Wong H S, Boey L M, Morad Z
Department of Nephrology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
Transplant Proc. 2004 Sep;36(7):2186-7. doi: 10.1016/j.transproceed.2004.08.117.
Bioelectrical impedance analysis was introduced more than a decade ago to measure body composition and nutritional status. There are presently limited data on the nutritional status and body composition measured with bioelectrical impedance analysis in renal transplant recipients, especially among the Asian population. The normal values for these data in renal transplant recipients remain unknown.
All renal transplant recipients with stable graft function who attended the outpatient renal transplant clinic in June 2003 were recruited for this cross-sectional study. Demographic and clinical data were obtained from participating patients and their outpatient clinic notes. Body composition and bioelectrical impedance data were obtained using the Metron BioScan 916 v3 analyzer.
Out of a total of 168 renal transplant recipients, 110 participated in this study of body composition and bioelectrical impedance for comparison with data from a previous study of 419 normal healthy volunteer controls. When compared to the healthy Malaysians, renal transplant recipients showed similar body composition in terms of body mass index, body cell mass, muscle bulk, percentage of body fat, percentage of fat free mass, and percentage of total body water. However, renal transplant recipients have more extracellular water, a lower phase angle, and a lower reactant.
Malaysians who have undergone renal transplantation have similar body composition to the healthy Malaysians when measurements are obtained using bioelectrical impedance analysis.
生物电阻抗分析在十多年前就已被引入用于测量身体成分和营养状况。目前,关于肾移植受者中使用生物电阻抗分析测量营养状况和身体成分的数据有限,尤其是在亚洲人群中。肾移植受者这些数据的正常值仍然未知。
招募2003年6月在门诊肾移植诊所就诊且移植肾功能稳定的所有肾移植受者进行这项横断面研究。从参与研究的患者及其门诊病历中获取人口统计学和临床数据。使用Metron BioScan 916 v3分析仪获取身体成分和生物电阻抗数据。
在总共168名肾移植受者中,110名参与了这项身体成分和生物电阻抗研究,以便与之前对419名正常健康志愿者对照的研究数据进行比较。与健康马来西亚人相比,肾移植受者在体重指数、身体细胞质量、肌肉量、体脂百分比、去脂体重百分比和总体水百分比方面显示出相似的身体成分。然而,肾移植受者有更多的细胞外液、更低的相位角和更低的反应物。
当使用生物电阻抗分析进行测量时,接受肾移植的马来西亚人与健康马来西亚人的身体成分相似。