scholarly journals The measureable clinical signs of malnutrition: the clinical significance of body composition – bioimpedance – analysis

2014 ◽  
Vol 155 (51) ◽  
pp. 2016-2020
Author(s):  
Éva Török ◽  
László Harsányi

Undernutrition, or more precisely: malnutrition results in worse outcome in clinical practice. Recognition and treatment of different forms of malnutrition are not unconditionally easy in the daily routine, however, it could lead to significant improvement in the outcome. This review summarizes the most frequent forms of malnutrition and demonstrates the advantages of the systematic use of bioelectrical impedance analysis in patients undergoing chronic treatment either in hospitals or outpatient care. The importance of the method is still underestimated in Hungary as well as many other countries. Orv. Hetil., 2014, 155(51), 2016–2020.

2011 ◽  
Vol 107 (10) ◽  
pp. 1545-1552 ◽  
Author(s):  
Barbara E. Lingwood ◽  
Anne-Martine Storm van Leeuwen ◽  
Angela E. Carberry ◽  
Erin C. Fitzgerald ◽  
Leonie K. Callaway ◽  
...  

Accurate assessment of neonatal body composition is essential to studies investigating neonatal nutrition or developmental origins of obesity. Bioelectrical impedance analysis or bioimpedance analysis is inexpensive, non-invasive and portable, and is widely used in adults for the assessment of body composition. There are currently no prediction algorithms using bioimpedance analysis in neonates that have been directly validated against measurements of fat-free mass (FFM). The aim of the study was to evaluate the use of bioimpedance analysis for the estimation of FFM and percentage of body fat over the first 4 months of life in healthy infants born at term, and to compare these with estimations based on anthropometric measurements (weight and length) and with skinfolds. The present study was an observational study in seventy-seven infants. Body fat content of infants was assessed at birth, 6 weeks, 3 and 4·5 months of age by air displacement plethysmography, using the PEA POD body composition system. Bioimpedance analysis was performed at the same time and the data were used to develop and test prediction equations for FFM. The combination of weight+sex+length predicted FFM, with a bias of < 100 g and limits of agreement of 6–13 %. Before 3 months of age, bioimpedance analysis did not improve the prediction of FFM or body fat. At 3 and 4·5 months, the inclusion of impedance in prediction algorithms resulted in small improvements in prediction of FFM, reducing the bias to < 50 g and limits of agreement to < 9 %. Skinfold measurements performed poorly at all ages.


2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Maurizio Marra ◽  
Rosa Sammarco ◽  
Antonino De Lorenzo ◽  
Ferdinando Iellamo ◽  
Mario Siervo ◽  
...  

The measurement of body composition (BC) represents a valuable tool to assess nutritional status in health and disease. The most used methods to evaluate BC in the clinical practice are based on bicompartment models and measure, directly or indirectly, fat mass (FM) and fat-free mass (FFM). Bioelectrical impedance analysis (BIA) and dual energy X-ray absorptiometry (DXA) (nowadays considered as the reference technique in clinical practice) are extensively used in epidemiological (mainly BIA) and clinical (mainly DXA) settings to evaluate BC. DXA is primarily used for the measurements of bone mineral content (BMC) and density to assess bone health and diagnose osteoporosis in defined anatomical regions (femur and spine). However, total body DXA scans are used to derive a three-compartment BC model, including BMC, FM, and FFM. Both these methods feature some limitations: the accuracy of BIA measurements is reduced when specific predictive equations and standardized measurement protocols are not utilized whereas the limitations of DXA are the safety of repeated measurements (no more than two body scans per year are currently advised), cost, and technical expertise. This review aims to provide useful insights mostly into the use of BC methods in prevention and clinical practice (ambulatory or bedridden patients). We believe that it will stimulate a discussion on the topic and reinvigorate the crucial role of BC evaluation in diagnostic and clinical investigation protocols.


2021 ◽  
Vol 6 (4) ◽  
pp. S52
Author(s):  
D. BASNAYAKE ◽  
A. Nayanamali ◽  
H. Amarathunga ◽  
N. Erandika ◽  
J. Pathiraja ◽  
...  

1999 ◽  
Vol 19 (8) ◽  
pp. 1179-1188 ◽  
Author(s):  
Sufia Islam ◽  
Iqbal Kabir ◽  
Mohammad A. Wahed ◽  
Michael I. Goran ◽  
Dilip Mahalanabis ◽  
...  

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