Skip to main content Skip to main navigation menu Skip to site footer
Articles
Published: 01-26-2022

Bioelectrical Impedance Phase Angle: Utility in clinical practice

Universidade Federal do Rio Grande do Sul, Graduate Program in Medicine, Department of Medical Sciences, Porto Alegre, RS, Brazil
Universidade Federal do Rio Grande do Sul, Medical School, Porto Alegre, RS, Brazil
Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
Phase angle Malnutrition Nutrition assessment

Abstract

The choice of the best nutrition assessment method in hospitalized patients remains a challenge. The aim of this study was to review the use of phase angle (PA) in clinical practice. PA is a parameter obtained from bioelectrical impedance analysis, being a derived measure from the relationship between resistance and reactance. Because PA is dependent on body cell mass (BCM) and cell membrane functions, it has been considered a prognostic marker in several clinical conditions. BCM reflects the cellular components responsible for energy transfer and biochemical activity and is considered an excellent reference for expressing the rates of physiological processes, such as energy expenditure and proteolysis. Low PA values suggest cell death or decreased cell integrity, whereas higher PA values suggest a large amount of intact cell membranes, with a consequently better prognosis. The literature lacks studies determining PA reference values, which has prevented its use in routine clinical practice. Reference values are therefore necessary to properly evaluate possible deviations from the population mean.

Metrics

Metrics Loading ...

