The bioelectrical impedance phase angle as an indicator of undernutrition and adverse clinical outcome in cardiac surgical patients
Summary Background & aims In cardiac surgical patients, undernutrition increases the risk of adverse clinical outcome. We investigated whether the bioelectrical impedance phase angle is an indicator of undernutrition and clinical outcome in cardiac surgery. Methods In 325 cardiac surgical patien...
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| Veröffentlicht in: | Clinical nutrition (Edinburgh, Scotland) Scotland), 2012-12, Vol.31 (6), p.981-986 |
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| creator | Visser, Marlieke van Venrooij, Lenny M.W Wanders, Dominique C.M de Vos, Rien Wisselink, Willem van Leeuwen, Paul A.M de Mol, Bas A.J.M |
| description | Summary Background & aims In cardiac surgical patients, undernutrition increases the risk of adverse clinical outcome. We investigated whether the bioelectrical impedance phase angle is an indicator of undernutrition and clinical outcome in cardiac surgery. Methods In 325 cardiac surgical patients, we prospectively analyzed the associations between a preoperative low phase angle, measured by bioelectrical impedance spectroscopy, and well-established indicators of undernutrition such as body mass index (kg/m2 ), unintended weight loss, and fat free mass index (kg/m2 ), and muscle strength (handgrip strength (kg)), immune function (C-reactive protein and albumin), and adverse clinical outcomes. Results A low phase angle ( |
| doi_str_mv | 10.1016/j.clnu.2012.05.002 |
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We investigated whether the bioelectrical impedance phase angle is an indicator of undernutrition and clinical outcome in cardiac surgery. Methods In 325 cardiac surgical patients, we prospectively analyzed the associations between a preoperative low phase angle, measured by bioelectrical impedance spectroscopy, and well-established indicators of undernutrition such as body mass index (kg/m2 ), unintended weight loss, and fat free mass index (kg/m2 ), and muscle strength (handgrip strength (kg)), immune function (C-reactive protein and albumin), and adverse clinical outcomes. Results A low phase angle (<5.38°) was present in 29.8% ( n = 96) of the patients, and was associated with low body mass index ( p < 0.001), low fat free mass index ( p < 0.001), and less handgrip strength ( p = 0.063), but not with unintended weight loss or immune function. Furthermore, a preoperative low phase angle was associated with a prolonged intensive care unit and hospital stay (adj. hazard ratio: 0.68; 95%CI: 0.49–0.94; p = 0.020 and adj. hazard ratio: 0.74; 95%CI: 0.55–0.99; p = 0.048, respectively). Conclusions A preoperative low bioelectrical impedance phase angle is associated with undernutrition, and increases the risk of adverse clinical outcome after cardiac surgery. The phase angle might help to identify undernourished cardiac surgical patients.</description><identifier>ISSN: 0261-5614</identifier><identifier>EISSN: 1532-1983</identifier><identifier>DOI: 10.1016/j.clnu.2012.05.002</identifier><identifier>PMID: 22640476</identifier><identifier>CODEN: CLNUDP</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Aged ; albumins ; bioelectrical impedance ; Bioelectrical impedance spectroscopy ; Biological and medical sciences ; Body Composition ; Body Mass Index ; C-reactive protein ; C-Reactive Protein - analysis ; C-Reactive Protein - metabolism ; Cardiac surgery ; Cardiac Surgical Procedures - adverse effects ; Clinical outcome ; dielectric spectroscopy ; Electric Impedance ; Fat free mass ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Hospitalization ; Humans ; Length of Stay ; Male ; malnutrition ; Malnutrition - diagnosis ; Malnutrition - physiopathology ; Medical sciences ; Metabolic diseases ; Middle Aged ; muscle strength ; Muscle Strength - physiology ; Nutritional Status ; Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) ; patients ; Phase angle ; Preoperative Care ; Prospective Studies ; risk ; Serum Albumin - analysis ; surgery ; Treatment Outcome ; Undernutrition ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Weight Loss</subject><ispartof>Clinical nutrition (Edinburgh, Scotland), 2012-12, Vol.31 (6), p.981-986</ispartof><rights>Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-b30385b698e5cc0c965859dc5092f6aa9e02aa97edca4b61deff56fc337ac6363</citedby><cites>FETCH-LOGICAL-c465t-b30385b698e5cc0c965859dc5092f6aa9e02aa97edca4b61deff56fc337ac6363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0261561412001021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26742707$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22640476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Visser, Marlieke</creatorcontrib><creatorcontrib>van Venrooij, Lenny M.W</creatorcontrib><creatorcontrib>Wanders, Dominique C.M</creatorcontrib><creatorcontrib>de