Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status Assessment
<i>Background and Objectives:</i> Body mass index (BMI) is still the only recommended measurable nutritional status assessment parameter in anorexia nervosa (AN). The aim of this study was to measure other anthropometrical and bioelectrical impedance analysis (BIA) parameters in AN patie...
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doaj-667a36f467154df8ae9a2405f17e8ade2020-11-25T02:11:10ZengMDPI AGMedicina1010-660X2019-10-01551067110.3390/medicina55100671medicina55100671Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status AssessmentJoanna Popiołek0Mariusz Teter1Gustaw Kozak2Tomasz Powrózek3Radosław Mlak4Hanna Karakuła-Juchnowicz5Teresa Małecka-Massalska6Department of Human Physiology, Medical University of Lublin, 20-080 Lublin, PolandDepartment of Human Physiology, Medical University of Lublin, 20-080 Lublin, PolandI Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 20-439 Lublin, PolandDepartment of Human Physiology, Medical University of Lublin, 20-080 Lublin, PolandDepartment of Human Physiology, Medical University of Lublin, 20-080 Lublin, PolandI Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 20-439 Lublin, PolandDepartment of Human Physiology, Medical University of Lublin, 20-080 Lublin, Poland<i>Background and Objectives:</i> Body mass index (BMI) is still the only recommended measurable nutritional status assessment parameter in anorexia nervosa (AN). The aim of this study was to measure other anthropometrical and bioelectrical impedance analysis (BIA) parameters in AN patients and to evaluate their nutritional status assessment value. <i>Materials and Methods:</i> The 46 AN female patients were examined at the beginning of hospitalization and followed-up in three measurements (in 6 ± 2 weeks’ intervals). Anthropometrical assessment was based on BMI, circumferences of arm, calf, thigh, hips, waist, their ratio (waist-to-hip ratio (WHR)), and a skinfold test over biceps and triceps muscle, under the scapula, over the hip, and 2 cm from the umbilicus. The BIA parameters included phase angle (PA), membrane capacitance (Cm), and impedance at 200 kHz, and a 5 kHz ratio (Z<sub>200/5</sub>). <i>Results:</i> In the 1st measurement, BMI correlated with all anthropometric and BIA parameters (<i>p</i> < 0.05). For BIA parameters, the correlation included arm circumference and WHR (<i>p</i> < 0.05). In the follow-up, significant changes were observed in BMI and all BIA parameters. The correlation between BMI and all BIA parameters was present in the 2nd and 3rd measurements (<i>p</i> < 0.05). In the 4th measurement, BMI correlated only with Cm (<i>p</i> = 0.0114). Comparison of BIA parameters according to the state of starvation (BMI < 16.0 kg/m<sup>2</sup>) revealed that all studied BIA parameters were characterized by statistically significant sensitivity and specificity in the detection of this condition (<i>p</i> < 0.05), except PA in the 4th measurement (<i>p</i> = 0.2099). <i>Conclusions:</i> Selected BIA and anthropometrical parameters could be used for AN patients’ assessment. The study confirmed dynamic changes of BIA parameters during the follow-up. They could be useful in the detection of the state of starvation.https://www.mdpi.com/1010-660X/55/10/671phase anglestarvationundernutritionbody mass indexbioelectrical impedance analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Joanna Popiołek Mariusz Teter Gustaw Kozak Tomasz Powrózek Radosław Mlak Hanna Karakuła-Juchnowicz Teresa Małecka-Massalska |
spellingShingle |
Joanna Popiołek Mariusz Teter Gustaw Kozak Tomasz Powrózek Radosław Mlak Hanna Karakuła-Juchnowicz Teresa Małecka-Massalska Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status Assessment Medicina phase angle starvation undernutrition body mass index bioelectrical impedance analysis |
author_facet |
Joanna Popiołek Mariusz Teter Gustaw Kozak Tomasz Powrózek Radosław Mlak Hanna Karakuła-Juchnowicz Teresa Małecka-Massalska |
author_sort |
Joanna Popiołek |
title |
Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status Assessment |
title_short |
Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status Assessment |
title_full |
Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status Assessment |
title_fullStr |
Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status Assessment |
title_full_unstemmed |
Anthropometrical and Bioelectrical Impedance Analysis Parameters in Anorexia Nervosa Patients’ Nutritional Status Assessment |
title_sort |
anthropometrical and bioelectrical impedance analysis parameters in anorexia nervosa patients’ nutritional status assessment |
publisher |
MDPI AG |
series |
Medicina |
issn |
1010-660X |
publishDate |
2019-10-01 |
description |
<i>Background and Objectives:</i> Body mass index (BMI) is still the only recommended measurable nutritional status assessment parameter in anorexia nervosa (AN). The aim of this study was to measure other anthropometrical and bioelectrical impedance analysis (BIA) parameters in AN patients and to evaluate their nutritional status assessment value. <i>Materials and Methods:</i> The 46 AN female patients were examined at the beginning of hospitalization and followed-up in three measurements (in 6 ± 2 weeks’ intervals). Anthropometrical assessment was based on BMI, circumferences of arm, calf, thigh, hips, waist, their ratio (waist-to-hip ratio (WHR)), and a skinfold test over biceps and triceps muscle, under the scapula, over the hip, and 2 cm from the umbilicus. The BIA parameters included phase angle (PA), membrane capacitance (Cm), and impedance at 200 kHz, and a 5 kHz ratio (Z<sub>200/5</sub>). <i>Results:</i> In the 1st measurement, BMI correlated with all anthropometric and BIA parameters (<i>p</i> < 0.05). For BIA parameters, the correlation included arm circumference and WHR (<i>p</i> < 0.05). In the follow-up, significant changes were observed in BMI and all BIA parameters. The correlation between BMI and all BIA parameters was present in the 2nd and 3rd measurements (<i>p</i> < 0.05). In the 4th measurement, BMI correlated only with Cm (<i>p</i> = 0.0114). Comparison of BIA parameters according to the state of starvation (BMI < 16.0 kg/m<sup>2</sup>) revealed that all studied BIA parameters were characterized by statistically significant sensitivity and specificity in the detection of this condition (<i>p</i> < 0.05), except PA in the 4th measurement (<i>p</i> = 0.2099). <i>Conclusions:</i> Selected BIA and anthropometrical parameters could be used for AN patients’ assessment. The study confirmed dynamic changes of BIA parameters during the follow-up. They could be useful in the detection of the state of starvation. |
topic |
phase angle starvation undernutrition body mass index bioelectrical impedance analysis |
url |
https://www.mdpi.com/1010-660X/55/10/671 |
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