Phase Angle as an Indicator of Baseline Nutritional Status and Sarcopenia in Acute Stroke

Abstract BackgroundMalnutrition is highly prevalent in critically ill children in the pediatric intensive care unit .We aimed to investigate the efficiency of bioelectrical impedance analysis (BIA) measurements and phase angle (PhA) analysis for the assessment of nutritional risk and clinical outcomes in critically ill children.MethodsThis single-center observational study included patients admitted to the Pediatric Intensive Care Unit (PICU) of Chengdu Women’s and Children’s Central Hospital. All patients underwent anthropometric measurement in the first 24 h of admission and underwent BIA measurements within 3 days after the admission. The patients were classified into different groups based on body mass index (BMI) for age. Electronic hospital medical records were reviewed to collect clinical data for each patient. All the obtained data were analyzed by the statistics method.ResultsThere were 204 patients enrolled in our study, of which 32.4% were diagnosed with malnutrition. We found that BMI, arm muscle circumference, fat mass, and %body fat were lower in the group with poorer nutritional status (P < 0.05). Evident differences in the score of the Pediatric Risk of Mortality and the duration of mechanical ventilation (MV) among the three groups with different nutritional statuses were observed (P < 0.05). Patients in the severely malnourished group had the longest duration of MV. In the MV groups, there were significant differences (P < 0.05) in albumin level, PhA, and extracellular water/total body water (ECW/TBW ratio). The ECW/TBW ratio and the time for PICU stay had a weak degree of correlation (Pearson correlation coefficient = 0.375). PhA showed a weak degree of correlation with the duration time of medical ventilation (coefficient of correlation = 0.398).ConclusionBIA can be considered an alternative way to assess nutritional status in critically ill children. ECW/TBW ratio and PhA were correlated with PICU stay and duration time of medical ventilation, respectively.

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Does the nutritional status of acute stroke patients affect the neurological status in the early post-stroke period?

Neurological Research ◽

10.1080/01616412.2019.1672379 ◽

2019 ◽

Vol 42 (1) ◽

pp. 1-7

Author(s):

Krzysztof Wierzbicki ◽

Maciej Horyniecki ◽

Dawid Mamak ◽

Mateusz Szopa ◽

Justyna Buchała ◽

...

Keyword(s):

Nutritional Status ◽

Acute Stroke ◽

Neurological Status ◽

Stroke Patients ◽

Post Stroke

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Assessment of bioelectrical phase angle as a predictor of nutritional status in patients with Crohn's disease: A cross sectional study

Clinical Nutrition ◽

10.1016/j.clnu.2019.06.023 ◽

2020 ◽

Vol 39 (5) ◽

pp. 1564-1571 ◽

Cited By ~ 6

Author(s):

Iolanda Cioffi ◽

Maurizio Marra ◽

Nicola Imperatore ◽

Maria Carmen Pagano ◽

Lidia Santarpia ◽

...

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Nutritional Status ◽

Phase Angle ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Changes in Quadriceps Muscle Thickness, Disease Severity, Nutritional Status, and C-Reactive Protein after Acute Stroke

Journal of Stroke and Cerebrovascular Diseases ◽

10.1016/j.jstrokecerebrovasdis.2016.06.020 ◽

2016 ◽

Vol 25 (10) ◽

pp. 2470-2474 ◽

Cited By ~ 18

Author(s):

Masafumi Nozoe ◽

Masashi Kanai ◽

Hiroki Kubo ◽

Yuka Kitamura ◽

Miho Yamamoto ◽

...

Keyword(s):

Nutritional Status ◽

Acute Stroke ◽

Disease Severity ◽

Muscle Thickness ◽

Quadriceps Muscle ◽

C Reactive Protein ◽

Reactive Protein

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Phase angle assessment in critically ill cancer patients: Relationship with the nutritional status, prognostic factors and death

Journal of Critical Care ◽

10.1016/j.jcrc.2018.01.006 ◽

2018 ◽

Vol 44 ◽

pp. 430-435 ◽

Cited By ~ 11

Author(s):

Tatiana Cathoud do Amaral Paes ◽

Kátia Cansanção Correa de Oliveira ◽

Patrícia de Carvalho Padilha ◽

Wilza Arantes Ferreira Peres

Keyword(s):

Prognostic Factors ◽

Nutritional Status ◽

Cancer Patients ◽

Critically Ill ◽

Phase Angle

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Standardized Phase Angle as a Prognostic and Nutritional Status Tool for Pancreatic Cancer Patients Undergoing Pancreaticoduodenectomy: A Cross-sectional Study (P12-025-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz035.p12-025-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Wei Chen ◽

Shengnan Zhou

Keyword(s):

Pancreatic Cancer ◽

Postoperative Complications ◽

Nutritional Status ◽

Cancer Patients ◽

Phase Angle ◽

Cross Sectional Study ◽

Nutritional Risk ◽

Sectional Study ◽

Cross Sectional ◽

Nrs 2002

Abstract Objectives This study investigated the use of standardized phase angle (SPA), determined by bioelectrical impedance analysis (BIA), as a nutrition status tool and prognostic factor for complications associated with pancreaticoduodenectomy (PD) in pancreatic cancer patients. Methods A cross-sectional study was conducted with 49 participants. All participants were assessed for nutritional risk and nutritional status using Nutritional Risk Screening 2002 (NRS-2002), Subjective Global Assessment (SGA) tools, Global Leadership Initiative on Malnutrition (GLIM) tool and BIA. The Clavien-Dindo classification method for surgical complications was used to identify and classify postoperative complications. Independent-samples T-tests, chi-square tests and Spearman correlation analyses were used to evaluate the association between SPA, nutrition and postoperative complications. Results A total of 49 patients were enrolled, and 20 patients (40%) had postoperative complications. The SPA value for the nourished group was significantly higher than the SPA value for the malnourished group (P = 0.021, 0.019, 0.023). Patients who were below the SPA cut-off values (−1.015, −1.065, and −0.69) were more likely to have postoperative complications (P = 0.009), whereas NRS-2002, SGA, and GLIM scores were not associated with postoperative complications. The SPA value of the group with complications was significantly lower than that of the group without complications (P = 0.004). The SPA threshold value for predicting postoperative complications in pancreatic cancer was −1.095 (AUC 0.737; 95% CI, 0.59, 0.88; P = 0.005). Conclusions The SPA is a prognostic indicator of postoperative complications in pancreatic cancer patients undergoing PD and is an effective tool for assessing nutritional status in pancreatic cancer patients. Funding Sources none. Supporting Tables, Images and/or Graphs

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