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Phase Angle as an Indicator of Sarcopenia, Malnutrition, and Cachexia in Inpatients with Cardiovascular Diseases

by Ishizaka, Hayato , Arakawa, Tomoe , Nakajima, Toshiaki , Toyama, Yohei , Hirose, Suguru , Haruyama, Akiko , Yamaguchi, Suomi , Yasuda, Tomohiro , Shibasaki, Ikuko , Katayanagi, Satoshi , Nishikawa, Kaori , Fukuda, Hirotsugu , Inoue, Teruo , Mizushima, Yuta , Matsumoto, Kazuhisa , Toyoda, Shigeru , Yazawa, Hiroko , Takahashi, Reiko , Mizushima, Takashi , Nozawa, Naohiro

in Angina pectoris / Body fat / Body mass index / Cardiovascular disease / Chronic illnesses / Clinical medicine / Disease / Gait / Heart failure / Hospitals / Laboratories / Malnutrition / Medical prognosis / Mortality / Musculoskeletal system / Nutritional status / Older people / Sarcopenia

2020

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Phase Angle as an Indicator of Sarcopenia, Malnutrition, and Cachexia in Inpatients with Cardiovascular Diseases

2020

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Phase Angle as an Indicator of Sarcopenia, Malnutrition, and Cachexia in Inpatients with Cardiovascular Diseases

2020

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Journal Article

Phase Angle as an Indicator of Sarcopenia, Malnutrition, and Cachexia in Inpatients with Cardiovascular Diseases

Ishizaka, Hayato,

Arakawa, Tomoe,

Nakajima, Toshiaki,

Toyama, Yohei,

Hirose, Suguru,

Haruyama, Akiko,

Yamaguchi, Suomi,

Yasuda, Tomohiro,

Shibasaki, Ikuko,

Katayanagi, Satoshi,

Nishikawa, Kaori,

Fukuda, Hirotsugu,

Inoue, Teruo,

Mizushima, Yuta,

Matsumoto, Kazuhisa,

Toyoda, Shigeru,

Yazawa, Hiroko,

Takahashi, Reiko,

Mizushima, Takashi,

Nozawa, Naohiro

2020

Overview

Malnutrition is associated with sarcopenia, cachexia, and prognosis. We investigated the usefulness of phase angle (PhA) as a marker of sarcopenia, cachexia, and malnutrition in 412 hospitalized patients with cardiovascular disease. We analyzed body composition with bioelectrical impedance analysis, and nutritional status such as controlling nutritional status (CONUT) score. Both skeletal muscle mass index (SMI) and PhA correlated with age, grip strength and knee extension strength (p < 0.0001) in both sexes. The SMI value correlated with CONUT score, Hb, and Alb in males. Phase angle also correlated with CONUT score, Hb, and Alb in males, and more strongly associated with these nutritional aspects. In females, PhA was correlated with Hb and Alb (p < 0.001). In both sexes, sarcopenia incidence was 31.6% and 32.4%; PhA cut-off in patients with sarcopenia was 4.55° and 4.25°; and cachexia incidence was 11.5% and 14.1%, respectively. The PhA cut-off in males with cachexia was 4.15°. Multivariate regression analysis showed that grip strength and brain natriuretic peptide (BNP) were independent determinants of SMI, whereas grip strength, BNP, and Hb were independent determinants of PhA. Thus, PhA appears to be a useful marker for sarcopenia, malnutrition, and cachexia in hospitalized patients with cardiovascular disease.

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Publisher

MDPI AG,MDPI

Subject

Angina pectoris

/ Body fat

/ Body mass index

/ Cardiovascular disease

/ Chronic illnesses

/ Clinical medicine

/ Disease