Details

Autor(en) / Beteiligte

• Topete-Reyes, Jorge F
• López-Lozano, Carlos A
• López-Báez, Sandra L
• Barbarín-Vázquez, Anel V
• Cervantes-Villalobos, Ma L
• Navarro-Rodríguez, Jesemil
• Parra-Michel, Renato
• Pazarín-Villaseñor, H Leonardo
• Meza-Guillén, Daniela
• Torres-Tamayo, Margarita
• Medina-Urrutia, Aída X
• Juárez-Rojas, Juan G

Titel

Determinación del estado nutricional mediante el ángulo de fase en pacientes en hemodiálisis

Ist Teil von

• Gaceta médica de México, 2019, Vol.155 (3), p.229-235

Ort / Verlag

Mexico

Erscheinungsjahr

2019

Link zum Volltext

Quelle

EZB-FREE-00999 freely available EZB journals

Beschreibungen/Notizen

• Multi-frequency bio-impedance analysis (BIA) accurately evaluates body composition. To assess nutritional status and its relationship with body mass index (BMI) or with BIA-obtained phase angle in patients with end-stage renal disease (ESRD) on hemodialysis. BMI, BIA and dialysis malnutrition score (DMS) were assessed in 99 patients on hemodialysis (43.6 ± 17.2 years of age, 58.8% males). Multivariate linear regression analysis was used to determine BMI and phase angle independent associations with DMS. Malnutrition risk (DMS > 13) showed a gradual increase among patients with normal BMI and phase angle (44.4%), low BMI (45.8%), low phase angle (64.0%), and in those with both parameters at abnormal ranges (68.0%). The phase angle was the only variable that was independently associated with patient nutritional status (standardized coefficient beta -0.372, p < 0.001), accounting for 13.8% of DMS variation. Phase angle is inversely and independently associated with malnutrition risk in patients with ESRD, which suggests that BIA-assessed body composition might be better than BMI in the clinical assessment of patients with ESRD.