Review
Medicine, General & Internal
Wen-He Zheng, Yi-He Zhao, Yan Yao, Hui-Bin Huang
Summary: This systematic review and meta-analysis found that bioelectrical impedance-derived phase angle (PA) has good prognostic value in critically ill patients. Low PA values are associated with higher mortality risk, and this result is confirmed in subgroup and sensitivity analyses.
FRONTIERS IN MEDICINE
(2023)
Article
Chemistry, Analytical
Fang-Lin Jiang, Saizhao Tang, Seon-Ho Eom, Jae-Young Lee, Ji Heon Chae, Chul-Hyun Kim
Summary: This study aimed to validate the use of bioelectrical impedance vector analysis (BIVA) in evaluating sarcopenia in elderly individuals and to examine the relationship between phase angle (PhA), physical performance, and muscle mass. The results showed significant differences in BIVA between sarcopenia and non-sarcopenia groups in both sexes. PhA was found to be significantly correlated with age, appendicular skeletal muscle (ASM), handgrip strength (HGS), muscle quality, and physical performance. Therefore, BIVA can be used as a practical assessment method for diagnosing sarcopenia in elderly individuals with reduced mobility.
Article
Critical Care Medicine
Formenti Paolo, Silvia Coppola, Michele Umbrello, Sara Froio, Alessio Cacioppola, Valentina De Giorgis, Valentina Galanti, Andrea Clarissa Lusardi, Erica Ferrari, Donatella Noe, Carnier Simone, Franco Folli, Chiumello Davide
Summary: The study found significant changes in body composition in ICU patients during the first week of admission. BIVA may be useful in determining hydration status, but does not seem to track muscle mass. Different temporal trends of specific BIVA and muscle ultrasound parameters were observed in patients with high or low severity of illness.
JOURNAL OF CRITICAL CARE
(2022)
Article
Multidisciplinary Sciences
C. A. Gonzalez-Correa, S. A. Jaimes, J. Cardenas-Jimenez
Summary: This study tests a geometrical parameterization method for Electrical Bio-Impedance Spectroscopy (EBIS) readings and compares it with other methods. The results show that the method performs well with low noise levels but poorly with high noise levels.
SCIENTIFIC REPORTS
(2022)
Article
Nutrition & Dietetics
Isabel Cornejo-Pareja, Isabel M. Vegas-Aguilar, Jose Manuel Garcia-Almeida, Diego Bellido-Guerrero, Antonio Talluri, Henry Lukaski, Francisco J. Tinahones
Summary: The study found that non-surviving COVID-19 patients had significantly lower PhA and SPhA values, as well as increased hydration. In COVID-19 patients, low PhA (<3.95 degrees) was identified as a significant predictor of mortality risk.
CLINICAL NUTRITION
(2022)
Review
Nutrition & Dietetics
Mariana Garcia Branco, Carlota Mateus, Manuel Luis Capelas, Nuno Pimenta, Teresa Santos, Antti Makitie, Susana Ganhao-Arranhado, Carolina Trabulo, Paula Ravasco
Summary: This scoping review evaluates the scientific and clinical evidence on the use of BIA for body composition assessment in oncology patients. The findings suggest that BIA is a suitable and valid method for body composition assessment in cancer patients and has potential clinical value in preoperative risk evaluation, reducing postoperative complications and hospital stay, and predicting prognosis.
Review
Endocrinology & Metabolism
Rocio Fernandez-Jimenez, Rafael Martin-Masot, Isabel Cornejo-Pareja, Isabel M. Vegas-Aguilar, Marta Herrador-Lopez, Francisco J. Tinahones, Victor Manuel Navas-Lopez, Diego Bellido-Guerrero, Jose Manuel Garcia-Almeida
Summary: Phase angle (PhA) serves as a valuable tool for assessing the nutritional and inflammatory status in pediatric patients. It is associated with nutritional status and predicts poor-outcomes, including mortality, in hospitalized pediatric patients. Comprehensive clinical nutrition evaluations are necessary to accurately diagnose and plan personalized therapies.
