The utility of a phase angle analysis in patients with severe motor and intellectual disabilities

Yoshida, Misao; Asagiri, Kimio; Fukahori, Suguru; Tanaka, Yoshiaki; Hashizume, Naoki; Ishii, Shinji; Saikusa, Nobuyuki; Higashidate, Naruki; Masui, Daisuke; Komatsuzaki, Naoko; Nakahara, Hiroyuki; Yagi, Minoru; Yamashita, Yushiro

doi:10.1016/j.braindev.2017.03.003

Cited by 15 publications

(12 citation statements)

References 18 publications

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“…Reports from some studies indicate that a higher ECW/TBW ratio can be predictive of sarcopenia [ 14 , 15 ]. During aging, TBW decreases, mostly because of a decrease in ICW [ 43 ], because of a reduction in muscle mass relative to fat mass [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

“…An age-related decrease in ICW may reflect a reduction in muscle cell hydration, which may have implications on the mechanical and metabolic functions of muscle [ 45 ]. As the ECW/TBW ratio reflects the movement of water from the intracellular to extracellular compartment, along with changes in the cell membrane potential, it could be used as an indicator of the water balance within the body to mark the edema, the result of adipose tissue expansion [ 15 , 16 ], or the early detection of sarcopenia [ 45 ]. Other studies have reported that individuals with sarcopenia have a higher ECW% compared with those without sarcopenia [ 14 , 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…Apart from bone, muscle, and adipose tissue deteriorations (leading to osteoporosis, sarcopenia, and obesity, respectively), body fluids also change with aging, particularly extracellular water (ECW) [ 14 ]. Recent studies have demonstrated that the ratio of ECW to total body water (TBW) is increased in people with sarcopenia and some musculoskeletal problems, and that it can be used for the early identification of individuals at risk for those diseases [ 14 , 15 ]. Additionally, people with obesity have an enlarged ECW compartment compared with the intracellular water (ICW) compartment because of the high ECW/ICW ratio in the adipose tissue [ 16 , 17 ], as well as obesity-related edema and hormonal changes related to adipose tissue [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Body Composition and Dietary Intake in Nursing-Home Residents: Could Lessons Learned from the COVID-19 Pandemic Be Used to Prevent Future Casualties in Older Individuals?

et al. 2021

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The population of older adults, especially those living in the nursing homes, is growing. The sedentary lifestyle and possible poor nutrition in nursing homes place residents (NHRs) at risk for body composition impairments, malnutrition, and, subsequently, numerous chronic diseases. The aim of this study was to assess body composition (including body fluids) and dietary intake in NHRs. The association between osteosarcopenic adiposity syndrome (OSA) and its components, osteopenic adiposity (OA), sarcopenic adiposity (SA), and adiposity-only (AD), and specific macro- and micro-nutrients was evaluated as well. The study included 84 participants (82.1% women), aged 65.3–95.2 years. Body composition was assessed with an advanced bioelectrical impedance device BIA-ACC® and dietary intake was assessed via 24-h recall and analyzed using “Nutrition” software. The majority (95%) of participants were overweight with a high body fat and low muscle and bone mass, leading to a high prevalence of OSA (>50%), OA (13%), and AD (26%). There were only a few participants with SA, and they were not analyzed. The highest extracellular water/total body water ratio was observed in the OSA participants, indicating a heightened inflammatory state. Participants in all three body composition categories had a similar nutrient intake, with protein, fiber, omega-3 fatty acids, and almost all micronutrients being far below recommendations. In conclusion, a high prevalence of OSA among NHRs accompanied by a poor dietary intake, could place these residents at a very high risk for COVID-19 infections. Therefore, optimization of body composition and nutritional status should be included along with standard medical care in order to provide better health maintenance, particularly in the COVID-19 era.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of Body Composition and Dietary Intake in Nursing-Home Residents: Could Lessons Learned from the COVID-19 Pandemic Be Used to Prevent Future Casualties in Older Individuals?

et al. 2021

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“…PA could be used in the evaluation of nutritional assessment, muscle function, and type 2 diabetes (Chen & Zhou, 2019; Dittmar et al., 2015; Player et al., 2019; Yamada et al., 2018). Yoshida's study indicated that patients with severe motor and intellectual disabilities have lower PA value and ECW/TBW (Yoshida et al., 2017). Besides PA, MAC and body composition also could be used as the indicators for PEW diagnosis in RRT patients (Krishnamoorthy et al., 2015; Leal Escobar et al., 2019; Powrózek et al., 2019; Shin et al., 2017).…”

Section: Introductionmentioning

confidence: 99%

“…PA could be used in the evaluation of nutritional assessment, muscle function, and type 2 diabetes Dittmar et al, 2015;Player et al, 2019;Yamada et al, 2018). Yoshida's study indicated that patients with severe motor and intellectual disabilities have lower PA value and ECW/TBW (Yoshida et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Predicational ability of phase angle on protein energy wasting in kidney disease patients with renal replacement therapy: A cross‐sectional study

Zhou

Yao

Pan

et al. 2021

Food Science & Nutrition

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Objective To investigate the ability of phase angle (PA) and body composition for predicting protein energy wasting (PEW) in renal replacement therapy (RRT) patients. Methods Renal replacement therapy (RRT) patients were enrolled in this study. Body composition was measured by direct segmental multi‐frequency biolectrical impedance analysis method (DSM‐BIA); phase angle (PA), fat‐free mass (FFM), fat mass (FM), mid‐arm circumference (MAC), WC (waist circumference), and ECW/TBW (extracellular water/total body water) were obtained. Biochemicals (serum albumin, triglyceride, and cholesterol) were tested. PEW patients were classified according to ISRNM (The International Society of Renal Nutrition and Metabolism) criteria. Cutoff value of PA and related variables was calculated by ROC analysis. The ability of body composition variables as indicators to predict PEW was evaluated. Results Sixty‐four patients were enrolled in this study. Thirty‐three patients (52.6%) were males, and forty (62.5%) patients were diagnosed with PEW. The ROC curve showed that the optimal cutoff values of PA, FFMI (fat‐free mass index), MAC, WC, and BMI for PEW risk were 4.45°, 16.71, 29.7 cm, 86.4 cm, and 21.1 kg/m2, respectively. These indicators showed significant association with PEW; meanwhile, the PA and MAC can be used as the predictors for PEW with OR 6.333 (95% CI, 1.956–20.505) and 3.267 (95% CI, 1.136–9.394), respectively. Both groups have a lower BUN/Cr ratio (<20). Conclusion In the RRT patients, over than 60% patients were diagnosed with PEW. PA, MAC, and other body composition can be used as the independent indicators for predicting PEW in renal replacement therapy kidney disease patients.

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Higher extracellular water-to-total body water ratio more strongly reflects the locomotive syndrome risk and frailty than sarcopenia

Tanaka

Ando

Kobayashi

et al. 2020

Archives of Gerontology and Geriatrics

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The utility of a phase angle analysis in patients with severe motor and intellectual disabilities

Cited by 15 publications

References 18 publications

Assessment of Body Composition and Dietary Intake in Nursing-Home Residents: Could Lessons Learned from the COVID-19 Pandemic Be Used to Prevent Future Casualties in Older Individuals?

Assessment of Body Composition and Dietary Intake in Nursing-Home Residents: Could Lessons Learned from the COVID-19 Pandemic Be Used to Prevent Future Casualties in Older Individuals?

Predicational ability of phase angle on protein energy wasting in kidney disease patients with renal replacement therapy: A cross‐sectional study

Higher extracellular water-to-total body water ratio more strongly reflects the locomotive syndrome risk and frailty than sarcopenia

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