ArticleEuropean journal of clinical nutrition2015
Changes in muscle and fat mass with haemodialysis detected by multi-frequency bioelectrical impedance analysis.
Article in European journal of clinical nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 67 citations in OpenAlex.
- Effects of a 6-Week Faroese Chain Dance Programme on Postural Balance, Physical Function, and Health Profile in Elderly Subjects: A Pilot Study.BioMed research international · 2019Trial
- Diagnostic Accuracy of Rectus Femoris Ultrasound for Identifying Sarcopenia as Defined by the European Working Group on Sarcopenia in Older People 2 in Haemodialysis Patients.Diagnostics (Basel, Switzerland) · 2026Article
- Differences in circulatory dynamics and skeletal muscle blood flow during exercise between post-dialysis and non-dialysis days in hemodialysis patients.International urology and nephrology · 2026Article
- The effect of comorbidity and frailty on dietary intake and protein losses in end-stage kidney disease patients undergoing peritoneal dialysis.Scientific reports · 2026Article
- Muscle loss must be interpreted in the context of fluid imbalance: a dual-parameter model predicts functional outcomes after acute stroke.European geriatric medicine · 2026Article
- Subclinical congestion assessed by whole-body bioelectrical impedance analysis in HFrEF outpatients.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025Article
- Changes in body composition and handgrip strength during dapagliflozin administration in patients with chronic kidney disease.Clinical kidney journal · 2025Article
- Hand Grip Strength Index, a Novel Tool in Risk-Assessing Multi-Ethnic End-Stage Kidney Disease Patients Treated by Haemodialysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Muscle Mass and Muscle Strength in Non-Dialysis-Dependent Chronic Kidney Disease Patients.Journal of clinical medicine · 2024Article
- Oral Frailty as a Risk Factor for Malnutrition and Sarcopenia in Patients on Hemodialysis: A Prospective Cohort Study.Nutrients · 2024Observational
- Review
- Patient and Staff Perceptions on Using Bioelectrical Impedance Analysis in an Outpatient Haemodialysis Setting: A Qualitative Descriptive Study.Healthcare (Basel, Switzerland) · 2022Article
- Article
- Assessing lean tissue by bioelectrical impedance analysis pre hemodialysis underestimates the prevalence of sarcopenia in maintenance hemodialysis patients.European journal of clinical nutrition · 2021Article
- Sarcopenia in chronic kidney disease: what have we learned so far?Journal of nephrology · 2021Review
- Association Between Phase Angle and Sarcopenia in Patients Undergoing Peritoneal Dialysis.Frontiers in nutrition · 2021Article
- The effect of an arteriovenous fistula and haemodialysis on anthropometric measurements of the upper arm.European journal of clinical nutrition · 2020Article
- Changes in bioimpedance analysis components before and after hemodialysis.Kidney research and clinical practice · 2018Article
- The Relationship between Controlling Nutritional (CONUT) Score and Clinical Markers among Adults with Hepatitis C Virus Related Liver Cirrhosis.Nutrients · 2018Observational
- Extracellular Water to Total Body Water Ratio in Viral Liver Diseases: A Study Using Bioimpedance Analysis.Nutrients · 2018Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesMulti-frequency bioelectrical impedance analysis (MFBIA) is becoming more widely used to assess hydration status and body composition in haemodialysis patients. Most centres only measure MFBIA pre dialysis when patients are overhydrated. We wished to determine whether body composition assessments change post dialysis following fluid removal. SUBJECTS/
methodsLean body and fat mass were measured by MFBIA pre and post haemodialysis in 676 stable outpatients.
resultsWeight fell post dialysis from 72.9 ± 17.8 to 70.9 ± 19.9 kg, P<0.001, soft lean mass from 48.2 ± 12.1 to 45.4 ± 11.0 kg and fat-free mass from 51.8 ± 19.2 to 48.1 ± 11.8 kg, P<0.001, whereas percentage body fat (PBF) increased from 28.8 ± 11.9 to 30.8 ± 12.1% post dialysis, P<0.001, with a mean increase post dialysis of 2.0% (95% confidence limits 1.55 to 2.45). There were correlations between the fall in total body water and extracellular water and skeletal muscle mass (r=0.826, P<0.001 and r=0.711, P<0.001, respectively), and negative correlation between the fall in total body water and ICW and the increase in PBF (r=-0.72, P<0.001, and -0.72, P<0.001, respectively). The relative changes were greater for the arms compared with the legs.
conclusionsAlthough more convenient for both patients and staff to undertake bioimpedance measurements pre dialysis, overhydration over estimates muscle mass and under estimates fat. For more reliable and reproducible assessments of nutritional status, we suggest that bioimpedance measurements of body composition should be made when patients are closer to their target weight than when overhydrated.
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