Association between phase angle of bioelectrical impedance analysis and nutritional parameters in older adults

Introduction: Phase angle (PhA) is a Bioelectrical impedance analysis (BIA) parameter representing an indicator of cellular health and has been suggested as a biomarker of nutritional status. Objective: To evaluate the association between PhA and nutritional parameters in older adults. Methods: A cr...

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Detalles Bibliográficos
Autores: Santos, Mylena Alves, Goes, Andrea Costa, Oliveira, Rafaela de Siqueira, Oliveira, Juliana de Souza, Ferreira, Andrêa Jacqueline Fortes, Santiago, Emanuelle Cruz da Silva, Roriz, Anna Karla Carneiro, Oliveira, Carolina Cunha de
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Faculdade de Medicina do ABC (FMABC)
Repositorio:ABCS Health Sciences (Online)
Idioma:inglés
OAI Identifier:oai:ojs.emnuvens.com.br:article/1754
Acceso en línea:https://www.portalnepas.org.br/abcshs/article/view/1754
Access Level:acceso abierto
Palabra clave:electric impedance
analytical methods
aged, 80 and over
nutritional assessment
nutritional status
Descripción
Sumario:Introduction: Phase angle (PhA) is a Bioelectrical impedance analysis (BIA) parameter representing an indicator of cellular health and has been suggested as a biomarker of nutritional status. Objective: To evaluate the association between PhA and nutritional parameters in older adults. Methods: A cross-sectional study was conducted with community-dwelling older adults. Body mass index (BMI), arm muscle circumference (AMC), calf circumference (CC), body fat percentage (BF%), appendicular skeletal muscle mass (ASMM), serum albumin, mini-nutritional assessment (MNA), and PhA were assessed. Kolmogorov–Smirnov test, Spearman's correlation coefficient, chi-square test, and Poisson regression models were performed. Results: 144 participants were included in the study, and most of them were female, aged ≥80 years, and underweight. Most older adults with lower PhA were women, aged range 80–89 years, and with reduced ASMM (p<0.05). PhA presented a significant correlation with age (r=–0.417; p<0.001), ASMM (r=0.427; p<0.001), AMC (r=0.195; p=0.019) and BF% (r=–0.223; p=0.007). Older adults with lower PhA present reduced ASMM (PR: 1.25; 95%CI: 1.04–1.50), and hypoalbuminemia (PR: 1.50; 95%CI: 1.11–2.03). Conclusion: PhA is related to commonly nutritional indicators used in clinical practice and could be an important biomarker of muscle mass reserves in community-living older adults of both sexes.