Popiolek-Kalisz Joanna, Szczygiel Karolina
Clinical Dietetics Unit, Department of Bioanalytics, Medical University of Lublin, Lublin, Poland; Department of Cardiology, Cardinal Wyszynski Hospital in Lublin, Lublin, Poland.
Clinical Dietetics Unit, Department of Bioanalytics, Medical University of Lublin, Lublin, Poland.
Curr Probl Cardiol. 2023 Nov;48(11):101911. doi: 10.1016/j.cpcardiol.2023.101911. Epub 2023 Jul 1.
Nutritional status and body composition in cardiovascular (CV) patients are important aspects of their performance. Bioelectrical impedance analysis (BIA) is a noninvasive method that provides reliable information about bioelectrical parameters which reflect nutritional status and body composition data. The aim of this paper was to describe BIA, its advantages, limitations, and clinical applications in CV patients. The PubMed database was searched for all papers showing the use of BIA in CV conditions until January 1, 2023. A total of 42 papers regarding BIA application in CV patients were identified. Phase angle, Z parameter, and membrane capacitance are the BIA parameters that can be used for nutritional status assessment in CV patients, mainly in heart failure and after myocardial infarction. Among secondary body composition parameters, fat mass can be used for obesity assessment which is a CV risk factor. Body cell mass can be used together which the direct BIA parameters for nutritional status assessment which is an important factor in treatment outcome, quality of life, and disease prognosis. Total body water can be used for hydration assessment in heart failure and during invasive procedures. To conclude, BIA is a noninvasive method that provides essential information about the general condition of the body which is the result of nutritional and hydration status in CV patients.
心血管（CV）疾病患者的营养状况和身体成分是其病情表现的重要方面。生物电阻抗分析（BIA）是一种非侵入性方法，可提供有关生物电参数的可靠信息，这些参数反映了营养状况和身体成分数据。本文旨在描述BIA及其在CV疾病患者中的优势、局限性和临床应用。在PubMed数据库中检索了截至2023年1月1日所有显示在CV疾病中使用BIA的论文。共确定了42篇关于BIA在CV疾病患者中应用的论文。相位角、Z参数和膜电容是可用于评估CV疾病患者营养状况的BIA参数，主要用于心力衰竭和心肌梗死后的患者。在次要身体成分参数中，脂肪量可用于评估肥胖，而肥胖是一种CV风险因素。身体细胞质量可与用于营养状况评估的直接BIA参数一起使用，营养状况是治疗结果、生活质量和疾病预后的重要因素。总体水可用于评估心力衰竭患者和侵入性操作期间的水合状态。总之，BIA是一种非侵入性方法，可提供有关身体总体状况的重要信息，而身体总体状况是CV疾病患者营养和水合状态的结果。
