Concordance of the new ESPEN criteria with low phase angle in defining early stages of malnutrition in cardiac surgery

Ringaitienė, Donata; Gineityte, D.; Vicka, Vaidas; Sabestinaite, Akvile; Klimašauskas, Andrius; Gaveliene, Edita; Ručinskas, Kęstutis; Ivaška, Justinas; Šipylaitė, Jūratė

doi:10.1016/j.clnu.2017.08.007

Cited by 9 publications

(7 citation statements)

References 34 publications

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“…Previous studies found that the EI was a useful marker for heart failure [16][17][18] and the phase angle was a predictive marker for cardiac surgery [12][13][14][15]. The EI shows the ratio between intra-and extracellular water.…”

Section: Discussionmentioning

confidence: 99%

“…Ringaitiene et al [ 13 , 15 ] reported that the phase angle reflects the preoperative nutritional state of cardiac surgery patients and that patients with a lower PA needed more blood transfusions and had more complications. In our study, PA had a weak negative correlation with the ICU stay, so patients with a lower PA tended to stay in the ICU longer.…”

Section: Discussionmentioning

confidence: 99%

“…BIA is also used to measure water in animal models in basic research [11]. According to several reports on BIA in clinical studies, the phase angle (PA), one type of BIA readout, shared a correlation with a nutrition marker and was a potential postoperative risk marker for cardiac surgery [12][13][14][15]. Studies on the differences in water behavior with some kinds of diuretics found that one readout of BIA, the edema index (EI), being the ratio of extracellular water to total body water, can predict the amount of fluid reduction needed for patients with acute heart failure and chronic renal disease [16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

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Bioelectrical impedance analysis for perioperative water management in adult cardiovascular valve disease surgery

et al. 2020

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Purpose Bioelectrical impedance analysis (BIA) has been used recently to measure the body water of patients with acute heart failure. We used BIA in this study to better understand, and possibly identify a predictive marker for, perioperative water behavior in cardiac surgery patients. Methods We measured body water and studied its behavior in 44 patients undergoing surgery for cardiac valvular disease at our hospital. Measurements included the levels of extracellular water (ECW), intracellular water (ICW), and total body water, the edema index (EI), and the ratio of ECW to total body water. The first measured EI was defined as the “preoperative EI” and the maximum as the “peak EI”. Results A negative correlation was found between the preoperative EI and the preoperative estimated glomerular filtration rate (eGFR) (R = 0.644, p < 0.001). Positive correlations were found between the peak EI and the ICU stay (R = 0.625, p < 0.001), the peak EI and the ventilation time (R = 0.366, p < 0.01), and the preoperative EI and the ICU stay (R = 0.464, p = 0.026). Conclusion The EI is possibly a predictive marker for perioperative water management in cardiac surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bioelectrical impedance analysis for perioperative water management in adult cardiovascular valve disease surgery

et al. 2020

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“…Sensitivity and specificity between PA and screening tools showed a good validity. Ringaitiene et al [38] used the 15 th percentile of a specific age and sex group to determine malnutrition and showed that fewer patients were classified malnourished by the new ESPEN criteria than by PA. The authors recommended the implementation of PA into the ESPEN criteria.…”

Section: Discussionmentioning

confidence: 99%

Assessment of adult malnutrition with bioelectrical impedance analysis

Geisler

Hübers²,

Müller

2018

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“…Well-nourished cells have enough resources and energy to build and maintain the proper structure of their membranes. Thus, it results in high electrical capacitance and high PA. Relatedly, malnutrition can be characterized by low capacitance and low PA [ 8 , 9 , 10 ]. PA is a well-recognized parameter of nutritional status [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status of Coronary Artery Disease Patients—Preliminary Results

Popiołek-Kalisz

Blaszczak²

2023

IJERPH

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Introduction: Malnutrition is a condition that negatively impacts the clinical outcomes of numerous diseases. The aim of this study was to assess the nutritional status of coronary artery disease (CAD) patients and to investigate its relationship with the main clinical aspects of CAD. Material and methods: 50 CAD patients undergoing coronary angiography were enrolled in this study. The nutritional status assessment was based on Nutritional Risk Score 2002 (NRS 2002), body mass index (BMI), and bioelectrical impedance analysis (BIA) measurements. Results: The analysis showed a moderate inverse correlation between NRS 2002 and BIA phase angle measured at 50 kHz (R: −0.31; p = 0.03) and Z200/5 parameter (R: 0.34; p = 0.02). The analysis of CAD clinical parameters showed a significant correlation between NRS 2002 and Canadian Cardiovascular Society (CCS) class (R: 0.37; p = 0.01). Left ventricle ejection fraction (LVEF) was correlated with BMI (R: 0.38; p = 0.02), however further BIA revealed hydration changes as LVEF was correlated to intracellular (ICF) and extracellular fluid (ECF) proportion: positively with ICF (R: 0.38; p = 0.02) and negatively with ECF (R: −0.39; p = 0.02). Conclusions: NRS 2002 and BIA are valuable tools for nutritional status assessment in CAD patients. Malnutrition is related to the severity of CAD symptoms, particularly in women. Maintaining proper nutritional status can have a potentially important role in this group of patients.

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Concordance of the new ESPEN criteria with low phase angle in defining early stages of malnutrition in cardiac surgery

Cited by 9 publications

References 34 publications

Bioelectrical impedance analysis for perioperative water management in adult cardiovascular valve disease surgery

Bioelectrical impedance analysis for perioperative water management in adult cardiovascular valve disease surgery

Assessment of adult malnutrition with bioelectrical impedance analysis

Nutritional Status of Coronary Artery Disease Patients—Preliminary Results

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