A Practical Standardized Composite Nutrition Score Based on Lean Tissue Index: Application in Nutrition Screening and Prediction of Outcome in Hemodialysis Population

Chen, Huansheng; Chen, Cheng; Hou, Chun-Cheng; Liou, Hung-Hsiang; Chang, Cheng-Tsung; Lin, Chun-Ju; Wu, Tingfeng; Chen, Chang-Hsu; Paik-Seong, Lim

doi:10.1053/j.jrn.2017.01.025

Cited by 3 publications

(1 citation statement)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Earlier recommendations have suggested to include body composition as one of the criteria for PEW . In addition, a study of Chen et al already showed the added value of measuring LTI with the BCM as a screening tool for nutritional status, given the fact that low LTI as a marker of protein wasting, is seen as the primary component of PEW . It is of importance to realize that abnormalities in body composition are part of a wider, but only partly overlapping spectrum, including physical inactivity, a reduction in muscle strength, and a reduction in health‐related quality of life in which the latter may surpass a reduction of muscle mass in the prediction of outcome .…”

Section: The Role Of Bis In the Integrated Assessment Of Dialysis Patmentioning

confidence: 99%

Three compartment bioimpedance spectroscopy in the nutritional assessment and the outcome of patients with advanced or end stage kidney disease: What have we learned so far?

Broers

Canaud

Dekker

et al. 2020

Hemodialysis International

View full text Add to dashboard Cite

Bioimpedance spectroscopy (BIS) is an easily applicable tool to assess body composition. The three compartment model BIS (3C BIS) conventionally expresses body composition as lean tissue index (LTI) (lean tissue mass [LTM]/height in meters squared) and fat tissue index (FTI) (adipose tissue mass/ height in meters squared), and a virtual compartment reflecting fluid overload (FO). It has been studied extensively in relation to diagnosis and treatment guidance of fluid status disorders in patients with advanced-stage or end-stage renal disease. It is the aim of this article to provide a narrative review on the relevance of 3C BIS in the nutritional assessment in this population. At a population level, LTI decreases after the start of hemodialysis, whereas FTI increases. LTI below the 10th percentile is a consistent predictor of outcome whereas a low FTI is predominantly associated with outcome when combined with a low LTI. Recent research also showed the connection between low LTI, inflammation, and FO, which are cumulatively associated with an increased mortality risk. However, studies toward nutritional interventions based on BIS data are still lacking in this population. In conclusion, 3C BIS, by disentangling the components of body mass index, has contributed to our understanding of the relevance of abnormalities in different body compartments in chronic kidney disease patients, and appears to be a valuable prognostic tool, at least at a population level. Studies assessing the effect of BIS guided nutritional intervention could further support its use in the daily clinical care for renal patients.

show abstract

Section: The Role Of Bis In the Integrated Assessment Of Dialysis Patmentioning

confidence: 99%