Vos, Rien</creatorcontrib><creatorcontrib>Wisselink, Willem</creatorcontrib><creatorcontrib>van Leeuwen, Paul A.M</creatorcontrib><creatorcontrib>de Mol, Bas A.J.M</creatorcontrib><title>The bioelectrical impedance phase angle as an indicator of undernutrition and adverse clinical outcome in cardiac surgical patients</title><title>Clinical nutrition (Edinburgh, Scotland)</title><addtitle>Clin Nutr</addtitle><description>Summary Background & aims In cardiac surgical patients, undernutrition increases the risk of adverse clinical outcome. We investigated whether the bioelectrical impedance phase angle is an indicator of undernutrition and clinical outcome in cardiac surgery. Methods In 325 cardiac surgical patients, we prospectively analyzed the associations between a preoperative low phase angle, measured by bioelectrical impedance spectroscopy, and well-established indicators of undernutrition such as body mass index (kg/m2 ), unintended weight loss, and fat free mass index (kg/m2 ), and muscle strength (handgrip strength (kg)), immune function (C-reactive protein and albumin), and adverse clinical outcomes. Results A low phase angle (<5.38°) was present in 29.8% ( n = 96) of the patients, and was associated with low body mass index ( p < 0.001), low fat free mass index ( p < 0.001), and less handgrip strength ( p = 0.063), but not with unintended weight loss or immune function. Furthermore, a preoperative low phase angle was associated with a prolonged intensive care unit and hospital stay (adj. hazard ratio: 0.68; 95%CI: 0.49–0.94; p = 0.020 and adj. hazard ratio: 0.74; 95%CI: 0.55–0.99; p = 0.048, respectively). Conclusions A preoperative low bioelectrical impedance phase angle is associated with undernutrition, and increases the risk of adverse clinical outcome after cardiac surgery. The phase angle might help to identify undernourished cardiac surgical patients.</description><subject>Aged</subject><subject>albumins</subject><subject>bioelectrical impedance</subject><subject>Bioelectrical impedance spectroscopy</subject><subject>Biological and medical sciences</subject><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>C-reactive protein</subject><subject>C-Reactive Protein - analysis</subject><subject>C-Reactive Protein - metabolism</subject><subject>Cardiac surgery</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Clinical outcome</subject><subject>dielectric spectroscopy</subject><subject>Electric Impedance</subject><subject>Fat free mass</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - physiopathology</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Middle Aged</subject><subject>muscle strength</subject><subject>Muscle Strength - physiology</subject><subject>Nutritional Status</subject><subject>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</subject><subject>patients</subject><subject>Phase angle</subject><subject>Preoperative Care</subject><subject>Prospective Studies</subject><subject>risk</subject><subject>Serum Albumin - analysis</subject><subject>surgery</subject><subject>Treatment Outcome</subject><subject>Undernutrition</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Weight Loss</subject><issn>0261-5614</issn><issn>1532-1983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ksFu1DAQhiMEokvhBThALkhcNozt2EkkhIQqWpAqcWh7trz2ZOslsRc7qdQzL86kuwWJAxfb0nz_2PrGRfGaQcWAqQ-7yg5hrjgwXoGsAPiTYsWk4GvWteJpsQKu2FoqVp8UL3LeAYAUTfu8OOFc1VA3alX8ur7FcuMjDmin5K0ZSj_u0ZlgsdzfmoylCduB1kyH0gdHzBRTGftyDg5TmCk2-Rio7Erj7jBRxg4-PDSL82TjiBQsrUnOG1vmOW0fanszeQxTflk8682Q8dVxPy1uzr9cn31dX36_-Hb2-XJtayWn9UaAaOVGdS1Ka8F2Srayc1ZCx3tlTIfAaW3QWVNvFHPY91L1VojGWCWUOC3eH_ruU_w5Y5706LPFYTAB45w14xyaTii-oPyA2hRzTtjrffKjSfeagV7k651e5OtFvgapST6F3hz7z5sR3Z_Io20C3h0Bk0lAn8iyz3851dS8gYa4tweuN1GbbSLm5opukjTBpuNtTcTHA4Hk685j0tmSS4vOJxqkdtH__6Wf_ok_DuwH3mPexTkFmoRmOlNGXy0faflHjAMw4Ez8BpYHwyA</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Visser, Marlieke</creator><creator>van Venrooij, Lenny M.W</creator><creator>Wanders, Dominique C.M</creator><creator>de Vos, Rien</creator><creator>Wisselink, Willem</creator><creator>van Leeuwen, Paul A.M</creator><creator>de Mol, Bas A.J.M</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>The bioelectrical impedance phase angle as an indicator of undernutrition and adverse clinical outcome in cardiac surgical patients</title><author>Visser, Marlieke ; van Venrooij, Lenny M.W ; Wanders, Dominique C.M ; de Vos, Rien ; Wisselink, Willem ; van Leeuwen, Paul A.M ; de Mol, Bas A.J.