Nutritional Status and Body Composition of Adult Patients with Brain Tumours Awaiting Surgical Resection

2014 ◽  
Vol 75 (03) ◽  
pp. 148-151 ◽  
Author(s):  
Michele McCall ◽  
Ashley Leone ◽  
Michael D. Cusimano
Keyword(s):  
Weight Loss ◽  
Body Composition ◽  
Nutritional Status ◽  
Brain Tumour ◽  
Surgical Resection ◽  
Brain Tumours ◽  
Malignant Tumors ◽  
Bioelectrical Impedance ◽  
Assessment Tools ◽  
Tumour Resection

Purpose: To measure the prevalence of malnutrition, risk factors for poor dietary intake and body composition in patients with brain tumours admitted to hospital for surgical resection. Methods: In this study, 316 patients admitted for brain tumour resection to the Neurosurgical service at St. Michael's Hospital were screened. Assessment tools included the Subjective Global Assessment (SGA) for nutritional status and Bioelectrical Impedance Analysis (BIA) for body composition. All measurements were performed by one research dietitian. Information regarding medical history, symptomology, and tumour pathology was recorded. Results: One hundred and nine participants were recruited. Malnutrition was present in 17.6% of patients, of whom 94.7% were moderately malnourished (SGA-B) and 5.3% severely malnourished (SGA-C). Key symptoms contributing to malnutrition included weight loss, nausea, vomiting, dysphagia, headaches, and fatigue. Patients with malignant tumors were more likely to have weight loss and lower fat mass. Conclusions: This study demonstrated that patients admitted for brain tumour resection have a low prevalence of malnutrition compared with other cancer populations. Useful parameters for nutritional screening of inpatient admissions include weight loss >5% of usual weight, nausea, vomiting, dysphagia, and headaches.

Influence of Acupuncture on Bioelectrical Impedance Measures in Patients with Gastrointestinal Cancer: Results of a Pilot Study

2015 ◽  
Vol 33 (1) ◽  
pp. 16-22 ◽  
Author(s):  
Oliver Grundmann ◽  
Saunjoo L Yoon ◽  
Joseph J Williams
Keyword(s):  
Weight Loss ◽  
Body Composition ◽  
Pilot Study ◽  
Nutritional Status ◽  
Bioelectrical Impedance ◽  
Small Sample ◽  
Controlled Study ◽  
Average Weight ◽  
Gastrointestinal Cancers ◽  
Average Weight Loss

Background Patients with gastrointestinal cancers often suffer from malnutrition and cachexia caused by inflammatory processes due to malignancy and therapeutic intervention. Evaluation of nutritional status and well-being of patients is essential to prevent or slow down the progression of cachexia. In addition, acupuncture as a complementary intervention may help reduce cachexia and unintentional weight loss. Methods Seven patients with cancers of the gastrointestinal tract enrolled in this pilot study were provided with eight acupuncture sessions in addition to their regular treatment schedule. Bioelectrical impedance analysis (BIA) measurements were taken at every other acupuncture session to evaluate the body composition of patients. BIA is a fast, inexpensive and non-invasive method for evaluating fluid, fat and muscle mass distribution which correlates with nutritional status. Results All patients enrolled in the pilot study completed the acupuncture intervention and BIA measurements. The average weight loss and reduction in body weight was 1.3%, which is less than the average weight loss of 5% reported in the literature. Both phase angle and fat-free mass decreased in patients, indicating a worsening of the condition. However, a shift from intracellular to extracellular fluid was not observed, which is usually associated with a loss of cell integrity. Conclusions This pilot study indicates that patients tolerate acupuncture treatments well. The BIA results should be interpreted with caution due to the small sample size. A larger randomised placebo-controlled study is currently being conducted to further investigate the influence of acupuncture and to provide insights into BIA as a reliable tool for evaluating body composition in patients with gastrointestinal cancers.

