scholarly journals Clinical Application of Bioelectrical Impedance Analysis and its Phase Angle for Nutritional Assessment of Critically Ill Patients

2015 ◽  
Vol 7 (2) ◽  
pp. 54-61 ◽  
Author(s):  
Hyung-Sook Kim ◽  
Eun Sook Lee ◽  
Yeon Joo Lee ◽  
Jae Ho Lee ◽  
Choon-Taek Lee ◽  
...  
Keyword(s):  
Critically Ill ◽  
Clinical Application ◽  
Phase Angle ◽  
Critically Ill Patients ◽  
Bioelectrical Impedance Analysis ◽  
Nutritional Assessment ◽  
Bioelectrical Impedance ◽  
Impedance Analysis

scholarly journals Identifying critically ill patients with low muscle mass: Agreement between bioelectrical impedance analysis and computed tomography

2020 ◽  
Vol 39 (6) ◽  
pp. 1809-1817 ◽  
Author(s):  
Willem G.P.M. Looijaard ◽  
Sandra N. Stapel ◽  
Ingeborg M. Dekker ◽  
Hanna Rusticus ◽  
Sharon Remmelzwaal ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Critically Ill ◽  
Muscle Mass ◽  
Critically Ill Patients ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis

Bioelectrical impedance analysis values as markers to predict severity in critically ill patients

2017 ◽  
Vol 40 ◽  
pp. 103-107 ◽  
Author(s):  
Yeon Hee Lee ◽  
Jung-Dong Lee ◽  
Dae Ryong Kang ◽  
Jeong Hong ◽  
Jae-myeong Lee
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis

A new marker for nutritional assessment in acute care geriatric units: The phase angle measured by bioelectrical impedance analysis

2018 ◽  
Vol 111 ◽  
pp. 162-169
Author(s):  
Sylvain Dadet ◽  
Aurélien Mulliez ◽  
Guillaume Ducher ◽  
Jérôme Bohatier ◽  
Marc Bonnefoy ◽  
...  
Keyword(s):  
Acute Care ◽  
Phase Angle ◽  
Bioelectrical Impedance Analysis ◽  
Nutritional Assessment ◽  
Bioelectrical Impedance ◽  
Impedance Analysis

527 Use of Bioelectrical Impedance Analysis for Assessing Phase Angle, Hydration Status, and Predicting Outcomes in Critically Ill Patients: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S111-S112
Author(s):  
Justin Dang ◽  
Matthew E Lin ◽  
Samantha Huang ◽  
Ian F Hulsebos ◽  
Haig A Yenikomshian ◽  
...  
Keyword(s):  
Critical Care ◽  
Critically Ill ◽  
Phase Angle ◽  
Bioelectrical Impedance Analysis ◽  
Meta Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Hydration Status ◽  
Critically Ill Adults ◽  
Ill Adults

Abstract Introduction Bioelectrical impedance analysis (BIA) is a simple, noninvasive method of assessing body composition. BIA operates by sending a low-voltage electric current through the body and measuring the impedance to that current. Parameters obtained from BIA have been used to investigate a range of variables such as nutrition and hydration status in a variety of patient populations. Phase angle is also a unique parameter that is thought to reflect cellular health. BIA parameters can undergo further analysis by bioelectrical impedance vector analysis (BIVA) which can provide information about hydration status. Burn and critical care patients pose a unique challenge because they are particularly sensitive to fluid shifts and metabolic derangements which are associated with poorer outcomes. The utility of BIA and BIVA in this patient population has not been well studied. Thus, we have conducted a systematic review and meta-analysis of the ability of BIVA and BIA parameters to assess cellular health and hydration status in critically ill adults and whether they can be correlated with outcomes. Methods A search was performed on PubMed and Google Scholar in accordance with PRISMA guidelines between June 2020-August 2020 utilizing the keywords: bioelectrical impedance analysis, critical care, critical, body composition, phase angle, water, fluid. Inclusion criteria were articles investigating the relationship between BIA, BIVA and outcomes with regards to phase angle, hydration, and fluid status in critically ill adults. Reviews, non-English articles, and studies involving pediatric patients were excluded. A meta-analysis was conducted on the correlation between mean phase angle and mortality. Results The final analysis included 21 articles; 4 articles were included in the meta-analysis. Statistically significant correlations were found between phase angle and mortality in 9/13 articles, hospital length of stay in 4/7 articles, ICU length of stay in 5/7 articles, and mechanical ventilation duration in 1/4 articles. For meta-analysis, mean phase angle in survivors and non-survivors was 4.5 and 3.9 respectively, and this difference was statistically significant (Figure 1, p< 0.01). Significant correlations were found between ECW/TBW and mortality in 4/7 articles, and BIVA derived hydration status and mortality in 6/7 articles. Conclusions BIA and BIVA may be used as a prognostic indicator for outcomes in critical care patients. Further investigations are needed to explore this relationship in the burn patient population.

scholarly journals FOOD CONSUMPTION OF CIRRHOTIC PATIENTS, COMPARISON WITH THE NUTRITIONAL STATUS AND DISEASE STAGING

2016 ◽  
Vol 53 (4) ◽  
pp. 250-256 ◽  
Author(s):  
Flavia Feijó NUNES ◽  
Lílian BASSANI ◽  
Sabrina Alves FERNANDES ◽  
Maria Eugênia DEUTRICH ◽  
Bianca Coccaro PIVATTO ◽  
...  
Keyword(s):  
Food Intake ◽  
Nutritional Status ◽  
Phase Angle ◽  
Bioelectrical Impedance Analysis ◽  
Nutritional Assessment ◽  
Handgrip Strength ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Arm Circumference ◽  
Cirrhotic Patients

ABSTRACT Background Patients with liver disease often present protein-energy malnutrition. The assessment of food intake is very important in the investigation regarding the "health-disease" process. Objective To assess dietary intake of cirrhotic patients through food record during 3 days, correlating it with the nutritional status of the patient and the stage of the disease. Methods Cirrhotic outpatients from the Santa Casa de Misericórdia Hospital, RS, Brazil, were assessed. Nutritional assessment was performed by anthropometry; non-dominating handgrip strength; adductor pollicis muscle thickness; phase angle by bioelectrical impedance analysis; and Subjective Global Assessment. For analysis of food consumption we used the food records of 3 days using scales for weighing of all foods. Results We evaluated 25 (68%) patients, in which there was a prevalence of cirrhosis by hepatitis C virus. The upper arm circumference, handgrip strength and phase angle by bioelectrical impedance analysis diagnosed 56% of malnourished. Phase angle by bioelectrical impedance analysis and upper arm circumference were associated with Child-Pugh score (P<0.05). The average consumption of calories, carbohydrates, proteins and lipids were within the recommended. However, sodium was above the recommendations, 106±57.2 mEq, and was inversely associated with Child-Pugh score (rs=-0.410; P=0.042). Conclusion Food intake did not have a significant difference between the Child-Pugh scores and nutritional status. In addition, food intake did not vary neither according to the stage of the disease, nor to the nutritional assessment, by the phase angle by bioelectrical impedance analysis.

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