Cachexia assessed by bioimpedance vector analysis as a prognostic indicator in chronic stable heart failure patients
Abstract Background This study explored whether the cachectic state assessed by bioimpedance vector analysis provides additional prognostic information about mortality from all causes. Methods We included 519 consecutive patients with stable chronic heart failure (mean age 62.5 ± 16.4 y; 286 males)....
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Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2012-09, Vol.28 (9), p.886-891 |
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creator | Castillo-Martínez, Lilia, Ph.D Colín-Ramírez, Eloisa, Ph.D Orea-Tejeda, Arturo, M.D González Islas, Dulce Gabriela, B.Ch.D Rodríguez García, Wendy Daniella, B.Ch.D Santillán Díaz, Cira, B.Ch.D Gutiérrez Rodríguez, Ana Elizabeth, B.Ch.D Vázquez Durán, Marisela, B.Ch.D Keirns Davies, Candace, M.D |
description | Abstract Background This study explored whether the cachectic state assessed by bioimpedance vector analysis provides additional prognostic information about mortality from all causes. Methods We included 519 consecutive patients with stable chronic heart failure (mean age 62.5 ± 16.4 y; 286 males). Cachexia was identified in those subjects who fell outside the right lower quadrant of the reference curve of 95% on the resistance/reactance graph [bioelectrical impedance vectorial analysis (BIVA)-cachexia]. Clinical, anthropometric, and biochemical data were also evaluated. Results Patients with BIVA-cachexia ( n = 196, 37.8%) were older and had significantly lower ejection fraction, handgrip strength, serum albumin, total cholesterol, and triglycerides. The frequency of patients with body mass index < 20, decreased muscle strength, hypoalbuminemia, anemia, anorexia, New York Heart Association functional classes III/IV and edema, as well as creatinine levels, resistance/height, and impedance index was significantly higher in the cachexia group. During 29 ± 11 mo of follow-up, 39 (19.9%) patients with BIVA-cachexia and 38 (11.7%) patients without BIVA-cachexia ( P < 0.0001) died. Conclusions The cachectic state is an independent risk factor for mortality in chronic heart failure patients. BIVA could represent a valuable tool to assess presence of cachexia as changes in body cell mass in heart failure patients because provide information additional to weight loss. |
doi_str_mv | 10.1016/j.nut.2011.11.024 |
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Methods We included 519 consecutive patients with stable chronic heart failure (mean age 62.5 ± 16.4 y; 286 males). Cachexia was identified in those subjects who fell outside the right lower quadrant of the reference curve of 95% on the resistance/reactance graph [bioelectrical impedance vectorial analysis (BIVA)-cachexia]. Clinical, anthropometric, and biochemical data were also evaluated. Results Patients with BIVA-cachexia ( n = 196, 37.8%) were older and had significantly lower ejection fraction, handgrip strength, serum albumin, total cholesterol, and triglycerides. The frequency of patients with body mass index < 20, decreased muscle strength, hypoalbuminemia, anemia, anorexia, New York Heart Association functional classes III/IV and edema, as well as creatinine levels, resistance/height, and impedance index was significantly higher in the cachexia group. During 29 ± 11 mo of follow-up, 39 (19.9%) patients with BIVA-cachexia and 38 (11.7%) patients without BIVA-cachexia ( P < 0.0001) died. Conclusions The cachectic state is an independent risk factor for mortality in chronic heart failure patients. BIVA could represent a valuable tool to assess presence of cachexia as changes in body cell mass in heart failure patients because provide information additional to weight loss.