Bioelectrical Impedance Phase Angle as an Indicator of Malnutrition in Hospitalized Children with Diagnosed Inflammatory Bowel Diseases—A Case Control Study

Więch, Paweł; Dąbrowski, Mariusz; Bazaliński, Dariusz; Sałacińska, Izabela; Korczowski, Bartosz; Binkowska-Bury, Monika

doi:10.3390/nu10040499

Cited by 26 publications

(14 citation statements)

References 35 publications

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“…In detail, our female patients had lower FFM values than controls, even though their BMI did not differ. Similar results were observed by Weich et al [35] in adolescent CD patients and by Filippi et al [36], who reported low FM in quiescent adult CD patients, while Valentini et al [37] did not find any differences in BC between healthy individuals and CD patients. A variety of methods can be employed to measure BC, such as dual energy X-ray absorptiometry (DXA), dilution techniques, BIA, air-displacement plethysmography (ADP) or magnetic resonance imaging (MRI), but none of them are error free [38].…”

Section: Discussionsupporting

confidence: 85%

“…Back et al [34] did not find any differences in PhA values between active and quiescent CD patients (p ¼ 0.75), while Wiech et al [35] showed that PhA was reduced in adolescent CD patients compared to the values of the controls. Interestingly, we found that PhA was inversely correlated with CDAI, age and FM, while it was positively associated with FFM and HGS, which was in accordance with previous results [5].…”

Section: Discussionmentioning

confidence: 93%

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Assessment of bioelectrical phase angle as a predictor of nutritional status in patients with Crohn's disease: A cross sectional study

et al. 2020

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Background & aims: The assessment of body composition (BC) can be used to identify malnutrition in patients with Crohn's disease (CD). The aim of this study was to evaluate the nutritional status of CD patients by assessing BC, phase angle (PhA) and muscle strength. Differences in disease duration and medications were also considered. Methods: Consecutive adult CD patients aged 18e65 years were enrolled in this cross-sectional study. Disease activity was clinically defined by the Crohn's Disease Activity Index (CDAI) in the active and quiescent phases. All participants underwent anthropometry, BC and handgrip-strength (HGS) measurements; additionally, blood samples were taken. Data from CD patients were also compared with age-, sex-and BMI-matched healthy people. Results: A total of 140 CD patients with a mean age of 38.8 ± 13.9 years and a mean body weight of 64.9 ± 12 kg were recruited and compared to controls. The findings showed that all nutritional parameters, especially PhA and HGS, were lower in CD patients than in controls, and these parameters were substantially impaired as disease activity increased. Active CD patients had a lower body weight and fat mass than both the quiescent and control groups. PhA was negatively correlated with age (r ¼ À0.362; p ¼ 0.000) and CDAI (r ¼ À0.135; p ¼ 0.001) but was positively associated with fat free mass (FFM) (r ¼ 0.443; p ¼ 0.000) and HGS (r ¼ 0.539; p ¼ 0.000). Similarly, serum protein markers were lower in the active CD group than in the quiescent group (p < 0.05). Disease duration and medications did not significantly affect nutritional status. Conclusions: BIA-derived PhA is a valid indicator of nutritional status in CD patients, and its values decreased with increasing disease activity. Additionally, small alterations in BC, such as low FFM, and reduced HGS values can be considered markers of nutritional deficiency. Therefore, the assessment of BC should be recommended in clinical practice for screening and monitoring the nutritional status of CD patients.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 93%

Assessment of bioelectrical phase angle as a predictor of nutritional status in patients with Crohn's disease: A cross sectional study

et al. 2020

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“…In Dutch research, the FFM and FM of 14 male and 18 female patients with ulcerative colitis were compared with those of the control group [ 27 ]. In recently published Polish research, the FFM and FM of 34 patients with ulcerative colitis and 25 patients with Crohn’s disease were assessed and compared with the values obtained from healthy subjects; however, the analyzed groups comprised only children and adolescents [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Men with Ulcerative Colitis in Remission in a Pair–Matched Case–Control Study

Głąbska

Guzek

Lech

2018

JCM

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The aim of the presented research was to analyze the nutritional status of male subjects with ulcerative colitis in remission by using body composition that was assessed by bioelectrical impedance measurement against a gender-matched control group. Forty-four male patients in remission with ulcerative colitis were recruited for the case-control study and simultaneously, a matched control group of 44 male individuals without inflammatory bowel diseases was pair-matched (general community individuals). The body composition measurement was conducted by the bioelectrical impedance method using BodyComp MF Plus and Bodygram Pro 3.0 software. Parameters assessed include body cell mass (BCM), total body water (TBW), extracellular body water (EBW), intracellular body water (IBW), fat mass (FM), fat-free mass (FFM), muscle mass (MM), and the body cell mass (BCM) index. A significant between-group difference was observed only for EBW, where subjects with ulcerative colitis were characterized by a higher mass of extracellular water (p = 0.0405). Individuals with ulcerative colitis were characterized by a lower BCM share than the control group (p = 0.0192). A comparative analysis of the body composition of male patients with ulcerative colitis with those who did not have ulcerative colitis revealed only minor differences. The risk of malnutrition, assessed using both BMI and bioelectrical impedance, in men with ulcerative colitis in remission is the same as in healthy males in the matched general population.

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“…The results were analyzed using dedicated software (Bodygram1_31 from AKERN, Pontassieve, Florence, Italy). Detailed description of methodology was described elsewhere [13].…”

Section: Methodsmentioning

confidence: 99%

Body composition and phase angle as an indicator of nutritional status in children with juvenile idiopathic arthritis

et al. 2018

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BackgroundJuvenile idiopathic arthritis (JIA) is the most common chronic, systemic autoimmune connective tissue disease diagnosed in children and adolescents. An important aspect of monitoring of children with JIA is a precise assessment of the nutritional status to identify children and adolescents at risk of malnutrition. The aim of the study was to assess the body composition and phase angle in children diagnosed with JIA in comparison to age and sex matched healthy children since there are scarce reports in paediatric patients.MethodsA total of 46 children and adolescents aged 4–18 years, with JIA were included in the cross-sectional study. Controls were selected from the group of healthy children and adolescents. Children with diagnosed JIA and healthy children were strictly matched for age and gender. In both groups BIA with phase angle calculation was performed.ResultsPhase angle score was significantly lower in the study group compared to control group (5.45 ± 0.64 vs. 5.85 ± 0.80, p = 0.010). Also lower percentage of body cell mass (50.63 ± 3.46 vs. 52.70 ± 4.06, p = 0.010) and muscle mass (46.02 ± 6.32 vs. 49.53 ± 6.67, p = 0.005) were revealed. In the analysis of subtypes of JIA we found significant differences between children and adolescents with polyarthritis compared to control group, while no significant differences were found between patients with oligoarthritis and control group.ConclusionsThe obtained results indicate a higher risk of malnutrition in children and adolescents with JIA compared to healthy peers, predominantly in patients with polyarthritis.

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Bioelectrical Impedance Phase Angle as an Indicator of Malnutrition in Hospitalized Children with Diagnosed Inflammatory Bowel Diseases—A Case Control Study

Cited by 26 publications

References 35 publications

Assessment of bioelectrical phase angle as a predictor of nutritional status in patients with Crohn's disease: A cross sectional study

Assessment of bioelectrical phase angle as a predictor of nutritional status in patients with Crohn's disease: A cross sectional study

Nutritional Status of Men with Ulcerative Colitis in Remission in a Pair–Matched Case–Control Study

Body composition and phase angle as an indicator of nutritional status in children with juvenile idiopathic arthritis

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