Techniques For Assessment Of Body Composition In Health

2018 ◽  
Author(s):  
Carla M Prado ◽  
Camila LP Oliveira ◽  
M Cristina Gonzalez ◽  
Steven B Heymsfield
Keyword(s):  
Body Composition ◽  
Nutritional Status ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Dual Energy ◽  
Composition Analysis ◽  
Body Composition Assessment ◽  
Air Displacement Plethysmography ◽  
X Ray

Body composition assessment is an important tool in both clinical and research settings able to characterize the nutritional status of individuals in various physiologic and pathologic conditions. Health care professionals can use the information acquired by body composition analysis for the prevention and treatment of diseases, ultimately improving health status. Here we describe commonly used techniques to assess body composition in healthy individuals, including dual-energy x-ray absorptiometry, bioelectrical impedance analysis, air displacement plethysmography, and ultrasonography. Understanding the key underlying concept(s) of each assessment method, as well as its advantages and limitations, facilitates selection of the method of choice and the method of the compartment of interest. This review contains 5 figures, 3 tables and 52 references Key words: air displacement plethysmography, bioelectrical impedance analysis, body composition, disease, dual-energy x-ray absorptiometry, health, muscle mass, nutritional status, obesity, sarcopenia, ultrasound fat mass

scholarly journals Body composition and lung function in adults with Cystic Fibrosis

2020 ◽  
Vol 83 (3) ◽  
pp. 239-250
Author(s):  
Aleksandra John ◽  
Joanna Goździk-Spychalska ◽  
Magdalena Durda-Masny ◽  
Wojciech Czaiński ◽  
Marta Gębala ◽  
...  
Keyword(s):  
Body Composition ◽  
Lung Function ◽  
Nutritional Status ◽  
Reference Group ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Control Group ◽  
Body Components ◽  
Group 2 ◽  
The Relationship

AbstractThe study aimed to assess: (1) differences in nutritional status and lung function between CF patients and the control group; (2) differences in body composition and lung function between groups of patients with CF designated by type of mutation; (3) the relationship between lung function and body composition in CF patients.We studied 37 CF patients aged 19 to 51 years, and 41 healthy non-CF volunteers. Nutritional status was evaluated based on the BMI and the bioelectrical impedance analysis. The lung function was described by FEV1%. CF patients were classified according to the CFTR genotype based on five classes of mutations. BMI were lower in CF patients compared to reference group (women: Z = 3.76, p <0.001, men: Z = 3.06, p = 0.002). CF patients had a lower mean content of particular body components, as well as FEV1% values. BMI differed significantly depending on the type of mutation in females (H = 10.33, p = 0.006) and males (H = 8.26, p = 0.016). The lowest values of BMI were observed in the group of patients with severe types of mutations. Also, variables describing body composition were statistically significantly lower in patients with a severe type of mutations. The CFTR gene mutation type statistically significantly differentiated FEV1% (H = 23.22, p <0.000). The results of the logistic regression analysis showed that the likelihood of dropping FEV1% below the norm was twice as high in undernourished females and males. To assess the nutritional status of CF patients, more informative methods describing the proportions of body components are required.

Changes in Body Composition, Comorbidities, and Nutritional Status Associated with Lower Weight Loss After Bariatric Surgery in Older Subjects

2019 ◽  
Vol 29 (11) ◽  
pp. 3589-3595 ◽  
Author(s):  
Pauline Faucher ◽  
Judith Aron-Wisnewsky ◽  
Cécile Ciangura ◽  
Laurent Genser ◽  
Adriana Torcivia ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Body Composition ◽  
Nutritional Status ◽  
Lower Weight ◽  
Older Subjects

Assessment of body composition measure of bioelectrical impedance in patients operated for pancreatic, gastric and colorectal cancer

2020 ◽  
Vol 92 (1) ◽  
pp. 1-5
Author(s):  
Przemysław Dzierżek ◽  
Krzysztof Kurnol ◽  
Wojciech Hap ◽  
Ewelina Frejlich ◽  
Agata Diakun ◽  
...  
Keyword(s):  
Weight Loss ◽  
Body Composition ◽  
Body Weight ◽  
Bioelectrical Impedance ◽  
The Body ◽  
Intracellular Water ◽  
University Hospital ◽  
Major Surgery ◽  
Average Weight ◽  
Neoplastic Disease

