Observational studyEuropean journal of clinical nutrition2019
Clinical value of body composition monitor to evaluate lean and fat tissue mass in peritoneal dialysis.
Observational study in European journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Lean tissue mass is associated with adverse outcomes across different stages of chronic kidney disease: a systematic review and meta-analysis.Scientific reports · 2026Pooled it
- Probiotic treatment induces changes in intestinal microbiota but does not alter SCFA levels in peritoneal dialysis patients-a randomized, placebo-controlled trial.Scientific reports · 2024Trial
- Time-Dependent Changes in Extracellular-to-Intracellular Water Ratios and Risk of All-Cause Mortality in Peritoneal Dialysis Patients: A Single-Center Retrospective Cohort Study.Kidney medicine · 2026Article
- Phase angle as a novel indicator of sarcopenic obesity in patients undergoing hemodialysis.Frontiers in nutrition · 2025Article
- Article
- Comparing bioimpedance spectrometry and traditional creatinine kinetics methods for the assessment of muscle mass in peritoneal dialysis patients.Clinical kidney journal · 2024Article
- Bioimpedance analysis in children on peritoneal dialysis: to fill or not to fill?Pediatric nephrology (Berlin, Germany) · 2024Article
- Review
- Associations among body composition parameters and quality of life in peritoneal dialysis patients.Scientific reports · 2022Observational
- Association of sarcopenia and its components with clinical outcomes in patients undergoing peritoneal dialysis.Kidney research and clinical practice · 2022Article
- Muscle strength performed better than muscle mass in identifying cognitive impairment risk in maintenance hemodialysis patients.Eating and weight disorders : EWD · 2022Article
- The Impact of Volume Overload on the Longitudinal Change of Adipose and Lean Tissue Mass in Incident Chinese Peritoneal Dialysis Patients.Nutrients · 2022Observational
- Association analysis of body composition with survival among prevalent peritoneal dialysis patients.International urology and nephrology · 2022Article
- Comparison of lean mass indices as predictors of mortality in incident peritoneal dialysis patients.PloS one · 2021Observational
- Association of Prescription With Body Composition and Patient Outcomes in Incident Peritoneal Dialysis Patients.Frontiers in medicine · 2021Article
- Three compartment bioimpedance spectroscopy in the nutritional assessment and the outcome of patients with advanced or end stage kidney disease: What have we learned so far?Hemodialysis international. International Symposium on Home Hemodialysis · 2020Review
- The cut-off values of handgrip strength and lean mass index for sarcopenia among patients on peritoneal dialysis.Nutrition & metabolism · 2020Article
- Bioimpedance spectroscopy: Is a picture worth a thousand words?Seminars in dialysisArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesBioimpedance analysis is often routinely performed in any dialysis unit to guide fluid management but can provide a reproduceable assessment of fat and muscle mass. We wished to determine the clinical significance of low muscle or high fat mass and the determinants that influence their change. SUBJECTS/
methodsWe performed retrospective analysis of 824 patients on peritoneal dialysis who underwent routine repeated bioimpedance analysis measurements using the body composition monitor (BCM).
resultsLean tissue index (LTI) was an independent predictor of mortality when sex, age, PD vintage and diabetes status were included in the models (HR 0.93; 95% CI 0.86-1.00, p < 0.05) and when baseline serum albumin was included in a separate model (HR 0.86; 95% CI: 0.79-0.93, p < 0.001). High fat tissue index (FTI) was an independent predictor of mortality when demographic factors were included (HR 0.87; 95% CI: 0.78-0.97, p < 0.02), but not with the addition biochemical parameters. Changes in body composition of 206 patients over a 2-year follow-up period could not be predicted by baseline demographics, functional or biochemical assessments. However, there was a strong inverse relationship between changes in LTI and FTI. There were no associations between changes in body composition with prescribed dialysate glucose.
conclusionsWe showed body composition changes are common and complex. LTI was an independent predictor of survival. Changes in LTI and FTI could not be predicted by baseline parameters. BCM may be a sensitive and accurate tool to monitor changes in body composition during dialysis treatment.
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