References

  1. Garcia RWD, Leandro-Merhi VA, Pereira AM. Estado nutricional e sua evolução em pacientes internados em clinica médica. Rev Bras Nutr Clín 2004;19:59- 63
  2. Nursal TZ, Noyan T, Atalay BG, Köz N, Karakaly H. Simple two-part tool for screening of malnutrition. Nutrition 2005;21:659-65.
  3. Pennié JB. State of malnutrition in Cuban hospitals. Nutrition 2005;21:487-97.
  4. Barbosa-Silva MC, Barros AJ, Post CL, Waitzberg DL, Heymsfield SB: Can bioelectrical impedance analysis identify malnutrition in preoperative nutrition assessment? Nutrition 2003, 19:422-426.
  5. Pirlich M, Schütz T, Kemps M, Luhman N, Minko N, Lübke HJ, et al. Social risk factors for hospital malnutrition. Nutrition 2005;21(3):295-300.
  6. Ottery FD.; Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition 1996;12:S15-S19 In: Barbosa-Silva MCG, Barros AJD. Avaliação nutricional subjetiva: Parte 2 - Revisão de suas adaptações e utilizações nas diversas especialidades clínicas. Arq Gastroenterol 2002; V. 39 No.4. Disponível em: www.scielo.br Acesso em: 01/9/ 2010.
  7. Bauer J, Capra S, Ferguson M: Use of the scored Patient-Generated Subjective Global Assessment (PG-SGA) as a nutrition assessment tool in patients with cancer. Eur J Clin Nutr 2002, 56:779-785.
  8. Kuzu MA, Terzioglu H, Genc V, Erkek AB, Ozban M, Sonyürek P, et al. Preoperative nutritional risk assessment in predicting postoperative outcome in patients undergoing major surgery. World J Surg 2006;30(3):378-90.
  9. Barbosa-Silva MC, Barros AJ. Bioelectric impedance andindividual characteristics as prognostic factors for post-operative complications. Clin Nutr 2005;24(5):830-8.
  10. Putwatana P, Reodecha P, Sirapo-ngam Y, Lertsithichai P, Sumboonnanonda K. Nutrition screening tools and the prediction of postoperative infectious and wound complications: comparison of methods in presence of risk adjustment. Nutrition 2005;21(6):691-7.
  11. Selberg, O.; Selberg, D. Norms and correlates of bioimpedance phase angle in healthy human subjects, hospitalized patients, and patients with liver cirrhosis. European Journal of Applied Physiology, v. 86, n. 6, p. 509-516, Apr. 2002.
  12. Barbosa-Silva, M. C.; Barros, A. J.; Wang, J.; Heymsfield, S. B.; Pierson Jr, R. N. Bioelectrical impedance analysis: population reference values for phase angle by age and sex. American Journal of Clinical Nutrition, v. 82, p. 49- 52, 2005.
  13. Elia M (1993) The bioimpedance ''craze''. Eur J Clin Nutr 47:825– 827
  14. Baumgartner RN, Chumlea WC, Roche AF. Bioelectric impedance phase angle and body composition. Am J Clin Nutr 1988;48:16 –23.
  15. Toso SPA, Gusella M, Menon D, Bononi A, Crepaldi G, et al. Altered tissue electric properties in lung cancer patients as detected by bioelectric impedance vector analysis. Nutrition. 2000; 16(2):120-4.
  16. Piccoli A, Nescolarde LD, Rosell J. Análisis convencional y vectorial de bioimpedância en la práctica clínica. Nefrologia 2002;22(3):228-38.
  17. Mattar JÁ. Application of total body bioimpedance to the critically ill patient. Brazilian Group for Bioimpedance Study. New Horiz. 1996;4(4):493-503.
  18. Gupta D, Lis CG, Dahlk SL, Vashi PG, Grutsh JF, Lammersfeld CA. Bioelectrical impedance phase angle as a prognostic indicator in advanced pancreatic cancer. Br J Nutr. 2004;92(6):957-62.
  19. Scwenk A, Beisenherz A, Romer K, Kremer G, Salzberger B, Elia M. Phase angle from bioelectrical impedance analysis remains an independent predictive marker in HIV-infected patients in the era of highly active antiretroviral treatment. Am J Clin Nutr. 2000;72(2):496-501.
  20. Coppini LZ, Bottoni A, Silva MLT, Waitzberg DL. Aplicação da análise da impedância bioelétrica na avaliação nutricional. Rev Bras Nutr Clin 1998; 132:819.
  21. Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M,Gómez JM, et al. Bioelectrical impedance analysis-part I: review of principles and methods. Clin Nutr 2004;23(5):1226-43.
  22. De Lorenzo A, Barra FPA, Sasso GF, Battistini NC, Deureberg P. Body impedance measurements during dialysis. Eur J Clin Nutr 1991; 45:321-5, in: Kamimura MA, Draibe SA, Sigulem DM, Cuppari Lilin. Métodos de avaliação da composição corporal em paciente submetidos à hemodiálise. Ver.Nutr., Campinas, 17(1):97-105.2004
  23. Gupta D, Lammersfeld CA, Burrows JL, Dahlk SL, Vashi PG, Grutsch JF, et al. Bioelectrical impedance phase angle in clinical practice: implications for prognosis in advanced colorectal cancer. Am J Clin Nutr 2004;80(6):1634-8.
  24. Saijuddin S, Kerry J, Hasmot A, Alain BL, Abu A, Mahbubur Rashid, et al. Bioelectrical Impedance among Rural Bangladeshi Women during Pregnancy and in the Postpartum Period. J HEALTH POPULNUTR 2011 Jun;29(3):236-244.
  25. Mushnick R, Fein PA, Mittman N, Goel N, Chattopadhyay J, Avram MM. Relationship of bioelectrical impedance parameters to nutrition and survival in peritoneal dialysis patients. Kidney Int Suppl 2003;(87):S53-6.
  26. Nagano M, Suita S, Yamanouchi T. The validity of bioelectrical impedance phase angle for nutritional assessment in children. J Pediatr Surg 2000;35(7):1035-9.
  27. Cômodo A, et al. Utilização da bioimpedância para avaliação da massa corpórea. Associação Médica Brasileira e Conselho Federal de Medicina. Projeto diretrizes, e m : h ttp://ww Conteúdo disponível w.projetodiretrizes.org.br/8_volume/39-Utilizacao.pdf. Acesso em 22 de fevereiro de 2012.

How to Cite

Oliveira, P. G. de, Santos, A. S. P. dos, & Mello, E. D. de. (2022). Bioelectrical Impedance Phase Angle: Utility in clinical practice. International Journal of Nutrology, 5(3), 123–127. https://doi.org/10.1055/s-0040-1704007