Introduction An adequate level of nutrition is important in the period of reconvalescence in patients undergoing major surgery, in particular due to neoplastic disease. Bioelectrical impedance (BIA - Bioelectrical Impedance Analysis) is a widely used technique for assessing body composition. BIA measurement is easy, fast, cheap and repeatable. Material and methods The body composition of 56 patients (25 women and 31 men) was assessed with bioelectrical impedance analysys. All patients was hospitalized and operated in the Department of General and Oncological Surgery, Wrocław Clinical University Hospital in 2017-2018. Results The average weight loss on the 4th postoperative day is 1.32%, and at discharge from hospital 4.23% of body weight in relation to body weight at admission to the ward. The percentage of fat tissue (FM-Fatt Mass) in patients admitted to the ward is above the normal range. The change in body weight composition in hospitalized patients is mainly related to the amount of adipose tissue and the amount of extra- and intracellular water (ECW-Extracellular Water, ICW-Intracellular Water). Conclusions Bioelectrical impedance can be an easy and effective method to assess body composition and its change in patients undergoing major surgery. Patients operated on due to pancreatic cancer lose the highest percentage of body weight until discharge from the ward in relation to body weight at the time of admission to the ward from the analyzed groups. Weight loss mainly occurs as fat loss (FM).

scholarly journals Role of Body Bioelectrical Impedance Analysis in the Assessment of the Nutritional Status of Patients with Inflammatory Bowel Disease and Metabolic Syndrome

2012 ◽  
Vol 66 (3) ◽  
pp. 125-127
Author(s):  
Edgars Bodnieks ◽  
Aldis Puķītis ◽  
Juris Pokrotnieks
Keyword(s):  
Metabolic Syndrome ◽  
Inflammatory Bowel Disease ◽  
Body Composition ◽  
Nutritional Status ◽  
Body Mass ◽  
Bowel Disease ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Inflammatory Bowel

Abstract Nutrition has an important role in the management of inflammatory bowel disease (IBD) and metabolic syndrome (MS). The goal of this study was to assess the nutritive status of patients treated with IBD and metabolic syndrome in the Gastroenterology Centre, Pauls Stradiòð Clinical University Hospital. Body bioelectrical impedance analysis (BIA) using GENIUS 220 PLUS (Jawon Medical) was used to determine Body Mass Index (BMI) kg/m², Metabolic Body Fat (MBF) kg, Soft Lean Mass (SLM) kg, Total Body Water (TBW) kg, body composition, metabolic type, Basal Metabolic Rate (BMR) kcal, and total Energy Expenditure (TEE) kcal in patients with IBD and metabolic syndrome and in a similarly aged control group. The obtained data showed that BMI was not correlated with MBF, BTW and Lean Body Mass (LBM). Patients with Crohn’s disease (CD) had normal value of BMI (M 24.3 kg/m²; F 20.2kg/m²), but we found variety-specific differences in body composition that confirmed deficiency or increase of specific body parameters. The performed prospective study confirmed the importance of the more precise nutritional status analysis, as it was clinically useful for the nutritional management of IBD. Patients with CD had expressed nutrient deficiency, sarcopenia, and reduced amount of proteins and minerals. For patients with MS, sarcopenia was present despite obesity.

scholarly journals Assessment of body composition and nutritional risks in young ballet dancers – the bioelectrical impedance analysis

2020 ◽  
Vol 11 (1) ◽  
pp. 26-30
Author(s):  
Maria Alessandra Gammone ◽  
Nicolantonio D’Orazio
Keyword(s):  
Body Composition ◽  
General Population ◽  
Nutritional Status ◽  
Body Fat ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Relative Energy ◽  
Fat Free Mass ◽  
Impedance Method ◽  
Ballet Dancers

AbstractBackgroundYoung ballet dancers are at risk of health issues associated with altered nutritional status and of relative energy deficiency in sport compared to the general population.AimTo evaluate the nutritional status and body composition in ballet dancers.Materials and methodsThe study group consisted of 40 young ballet dancers (mean age 19.97 years). Height and weight were measured and body mass index was calculated in all subjects (mean BMI value 19.79 kg/m2, SD: 2.051). Body composition was estimated using the bioelectrical impedance method.ResultsThe dancers’ fat-free mass was 47.33 kg (SD: 5.064) and, on the average, body fat represented the 15.92% (SD: 16.91) of their body weight.ConclusionsBallet dancers, who usually show significantly lower BMI values compared to the general population, also displayed body fat values under the suggested range. Some screening for altered nutritional status should be performed. In addition, education programs should be recommended in young ballet dancers, in order to inform about energy and nutrition requirements for health and training and to prevent malnutrition-related problems.

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