Multifrequency bioelectrical impedance analysis may represent a reproducible and practical tool to assess skeletal muscle mass in euvolemic acutely ill hospitalized geriatric patients

Autor: Lex B. Verdijk, Luc J. C. van Loon, Jos M. G. A. Schols, Jesper Dorge, Walther Sipers
Přispěvatelé: Health Services Research, RS: CAPHRI - R1 - Ageing and Long-Term Care, RS: Academische Werkplaats Ouderenzorg, Humane Biologie, RS: NUTRIM - R3 - Respiratory & Age-related Health, Educational Science, Physiotherapy, Human Physiology and Anatomy, Human Physiology and Sports Physiotherapy Research Group
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Sarcopenia/diagnosis
geriatric assessment
Intraclass correlation
Hospitalized patients
Pilot Projects
0302 clinical medicine
Acute care
Electric Impedance
BODY
030212 general & internal medicine
PREDICTION EQUATION
Age Factors
risk assessment
MALNUTRITION
Prognosis
PREVALENCE
Acute Disease
Cohort studies
Female
0305 other medical science
Bioelectrical impedance analysis
hydration
hospitalization
medicine.medical_specialty
Body Composition/physiology
Coefficient of variation
bio-impedance
VALIDATION
sarcopenia
03 medical and health sciences
Sex Factors
Dehydration/physiopathology
length of stay
PEOPLE
030502 gerontology
Internal medicine
medicine
Humans
OLDER-ADULTS
FRAILTY
Aged
Hospitalization/statistics & numerical data
Reproducibility
business.industry
MORTALITY
aging
medicine.disease
Skeletal muscle mass
Muscle
Skeletal/physiology
Sarcopenia
reproducibility of results
aged
80 and over
business
Zdroj: European Geriatric Medicine, 11(1), 155-162. Springer, Cham
ISSN: 1878-7649
Popis: Key summary pointsAim To study the reproducibility of skeletal muscle mass assessment using multifrequency bio-impedance analysis in acutely ill hospitalized geriatric patients. Findings Mean coefficient of variation of the three skeletal muscle mass measurements was 4.9% with excellent test-retest reliability. However, non-euvolemic patients showed a significantly larger variation and significantly lower test-retest reliability when compared to the euvolemic patients in this pilot study. Message Multifrequency bio-impedance analysis seems a reliable method to assess skeletal muscle mass during the first week of hospitalization in geriatric patients, however, clinicians should be aware that in patients with over- or dehydration measurements may better take place after hydration status is normalized.Purpose Geriatric patients with low skeletal muscle mass (SMM) and strength have a poor clinical outcome following acute illness. Consequently, it is recommended to assess SMM and strength in patients admitted to the acute care geriatric ward. Bio-impedance analysis (BIA) is a practical tool to assess SMM in hospitalized patients. However, the reproducibility of this assessment may be compromised due to changing clinical conditions. The objective was to study the reproducibility of SMM assessment using multifrequency BIA (mf-BIA) in acutely ill geriatric patients. Methods A total of 47 geriatric patients (age: 83 +/- 7 years; n = 31 female) admitted to the acute geriatric ward participated in this pilot study. SMM was assessed on three occasions within the first week of hospital admission using the Maltron Bioscan-920-II. Results Total skeletal SMM averaged 21.4 +/- 5.7, 20.7 +/- 5.4, and 20.8 +/- 5.1 kg assessed at 2 +/- 1, 3 +/- 1 and 5 +/- 2 days after hospital admission, respectively. Coefficient of variation (COV) of the three SMM measurements was 4.9 +/- 4.5% with an intraclass correlation coefficient (ICC) of 0.976 (CI 95%: 0.961-0.986; P
Databáze: OpenAIRE
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