Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients?
Background/objectives Phase angle (PhA) serves as a prognostic marker in various clinical scenarios, reflecting oxidative stress and cellular damage. Despite its clinical relevance, its connection with adiposity and cardiovascular risk markers remains underexplored. Hence, our study sought to invest...
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| Veröffentlicht in: | European journal of clinical nutrition 2024-06, Vol.78 (6), p.527-533 |
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| creator | Ferraz, Victoria Domingues da Costa Pereira, Jarson Pedro Pinho Ramiro, Claudia Porto Sabino Floro Arcoverde, Gabriela Maria Pereira Rodrigues, Isa Galvão Chagas, Camila Lima de Queiroz, José Reginaldo Alves de Lemos, Maria Conceição Chaves da Silva Diniz, Alcides de Arruda, Ilma Kruze Grande |
| description | Background/objectives
Phase angle (PhA) serves as a prognostic marker in various clinical scenarios, reflecting oxidative stress and cellular damage. Despite its clinical relevance, its connection with adiposity and cardiovascular risk markers remains underexplored. Hence, our study sought to investigate the relationship between PhA and metabolic, adiposity, and cardiovascular risk parameters among outpatients with cardiology diagnosis.
Subjects/methods
Adults aged between 26 and 59 years, under the care of a cardiology unit, were included. Ultrasound imaging was used to assess visceral adipose tissue (VAT). Single-frequency bioelectrical impedance analysis (BIA) [50 kHz] was employed to calculate PhA, from BIA’s resistance and reactance measurements. Muscle strength, body mass index, waist circumference, and waist-to-height ratio were also evaluated. Framingham’s risk score was calculated to estimate the cardiovascular risk events. Metabolic blood samples’ results were obtained from medical records.
Results
One hundred and five participants were included in our study. Low PhA was observed in 29.5% of our sample. Higher PhA values were independently and inversely associated with both higher VAT and cardiovascular risk (
adjusted
OR: 0.79 [95% CI 0.69;0.91], OR: 0.74 [95% CI 0.60;0.89], respectively). Lower PhA values (≤5.59) were goodly associated with high VAT (AUC: 0.82
p
|
| doi_str_mv | 10.1038/s41430-024-01435-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2974001211</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3068991354</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-aa67c06348178734fe0b60b2b11af7e1e60ec3157291f690fdc4ad83a0ecfd9d3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EokvLH-CALHHhEjr-iJ2cEKqgVKrUCz1bju1sXbJx8Dit9t_jsgtIHLiMR-Nn3hnNS8gbBh8YiO4cJZMCGuCygZq1jX5GNkxq1bRKwnOygb6VjQDQJ-QV4j1USmv-kpyIrmWy4_2GhCuky53FQO28nWpETC7aEjx9jOWOPkR0IduJWh-XhLHsK-ips9nHtAvFDmmKjuaI32mcj_Upbfc0rWWxJYa54Mcz8mK0E4bXx_eU3H75_O3ia3N9c3l18em6cYKr0lirtAMlZMd0p4UcAwwKBj4wZkcdWFAQnGCt5j0bVQ-jd9L6TthaHn3vxSl5f9BdcvqxBixm97T_NNk5pBUN77WsV-CMVfTdP-h9WvNctzMCVNf3TLSyUvxAuZwQcxjNkuPO5r1hYJ5MMAcTTDXB_DLB6Nr09ii9Drvg_7T8vnoFxAHA-jVvQ_47-z-yPwENb5MB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3068991354</pqid></control><display><type>article</type><title>Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients?</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Ferraz, Victoria Domingues ; da Costa Pereira, Jarson Pedro ; Pinho Ramiro, Claudia Porto Sabino ; Floro Arcoverde, Gabriela Maria Pereira ; Rodrigues, Isa Galvão ; Chagas, Camila Lima ; de Queiroz, José Reginaldo Alves ; de Lemos, Maria Conceição Chaves ; da Silva Diniz, Alcides ; de Arruda, Ilma Kruze Grande</creator><creatorcontrib>Ferraz, Victoria Domingues ; da Costa Pereira, Jarson Pedro ; Pinho Ramiro, Claudia Porto Sabino ; Floro Arcoverde, Gabriela Maria Pereira ; Rodrigues, Isa Galvão ; Chagas, Camila Lima ; de Queiroz, José Reginaldo Alves ; de Lemos, Maria Conceição Chaves ; da Silva Diniz, Alcides ; de Arruda, Ilma Kruze Grande</creatorcontrib><description>Background/objectives
Phase angle (PhA) serves as a prognostic marker in various clinical scenarios, reflecting oxidative stress and cellular damage. Despite its clinical relevance, its connection with adiposity and cardiovascular risk markers remains underexplored. Hence, our study sought to investigate the relationship between PhA and metabolic, adiposity, and cardiovascular risk parameters among outpatients with cardiology diagnosis.
