Use of bioelectrical impedance analysis to determine body composition changes in HIV-associated wasting

2005 ◽  
Vol 16 (4) ◽  
pp. 307-313 ◽  
Author(s):  
Stephan Klauke ◽  
Harald Fischer ◽  
Armin Rieger ◽  
Lukas Frühauf ◽  
Schlomo Staszewski ◽  
...  
Keyword(s):  
Body Composition ◽  
Body Weight ◽  
Bioelectrical Impedance Analysis ◽  
Cell Mass ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Body Cell Mass ◽  
Body Cell ◽  
Wasting Syndrome ◽  
Composition Changes

AIDS wasting syndrome results in loss of lean body mass and body cell mass. This 12-week, open-label study used bioelectrical impedance analysis to measure body composition changes in 24 patients with AIDS wasting syndrome receiving recombinant human growth hormone (r-hGH). The primary endpoint was percentage monthly change in body weight before/after r-hGH. Secondary endpoints included change from baseline in body composition (bioelectrical impedance analysis), isometric strength and CD4+count. Twenty patients completed the study: r-hGH resulted in mean weight gains (+2.7%, P=0.146), and significant increases in mean body cell mass (+8.0%, P=0.0211), lean body mass (+4.8%, P=0.0373) and water (+5.5%, P<0.023). Body fat decreased throughout, but not significantly. r-hGH was generally well tolerated; the most frequent adverse events were fever (7.3%) and diarrhoea (6.3%). Thus, bioelectrical impedance analysis can detect improved body cell mass independent of changes in body weight resulting from r-hGH treatment in patients with AIDS wasting syndrome.

scholarly journals Longitudinal Body Composition Changes and the Importance of Fat-Free Mass Index in Locally Advanced Nasopharyngeal Carcinoma Patients Undergoing Concurrent Chemoradiotherapy

2018 ◽  
Vol 17 (4) ◽  
pp. 1125-1131 ◽  
Author(s):  
Huiping Ding ◽  
Shengjin Dou ◽  
Yiqun Ling ◽  
Guopei Zhu ◽  
Qiong Wang ◽  
...  
Keyword(s):  
Body Composition ◽  
Body Weight ◽  
Nasopharyngeal Carcinoma ◽  
Bioelectrical Impedance Analysis ◽  
Concurrent Chemoradiotherapy ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Evaluation Methods ◽  
Fat Free Mass ◽  
Composition Changes

Aim: This was a prospective investigation of longitudinal body composition changes in patients with nasopharyngeal carcinoma undergoing concurrent chemoradiotherapy (CCRT) and a comparison of the Patient-Generated Subjective Global Assessment (PG-SGA) and the ESPEN (European Society for Clinical Nutrition and Metabolism) diagnostic criteria (EDC) as evaluation methods. Methods: All patients received standard CCRT according to 2 centers’ current practices. Body composition parameters were determined by bioelectrical impedance analysis and obtained weekly from baseline until the end of treatment. The nutritional status of all patients was evaluated by the PG-SGA and EDC. Results: Forty-eight patients were eligible for analysis. Most body composition parameters, including body cell mass, fat mass, fat-free mass, and skeletal mass, as well as body weight, body mass index, and PG-SGA score, significantly decreased during CCRT ( P = .00). The PG-SGA was shown to have better sensitivity than the EDC; however, the 2 different evaluation methods were found to have a perfect concordance at Week 4 and Week 6 (κ = 0.91 and 0.96, P = .00 and .00, respectively). Pearson correlation analyses showed that fat-free mass index and body weight were positively correlated with global quality of life score ( r = 0.81, P = .00; r = 0.78, P = .00, respectively). Conclusions: This study has shown that body composition parameters, especially fat-free mass index, are valuable for diagnosing malnutrition in patients with nasopharyngeal carcinoma receiving CCRT. We recommend that these bioelectrical impedance analysis techniques should be increasingly implemented in nutritional assessments.

Use of bioelectrical impedance to assess body composition changes at high altitude

1992 ◽  
Vol 72 (6) ◽  
pp. 2181-2187 ◽  
Author(s):  
C. S. Fulco ◽  
R. W. Hoyt ◽  
C. J. Baker-Fulco ◽  
J. Gonzalez ◽  
A. Cymerman
Keyword(s):  
Body Composition ◽  
High Altitude ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Fat Free Mass ◽  
Percent Body Fat ◽  
Independent Variables ◽  
Composition Changes ◽  
Assess Body Composition

This study determined the feasibility of using bioelectrical impedance analysis (BIA) to assess body composition alterations associated with body weight (BW) loss at high altitude. The BIA method was also evaluated relative to anthropometric assessments. Height, BW, BIA, skinfold (SF, 6 sites), and circumference (CIR, 5 sites) measurements were obtained from 16 males (23–35 yr) before, during, and after 16 days of residence at 3,700–4,300 m. Hydrostatic weighings (HW) were performed pre- and postaltitude. Results of 13 previously derived prediction equations using various combinations of height, BW, age, BIA, SF, or CIR measurements as independent variables to predict fat-free mass (FFM), fat mass (FM), and percent body fat (%Fat) were compared with HW. Mean BW decreased from 84.74 to 78.84 kg (P less than 0.01). As determined by HW, FFM decreased by 2.44 kg (P less than 0.01), FM by 3.46 kg (P less than 0.01), and %Fat by 3.02% (P less than 0.01). The BIA and SF methods overestimated the loss in FFM and underestimated the losses in FM and %Fat (P less than 0.01). Only the equations utilizing the CIR measurements did not differ from HW values for changes in FFM, FM, and %Fat. It was concluded that the BIA and SF methods were not acceptable for assessing body composition changes at altitude.

Estimation of body composition changes during weight cycling by bioelectrical impedance analysis in rats

1993 ◽  
Vol 74 (5) ◽  
pp. 2092-2098 ◽  
Author(s):  
J. Ilagan ◽  
V. Bhutani ◽  
P. Archer ◽  
P. K. Lin ◽  
K. L. Jen
Keyword(s):  
Body Composition ◽  
Body Weight ◽  
Bioelectrical Impedance Analysis ◽  
Subcutaneous Fat ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Weight Cycling ◽  
High Fat ◽  
Ad Libitum ◽  
Ad Libitum Feeding

The effects of body weight cycling (WC) in rats on body composition (BC) and feeding efficiency were studied. The usefulness of estimating BC by bioelectrical impedance analysis (BIA) was also examined. Female Sprague-Dawley rats were divided into high-fat ad libitum feeding, either noncycling or cycling, or restricted feeding (75% of control feed) cycling groups. Control rats were fed a regular laboratory ad libitum diet and did not cycle. All rats were killed at the end of week 61. A BIA unit was used at each stage of WC to obtain resistance and reactance readings. Final BC was determined by chemical analysis. On the basis of the final chemical analysis and BIA measurements, an equation was established and applied to estimate BC at each stage of WC: fat-free mass (g) = 0.38 x body wt (g) + 13.8 x [length (cm)2/resistance] + 70.9 (r = 0.95, P < 0.001). High-fat ad libitum feeding induced rapid body weight and fat gains as well as an elevated feeding efficiency and an internal fat-to-subcutaneous fat ratio, regardless of whether the rats cycled. This change in fat mass was clearly detected by the BIA. Although rats fed restricted diets had similar body weights as did control rats, they had a significantly higher internal fat-to-subcutaneous fat ratio. Thus, not only the amount of food but also the composition of the diet is important for proper weight management. The BIA method is capable of detecting the body fat mass change during WC.

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