scholarly journals Evaluation of the effect of ERAS to nutritional status of patients with elective craniotomy using bioelectrical impedance analysis: a prospective and randomized controlled trial

2019 ◽  
Author(s):  
Jing Yan ◽  
Shasha Wang ◽  
Yuan Wang ◽  
Tianzhi Zhao ◽  
Binfang Zhao ◽  
...  

Abstract Background The aim of the present study was to test the body composition changes of patients undergoing elective craniotomy using bioelectrical impedance analysis, so as to evaluate the effect of enhanced recovery after surgery (ERAS) to nutritional status of patients. Methods 140 patients who needed elective craniotomy were randomly divided into two groups: observation group (ERAS group) and control group (traditional treatment group). The age was 45.6 ± 12.7 years old. Patients in ERAS group were treated with a set of enhanced recovery measures, while control group patients underwent conventional treatment. Bioelectrical impedance analysis was used to test body composition before and after the surgery. Results The body mass (BM), body mass index (BMI), fat mass (FM), muscle mass (MM), fat mass index (FMI), free-fat mass index (FFMI), body cell mass (BCM), body cell mass index (BCMI), in both groups were decreased after surgery. The decrease of FM and FMI in the control group was significantly different from that in the observation group (p<0.05). However, the decrease of BM, BMI, MM, FFMI, BCM and BCMI in both groups were not statistically significant. Conclusion Patients undergoing elective craniotomy showed various degrees of nutritional injuries, and ERAS could alleviate nutritional injuries caused by operation. Keywords Enhanced Recovery after Surgery • Bioelectrical impedance analysis • Elective craniotomy Trail Registration Chinese Clinical Trial Registry, ChiCTR-INR-16009662. Registered on 27 October 2016. Trail Registration Chinese Clinical Trial Registry, ChiCTR-INR-16009662. Registered on 27 October 2016.

Author(s):  
Giada Ballarin ◽  
Luca Scalfi ◽  
Fabiana Monfrecola ◽  
Paola Alicante ◽  
Alessandro Bianco ◽  
...  

Few data are available on the body composition of pole dancers. Bioelectrical impedance analysis (BIA) is a method that is used to estimate fat-free mass (FFM) and fat mass (FM), while raw BIA variables, such as the impedance ratio (IR) and phase angle (PhA), are markers of body cell mass and the ratio between extracellular and total body water. The aim of this study was to evaluate the body composition of pole dancers compared to controls, in particular, those raw BIA variables that are considered as markers of muscle composition. Forty female pole dancers and 59 controls participated in the study. BIA was performed on the whole body and upper and lower limbs, separately, at 5, 50, 100 and 250 kHz. The FFM, FFM index, FM and body fat percentage (BF%) were predicted. The bioelectrical impedance indexes IR and PhA were also considered. Pole dancers exhibited higher FFMI and BI indexes and lower BF%. PhA was greater and IRs were smaller in pole dancers than in controls for the whole body and upper limbs. Considering the training level, FFM, whole-body IR and PhA were higher in the professionals than non-professionals. Raw BIA variables significantly differed between the pole dancers and controls, suggesting a higher BCM; furthermore, practicing pole dancing was associated with a greater FFM and lower FM.


2020 ◽  
Vol 22 (11) ◽  
pp. 55-60
Author(s):  
Arzhakova L.I. ◽  
Vasilieva T.A. ◽  
Chashkina A.M. ◽  
Nikolaeva E.N.

This study aims to study changes in the body's physiometric indicators of young Yakuts of early and late puberty, living in the Sakha (Yakutia) Republic. 140 young men of Yakut nationality were examined using standardized research methods: dynamometry, spirometry, caliperometry, anthropometry and body composition assessment using bioelectrical impedance analysis with the ABC-01 Medass analyzer. It was found that in Yakut youths between the ages of 14 and 17 there is an increase in skeletal muscle and a decrease in fat mass, indicators of dynamometry, deadlift and lung capacity are increasing. Parallel bioelectrical impedance analysis showed that in young men, between the early and late puberty periods, the levels of fat mass (FM) and an increase in lean (LM), musculoskeletal (MSM) and active cell mass (ACM) decrease. There is growth not only in skeletal muscles and skeleton growth, and the mass of internal organs is also increasing. The data obtained will be used to develop an interval classification of body composition parameters for males of different ages in order to develop standards of physical development specifically for people living in the Sakha (Yakutia) Republic.


2012 ◽  
Vol 22 (6) ◽  
pp. 1081-1088 ◽  
Author(s):  
Marta Novackova ◽  
Michael J. Halaska ◽  
Helena Robova ◽  
Ivana Mala ◽  
Marek Pluta ◽  
...  

