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老年人的生物电阻抗矢量分析:一项横断面研究的参考标准

Bioelectrical impedance vector analysis in older adults: reference standards from a cross-sectional study.

作者信息

Campa Francesco, Annunziata Giuseppe, Barrea Luigi, Sampieri Alessandro, Ceolin Chiara, De Rui Marina, Sguaizer Francesco, Petri Cristian, Spataro Fabrizio, Mascherini Gabriele, Cremasco Margherita Micheletti, Sergi Giuseppe, Moro Tatiana, Paoli Antonio

机构信息

Department of Biomedical Sciences, University of Padua, Padua, Italy.

Department of Pharmacy, University of Naples "Federico II", Naples, Italy.

出版信息

Front Nutr. 2025 Jul 23;12:1640407. doi: 10.3389/fnut.2025.1640407. eCollection 2025.


DOI:10.3389/fnut.2025.1640407
PMID:40771207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12325078/
Abstract

BACKGROUND AND AIMS: The bioelectrical impedance vector analysis (BIVA) requires population-specific references to correctly classify individuals based on body composition properties. The aim of this study was: (i) to develop new references specific to the older adult population; (ii) to evaluate vector patterns based on age and appendicular lean soft mass (ALMS); (iii) to compare the new references with others already existing in the literature. METHODS: The present study included 835 older adults [472 women (mean age 73.9 ± 7.4 years, BMI 27.2 ± 5.4 kg/m) and 363 men (mean age 73.1 ± 7.2 years, BMI 27.0 ± 4.4 kg/m)]. Bioimpedance analysis was conducted using a phase-sensitive foot-to-hand technology at 50 kHz. Bioelectrical properties were analyzed among participants grouped by age categories and ALSM tertiles. New bivariate tolerance ellipses for resistance (R) and reactance (Xc), standardized by participants' height (H), were compared with data from adult populations and the original BIVA references proposed by Piccoli in 1995 (ages 15-85). RESULTS: New reference values for older adults were established. Significant differences ( < 0.001) in R/H and phase angle were observed when older adults were grouped by age categories, while R/H, Xc/H, and phase angle showed significant differences among ALSM/H tertiles. The mean bioelectrical vector for older adults differed from the references in the literature, showing a moderate magnitude relative to Piccoli's original BIVA references (men: D = 0.6; women: D = 0.5) and a larger magnitude compared to the adult standards (men: D = 1.7; women: D = 1.8). CONCLUSION: This study provides BIVA references for older adults. Aging was associated with increased R/H and decreased phase angle, whereas older individuals with higher ALSM exhibited a greater phase angle and lower R/H, and Xc/H. The original BIVA references proposed in 1995 lack specificity and are no longer recommended for future use, as age-specific bioelectrical references are now available.

摘要

背景与目的:生物电阻抗矢量分析(BIVA)需要特定人群的参考标准,以便根据身体成分特性对个体进行正确分类。本研究的目的是:(i)制定针对老年人群的新参考标准;(ii)根据年龄和四肢瘦软组织质量(ALMS)评估矢量模式;(iii)将新参考标准与文献中已有的其他标准进行比较。 方法:本研究纳入了835名老年人[472名女性(平均年龄73.9±7.4岁,BMI 27.2±5.4kg/m²)和363名男性(平均年龄73.1±7.2岁,BMI 27.0±4.4kg/m²)]。使用50kHz的相敏型从足部到手部技术进行生物电阻抗分析。在按年龄类别和ALSM三分位数分组的参与者中分析生物电特性。将以参与者身高(H)标准化的电阻(R)和电抗(Xc)的新双变量耐受椭圆与成年人群的数据以及Piccoli在1995年提出的原始BIVA参考标准(15 - 85岁)进行比较。 结果:建立了老年人的新参考值。按年龄类别对老年人进行分组时,观察到R/H和相位角存在显著差异(<0.001),而R/H、Xc/H和相位角在ALSM/H三分位数之间存在显著差异。老年人的平均生物电矢量与文献中的参考标准不同,相对于Piccoli的原始BIVA参考标准显示出中等幅度(男性:D = 0.6;女性:D = 0.5),与成人标准相比幅度更大(男性:D = 1.7;女性:D = 1.8)。 结论:本研究为老年人提供了BIVA参考标准。衰老与R/H增加和相位角降低相关,而ALSM较高的老年人表现出更大的相位角和更低的R/H以及Xc/H。1995年提出的原始BIVA参考标准缺乏特异性,由于现在有了针对特定年龄的生物电参考标准,不再建议未来使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/63b5c02e386c/fnut-12-1640407-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/0953f64efc9f/fnut-12-1640407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/5a09d66bca40/fnut-12-1640407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/1dcdee442c67/fnut-12-1640407-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/63b5c02e386c/fnut-12-1640407-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/0953f64efc9f/fnut-12-1640407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/5a09d66bca40/fnut-12-1640407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/1dcdee442c67/fnut-12-1640407-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/f00f81a09947/fnut-12-1640407-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd68/12325078/63b5c02e386c/fnut-12-1640407-g005.jpg

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本文引用的文献

[1]
The usefulness of the updated bioelectrical impedance vector analysis references for assessing malnutrition, sarcopenia and predicting mortality in hospitalized patients.

Clin Nutr. 2025-4

[2]
Evaluation of fluid status in patients with acromegaly through bioelectrical impedance vector analysis: a cross-sectional study.

J Endocrinol Invest. 2025-5

[3]
Re. Mazza et al. "Portable bioimpedance analyzer for remote body composition monitoring: A clinical investigation under controlled conditions".

Nutrition. 2025-3

[4]
Appendicular Skeletal Muscle Mass (ASMM) and Fat-Free Mass (FFM) DXA-BIA Estimations for the Early Identification of Sarcopenia/Low Muscle Mass in Middle-Aged Women.

Nutrients. 2024-11-15

[5]
Variations in bioelectrical impedance devices impact raw measures comparisons and subsequent prediction of body composition using recommended estimation equations.

Clin Nutr ESPEN. 2024-10

[6]
High-standard predictive equations for estimating body composition using bioelectrical impedance analysis: a systematic review.

J Transl Med. 2024-5-29

[7]
Problems and Opportunities in the use of Bioelectrical Impedance Analysis for Assessing Body Composition During Ketogenic Diets: A Scoping Review.

Curr Obes Rep. 2024-9

[8]
Prognostic value of overhydration and bioelectrical impedance vector on short- and long-term outcomes in hospitalized patients with cancer.

Clin Nutr. 2024-3

[9]
New bioelectrical impedance vector references and phase angle centile curves in 4,367 adults: The need for an urgent update after 30 years.

Clin Nutr. 2023-9

[10]
Effect of resistance training on bioelectrical phase angle in older adults: a systematic review with Meta-analysis of randomized controlled trials.

Rev Endocr Metab Disord. 2023-6

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