REVIEWS IN ENDOCRINE & METABOLIC DISORDERS
(2023)
Article
Nutrition & Dietetics
Silvia Stagi, Alfredo Irurtia, Joaquim Rosales Rafel, Stefano Cabras, Roberto Buffa, Marta Carrasco-Marginet, Jorge Castizo-Olier, Elisabetta Marini
Summary: The study aimed to analyze the association between specific bioelectric impedance vector analysis (BIVA) and dual-energy X-ray absorptiometry (DXA) to assess segmental body composition, using DXA as the reference technique. Results showed a good agreement between DXA and BIVA, with specific BIVA demonstrating to balance the effect of body size on bioelectrical measurements in both whole and segmental approaches. Specific BIVA represents a promising technique for monitoring segmental body composition changes in sport science and clinical applications.
CLINICAL NUTRITION
(2021)
Article
Nutrition & Dietetics
Sylvia Ryz, Larissa Nixdorf, Juergen Puchinger, Andrea Lassnigg, Dominik Wiedemann, Martin H. Bernardi
Summary: This study showed that PhA in cardiac surgery patients decreased postoperatively, with patients with lower preoperative PhA being older, frailer, and having longer ICU stays. Preoperative PhA was influenced by frailty and cardiac function, while postoperative PhA decline was influenced by fluid balances and cardiopulmonary bypass times. Perioperative PhA measurement is crucial for risk evaluation in cardiac surgery patients.
Article
Geriatrics & Gerontology
S. J. Ko, J. Cho, S. M. Choi, Y. S. Park, C. -H. Lee, S. -M. Lee, C. -G. Yoo, Y. W. Kim, J. Lee
Summary: The study revealed that high PhA above 3.5 was associated with lower in-hospital mortality and a shorter duration of ICU stay, while frailty was associated with more mechanical ventilation days.
JOURNAL OF NUTRITION HEALTH & AGING
(2021)
Article
Geriatrics & Gerontology
Yasunori Akamatsu, Toru Kusakabe, Hiroshi Arai, Yuji Yamamoto, Kazuwa Nakao, Kentaro Ikeue, Yuki Ishihara, Tetsuya Tagami, Akihiro Yasoda, Kojiro Ishii, Noriko Satoh-Asahara
Summary: This study examined the relationship between phase angle (PhA) and muscle quality, as well as other body composition parameters. It found that age, skeletal muscle mass index (SMI), and muscle quality were independently associated with PhA. PhA demonstrated good predictive ability for sarcopenia, indicating its potential as an easily measurable index for muscle quality assessment and sarcopenia diagnosis.
JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE
(2022)
Article
Nutrition & Dietetics
Raquel D. Langer, Leigh C. Ward, Sofus C. Larsen, Berit L. Heitmann
Summary: This study aimed to determine the relationship between 6-year changes in phase angle (PhA) and mortality and incidence of cardiovascular disease (CVD) and coronary heart disease (CHD). The results showed that a larger decrease in PhA was associated with higher risk of early mortality and incidence of CVD over an 18-year period. Measuring PhA changes may help identify apparently healthy individuals who are at increased risk of future CVD or premature death.
FRONTIERS IN NUTRITION
(2023)
Article
Nutrition & Dietetics
Liliane Barbosa da Silva Passos, Tulio Augusto Alves Macedo, Daurea Abadia De-Souza
Summary: The study aimed to correlate the nutritional status of critically ill patients with 28-day mortality and establish cut-off values for BIA and USG methods. Results showed that RFM sectional area was an independent predictor of 28-day mortality, and patients with higher phase angle and RFM sectional area had better survival rates.
CLINICAL NUTRITION
(2021)
Article
Nutrition & Dietetics
Jonathan CK. Wells, Jane E. Williams, Leigh C. Ward, Mary S. Fewtrell
Summary: Combining traditional BIA with BIVA(specific) parameters can improve the accuracy of predicting body composition in children, effectively explaining the variability in fat-free mass and fat mass. This approach may be useful for pediatric patients.
CLINICAL NUTRITION
(2021)
Article
Nutrition & Dietetics
Cristina Garcia-Garcia, Isabel Maria Vegas-Aguilar, Rosalia Rioja-Vazquez, Isabel Cornejo-Pareja, Francisco J. Tinahones, Jose Manuel Garcia-Almeida
Summary: This study evaluates the prognostic value of classic and emerging nutritional assessments in cancer patients. The results show that low PhA and RFCSA values are significant predictors of mortality. These findings are important for nutritional assessment and predicting clinical outcomes in cancer patients.