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-b30385b698e5cc0c965859dc5092f6aa9e02aa97edca4b61deff56fc337ac6363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>albumins</topic><topic>bioelectrical impedance</topic><topic>Bioelectrical impedance spectroscopy</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Body Mass Index</topic><topic>C-reactive protein</topic><topic>C-Reactive Protein - analysis</topic><topic>C-Reactive Protein - metabolism</topic><topic>Cardiac surgery</topic><topic>Cardiac Surgical Procedures - adverse effects</topic><topic>Clinical outcome</topic><topic>dielectric spectroscopy</topic><topic>Electric Impedance</topic><topic>Fat free mass</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>malnutrition</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - physiopathology</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>muscle strength</topic><topic>Muscle Strength - physiology</topic><topic>Nutritional Status</topic><topic>Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)</topic><topic>patients</topic><topic>Phase angle</topic><topic>Preoperative Care</topic><topic>Prospective Studies</topic><topic>risk</topic><topic>Serum Albumin - analysis</topic><topic>surgery</topic><topic>Treatment Outcome</topic><topic>Undernutrition</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Visser, Marlieke</creatorcontrib><creatorcontrib>van Venrooij, Lenny M.W</creatorcontrib><creatorcontrib>Wanders, Dominique C.M</creatorcontrib><creatorcontrib>de Vos, Rien</creatorcontrib><creatorcontrib>Wisselink, Willem</creatorcontrib><creatorcontrib>van Leeuwen, Paul A.M</creatorcontrib><creatorcontrib>de Mol, Bas A.J.M</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Visser, Marlieke</au><au>van Venrooij, Lenny M.W</au><au>Wanders, Dominique C.M</au><au>de Vos, Rien</au><au>Wisselink, Willem</au><au>van Leeuwen, Paul A.M</au><au>de Mol, Bas A.J.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The bioelectrical impedance phase angle as an indicator of undernutrition and adverse clinical outcome in cardiac surgical patients</atitle><jtitle>Clinical nutrition (Edinburgh, Scotland)</jtitle><addtitle>Clin Nutr</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>31</volume><issue>6</issue><spage>981</spage><epage>986</epage><pages>981-986</pages><issn>0261-5614</issn><eissn>1532-1983</eissn><coden>CLNUDP</coden><abstract>Summary Background & aims In cardiac surgical patients, undernutrition increases the risk of adverse clinical outcome. We investigated whether the bioelectrical impedance phase angle is an indicator of undernutrition and clinical outcome in cardiac surgery. Methods In 325 cardiac surgical patients, we prospectively analyzed the associations between a preoperative low phase angle, measured by bioelectrical impedance spectroscopy, and well-established indicators of undernutrition such as body mass index (kg/m2 ), unintended weight loss, and fat free mass index (kg/m2 ), and muscle strength (handgrip strength (kg)), immune function (C-reactive protein and albumin), and adverse clinical outcomes. Results A low phase angle (<5.38°) was present in 29.8% ( n = 96) of the patients, and was associated with low body mass index ( p < 0.001), low fat free mass index ( p < 0.001), and less handgrip strength ( p = 0.063), but not with unintended weight loss or immune function. Furthermore, a preoperative low phase angle was associated with a prolonged intensive care unit and hospital stay (adj. hazard ratio: 0.68; 95%CI: 0.49–0.94; p = 0.020 and adj. hazard ratio: 0.74; 95%CI: 0.55–0.99; p = 0.048, respectively). Conclusions A preoperative low bioelectrical impedance phase angle is associated with undernutrition, and increases the risk of adverse clinical outcome after cardiac surgery. The phase angle might help to identify undernourished cardiac surgical patients.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>22640476</pmid><doi>10.1016/j.clnu.2012.05.002</doi><tpages>6</tpages></addata></record> |
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| ispartof | Clinical nutrition (Edinburgh, Scotland), 2012-12, Vol.31 (6), p.981-986 |
| issn | 0261-5614 1532-1983 |
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| subjects | Aged albumins bioelectrical impedance Bioelectrical impedance spectroscopy Biological and medical sciences Body Composition Body Mass Index C-reactive protein C-Reactive Protein - analysis C-Reactive Protein - metabolism Cardiac surgery Cardiac Surgical Procedures - adverse effects Clinical outcome dielectric spectroscopy Electric Impedance Fat free mass Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Gastroenterology and Hepatology Hospitalization Humans Length of Stay Male malnutrition Malnutrition - diagnosis Malnutrition - physiopathology Medical sciences Metabolic diseases Middle Aged muscle strength Muscle Strength - physiology Nutritional Status Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...) patients Phase angle Preoperative Care Prospective Studies risk Serum Albumin - analysis surgery Treatment Outcome Undernutrition Vertebrates: anatomy and physiology, studies on body, several organs or systems Weight Loss |
| title | The bioelectrical impedance phase angle as an indicator of undernutrition and adverse clinical outcome in cardiac surgical patients |
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