Subjects/methods
Adults aged between 26 and 59 years, under the care of a cardiology unit, were included. Ultrasound imaging was used to assess visceral adipose tissue (VAT). Single-frequency bioelectrical impedance analysis (BIA) [50 kHz] was employed to calculate PhA, from BIA’s resistance and reactance measurements. Muscle strength, body mass index, waist circumference, and waist-to-height ratio were also evaluated. Framingham’s risk score was calculated to estimate the cardiovascular risk events. Metabolic blood samples’ results were obtained from medical records.
Results
One hundred and five participants were included in our study. Low PhA was observed in 29.5% of our sample. Higher PhA values were independently and inversely associated with both higher VAT and cardiovascular risk (
adjusted
OR: 0.79 [95% CI 0.69;0.91], OR: 0.74 [95% CI 0.60;0.89], respectively). Lower PhA values (≤5.59) were goodly associated with high VAT (AUC: 0.82
p
< 0.001). Lower PhA values (≤5.06) were fairly associated with higher cardiovascular risk (AUC: 0.70
p
= 0.003).
Conclusion
Our study provides evidence that PhA is independently and inversely associated with elevated VAT and cardiovascular risk. These findings underscore the potential of PhA as a valuable complementary marker in assessing cardiometabolic health.</description><identifier>ISSN: 0954-3007</identifier><identifier>ISSN: 1476-5640</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-024-01435-7</identifier><identifier>PMID: 38514829</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/163/2743/393 ; 692/499 ; 692/53 ; 692/699/2743/137/773 ; 692/699/75/243 ; Adipose tissue ; Adiposity ; Adult ; Bioelectricity ; Body Mass Index ; Body size ; Cardiology ; Cardiometabolic Risk Factors ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - etiology ; Clinical Nutrition ; Cross-Sectional Studies ; Electric Impedance ; Epidemiology ; Female ; Health risks ; Humans ; Internal Medicine ; Intra-Abdominal Fat ; Male ; Medical records ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Metabolism ; Middle Aged ; Muscle strength ; Obesity, Abdominal - complications ; Outpatients - statistics & numerical data ; Oxidative stress ; Phase shift ; Public Health ; Reactance ; Risk ; Risk Factors ; Waist Circumference</subject><ispartof>European journal of clinical nutrition, 2024-06, Vol.78 (6), p.527-533</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer Nature Limited.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-aa67c06348178734fe0b60b2b11af7e1e60ec3157291f690fdc4ad83a0ecfd9d3</cites><orcidid>0000-0001-5412-6467 ; 0009-0009-7340-3955 ; 0000-0001-8749-029X ; 0000-0002-6650-8558 ; 0000-0002-8061-7582 ; 0000-0002-8574-5970</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38514829$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferraz, Victoria Domingues</creatorcontrib><creatorcontrib>da Costa Pereira, Jarson Pedro</creatorcontrib><creatorcontrib>Pinho Ramiro, Claudia Porto Sabino</creatorcontrib><creatorcontrib>Floro Arcoverde, Gabriela Maria Pereira</creatorcontrib><creatorcontrib>Rodrigues, Isa Galvão</creatorcontrib><creatorcontrib>Chagas, Camila Lima</creatorcontrib><creatorcontrib>de Queiroz, José Reginaldo Alves</creatorcontrib><creatorcontrib>de Lemos, Maria Conceição Chaves</creatorcontrib><creatorcontrib>da Silva Diniz, Alcides</creatorcontrib><creatorcontrib>de Arruda, Ilma Kruze Grande</creatorcontrib><title>Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients?</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background/objectives
Phase angle (PhA) serves as a prognostic marker in various clinical scenarios, reflecting oxidative stress and cellular damage. Despite its clinical relevance, its connection with adiposity and cardiovascular risk markers remains underexplored. Hence, our study sought to investigate the relationship between PhA and metabolic, adiposity, and cardiovascular risk parameters among outpatients with cardiology diagnosis.
Subjects/methods
Adults aged between 26 and 59 years, under the care of a cardiology unit, were included. Ultrasound imaging was used to assess visceral adipose tissue (VAT). Single-frequency bioelectrical impedance analysis (BIA) [50 kHz] was employed to calculate PhA, from BIA’s resistance and reactance measurements. Muscle strength, body mass index, waist circumference, and waist-to-height ratio were also evaluated. Framingham’s risk score was calculated to estimate the cardiovascular risk events. Metabolic blood samples’ results were obtained from medical records.
