Low body cell mass index in hemodialysis patients: Association with clinical parameters and survival

2020 ◽  
Vol 24 (2) ◽  
pp. 228-236
Author(s):  
Telma Oliveira ◽  
Cristina Garagarza ◽  
Ana Valente ◽  
Cristina Caetano
Keyword(s):  
Cell Mass ◽  
Hemodialysis Patients ◽  
Clinical Parameters ◽  
Body Cell Mass ◽  
Body Cell

scholarly journals Relação dos Parâmetros Derivados da Bioimpedância Elétrica com o Estado Nutricional de Pacientes em Hemodiálise

2017 ◽  
Vol 21 (2) ◽  
pp. 98
Author(s):  
Marilia Firmino De Castro Ribeiro ◽  
Juliana Megumi Nisio dos Reis ◽  
Ana Paula Bazanelli
Keyword(s):  
Nutritional Status ◽  
Phase Angle ◽  
Negative Correlation ◽  
Cell Mass ◽  
Bioelectrical Impedance ◽  
Hemodialysis Patients ◽  
The Body ◽  
Body Cell Mass ◽  
Body Cell ◽  
The Mean

Os parâmetros não tradicionais derivados da bioimpedância elétrica (BIA) como reatância, ângulo de fase e massa celular estão cada vez sendo mais utilizados na prática clínica para auxiliar no diagnóstico nutricional dos pacientes com doença renal crônica e, consequentemente, no prognóstico clínico dessa população. O presente estudo teve por objetivo avaliar a relação dos parâmetros derivados da BIA com o estado nutricional de pacientes em hemodiálise. Estudo transversal, realizado com trinta pacientes adultos de uma clínica de Nefrologia localizada na região metropolitana de São Paulo. Foi utilizada a BIA para avaliar esses parâmetros, assim como para avaliar a composição corporal. A amostra foi constituída por homens e mulheres com média de idade de aproximadamente 56 anos. O ângulo de fase dos pacientes foi de 5,9±1,6 graus e apresentou uma correlação negativa com idade (r= -0,69, p< 0,001) e água corporal extracelular (r= -0,93 p< 0,001). A média de reatância foi de 50,9±16,08 ohms e apresentou correlação negativa com a água extracelular (r= -0,82, p<0,001) e positiva com a massa celular (r=0,51, p<0,004). Em relação ao percentual de massa celular, a média foi de 36,8± 6,1%, sendo que a mesma apresentou uma correlação negativa com a idade (r= -0,66, p< 0,001), gordura corporal (r= -0,73, p< 0,001), água corporal extracelular (r= -0,82, p<0,001).Conclui-se que os parâmetros não tradicionais derivados da BIA apresentaram boa associação com o estado nutricional dos pacientes, podendo dessa forma, serem aliados importantes para obtenção do melhor diagnóstico nutricional e, consequentemente, do prognóstico dos mesmos durante o tratamento dialítico.Palavras-chave: Bioimpedância Elétrica. Estado Nutricional. Diálise.AbstractNon-traditional parameters derived from bioelectrical impedance analysis (BIA) as reactance, phase angle and cell mass are increasingly being used in clinical practice to improve the nutritionalstatus of chronic kidney disease patients andthe clinical outcomes in this population. The present study aimed to evaluate the relationship of parameters derived from the BIA with nutritional status of hemodialysis patients. It was a cross-sectional study with 30 adultspatients of a nephrology clinic in the metropolitan region of São Paulo. BIA was used to evaluate as well as to assess the body composition. The mean age of the patients was approximately 56 years. The phase angle of the patients was 5.9 ± 1.6 degrees and it was negatively correlated with age (r = -0.69, p <0.001) andwith extracellular body water (r = -0.93 p <0.001). The mean reactance was 50.9 ± 16.08 ohms and it showed a negative correlation with the extracellular water (r = -0.82, p <0.001) and positively with the body cell mass (r = 0.51, p <0.004). Regarding to the percentage of body cell mass, the mean was 36.8 ± 6.1%, and it presented a negative correlation with age (r = -0.66, p <0.001), body fat (r = -0.73, p <0.001) and with body water extracellular (r = -0.82, p <0.001). The present study concluded that non-traditional parameters derived from BIA showed a good association with the nutritional status of hemodialysis patients. It is important for getting the best nutritional diagnosis and consequently the prognosis of these patientsduring the dialysis treatment.Keywords: Bioelectrical Impedance. Nutritional Status. Dialysis.