Article
Nutrition & Dietetics
Aline P. Frenzel, Renata M. Bielemann, Thiago G. Barbosa-Silva, Maria Cristina Gonzalez
Summary: The aim of this study was to assess the applicability of the SARC-F questionnaire by telephone to identify sarcopenia risk and low muscle function risk in older adults. The results showed that there was no significant difference in the prevalence of sarcopenia risk and low muscle function risk between phone and in-person assessments. This suggests that phone interviews can be a reliable alternative for assessing these risks.
Article
Nutrition & Dietetics
Andresa da Silva Couto, Maria Cristina Gonzalez, Renata Brum Martucci, Patricia Moreira Feijo, Viviane Dias Rodrigues, Nivaldo Barroso de Pinho, Nilian Carla Souza
Summary: This study aimed to evaluate the agreement, accuracy, sensitivity, specificity, and prognostic effect of the Global Leadership Initiative on Malnutrition (GLIM) in patients with colorectal cancer, compared with the Patient-Generated Subjective Global Assessment (PG-SGA). The GLIM showed fair sensitivity, good agreement, specificity, and diagnostic accuracy for detecting malnutrition, and was associated with short-term survival in patients with colorectal cancer.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2023)
Review
Nutrition & Dietetics
Carla M. Prado, Katherine L. Ford, M. Cristina Gonzalez, Lisa C. Murnane, Chelsia Gillis, Paul E. Wischmeyer, Chet A. Morrison, Dileep N. Lobo
Summary: Preoperative nutrition assessment and intervention are crucial for improving postoperative outcomes. The Global Leadership Initiative for Malnutrition (GLIM) criteria are increasingly used in surgical settings to diagnose malnutrition, and novel approaches to assessing muscle mass can identify at-risk patients. Screening and assessing frailty can determine the cost/benefit of surgery and the value of interventions. Evaluation of nutrition risk and status is essential for predicting and mitigating surgical outcomes.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2023)
Article
Nutrition & Dietetics
Ricardo Schilling Rosenfeld, Maria Cristina Gonzalez, Sergio Miranda Freire, Roberto Alves Louren
Summary: Phase angle (PhA) is associated with mortality in critically ill older adults during intensive care unit stay and at 28 and 60 days after ICU admission. Lower PhA values are associated with higher late mortality and shorter survival time.
Article
Nutrition & Dietetics
Thamy Schossler Richrot, Julia Lima, Bruna Barbosa Stello, Danielle Silla Jobim Milanez, Camila Ferri Burgel, Flavia Moraes Silva
Summary: This study aimed to evaluate the impact of prone position therapy on the time to achieve nutrition goals in patients with COVID-19 in the first week, as well as the interaction between these nutrition indicators and clinical outcomes. The results showed that patients who underwent prone position therapy reached nutrition goals later and had lower early energy and protein intakes. However, the prescription of nutrition therapy was not associated with worse clinical outcomes.
NUTRITION IN CLINICAL PRACTICE
(2023)
Article
Endocrinology & Metabolism
Bruna Ramos da Silva, Camila E. Orsso, Maria Cristina Gonzalez, Juliana Maria Faccioli Sicchieri, Mirele Savegnago Mialich, Alceu A. Jordao, Carla M. Prado
Summary: Phase angle, a composite measure of bioelectrical impedance analysis, has been explored as an indicator of cellular health, inflammation, and oxidative stress. It has been shown to be associated with markers of inflammation and oxidative stress, suggesting its potential utility in early detection and monitoring of these conditions.
REVIEWS IN ENDOCRINE & METABOLIC DISORDERS
(2023)
Review
Nutrition & Dietetics
Montserrat Montes-Ibarra, Camila E. Orsso, Ana Teresa Limon-Miro, Maria Cristina Gonzalez, Emanuele Marzetti, Francesco Landi, Steven B. Heyms, Rocco Barazzoni, Carla M. Prado
Summary: This study summarized the evidence on body composition abnormalities and their relationship with adverse clinical outcomes in patients with COVID-19. The findings showed that body composition abnormalities were prevalent among patients, with lower muscle density and decreased phase angle being associated with higher mortality risk, while increased visceral adipose tissue was associated with higher risk of ICU admission.
AMERICAN JOURNAL OF CLINICAL NUTRITION
(2023)
Article
Nutrition & Dietetics
Bruna Barbosa Stello, Aline Cattani, Danielle Silla Jobim Milanez, Elisa Loch Razzera, Julia Lima, Flavia Moraes Silva
Summary: This study evaluated the predictive validity of different NRS-2002 cut-off points in the ICU and found that an NRS-2002 score of >= 4 was associated with prolonged hospital stay, ICU readmission, ICU mortality, and hospital mortality. It should be considered in the ICU setting.
