IS BODY PROTEIN INDEX BASED ON BIOELECTRICAL IMPEDANCE ANALYSIS A RELIABLE MARKER FOR NUTRITIONAL STATUS ASSESSMENT?

Dr. Nitoi Luciana Carmen, Dr. Maria Cristina Vladeanu

Abstract


Bioelectrical impedance analysis (BIA) is a method extensively used in studies assessing body composition, as a noninvasive
method for generating information through portable, easy to use and relatively inexpensive equipment that
estimates the body components. Signs of protein-energy malnutrition are common in maintenance hemodialyis (HD)
patients and are associated with increased morbidity and mortality. To evaluate the nutritional status and relationship
between various parameters used for assessing malnutrition, we performed a cross-sectional study in 69 HD patients
treated with thrice weekly sessions for at least three months. The aim of our study was to assess the prevalence and
degree of malnutrition in a population of HD patients, using mSGA (modified Subjective Global assessment) and BIA,
and analyze the usefulness of a new nutritional marker Body Protein Index (BPI) based on bioimpedance analysis. The
majority of our study patients was found to suffer of a variable degree of malnutrition. Strong correlations were found
between BPI and anthropometric measurements, laboratory data and BIA nutritional markers. In conclusion, BPI could
evaluate whole body somatic protein stores, and is a potentially useful new marker assessing nutritional status in HD
patients.


Keywords


bioelectrical impedance analysis, hemodialysis, nutrition

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References


Broers NJH, Cuijpers ACM, Van Der Sande FM, et al. The first year on haemodialysis: A critical transition. Clin Kidney J 2015; 8(3): 271-7.

Marcelli D, Brand K, Ponce P, et al. Longitudinal Changes in Body Composition in Patients After Initiation of Hemodialysis Therapy: Results From an International Cohort. J Ren Nutr 2016; 26(2):72-80.

Keane D, Gardiner C, Lindley E, et al. Changes in Body Composition in the Two Years after Initiation of Haemodialysis: A Retrospective Cohort Study. Nutrients 2016; 8(11): 702.

Dekker MJ, Marcelli D, Canaud B, et al. Unraveling the relationship between mortality, hyponatremia, inflammation and malnutrition in hemodialysis patients: results from the international MONDO initiative. Eur J Clin Nutr. 2016; 70(7):7 79–784.

Dekker MJE, Konings C, Canaud B, et al. Interactions between malnutrition, inflammation, and fluid overload and their associations with survival in prevalent hemodialysis patients. J Ren Nutr. 2018; 28(6): 435–444.

Fouque D, Vennegoor M, Ter Wee P, et al. EBPG Guideline on Nutrition, Nephrology Dialysis Transplantation 2007; 22(2): ii45–ii87.

Kalantar-Zadeh K, Kleiner M, Dunne E, et al. A modified quantitative subjective global assessment of nutrition for dialysis patients. Nephrol Dial Transplant, 1999, 14 (7), 1732-1738.

Kyle UG, Bosaeus I, De Lorenzo AD, et al. Biolectrical impedance analysis – Part I: Review of the principles and methods. Clin Nutr. 2004; 23: 1226–1243.

Kadhum IA, Mohammed WK. Nutritional status of adult hemodialysis patients in Al-Najaf Al-Ashraf governorate. Iraqi Natl Nurs Spec 2012; 25: 64-78.

Al-Saedy AJ, Al-Kahichy HR. The current status of hemodialysis in Baghdad. Saudi J Kidney Dis Transpl 2011; 22: 362-367.

Tayyem RF, Mrayyan MT. Malnutrition, and anthropometric and biochemical abnormalities in end-stage renal disease patients. Saudi Med J 2007; 28: 1575-1581.

Al-Saran KA, Elsayed SA, Molhem AJ, et al. Nutritional assessment of patients in a large Saudi dialysis center. Saudi Med J 2009; 30: 1054-1059.

Suzuki H, Kimmel PL (eds): Nutrition and Kidney Disease: A New Era. Contrib Nephrol. Basel, Karger, 2007, vol 155, pp 18-28. doi: 10.1159/000100993.


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