Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates

Malnutrition has a negative impact on patients with chronic diseases and its early identification is a priority. The primary objective of this diagnostic accuracy study was to assess the performance of the phase angle (PhA), a bioimpedance analysis (BIA)-derived parameter, for malnutrition screening...

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Autores: Muñoz-Redondo, Elena|||0000-0002-6288-0408, Morgado-Pérez, Andrea|||0000-0002-6162-2191, Pérez-Sáez, María José|||0000-0002-8601-2699, Faura, Anna|||0000-0002-1440-3922, Sánchez-Rodríguez, Dolores|||0000-0001-8662-5172, Tejero-Sánchez, Marta|||0000-0002-1904-456X, Meza-Valderrama, Delky|||0000-0001-9259-7745, Muns Cornellas, Maria Dolors|||0000-0003-0248-0194, Pascual, Julio|||0000-0002-4735-7838, Marco, Ester|||0000-0002-3412-0356
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:280938
Acceso en línea:https://ddd.uab.cat/record/280938
https://dx.doi.org/urn:doi:10.3390/nu15051084
Access Level:acceso abierto
Palabra clave:Advanced chronic kidney disease
GLIM
Malnutrition
Muscle mass
Phase angle
Prehabilitation
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spelling Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant CandidatesPreliminary Assessment of Diagnostic Accuracy in the FRAILMar StudyMuñoz-Redondo, Elena|||0000-0002-6288-0408Morgado-Pérez, Andrea|||0000-0002-6162-2191Pérez-Sáez, María José|||0000-0002-8601-2699Faura, Anna|||0000-0002-1440-3922Sánchez-Rodríguez, Dolores|||0000-0001-8662-5172Tejero-Sánchez, Marta|||0000-0002-1904-456XMeza-Valderrama, Delky|||0000-0001-9259-7745Muns Cornellas, Maria Dolors|||0000-0003-0248-0194Pascual, Julio|||0000-0002-4735-7838Marco, Ester|||0000-0002-3412-0356Advanced chronic kidney diseaseGLIMMalnutritionMuscle massPhase anglePrehabilitationMalnutrition has a negative impact on patients with chronic diseases and its early identification is a priority. The primary objective of this diagnostic accuracy study was to assess the performance of the phase angle (PhA), a bioimpedance analysis (BIA)-derived parameter, for malnutrition screening using the Global Leadership Initiative for Malnutrition (GLIM) criteria as the reference standard in patients with advanced chronic kidney disease (CKD) waiting for kidney transplantation (KT); criteria associated with low PhA in this population were also analyzed. Sensitivity, specificity, accuracy, positive and negative likelihood ratios, predictive values, and area under the receiver operating characteristic curve were calculated for PhA (index test) and compared with GLIM criteria (reference standard). Of 63 patients (62.9 years old; 76.2% men), 22 (34.9%) had malnutrition. The PhA threshold with the highest accuracy was ≤4.85° (sensitivity 72.7%, specificity 65.9%, and positive and negative likelihood ratios 2.13 and 0.41, respectively). A PhA ≤ 4.85° was associated with a 3.5-fold higher malnutrition risk (OR = 3.53 (CI95% 1.0-12.1)). Considering the GLIM criteria as the reference standard, a PhA ≤ 4.85° showed only fair validity for detecting malnutrition, and thus cannot be recommended as a stand-alone screening tool in this population.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/280938https://dx.doi.org/urn:doi:10.3390/nu15051084reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI19/00037open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2809382026-06-06T12:50:31Z
dc.title.none.fl_str_mv Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
Preliminary Assessment of Diagnostic Accuracy in the FRAILMar Study
title Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
spellingShingle Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
Muñoz-Redondo, Elena|||0000-0002-6288-0408
Advanced chronic kidney disease
GLIM
Malnutrition
Muscle mass
Phase angle
Prehabilitation
title_short Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
title_full Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
title_fullStr Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
title_full_unstemmed Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
title_sort Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates
dc.creator.none.fl_str_mv Muñoz-Redondo, Elena|||0000-0002-6288-0408
Morgado-Pérez, Andrea|||0000-0002-6162-2191
Pérez-Sáez, María José|||0000-0002-8601-2699
Faura, Anna|||0000-0002-1440-3922
Sánchez-Rodríguez, Dolores|||0000-0001-8662-5172
Tejero-Sánchez, Marta|||0000-0002-1904-456X
Meza-Valderrama, Delky|||0000-0001-9259-7745
Muns Cornellas, Maria Dolors|||0000-0003-0248-0194
Pascual, Julio|||0000-0002-4735-7838
Marco, Ester|||0000-0002-3412-0356
author Muñoz-Redondo, Elena|||0000-0002-6288-0408
author_facet Muñoz-Redondo, Elena|||0000-0002-6288-0408
Morgado-Pérez, Andrea|||0000-0002-6162-2191
Pérez-Sáez, María José|||0000-0002-8601-2699
Faura, Anna|||0000-0002-1440-3922
Sánchez-Rodríguez, Dolores|||0000-0001-8662-5172
Tejero-Sánchez, Marta|||0000-0002-1904-456X
Meza-Valderrama, Delky|||0000-0001-9259-7745
Muns Cornellas, Maria Dolors|||0000-0003-0248-0194
Pascual, Julio|||0000-0002-4735-7838
Marco, Ester|||0000-0002-3412-0356
author_role author
author2 Morgado-Pérez, Andrea|||0000-0002-6162-2191
Pérez-Sáez, María José|||0000-0002-8601-2699
Faura, Anna|||0000-0002-1440-3922
Sánchez-Rodríguez, Dolores|||0000-0001-8662-5172
Tejero-Sánchez, Marta|||0000-0002-1904-456X
Meza-Valderrama, Delky|||0000-0001-9259-7745
Muns Cornellas, Maria Dolors|||0000-0003-0248-0194
Pascual, Julio|||0000-0002-4735-7838
Marco, Ester|||0000-0002-3412-0356
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Advanced chronic kidney disease
GLIM
Malnutrition
Muscle mass
Phase angle
Prehabilitation
topic Advanced chronic kidney disease
GLIM
Malnutrition
Muscle mass
Phase angle
Prehabilitation
description Malnutrition has a negative impact on patients with chronic diseases and its early identification is a priority. The primary objective of this diagnostic accuracy study was to assess the performance of the phase angle (PhA), a bioimpedance analysis (BIA)-derived parameter, for malnutrition screening using the Global Leadership Initiative for Malnutrition (GLIM) criteria as the reference standard in patients with advanced chronic kidney disease (CKD) waiting for kidney transplantation (KT); criteria associated with low PhA in this population were also analyzed. Sensitivity, specificity, accuracy, positive and negative likelihood ratios, predictive values, and area under the receiver operating characteristic curve were calculated for PhA (index test) and compared with GLIM criteria (reference standard). Of 63 patients (62.9 years old; 76.2% men), 22 (34.9%) had malnutrition. The PhA threshold with the highest accuracy was ≤4.85° (sensitivity 72.7%, specificity 65.9%, and positive and negative likelihood ratios 2.13 and 0.41, respectively). A PhA ≤ 4.85° was associated with a 3.5-fold higher malnutrition risk (OR = 3.53 (CI95% 1.0-12.1)). Considering the GLIM criteria as the reference standard, a PhA ≤ 4.85° showed only fair validity for detecting malnutrition, and thus cannot be recommended as a stand-alone screening tool in this population.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/280938
https://dx.doi.org/urn:doi:10.3390/nu15051084
url https://ddd.uab.cat/record/280938
https://dx.doi.org/urn:doi:10.3390/nu15051084
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI19/00037
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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