Bioelectrical impedance phase angle and nutritional status in children with intestinal failure on prolonged parenteral nutrition

被引:0
作者
Alves, Victoria A. [1 ]
Giesta, Juliana M.
Bosa, Vera L. [1 ]
Goldani, Helena A. S. [2 ,3 ]
机构
[1] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Postgrad Program Child & Adolescent Hlth, Porto Alegre, RS, Brazil
[2] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Dept Nutr, Porto Alegre, RS, Brazil
[3] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, Postgrad Program Child & Adolescent Hlth, Fac Med, BR-90046900 Porto Alegre, RS, Brazil
关键词
Phase angle; Bioelectrical impedance; Child; Intestinal failure; Short bowel syndrome; Parenteral nutrition; BODY-COMPOSITION; OUTCOMES;
D O I
10.1016/j.jped.2023.12.006
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: To compare the phase angle (PhA) through bioelectrical impedance (BIA) of children with intestinal failure (IF) using prolonged parenteral nutrition (PN) followed by an Intestinal Rehabilitation Program, with a control group. Methods: Children under 10 years of age with IF using prolonged PN for >60 days (study group) were included. The control group consisted of healthy children without chronic pathologies, matched by sex and age. Anthropometric parameters evaluated were: weight, height, weight/ age z-score (W/A), height/age z-score (H/A), BMI, BMI/A z-score, arm circumference, triceps skinfold, subscapular skinfold, mid-arm muscle circumference. BIA parameters were resistance (R), reactance (Xc), and phase angle (PhA). Results: Twenty-eight children were included in the study group, median (IQR) age was 11 (8-27) months, 53.6 % were male. In the control group, 28 children were included, median (IQR) age was 12.5 (8-24.7) months, 50% were male. Children from the study group had W/A z-scores and H/A z-scores significantly lower than controls. There was no significant difference between PhA in the study group and controls, [median (IQR) 4.3 degrees (3.8;4.6) vs 4.0 degrees (3.8;5.4) respectively, p = 0.980]. Prematurity was significantly higher in the study group than in the controls, but there was no significant correlation between gestational age at birth and PhA of the children from the study group. Conclusion: Children with IF using prolonged PN showed lower W/A and H/A compared to the control group, but without significant difference between the PhA of children with IF compared to controls. (c) 2024 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
引用
收藏
页码:491 / 497
页数:7
相关论文
共 50 条
[41]   Intestinal-Failure-Associated Liver Disease: Beyond Parenteral Nutrition [J].
Mignini, Irene ;
Piccirilli, Giulia ;
Di Vincenzo, Federica ;
Covello, Carlo ;
Pizzoferrato, Marco ;
Esposto, Giorgio ;
Galasso, Linda ;
Borriello, Raffaele ;
Gabrielli, Maurizio ;
Ainora, Maria Elena ;
Gasbarrini, Antonio ;
Zocco, Maria Assunta .
BIOMOLECULES, 2025, 15 (03)
[42]   Bioelectrical impedance phase angle as a prognostic indicator in breast cancer [J].
Digant Gupta ;
Carolyn A Lammersfeld ;
Pankaj G Vashi ;
Jessica King ;
Sadie L Dahlk ;
James F Grutsch ;
Christopher G Lis .
BMC Cancer, 8
[43]   Configuration of bioelectrical impedance measurements affects results for phase angle [J].
Jensen, Bjorn ;
Braun, Wiebke ;
Both, Markus ;
Gallagher, Dympna ;
Clark, Patricia ;
Lopez Gonzalez, Desiree ;
Klueckmann, Kristin ;
Bosy-Westphal, Anja .
MEDICAL ENGINEERING & PHYSICS, 2020, 84 :10-15
[44]   Measuring the nutritional status of children with juvenile idiopathic arthritis using the bioelectrical impedance method [J].
Lofthouse, CM ;
Azad, F ;
Baildam, EM ;
Akobeng, AK .
RHEUMATOLOGY, 2002, 41 (10) :1172-1177
[45]   Key Determinants for Achieving Enteral Autonomy and Reduced Parenteral Nutrition Exposure in Pediatric Intestinal Failure [J].
Enman, Macie A. ;
Wilkinson, Linda T. ;
Meloni, Katie B. ;
Shroyer, Michelle C. ;
Jackson, Tracy F. ;
Aban, Inmaculada ;
Dimmitt, Reed A. ;
Martin, Colin A. ;
Galloway, David P. .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2020, 44 (07) :1263-1270
[46]   The Impact of Long-Term Parenteral Nutrition on Physical Development and Bone Mineralization in Children with Chronic Intestinal Failure [J].
Romanowska, Hanna ;
Danko, Mikolaj ;
Popinska, Katarzyna ;
Zydak, Joanna ;
Sibilska, Marta ;
Wielopolska, Joanna ;
Bartoszewicz, Klaudia ;
Borkowska, Anna ;
Walczak, Mieczyslaw ;
Ksiazyk, Janusz .
NUTRIENTS, 2025, 17 (04)
[47]   The role of bioelectrical phase angle in patients with heart failure [J].
Scicchitano, Pietro ;
Massari, Francesco .
REVIEWS IN ENDOCRINE & METABOLIC DISORDERS, 2023, 24 (03) :465-477
[48]   Neonatal intestinal failure: Growth pattern and nutrition intakes in accordance with weaning from parenteral nutrition [J].
Roggero, Paola ;
Liotto, Nadia ;
Piemontese, Pasqua ;
Menis, Camilla ;
Perrone, Michela ;
Tabasso, Chiara ;
Amato, Orsola ;
Orsi, Anna ;
Pesenti, Nicola ;
Leva, Ernesto ;
Mosca, Fabio .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2023, 47 (02) :236-244
[49]   Bioelectrical Impedance Vector Analysis for Nutritional Status Assessment in Systemic Sclerosis and Association With Disease Characteristics [J].
Di Battista, Marco ;
Barsotti, Simone ;
Monaco, Alessia ;
Rossi, Alessandra ;
Della Rossa, Alessandra ;
Mosca, Marta .
JOURNAL OF RHEUMATOLOGY, 2021, 48 (05) :728-734
[50]   Bioelectrical impedance vector analysis as a useful predictor of nutritional status in patients with short bowel syndrome [J].
Fassini, Priscila Giacomo ;
Nicoletti, Carolina Ferreira ;
Pfrimer, Karina ;
Nonino, Carla Barbosa ;
Marchini, Julio Sergio ;
Ferriolli, Eduardo .
CLINICAL NUTRITION, 2017, 36 (04) :1117-1121