BRITISH JOURNAL OF NUTRITION
(2023)
Article
Nutrition & Dietetics
Danielle Silla Jobim Milanez, Elisa Loch Razzera, Julia Lima, Flavia Moraes Silva
Summary: This study evaluated the feasibility and validity of the GLIM criteria in the ICU. The GLIM criteria showed high feasibility, sensitivity, and agreement with the SGA in critically ill patients. However, it was not associated with death as diagnosed by SGA.
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
(2023)
Article
Nutrition & Dietetics
Julia Lima, Simone Bernardes, Bruna Barbosa Stello, Thamy Schossler Richrot, Danielle Silla Jobim Milanez, Flavia Moraes Silva
Summary: This study aimed to evaluate the impact of remote hospital nutrition care during the COVID-19 pandemic on the time to start and achieve nutrition therapy goals in critically ill patients. The results showed that remote nutrition care did not affect the time to start nutrition therapy and achieve treatment goals.
NUTRITION IN CLINICAL PRACTICE
(2023)
Article
Nutrition & Dietetics
Jordana Carolina Marques Godinho-Mota, Larissa Vaz-Goncalves, Isis Danyelle Dias Custodio, Jaqueline Schroeder de Souza, Joao Felipe Mota, Maria Cristina Gonzalez, Priscylla Rodrigues Vilella, Karine Anusca Martins, Yara Cristina de Paiva Maia, Sara Maria Moreira Lima Verde, Aline Porciuncula Frenzel, Patricia Faria Di Pietro, Eduarda da Costa Marinho, Ruffo Freitas-Junior
Summary: This study aimed to investigate the effect of chemotherapy (CT) and its different types of regimens on the anthropometry and body composition of women with breast cancer. The results showed that CT negatively impacted body composition and different regimens had different effects. The study highlights the importance of nutritional monitoring of breast cancer patients throughout the entire CT treatment.
Article
Nutrition & Dietetics
Marcia M. G. D. Lopes, Iasmin M. Sousa, Sandra Azevedo Queiroz, Mara R. O. Bezerra, Maria Cristina Gonzalez, Ana Paula Trussardi Fayh
Summary: This study investigated the relationship between comorbidity burden and bioelectrical impedance vector analysis (BIVA) characteristics in patients post-AMI. The results showed that patients with a higher comorbidity burden had statistically significant differences in BIVA characteristics related to sex, age, and comorbidity burden. Female, older adults, and those with a higher comorbidity burden had longer vectors in BIVA analysis.
NUTRITION IN CLINICAL PRACTICE
(2023)
Article
Nutrition & Dietetics
Camila Conde Frio, Jessica Harter, Leonardo Pozza Santos, Silvana Paiva Orlandi, Maria Cristina Gonzalez
Summary: This study aimed to assess the effect of chemotherapy on Phase Angle (PhA) values and compare the PhA variation before and after treatment. The results showed a significant decrease in PhA values after chemotherapy, and PhA was correlated with physical quality of life and functionality scores.
CLINICAL NUTRITION ESPEN
(2023)
Article
Nutrition & Dietetics
Francisco Felipe de Oliveira Guedes, Iasmin Matias de Sousa, Galtieri Otavio Cunha de Medeiros, Maria Cristina Gonzalez, Ana Paula Trussardi Fayh
Summary: Cancer is a disease with increasing incidence and can harm the body composition. This study evaluated the correlation and agreement of results from bioelectrical impedance analysis (BIA) devices from different manufacturers. The results showed strong correlations in some measurements, but the methods did not provide consistent results. The choice of BIA method should consider the influence of commercial brands.
CLINICAL NUTRITION ESPEN
(2023)
Article
Nutrition & Dietetics
Roberta Silveira Figueira, Mariana Otero Xavier, Elaine Tomasi, Flavio Fernando Demarco, Maria Cristina Gonzalez, Renata Moraes Bielemann
Summary: This study aimed to evaluate the validity of self-perceived dysphagia in community-dwelling older adults. The results showed that the risk of dysphagia according to the Eating Assessment Tool was 12.9% and the self-perception of dysphagia was 8.8%. Due to the low sensitivity and positive predictive value, caution should be exercised in using a single question to analyze self-perceived dysphagia.
CLINICAL NUTRITION ESPEN
(2023)