Journal article
Associations between nutritional markers and muscle mass on bioimpedance analysis in patients receiving parenteral nutrition
Journal of Parenteral and Enteral Nutrition, Vol.45(5), pp.1089-1099
2021
Abstract
Background
Parenteral nutrition (PN) is used for malnourished patients and those intolerant of enteral nutrition. This pilot study assessed repeatability of bioimpedance analysis (BIA) in critically ill patients and association with nutrition markers and patients’ length of hospital stay.
Methods
Twenty‐two patients receiving PN, after major surgery or during critical illness, were enrolled and underwent serial BIA and Subjective Global Assessment (SGA) by a dietitian. Repeatability of BIA was assessed by repeating BIA measurements within 10 minutes in 18 of the 22 study patients (82%).
Results
All BIA parameters were repeatable with strong intraclass correlation coefficients (>0.78). Phase angle (PhA), reflective of muscle mass, was significantly associated with serum albumin (R2 = 0.198, P < .001), total lymphocyte count (R2 = 0.083, P = .018), and body mass index (R2 = 0.084, P = .015). Of the 48 SGAs performed, 4 were considered severely malnourished, and all were associated with low PhA (<5°) compared with only 53% and 33% for those considered to be moderately malnourished and well nourished, respectively (χ2 test: P = .042). Low PhA was significantly associated with an increased length of hospital stay compared with those without low PhA (median 36 vs 16 days, respectively; P < .001).
Conclusion
BIA is repeatable in critically ill patients receiving PN. Low PhA was prevalent for those judged as severely malnourished and was associated with reduced total lymphocyte count and serum albumin and prolonged length of hospital stay compared with those with a higher PhA.
Details
- Title
- Associations between nutritional markers and muscle mass on bioimpedance analysis in patients receiving parenteral nutrition
- Authors/Creators
- J. Sunario (Author/Creator) - Sir Charles Gairdner HospitalB. Wibrow (Author/Creator) - Sir Charles Gairdner HospitalA. Jacques (Author/Creator) - The University of Notre Dame AustraliaK.M. Ho (Author/Creator) - Royal Perth HospitalM. Anstey (Author/Creator) - Sir Charles Gairdner Hospital
- Publication Details
- Journal of Parenteral and Enteral Nutrition, Vol.45(5), pp.1089-1099
- Publisher
- Wiley
- Identifiers
- 991005542660307891
- Copyright
- © 2020 American Society for Parenteral and Enteral Nutrition
- Murdoch Affiliation
- School of Veterinary and Life Sciences
- Language
- English
- Resource Type
- Journal article
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- Citation topics
- 1 Clinical & Life Sciences
- 1.44 Nutrition & Dietetics
- 1.44.330 Geriatric Nutrition
- Web Of Science research areas
- Nutrition & Dietetics
- ESI research areas
- Clinical Medicine