Journal ArticleDOI
Assessment of adult malnutrition and prognosis with bioelectrical impedance analysis: phase angle and impedance ratio.
TLDR
Use of basic BIA measurements, independent of use of regression prediction models and assumptions of constant chemical composition of the fat-free body, enables new options for practical assessment and clinical evaluation of impaired nutritional status and prognosis among hospitalized patients and elders that potentially can contribute to improved patient care and clinical outcomes.Abstract:
Purpose of reviewMalnutrition affects prognosis in many groups of patients. Although screening tools are available to identify adults at risk for poor nutritional status, a need exists to improve the assessment of malnutrition by identifying the loss of functional tissues that can lead to frailty, cread more
Citations
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Journal ArticleDOI
Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation.
TL;DR: It is argued that the focus on statistically significant but small differences between methods can obscure operational equivalence and that such differences may be of minor clinical significance.
Journal ArticleDOI
Phase angle and mortality: a systematic review.
Luíza Matos Garlini,Fernanda Donner Alves,Luciane Bisognin Ceretta,Ingrid Dalira Schweigert Perry,Ingrid Dalira Schweigert Perry,Gabriela C. Souza,Nadine Oliveira Clausell +6 more
TL;DR: Phase angle seems to be a good indicator for mortality in many clinical situations and can be used in screening individuals prone to this outcome.
Journal ArticleDOI
Classification of Hydration in Clinical Conditions: Indirect and Direct Approaches Using Bioimpedance.
TL;DR: Each approach has wide-ranging uses in evaluation and management of clinical groups with over-hydration with an evolving emphasis on prognosis with comments on future applications.
Journal ArticleDOI
American Society for Parenteral and Enteral Nutrition Clinical Guidelines: The Validity of Body Composition Assessment in Clinical Populations
Patricia M. Sheean,M. Cristina Gonzalez,Carla M. Prado,Liam McKeever,Amber M. Hall,Carol A. Braunschweig +5 more
TL;DR: No recommendations can be made at this time to support the use of US or BIA in the clinical setting, as data to support its validity in any specific patient population are limited in scope or by the proprietary nature of manufacture-specific BIA regression models to procure body composition data.
Journal ArticleDOI
Bioelectrical impedance analysis (BIA) -derived phase angle in sarcopenia: A systematic review.
TL;DR: Data from the selected papers demonstrate that PhA is decreased in sarcopenic subjects and the prevalence of sarcopenia is higher in subjects with low PhA, and PhA and sarc Openia were independent predictors of survival in cancer patients and geriatric hospitalized patients.
References
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Journal ArticleDOI
ESPEN guidelines on definitions and terminology of clinical nutrition
Tommy Cederholm,Rocco Barazzoni,P. Austin,P. Austin,Peter E. Ballmer,Gianni Biolo,Stephan C. Bischoff,Charlene Compher,I. Correia,Takashi Higashiguchi,Mette Holst,Gordon L. Jensen,Ainsley Malone,Maurizio Muscaritoli,Ibolya Nyulasi,Matthias Pirlich,Elisabet Rothenberg,Karin Schindler,Stéphane M. Schneider,M.A.E. de van der Schueren,M.A.E. de van der Schueren,Cornel C. Sieber,Luzia Valentini,Jian-Chun Yu,A. Van Gossum,Pierre Singer +25 more
TL;DR: An agreement of basic nutritional terminology to be used in clinical practice, research, and the ESPEN guideline developments has been established and may help to support future global consensus efforts and updates of classification systems such as the International Classification of Disease.
Journal ArticleDOI
Diagnostic criteria for malnutrition – An ESPEN Consensus Statement
Tommy Cederholm,Ingvar Bosaeus,Rocco Barazzoni,Juergen M. Bauer,A. Van Gossum,Stanislaw Klek,Maurizio Muscaritoli,Ibolya Nyulasi,J. Ockenga,Stéphane M. Schneider,M.A.E. de van der Schueren,M.A.E. de van der Schueren,Pierre Singer +12 more
TL;DR: In individuals identified by screening as at risk of malnutrition, the diagnosis of malnutrition should be based on either a low BMI (<18.5 kg/m(2)), or on the combined finding of weight loss together with either reduced BMI (age-specific) or a low FFMI using sex-specific cut-offs.
Journal ArticleDOI
Bioelectrical phase angle and impedance vector analysis--clinical relevance and applicability of impedance parameters.
TL;DR: PhA, a superior prognostic marker, should be considered as a screening tool for the identification of risk patients with impaired nutritional and functional status, BIVA is recommended for further nutritional assessment and monitoring, in particular when calculation of body composition is not feasible.
Journal ArticleDOI
Nutrition screening tools: Does one size fit all? A systematic review of screening tools for the hospital setting
Marian A.E. van Bokhorst-de van der Schueren,Patrícia Realino Guaitoli,Elise P. Jansma,Henrica C.W. de Vet +3 more
TL;DR: Not one single screening or assessment tool is capable of adequate nutrition screening as well as predicting poor nutrition related outcome and development of new tools seems redundant and will most probably not lead to new insights.
Journal ArticleDOI
Lean tissue imaging: a new era for nutritional assessment and intervention.
TL;DR: This review explores the methodologies and the emerging value of imaging techniques in the assessment of body composition, focusing on the value of lean soft tissue (LST) to predict nutrition status.