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...

Full description

Bibliographic Details
Main Authors: Joanna Popiołek, Mariusz Teter, Gustaw Kozak, Tomasz Powrózek, Radosław Mlak, Hanna Karakuła-Juchnowicz, Teresa Małecka-Massalska
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/55/10/671
id doaj-667a36f467154df8ae9a2405f17e8ade
record_format Article
spelling 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 &#177; 2 weeks&#8217; 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> &lt; 0.05). For BIA parameters, the correlation included arm circumference and WHR (<i>p</i> &lt; 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> &lt; 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 &lt; 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> &lt; 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&#8217; 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 &#177; 2 weeks&#8217; 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> &lt; 0.05). For BIA parameters, the correlation included arm circumference and WHR (<i>p</i> &lt; 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> &lt; 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 &lt; 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> &lt; 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&#8217; 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
work_keys_str_mv AT joannapopiołek anthropometricalandbioelectricalimpedanceanalysisparametersinanorexianervosapatientsnutritionalstatusassessment
AT mariuszteter anthropometricalandbioelectricalimpedanceanalysisparametersinanorexianervosapatientsnutritionalstatusassessment
AT gustawkozak anthropometricalandbioelectricalimpedanceanalysisparametersinanorexianervosapatientsnutritionalstatusassessment
AT tomaszpowrozek anthropometricalandbioelectricalimpedanceanalysisparametersinanorexianervosapatientsnutritionalstatusassessment
AT radosławmlak anthropometricalandbioelectricalimpedanceanalysisparametersinanorexianervosapatientsnutritionalstatusassessment
AT hannakarakułajuchnowicz anthropometricalandbioelectricalimpedanceanalysisparametersinanorexianervosapatientsnutritionalstatusassessment
AT teresamałeckamassalska anthropometricalandbioelectricalimpedanceanalysisparametersinanorexianervosapatientsnutritionalstatusassessment
_version_ 1724915936414138368