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2011.11.024</identifier><identifier>PMID: 22480798</identifier><identifier>CODEN: NUTRER</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Age Factors ; Aged ; Anemia ; Anorexia ; bioelectrical impedance ; Bioelectrical impedance vector analysis ; Biological and medical sciences ; Biomarkers - analysis ; Biomedical research ; Body Composition - physiology ; Body Height ; Body Mass Index ; Cachexia ; Cachexia - etiology ; Cachexia - mortality ; Cachexia - physiopathology ; cholesterol ; Chronic Disease ; Chronic illnesses ; Disease ; Eating disorders ; Edema ; Electric Impedance ; Feeding. Feeding behavior ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Hand Strength ; heart ; Heart failure ; Heart Failure - complications ; Heart Failure - mortality ; Heart Failure - physiopathology ; Humans ; Hypoalbuminemia ; Impedance ; Insulin Resistance ; Male ; males ; Methods ; Middle Aged ; Mortality ; muscle strength ; Nutritional Status - physiology ; patients ; Prevalence ; Risk Factors ; serum albumin ; Standard deviation ; Thinness ; triacylglycerols ; Variables ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; weight loss</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2012-09, Vol.28 (9), p.886-891</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c589t-b0734e068f3deef25cce09b02d7420d92adfe9765e3add6f1e3cf45a52d016e73</citedby><cites>FETCH-LOGICAL-c589t-b0734e068f3deef25cce09b02d7420d92adfe9765e3add6f1e3cf45a52d016e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1036964797?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26286731$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22480798$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Castillo-Martínez, Lilia, Ph.D</creatorcontrib><creatorcontrib>Colín-Ramírez, Eloisa, Ph.D</creatorcontrib><creatorcontrib>Orea-Tejeda, Arturo, M.D</creatorcontrib><creatorcontrib>González Islas, Dulce Gabriela, B.Ch.D</creatorcontrib><creatorcontrib>Rodríguez García, Wendy Daniella, B.Ch.D</creatorcontrib><creatorcontrib>Santillán Díaz, Cira, B.Ch.D</creatorcontrib><creatorcontrib>Gutiérrez Rodríguez, Ana Elizabeth, B.Ch.D</creatorcontrib><creatorcontrib>Vázquez Durán, Marisela, B.Ch.D</creatorcontrib><creatorcontrib>Keirns Davies, Candace, M.D</creatorcontrib><title>Cachexia assessed by bioimpedance vector analysis as a prognostic indicator in chronic stable heart failure patients</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>Abstract Background This study explored whether the cachectic state assessed by bioimpedance vector analysis provides additional prognostic information about mortality from all causes. Methods We included 519 consecutive patients with stable chronic heart failure (mean age 62.5 ± 16.4 y; 286 males). Cachexia was identified in those subjects who fell outside the right lower quadrant of the reference curve of 95% on the resistance/reactance graph [bioelectrical impedance vectorial analysis (BIVA)-cachexia]. Clinical, anthropometric, and biochemical data were also evaluated. Results Patients with BIVA-cachexia ( n = 196, 37.8%) were older and had significantly lower ejection fraction, handgrip strength, serum albumin, total cholesterol, and triglycerides. The frequency of patients with body mass index < 20, decreased muscle strength, hypoalbuminemia, anemia, anorexia, New York Heart Association functional classes III/IV and edema, as well as creatinine levels, resistance/height, and impedance index was significantly higher in the cachexia group. During 29 ± 11 mo of follow-up, 39 (19.9%) patients with BIVA-cachexia and 38 (11.7%) patients without BIVA-cachexia ( P < 0.0001) died. Conclusions The cachectic state is an independent risk factor for mortality in chronic heart failure patients. BIVA could represent a valuable tool to assess presence of cachexia as changes in body cell mass in heart failure patients because provide information additional to weight loss.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Anemia</subject><subject>Anorexia</subject><subject>bioelectrical impedance</subject><subject>Bioelectrical impedance vector analysis</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - analysis</subject><subject>Biomedical research</subject><subject>Body Composition - physiology</subject><subject>Body Height</subject><subject>Body Mass Index</subject><subject>Cachexia</subject><subject>Cachexia - etiology</subject><subject>Cachexia - mortality</subject><subject>Cachexia - physiopathology</subject><subject>cholesterol</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Disease</subject><subject>Eating disorders</subject><subject>Edema</subject><subject>Electric