Bioelectrical impedance analysis for measuring body composition in an outpatient haemodialysis setting: A feasibility study

Aim: Clinical guidelines recommend using bioelectrical impedance analysis (BIA) to assess body composition in adults with renal failure on maintenance haemodialysis. This study evaluated the feasibility, acceptability and clinical utility of using BIA with haemodialysis outpatients. Methods: Patients attending the haemodialysis outpatient unit at a tertiary public hospital in Australia were consecutively recruited. Participants completed a pre- and post-dialysis BIA measure and satisfaction survey about the measurement process. Primary outcomes pertained to feasibility (recruitment and measurement completion rates). Secondary outcomes included acceptability, assessed via patient satisfaction surveys, and predictive value of BIA for identifying malnutrition according to Subjective Global Assessment (SGA). Continuous variables were presented as mean +/- standard deviation (or median and interquartile range). Binomial logistic regression was performed to determine the predictive value of BIA for identifying malnutrition. Receiver operating characteristic curve analysis was used to evaluate BIA parameters for their ability to discriminate malnourished patients (determined by SGA) from well-nourished patients. Statistical significance was established at p