting and exercise resulted in significant changes in lipid profile, carbohydrate metabolism and cardiovascular function. Post hoc analyses showed that the reductions in insulin and glucose concentrations as well as the HOMA-IR index were caused by the fasting, and changes in the lipid profile and cardiovascular function were caused by the exercise test. Conclusion: The combined use of fasting and physical effort resulted in an optimal effect on health indicators of the surveyed men.

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Section: Fasting Impact On Body Massmentioning

confidence: 88%

Effect of 8 days of water-only fasting and vigorous exercise on anthropometric parameters, lipid profile and HOMA-IR in middle-aged men

Pilis,

Stec

et al. 2023

Biomedical Human Kinetics

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“…Similar results were obtained in this study, with lower Xc in the SCI group compared to the HCG, presumably due to cell membrane deterioration caused by prolonged paralysis and immobility. Furthermore, ECW/TBW also indicates cell membrane degradation and is highly correlated with PhA 29 ) . The increase in ECW/TBW due to aging or worsening nutritional status is caused by a higher proportion of ECW caused by a decrease in intracellular water (ICW) 30 ) .…”

Section: Discussionmentioning

confidence: 99%

Validation of bioimpedance phase angle in lower extremity of male patients with chronic spinal cord injury

Shimoda,

Takano

2024

J Phys Ther Sci

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[Purpose] This study aimed to evaluate the relationship between lower extremity phase angle and muscle thickness/echo intensity in males with chronic spinal cord injury. It also compared bioelectrical impedance analysis measurements to investigate skeletal muscle degeneration between individuals with spinal cord injury and healthy controls. [Participants and Methods] This cross-sectional study included 12 male patients with chronic spinal cord injury and 14 healthy male controls. We used bioelectrical impedance analysis and ultrasonography to measure the lower extremity phase angle and muscle thickness/echo intensity of the rectus femoris muscle, respectively. We also compared the bioelectrical impedance analysis measurements between individuals with spinal cord injury and healthy controls. [Results] Lower extremity phase angle was strongly correlated with muscle thickness and echo intensity of the rectus femoris muscle in individuals with spinal cord injury. All measures differed significantly between individuals with spinal cord injury and healthy controls. [Conclusion] These findings suggest that lower extremity phase angle is a valuable skeletal muscle indicator in spinal cord injury. Furthermore, bioelectrical impedance analysis revealed degeneration of the lower extremity skeletal muscles in individuals with chronic spinal cord injury.

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“…Indeed, the TBW increase reflects the rising of all fat-free mass indexes. On the other hand, considering the improvement in PA and the decrease in ECW, which are known to correlate with chronic inflammation, it is possible to speculate that these changes reflect a recovery of inflammation status in CeD patients [ 49 ]. No correlation with the clinical presentation was observed in our study.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Nutritional Status by Bioelectrical Impedance in Adult Patients with Celiac Disease: A Prospective Single-Center Study

Maniero

Lorenzon²,

Marsilio

et al. 2023

Nutrients

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The gluten-free diet [GFD] has been linked to an increased risk of weight gain and the development of metabolic disorders. Most of the studies have focused on the effect of GFD on the Body Mass Index [BMI]. We aimed to evaluate the nutritional status using specific nutritional parameters in patients with celiac disease [CeD] at diagnosis and on a GFD compared to healthy controls. We recruited subjects at our outpatient clinic at the University of Padua. We collected demographic and clinical data and values obtained with bioelectrical impedance analysis. A total of 24 CeD patients and 28 healthy controls were enrolled. CeD patients at diagnosis had a lower body cell mass index [BCMI, p = 0.006], fat-free mass index [FFMI, p = 0.02], appendicular skeletal muscle index [ASMI, p = 0.02], and phase angle [PA] [p < 0.001] compared to controls. Their percentage of extracellular water [ECW] was also higher [p < 0.001]. Considering CeD patients after GFD, nutritional status significantly improved after 6 months of GFD. We did not observe differences in BMI among groups [p = ns]. CeD patients at diagnosis were found to have a poorer nutritional status than healthy controls, with a positive effect of the GFD on their nutritional status, underlining the inefficacy of evaluating this aspect through only BMI evaluation.

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Phase angle and extracellular water-to-total body water ratio estimated by bioelectrical impedance analysis are associated with levels of hemoglobin and hematocrit in patients with diabetes

Cited by 7 publications

References 65 publications

Effect of 8 days of water-only fasting and vigorous exercise on anthropometric parameters, lipid profile and HOMA-IR in middle-aged men

Effect of 8 days of water-only fasting and vigorous exercise on anthropometric parameters, lipid profile and HOMA-IR in middle-aged men

Validation of bioimpedance phase angle in lower extremity of male patients with chronic spinal cord injury

Assessment of Nutritional Status by Bioelectrical Impedance in Adult Patients with Celiac Disease: A Prospective Single-Center Study

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