Results
One hundred and five participants were included in our study. Low PhA was observed in 29.5% of our sample. Higher PhA values were independently and inversely associated with both higher VAT and cardiovascular risk (
adjusted
OR: 0.79 [95% CI 0.69;0.91], OR: 0.74 [95% CI 0.60;0.89], respectively). Lower PhA values (≤5.59) were goodly associated with high VAT (AUC: 0.82
p
< 0.001). Lower PhA values (≤5.06) were fairly associated with higher cardiovascular risk (AUC: 0.70
p
= 0.003).
Conclusion
Our study provides evidence that PhA is independently and inversely associated with elevated VAT and cardiovascular risk. These findings underscore the potential of PhA as a valuable complementary marker in assessing cardiometabolic health.</description><subject>692/163/2743/393</subject><subject>692/499</subject><subject>692/53</subject><subject>692/699/2743/137/773</subject><subject>692/699/75/243</subject><subject>Adipose tissue</subject><subject>Adiposity</subject><subject>Adult</subject><subject>Bioelectricity</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Cardiology</subject><subject>Cardiometabolic Risk Factors</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Clinical Nutrition</subject><subject>Cross-Sectional Studies</subject><subject>Electric Impedance</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health risks</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Intra-Abdominal Fat</subject><subject>Male</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Muscle strength</subject><subject>Obesity, Abdominal - complications</subject><subject>Outpatients - statistics & numerical data</subject><subject>Oxidative stress</subject><subject>Phase shift</subject><subject>Public Health</subject><subject>Reactance</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Waist Circumference</subject><issn>0954-3007</issn><issn>1476-5640</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EokvLH-CALHHhEjr-iJ2cEKqgVKrUCz1bju1sXbJx8Dit9t_jsgtIHLiMR-Nn3hnNS8gbBh8YiO4cJZMCGuCygZq1jX5GNkxq1bRKwnOygb6VjQDQJ-QV4j1USmv-kpyIrmWy4_2GhCuky53FQO28nWpETC7aEjx9jOWOPkR0IduJWh-XhLHsK-ips9nHtAvFDmmKjuaI32mcj_Upbfc0rWWxJYa54Mcz8mK0E4bXx_eU3H75_O3ia3N9c3l18em6cYKr0lirtAMlZMd0p4UcAwwKBj4wZkcdWFAQnGCt5j0bVQ-jd9L6TthaHn3vxSl5f9BdcvqxBixm97T_NNk5pBUN77WsV-CMVfTdP-h9WvNctzMCVNf3TLSyUvxAuZwQcxjNkuPO5r1hYJ5MMAcTTDXB_DLB6Nr09ii9Drvg_7T8vnoFxAHA-jVvQ_47-z-yPwENb5MB</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Ferraz, Victoria Domingues</creator><creator>da Costa Pereira, Jarson Pedro</creator><creator>Pinho Ramiro, Claudia Porto Sabino</creator><creator>Floro Arcoverde, Gabriela Maria Pereira</creator><creator>Rodrigues, Isa Galvão</creator><creator>Chagas, Camila Lima</creator><creator>de Queiroz, José Reginaldo Alves</creator><creator>de Lemos, Maria Conceição Chaves</creator><creator>da Silva Diniz, Alcides</creator><creator>de Arruda, Ilma Kruze Grande</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><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>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5412-6467</orcidid><orcidid>https://orcid.org/0009-0009-7340-3955</orcidid><orcidid>https://orcid.org/0000-0001-8749-029X</orcidid><orcidid>https://orcid.org/0000-0002-6650-8558</orcidid><orcidid>https://orcid.org/0000-0002-8061-7582</orcidid><orcidid>https://orcid.org/0000-0002-8574-5970</orcidid></search><sort><creationdate>20240601</creationdate><title>Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients?</title><author>Ferraz, Victoria Domingues ; da Costa Pereira, Jarson Pedro ; Pinho Ramiro, Claudia Porto Sabino ; Floro Arcoverde, Gabriela Maria Pereira ; Rodrigues, Isa Galvão ; Chagas, Camila Lima ; de Queiroz, José Reginaldo Alves ; de Lemos, Maria Conceição Chaves ; da Silva Diniz, Alcides ; de Arruda, Ilma Kruze Grande</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-aa67c06348178734fe0b60b2b11af7e1e60ec3157291f690fdc4ad83a0ecfd9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>692/163/2743/393</topic><topic>692/499</topic><topic>692/53</topic><topic>692/699/2743/137/773</topic><topic>692/699/75/243</topic><topic>Adipose tissue</topic><topic>Adiposity</topic><topic>Adult</topic><topic>Bioelectricity</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Cardiology</topic><topic>Cardiometabolic Risk Factors</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Clinical Nutrition</topic><topic>Cross-Sectional Studies</topic><topic>Electric Impedance</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health risks</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Intra-Abdominal Fat</topic><topic>Male</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Metabolism</topic><topic>Middle Aged</topic><topic>Muscle strength</topic><topic>Obesity, Abdominal - complications</topic><topic>Outpatients - statistics & numerical data</topic><topic>Oxidative stress</topic><topic>Phase shift</topic><topic>Public Health</topic><topic>Reactance</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Waist Circumference</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferraz, Victoria Domingues</creatorcontrib><creatorcontrib>da Costa Pereira, Jarson Pedro</creatorcontrib><creatorcontrib>Pinho Ramiro, Claudia Porto Sabino</creatorcontrib><creatorcontrib>Floro Arcoverde, Gabriela Maria Pereira</creatorcontrib><creatorcontrib>Rodrigues, Isa Galvão</creatorcontrib><creatorcontrib>Chagas, Camila Lima</creatorcontrib><creatorcontrib>de Queiroz, José Reginaldo Alves</creatorcontrib><creatorcontrib>de Lemos, Maria Conceição Chaves</creatorcontrib><creatorcontrib>da Silva Diniz, Alcides</creatorcontrib><creatorcontrib>de Arruda, Ilma Kruze Grande</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferraz, Victoria Domingues</au><au>da Costa Pereira, Jarson Pedro</au><au>Pinho Ramiro, Claudia Porto Sabino</au><au>Floro Arcoverde, Gabriela Maria Pereira</au><au>Rodrigues, Isa Galvão</au><au>Chagas, Camila Lima</au><au>de Queiroz, José Reginaldo Alves</au><au>de Lemos, Maria Conceição Chaves</au><au>da Silva Diniz, Alcides</au><au>de Arruda, Ilma Kruze Grande</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients?</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>78</volume><issue>6</issue><spage>527</spage><epage>533</epage><pages>527-533</pages><issn>0954-3007</issn><issn>1476-5640</issn><eissn>1476-5640</eissn><abstract>Background/objectives
Phase angle (PhA) serves as a prognostic marker in various clinical scenarios, reflecting oxidative stress and cellular damage. Despite its clinical relevance, its connection with adiposity and cardiovascular risk markers remains underexplored. Hence, our study sought to investigate the relationship between PhA and metabolic, adiposity, and cardiovascular risk parameters among outpatients with cardiology diagnosis.
Subjects/methods
Adults aged between 26 and 59 years, under the care of a cardiology unit, were included. Ultrasound imaging was used to assess visceral adipose tissue (VAT). Single-frequency bioelectrical impedance analysis (BIA) [50 kHz] was employed to calculate PhA, from BIA’s resistance and reactance measurements. Muscle strength, body mass index, waist circumference, and waist-to-height ratio were also evaluated. Framingham’s risk score was calculated to estimate the cardiovascular risk events. Metabolic blood samples’ results were obtained from medical records.
Results
One hundred and five participants were included in our study. Low PhA was observed in 29.5% of our sample. Higher PhA values were independently and inversely associated with both higher VAT and cardiovascular risk (
adjusted
OR: 0.79 [95% CI 0.69;0.91], OR: 0.74 [95% CI 0.60;0.89], respectively). Lower PhA values (≤5.59) were goodly associated with high VAT (AUC: 0.82
p
< 0.001). Lower PhA values (≤5.06) were fairly associated with higher cardiovascular risk (AUC: 0.70
p
= 0.003).
Conclusion
Our study provides evidence that PhA is independently and inversely associated with elevated VAT and cardiovascular risk. These findings underscore the potential of PhA as a valuable complementary marker in assessing cardiometabolic health.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>38514829</pmid><doi>10.1038/s41430-024-01435-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5412-6467</orcidid><orcidid>https://orcid.org/0009-0009-7340-3955</orcidid><orcidid>https://orcid.org/0000-0001-8749-029X</orcidid><orcidid>https://orcid.org/0000-0002-6650-8558</orcidid><orcidid>https://orcid.org/0000-0002-8061-7582</orcidid><orcidid>https://orcid.org/0000-0002-8574-5970</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0954-3007 |
| ispartof | European journal of clinical nutrition, 2024-06, Vol.78 (6), p.527-533 |
| issn | 0954-3007 1476-5640 1476-5640 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | 692/163/2743/393 692/499 692/53 692/699/2743/137/773 692/699/75/243 Adipose tissue Adiposity Adult Bioelectricity Body Mass Index Body size Cardiology Cardiometabolic Risk Factors Cardiovascular diseases Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Clinical Nutrition Cross-Sectional Studies Electric Impedance Epidemiology Female Health risks Humans Internal Medicine Intra-Abdominal Fat Male Medical records Medicine Medicine & Public Health Metabolic Diseases Metabolism Middle Aged Muscle strength Obesity, Abdominal - complications Outpatients - statistics & numerical data Oxidative stress Phase shift Public Health Reactance Risk Risk Factors Waist Circumference |
| title | Is phase angle associated with visceral adiposity and cardiometabolic risk in cardiology outpatients? |
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