BackgroundLower-limb lymphedema is one of the most disabling adverse effects of vulvar cancer surgery. Multifrequency Bioelectrical Impedance Analysis (MFBIA) is a modern noninvasive method to detect lymphedema. The first aim of this study was to prospectively determine the prevalence of secondary lower-limb lymphedema after surgical treatment for vulvar cancer using objective methods, circumference measurements and MFBIA technique. The second aim was to compare quality of life (QoL) before and 6 months after vulvar surgery.MethodsTwenty-nine patients underwent vulvar cancer surgery in our study: 17 underwent inguinofemoral lymphadenectomy (RAD), and 12 underwent sentinel lymph node biopsy (CONS). Patients were examined before and 6 months after vulvar surgery by measuring the circumference of the lower limbs and with MFBIA. A control group of 27 healthy women was also measured. To evaluate QoL, the European Organisation for Research and Treatment of Cancer (EORTC) QoL questionnaires (QLQ-C30 and QLQ-CX24) were administered to patients before and 6 months after surgery.ResultsUsing circumference measurement, 9 lymphedemas (31%) were diagnosed: 3 (25%) in the CONS and 6 (37.5%) in the RAD group (P= 0.69). After vulvar surgery, patients in the RAD group reported more fatigue and worsening of physical and role functioning. When comparing both groups, the RAD group had significantly worse parameters in social functioning, fatigue, and dyspnea.ConclusionsLower radicality in inguinofemoral lymphadenectomy shows a trend toward lower morbidity and significantly improves QoL. Multifrequency Bioelectrical Impedance Analysis was tested in these patients as a noninvasive, objective method for lymphedema detection. Detection of lymphedema based on subjective evaluations proved to have an unsatisfactory sensitivity. Less radical surgery showed objectively better results in QoL.


2002 ◽  
Vol 140 (6) ◽  
pp. 681-687 ◽  
Author(s):  
Dorothy J. VanderJagt ◽  
Paul Harmatz ◽  
Ajovi B. Scott-Emuakpor ◽  
Elliot Vichinsky ◽  
Robert H. Glew

2018 ◽  
Vol 47 (1) ◽  
pp. 114-121 ◽  
Author(s):  
Chunhua Lin ◽  
Fengchun Wan ◽  
Youyi Lu ◽  
Guojun Li ◽  
Luxin Yu ◽  
...  

Objective To determine the value of an enhanced recovery after surgery (ERAS) protocol for prostate cancer patients undergoing laparoscopic radical prostatectomy (LRP). Methods We conducted a retrospective cohort study using clinical data for 288 patients who underwent LRP in our hospital from June 2010 to December 2016. A total of 124 patients underwent ERAS (ERAS group) and the remaining 164 patients were allocated to the control group. ERAS comprised prehabilitation exercise, carbohydrate fluid loading, targeted intraoperative fluid resuscitation and keeping the body warm, avoiding drain use, early mobilization, and early postoperative drinking and eating. Results The times from LRP to first water intake, first ambulation, first anal exhaust, first defecation, pelvic drainage-tube removal, and length of hospital stay (LOS) were all significantly shorter, and hospitalization costs and the incidence of postoperative complications were significantly lower in the ERAS group compared with the control group. No deaths or reoperations occurred in either group, and there were no readmissions in the ERAS group, within 90 days after surgery. Conclusion ERAS protocols may effectively accelerate patient rehabilitation and reduce LOS and hospitalization costs in patients undergoing LRP.


2016 ◽  
Vol 33 (S1) ◽  
pp. S163-S164
Author(s):  
H. Karakula-Juchnowicz ◽  
M. Teter ◽  
G. Kozak ◽  
A. Makarewicz ◽  
J. Kalinowska ◽  
...  

IntroductionMonitoring patient with anorexia nervosa (AN) include clinical, biological and psychological factors. In recent years many researchers criticize the BMI as useful measure for controlling evolution of AN.ObjectivesBioelectrical impedance analysis (BIA) is one of the main methods for nutritional status assessment.AimsThe aim of this study was the assessment of the nutrition status in a group of patients with anorexia nervosa in comparison to healthy population (HP).MethodsThe study involved 37 participants: 21 patients with AN and 16 healthy volunteers constituting the control group (HP). The patients were divided into two groups according a BMI: I group 14 < BMI < 15,5 (n = 11; age 18.0 ± 4.37) and II group: 15,5 < BMI < 17,5 (n = 10; age 17.82 ± 3.68). The mean age of HP was 17.68 ± 1.57 and BMI 20.56 ± 1.16 kg/m2. BIA was performed by using ImpediMed bioimpedance analysis SFB7 BioImp. The parameters: phase angle (PA), TBW%, ECW, ICW, ECW/ICW were analyzed.ResultsPA was decreased significantly in the I (4.5°±0,6) and II group (4.7°±0,6) of AN patients’ in comparison with HP (5.6°±0,7). TBW was 9% higher in I group and ECW was increased 6% in the both AN groups compared with HP (P < 0.01). Additionally ECW/ICW ratio indicated the higher transfer of water into the extracellular compartment in AN group (P < 0.01).ConclusionsBIA is accurate tool to indicate the valuable indicators of detecting malnutrition in AN. Further studies are needed to validate the significance of these parameters for the full identification of the nutrition status of AN patients’.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1992 ◽  
Vol 79 (5) ◽  
pp. 421-423 ◽  
Author(s):  
K. C. H. Fearon ◽  
R. A. Richardson ◽  
J. Hannan ◽  
S. Cowan ◽  
W. Watson ◽  
...  

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