A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HF
Abstract Background Cachexia is common in patients with chronic heart failure and is associated with poor prognosis. How best to measure body composition is not clear. Methods and results We characterized body composition in 120 patients with chronic heart failure: mean (SD) age 70 (10) years, left...
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doaj-fb86118c3e02408ba44a38994857d9da2021-10-08T11:50:38ZengWileyESC Heart Failure2055-58222021-10-01853929393410.1002/ehf2.13402A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HFParin Shah0Alexandra A.I. Abel1Vennela Boyalla2Pierpaolo Pellicori3Anna Kallvikbacka‐Bennett4Shirley Sze5John G.F. Cleland6Andrew L. Clark7Department of Academic Cardiology Castle Hill Hospital Cottingham Kingston upon Hull HU16 5JQ UKDepartment of Academic Cardiology Castle Hill Hospital Cottingham Kingston upon Hull HU16 5JQ UKDepartment of Academic Cardiology Castle Hill Hospital Cottingham Kingston upon Hull HU16 5JQ UKDepartment of Academic Cardiology Castle Hill Hospital Cottingham Kingston upon Hull HU16 5JQ UKDepartment of Academic Cardiology Castle Hill Hospital Cottingham Kingston upon Hull HU16 5JQ UKDepartment of Academic Cardiology Castle Hill Hospital Cottingham Kingston upon Hull HU16 5JQ UKRobertson Centre for Biostatistics University of Glasgow Glasgow UKDepartment of Academic Cardiology Castle Hill Hospital Cottingham Kingston upon Hull HU16 5JQ UKAbstract Background Cachexia is common in patients with chronic heart failure and is associated with poor prognosis. How best to measure body composition is not clear. Methods and results We characterized body composition in 120 patients with chronic heart failure: mean (SD) age 70 (10) years, left ventricular ejection fraction 44 (10) %, and median (Q1–Q3) N‐terminal pro B‐type natriuretic peptide 845 (355–1368) ng/L. We measured body composition using dual‐energy X‐ray absorptiometry (DEXA) and a multi‐frequency bioelectrical impedance analysis (BIA) device (Tanita BIA MC‐180MA). Mean (SD) fat mass (FM) was 27.2 (11.7) kg by BIA and 32.3 (12.2) kg by DEXA (mean difference −5.1 kg, 95% limits of agreement: −11.7, 1.5; 4% of values outside limit of agreement); mean (SD) lean mass (LM) was 56.6 (10.9) kg by BIA and 51.1 (9.9) kg by DEXA (mean difference 5.5 kg, 95% limits of agreement: −1.3, 12.3; 6% of values outside limit of agreement); and mean (SD) bone mass (BM) was 3.0 (0.5) kg by BIA and 2.8 (0.6) kg by DEXA (mean difference 0.2 kg, 95% limits of agreement: −0.5, 0.8; 5% of values outside limit of agreement). There was a close correlation between DEXA and BIA for both LM and FM (LM: r = 0.95, P < 0.001; FM: r = 0.96, P < 0.001) but less so for BM (r = 0.84, P < 0.001). Both DEXA and BIA body composition measurements correlated well with other measures of body size (body mass index, hip circumference, and waist circumference). Conclusions There are differences in the measurements of FM, LM, and BM between the two techniques, which should not be used interchangeably.https://doi.org/10.1002/ehf2.13402Heart failureBody compositionDual‐energy X‐ray absorptiometry scanBody composition analyserBioelectrical impedance analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Parin Shah Alexandra A.I. Abel Vennela Boyalla Pierpaolo Pellicori Anna Kallvikbacka‐Bennett Shirley Sze John G.F. Cleland Andrew L. Clark |
spellingShingle |
Parin Shah Alexandra A.I. Abel Vennela Boyalla Pierpaolo Pellicori Anna Kallvikbacka‐Bennett Shirley Sze John G.F. Cleland Andrew L. Clark A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HF ESC Heart Failure Heart failure Body composition Dual‐energy X‐ray absorptiometry scan Body composition analyser Bioelectrical impedance analysis |
author_facet |
Parin Shah Alexandra A.I. Abel Vennela Boyalla Pierpaolo Pellicori Anna Kallvikbacka‐Bennett Shirley Sze John G.F. Cleland Andrew L. Clark |
author_sort |
Parin Shah |
title |
A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HF |
title_short |
A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HF |
title_full |
A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HF |
title_fullStr |
A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HF |
title_full_unstemmed |
A comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from SICA‐HF |
title_sort |
comparison of non‐invasive methods of measuring body composition in patients with heart failure: a report from sica‐hf |
publisher |
Wiley |
series |
ESC Heart Failure |
issn |
2055-5822 |
publishDate |
2021-10-01 |
description |
Abstract Background Cachexia is common in patients with chronic heart failure and is associated with poor prognosis. How best to measure body composition is not clear. Methods and results We characterized body composition in 120 patients with chronic heart failure: mean (SD) age 70 (10) years, left ventricular ejection fraction 44 (10) %, and median (Q1–Q3) N‐terminal pro B‐type natriuretic peptide 845 (355–1368) ng/L. We measured body composition using dual‐energy X‐ray absorptiometry (DEXA) and a multi‐frequency bioelectrical impedance analysis (BIA) device (Tanita BIA MC‐180MA). Mean (SD) fat mass (FM) was 27.2 (11.7) kg by BIA and 32.3 (12.2) kg by DEXA (mean difference −5.1 kg, 95% limits of agreement: −11.7, 1.5; 4% of values outside limit of agreement); mean (SD) lean mass (LM) was 56.6 (10.9) kg by BIA and 51.1 (9.9) kg by DEXA (mean difference 5.5 kg, 95% limits of agreement: −1.3, 12.3; 6% of values outside limit of agreement); and mean (SD) bone mass (BM) was 3.0 (0.5) kg by BIA and 2.8 (0.6) kg by DEXA (mean difference 0.2 kg, 95% limits of agreement: −0.5, 0.8; 5% of values outside limit of agreement). There was a close correlation between DEXA and BIA for both LM and FM (LM: r = 0.95, P < 0.001; FM: r = 0.96, P < 0.001) but less so for BM (r = 0.84, P < 0.001). Both DEXA and BIA body composition measurements correlated well with other measures of body size (body mass index, hip circumference, and waist circumference). Conclusions There are differences in the measurements of FM, LM, and BM between the two techniques, which should not be used interchangeably. |
topic |
Heart failure Body composition Dual‐energy X‐ray absorptiometry scan Body composition analyser Bioelectrical impedance analysis |
url |
https://doi.org/10.1002/ehf2.13402 |
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