scholarly journals FP768CLINICAL PARAMETERS AND SURVIVAL IN HEMODIALYSIS PATIENTS WITH LOW BODY CELL MASS INDEX

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii334-iii334
Author(s):  
Cristina Garagarza ◽  
Ana Valente ◽  
Telma Oliveira ◽  
Cristina Caetano ◽  
Pedro Ponce ◽  
...  
Keyword(s):  
Cell Mass ◽  
Hemodialysis Patients ◽  
Body Cell Mass ◽  
Body Cell

Extracellular mass to body cell mass ratio as a potential index of wasting and fluid overload in hemodialysis patients. A case-control study

2020 ◽  
Vol 39 (4) ◽  
pp. 1117-1123 ◽  
Author(s):  
Mar Ruperto ◽  
Francisco J. Sánchez-Muniz ◽  
Guillermina Barril
Keyword(s):  
Case Control Study ◽  
Fluid Overload ◽  
Cell Mass ◽  
Hemodialysis Patients ◽  
Case Control ◽  
Body Cell Mass ◽  
Mass Ratio ◽  
Body Cell ◽  
Potential Index ◽  
Control Study

Extracellular mass to body cell mass ratio as a wasting-overhydratation indicator in hemodialysis patients. A case-control study

2018 ◽  
Vol 37 ◽  
pp. S22
Author(s):  
M.D.M. Ruperto Lopez ◽  
F.J. Sanchez-Muniz ◽  
G. Barril Cuadrado
Keyword(s):  
Case Control Study ◽  
Cell Mass ◽  
Hemodialysis Patients ◽  
Case Control ◽  
Body Cell Mass ◽  
Mass Ratio ◽  
Body Cell ◽  
Control Study

scholarly journals Low serum TSH levels are associated with low values of fat-free mass and body cell mass in the elderly

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Till Ittermann ◽  
Marcello R. P. Markus ◽  
Martin Bahls ◽  
Stephan B. Felix ◽  
Antje Steveling ◽  
...  
Keyword(s):  
Body Composition ◽  
Waist Circumference ◽  
Cell Mass ◽  
The Elderly ◽  
Fat Free Mass ◽  
Body Cell Mass ◽  
Body Cell ◽  
Independent Population ◽  
Serum Tsh ◽  
Tsh Levels

AbstractPrevious studies on the association between thyroid function and body composition are conflicting and showed strong differences across age groups. Our aim was to clarify age-specific associations of serum thyroid-stimulating hormone (TSH) levels with markers of body composition including body mass index (BMI), waist circumference, fat mass (FM), fat-free mass (FFM) and body cell mass (BCM). We used data from two independent population-based cohorts within the framework of the Study of Health in Pomerania. The study population included 5656 individuals aged 20 to 90 years. Markers of body composition were measured by bioelectrical impedance analysis. Serum TSH levels were significantly positively associated with BMI (β = 0.16; 95% confidence interval [CI]: 0.06 to 0.27), waist circumference (β = 0.35; 95% CI: 0.08 to 0.62) and FM (β = 0.32; 95% CI: 0.12 to 0.52), but not with FFM and BCM. Interaction analysis revealed positive associations of serum TSH levels with BMI, waist circumference, FM, FFM and BCM in individuals older than 60 years, while no such associations were observed in younger individuals. We demonstrated that lower serum TSH levels were accompanied with lower values of BMI, waist circumference, FM, FFM, and BCM in the elderly, while no such associations were observed in younger individuals.

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