Alterations of body composition patterns in pre-dialysis chronic kidney disease patients

Kittiskulnam, Piyawan; Nitesnoppakul, Mayura; Metta, Kamonchanok; Suteparuk, Suchai; Praditpornsilpa, Kearkiat; Eiam‐Ong, Somchai

doi:10.1007/s11255-020-02599-4

Cited by 3 publications

(3 citation statements)

References 34 publications

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“…The percentage of muscle mass (MM%) of pre-dialysis-CKD4-5 patients is generally lower than that of healthy controls [ 28 ]. In patients with pre-dialysis CKD3, for every 10 mL/min/1.73 m 2 decrease in glomerular filtration rate (GFR), whole-body muscle mass (MM) decreases by 0.59 kg [ 29 ]. The skeletal muscle mass index (SMI) of CKD5 patients before dialysis was significantly lower than that of CKD1-4 patients [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

Application of Bioelectrical Impedance Analysis in Nutritional Management of Patients with Chronic Kidney Disease

Guo,

Zhang,

et al. 2023

Nutrients

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Body composition measurement plays an important role in the nutritional diagnosis and treatment of diseases. In the past 30 years, the detection of body composition based on bioelectrical impedance analysis (BIA) has been widely used and explored in a variety of diseases. With the development of technology, bioelectrical impedance analysis has gradually developed from single-frequency BIA (SF-BIA) to multi-frequency BIA (multi-frequency BIA, MF-BIA) and over a range of frequencies (bioimpedance spectroscopy, BIS). As the clinical significance of nutrition management in chronic kidney disease has gradually become prominent, body composition measurement by BIA has been favored by nephrologists and nutritionists. In the past 20 years, there have been many studies on the application of BIA in patients with CKD. This review describes and summarizes the latest research results of BIA in nutritional management of patients with CKD including pre-dialysis, hemodialysis, peritoneal dialysis and kidney transplantation, in order to provide reference for the application and research of BIA in nutritional management of chronic kidney disease in the future.

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Section: Resultsmentioning

confidence: 99%

Application of Bioelectrical Impedance Analysis in Nutritional Management of Patients with Chronic Kidney Disease

Guo,

Zhang,

et al. 2023

Nutrients

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“…BIA is well-validated in CKD, hemodialysis, and peritoneal dialysis patients, but its role in AKI patients is unknown and warrants further investigation. [26][27][28] Imaging Ultrasound of quadriceps muscle has been proposed as a useful noninvasive tool to assess nutritional status. 29 Its utility needs to be further investigated in AKI and CRRT patients.…”

Section: Bioimpedance Analysismentioning

confidence: 99%

“…Therefore, the results should be interpreted with caution in critically ill patients. BIA is well‐validated in CKD, hemodialysis, and peritoneal dialysis patients, but its role in AKI patients is unknown and warrants further investigation 26–28 …”

Section: Introductionmentioning

confidence: 99%

Nutritional assessment and support during continuous renal replacement therapy

Ostermann

Lumlertgul

Mehta

2021

Seminars in Dialysis

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Malnutrition is common in patients with acute kidney injury (AKI). The reasons are multifactorial and include increased protein breakdown, insulin resistance, altered hormonal regulation and pre-existing malnourishment. 1 In patients receiving renal replacement therapy (RRT), nutritional status may also be affected by the inadvertent removal of amino acids, carnitine, trace elements, glucose, and water-soluble vitamins. [2][3][4][5] In addition to these losses, continuous renal replacement therapy (CRRT) can be an important source of unrecognized exogenous calories, too. 6 This review provides an overview of methods for nutritional assessment, the composition of modern CRRT solutions, potential nutrient losses and energy gains, and principles of nutritional adjustment during CRRT. | Malnutrition in AKI and CRRT patientsProtein energy wasting (PEW) refers to the negative metabolic consequences of the acute loss of kidney function on nutritional status. 7 , 8 The pathogenesis is multifactorial and includes inflammation, increased energy expenditure (EE), hypercatabolic state, and nutrient losses during RRT. 9,10 Without adequate nutrition, protein catabolism worsens, resulting in lowered immune function, insulin resistance, and increased mortality. 9 | Nutritional assessment in AKI and CRRT patientsNutritional status can be assessed by various different methods but no single tool has adequate sensitivity or specificity. 111.2.1 | Nutritional scores Screening tools such as subjective global assessment (SGA), nutritional risk screening 2002 (NRS 2002), short nutritional assessment questionnaire, malnutritional screening tool, mini nutritional assessment, and malnutritional universal screening tool are widely used in patients with chronic kidney disease

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The Utilization of Body Composition to Predict Cardiorespiratory Fitness and Determine Association with CKD Stage in Individuals with Mid-Spectrum CKD: A Pilot Study

Forsse

Adair

Chapman-Lopez

et al. 2023

Kidney and Dialysis

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Body composition (BC), a measure of body fat mass (FM), lean body mass (LBM), and bone mineral content (BMC), can be used as a predictor of cardiorespiratory fitness (CRF). Prior studies have established a relationship between BC and VO2max in healthy individuals over 35 years of age. However, this relationship is poorly understood in chronic disease populations. The focus of the study was to assess the relationship between BC, cardiorespiratory fitness, and chronic kidney disease (CKD). A cross-sectional analysis was conducted among 24 (9 males and 15 females) individuals diagnosed with mid-spectrum CKD (stages G2–G3b) who completed a health screening, dual-energy X-ray absorptiometry (DEXA) scan, and underwent a VO2max exercise test. Normality tests, descriptive statistics, Pearson’s correlations, t-tests, and ANOVAs were conducted in SAS v.9.4. The average percent body fat (%BF) was 36.28 ± 8.47%, LBM was 109.4 ± 29.1 lb, BMC was 2308.7 ± 735.1 g, and VO2max was 20.13 ± 5.04 mL/kg/min−1. BC was able to predict CRF via VO2max (R2 = 0.721, p < 0.001) and CKD stage (R2 = 0.390, p < 0.017). Positive correlations were observed in LBM (r = 0.750, p < 0.0018) and BMC (r = 0.647, p < 0.001), and negative correlations were observed with FM (r = −0.384, p < 0.032) and %BF (r = −0.802, p < 0.0001). BC was able to predict both CRF and CKD stages, with significant associations observed between BC, VO2max, and CKD stage. The progression of the CKD stage was associated with lower LBM, BMC, and VO2max values, indicating a graded effect of BC on CRF and CKD stage.

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Alterations of body composition patterns in pre-dialysis chronic kidney disease patients

Cited by 3 publications

References 34 publications

Application of Bioelectrical Impedance Analysis in Nutritional Management of Patients with Chronic Kidney Disease

Application of Bioelectrical Impedance Analysis in Nutritional Management of Patients with Chronic Kidney Disease

Nutritional assessment and support during continuous renal replacement therapy

The Utilization of Body Composition to Predict Cardiorespiratory Fitness and Determine Association with CKD Stage in Individuals with Mid-Spectrum CKD: A Pilot Study

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