Impedance</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology and Hepatology</subject><subject>Hand Strength</subject><subject>heart</subject><subject>Heart failure</subject><subject>Heart Failure - complications</subject><subject>Heart Failure - mortality</subject><subject>Heart Failure - physiopathology</subject><subject>Humans</subject><subject>Hypoalbuminemia</subject><subject>Impedance</subject><subject>Insulin Resistance</subject><subject>Male</subject><subject>males</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>muscle strength</subject><subject>Nutritional Status - physiology</subject><subject>patients</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>serum albumin</subject><subject>Standard deviation</subject><subject>Thinness</subject><subject>triacylglycerols</subject><subject>Variables</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>weight loss</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkt-L1DAQgIso3nr6B_iiARF82XWStmnDgSCLv-DAh_OewzSZ3mbttmvSHu5_79RdPbgHDQOB8E0mmW-y7LmElQSp325X_TSuFEi54gBVPMgWsq7ypVRF8TBbQG3M0gBUZ9mTlLYAII02j7MzpYoaKlMvsnGNbkM_AwpMiTi8aA6iCUPY7clj70jckhuHKLDH7pBCYlCg2Mfhph_SGJwIvQ8OZyT0wm3i0PNhGrHpSGwI4yhaDN0USexxDNSP6Wn2qMUu0bPTfp5df_zwbf15efn105f1-8ulK2szLhuo8oJA123uiVpVOkdgGlC-KhR4o9C3ZCpdUo7e61ZS7tqixFJ57g5V-Xn25ngvv_bHRGm0u5AcdR32NEzJSqXyWoJS5f9RyKXU0oBm9NU9dDtMkbvzm9JGF5WZa8sj5eKQUqTW7mPYYTwwZGd7dmvZnp3tWQ62xzkvTjdPzY7834w_uhh4fQIwOezayIJCuuO0qnWVS-ZeHrkWB4s3kZnrK65U8ARUWqn5ExdHgrj_t4GiTY7dOPIhsm_rh_DPh767l-26wNqx-04HSnf9sElZsFfzIM5zKCVAkfP6BRI-1kM</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Castillo-Martínez, Lilia, Ph.D</creator><creator>Colín-Ramírez, Eloisa, Ph.D</creator><creator>Orea-Tejeda, Arturo, M.D</creator><creator>González Islas, Dulce Gabriela, B.Ch.D</creator><creator>Rodríguez García, Wendy Daniella, B.Ch.D</creator><creator>Santillán Díaz, Cira, B.Ch.D</creator><creator>Gutiérrez Rodríguez, Ana Elizabeth, B.Ch.D</creator><creator>Vázquez Durán, Marisela, B.Ch.D</creator><creator>Keirns Davies, Candace, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</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>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120901</creationdate><title>Cachexia assessed by bioimpedance vector analysis as a prognostic indicator in chronic stable heart failure patients</title><author>Castillo-Martínez, Lilia, Ph.D ; Colín-Ramírez, Eloisa, Ph.D ; Orea-Tejeda, Arturo, M.D ; González Islas, Dulce Gabriela, B.Ch.D ; Rodríguez García, Wendy Daniella, B.Ch.D ; Santillán Díaz, Cira, B.Ch.D ; Gutiérrez Rodríguez, Ana Elizabeth, B.Ch.D ; Vázquez Durán, Marisela, B.Ch.D ; Keirns Davies, Candace, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c589t-b0734e068f3deef25cce09b02d7420d92adfe9765e3add6f1e3cf45a52d016e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Anemia</topic><topic>Anorexia</topic><topic>bioelectrical impedance</topic><topic>Bioelectrical impedance vector analysis</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - analysis</topic><topic>Biomedical research</topic><topic>Body Composition - physiology</topic><topic>Body Height</topic><topic>Body Mass Index</topic><topic>Cachexia</topic><topic>Cachexia - etiology</topic><topic>Cachexia - mortality</topic><topic>Cachexia - physiopathology</topic><topic>cholesterol</topic><topic>Chronic Disease</topic><topic>Chronic illnesses</topic><topic>Disease</topic><topic>Eating disorders</topic><topic>Edema</topic><topic>Electric Impedance</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Hand Strength</topic><topic>heart</topic><topic>Heart failure</topic><topic>Heart Failure - complications</topic><topic>Heart Failure - mortality</topic><topic>Heart Failure - physiopathology</topic><topic>Humans</topic><topic>Hypoalbuminemia</topic><topic>Impedance</topic><topic>Insulin Resistance</topic><topic>Male</topic><topic>males</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>muscle strength</topic><topic>Nutritional Status - physiology</topic><topic>patients</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>serum albumin</topic><topic>Standard deviation</topic><topic>Thinness</topic><topic>triacylglycerols</topic><topic>Variables</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>Castillo-Martínez, Lilia, Ph.D</creatorcontrib><creatorcontrib>Colín-Ramírez, Eloisa, Ph.D</creatorcontrib><creatorcontrib>Orea-Tejeda, Arturo, M.D</creatorcontrib><creatorcontrib>González Islas, Dulce Gabriela, B.Ch.D</creatorcontrib><creatorcontrib>Rodríguez García, Wendy Daniella, B.Ch.D</creatorcontrib><creatorcontrib>Santillán Díaz, Cira, B.Ch.D</creatorcontrib><creatorcontrib>Gutiérrez Rodríguez, Ana Elizabeth, B.Ch.D</creatorcontrib><creatorcontrib>Vázquez Durán, Marisela, B.Ch.D</creatorcontrib><creatorcontrib>Keirns Davies, Candace, M.D</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>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Castillo-Martínez, Lilia, Ph.D</au><au>Colín-Ramírez, Eloisa, Ph.D</au><au>Orea-Tejeda, Arturo, M.D</au><au>González Islas, Dulce Gabriela, B.Ch.D</au><au>Rodríguez García, Wendy Daniella, B.Ch.D</au><au>Santillán Díaz, Cira, B.Ch.D</au><au>Gutiérrez Rodríguez, Ana Elizabeth, B.Ch.D</au><au>Vázquez Durán, Marisela, B.Ch.D</au><au>Keirns Davies, Candace, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cachexia assessed by bioimpedance vector analysis as a prognostic indicator in chronic stable heart failure patients</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>28</volume><issue>9</issue><spage>886</spage><epage>891</epage><pages>886-891</pages><issn>0899-9007</issn><eissn>1873-1244</eissn><coden>NUTRER</coden><abstract>Abstract Background This study explored whether the cachectic state assessed by bioimpedance vector analysis provides additional prognostic information about mortality from all causes. Methods We included 519 consecutive patients with stable chronic heart failure (mean age 62.5 ± 16.4 y; 286 males). Cachexia was identified in those subjects who fell outside the right lower quadrant of the reference curve of 95% on the resistance/reactance graph [bioelectrical impedance vectorial analysis (BIVA)-cachexia]. Clinical, anthropometric, and biochemical data were also evaluated. Results Patients with BIVA-cachexia ( n = 196, 37.8%) were older and had significantly lower ejection fraction, handgrip strength, serum albumin, total cholesterol, and triglycerides. The frequency of patients with body mass index < 20, decreased muscle strength, hypoalbuminemia, anemia, anorexia, New York Heart Association functional classes III/IV and edema, as well as creatinine levels, resistance/height, and impedance index was significantly higher in the cachexia group. During 29 ± 11 mo of follow-up, 39 (19.9%) patients with BIVA-cachexia and 38 (11.7%) patients without BIVA-cachexia ( P < 0.0001) died. Conclusions The cachectic state is an independent risk factor for mortality in chronic heart failure patients. BIVA could represent a valuable tool to assess presence of cachexia as changes in body cell mass in heart failure patients because provide information additional to weight loss.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22480798</pmid><doi>10.1016/j.nut.2011.11.024</doi><tpages>6</tpages></addata></record> |
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subjects | Age Factors Aged Anemia Anorexia bioelectrical impedance Bioelectrical impedance vector analysis Biological and medical sciences Biomarkers - analysis Biomedical research Body Composition - physiology Body Height Body Mass Index Cachexia Cachexia - etiology Cachexia - mortality Cachexia - physiopathology cholesterol Chronic Disease Chronic illnesses Disease Eating disorders Edema Electric Impedance Feeding. Feeding behavior Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Gastroenterology and Hepatology Hand Strength heart Heart failure Heart Failure - complications Heart Failure - mortality Heart Failure - physiopathology Humans Hypoalbuminemia Impedance Insulin Resistance Male males Methods Middle Aged Mortality muscle strength Nutritional Status - physiology patients Prevalence Risk Factors serum albumin Standard deviation Thinness triacylglycerols Variables Vertebrates: anatomy and physiology, studies on body, several organs or systems weight loss |
title | Cachexia assessed by bioimpedance vector analysis as a prognostic indicator in chronic stable heart failure patients |
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