Evidence map›Paper›PMID 36904084›Full record

ArticleNutrients2023

Low Phase Angle Values Are Associated with Malnutrition according to the Global Leadership Initiative on Malnutrition Criteria in Kidney Transplant Candidates: Preliminary Assessment of Diagnostic Accuracy in the FRAILMar Study.

Elena Muñoz-Redondo, Andrea Morgado-Pérez, María-José Pérez-Sáez, Anna Faura, Dolores Sánchez-Rodríguez, Marta Tejero-Sánchez, Delky Meza-Valderrama, María Dolors Muns, Julio Pascual, Ester Marco

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Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Elena Muñoz-RedondoPhysical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital del Mar-Hospital de l'Esperança), 08003 Barcelona, Spain.ORCID 0000-0002-6288-0408
Andrea Morgado-PérezPhysical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital del Mar-Hospital de l'Esperança), 08003 Barcelona, Spain.
María-José Pérez-SáezNephrology Department, Hospital del Mar, 08003 Barcelona, Spain.ORCID 0000-0002-8601-2699
Anna FauraNephrology Department, Hospital del Mar, 08003 Barcelona, Spain.
Dolores Sánchez-RodríguezGeriatrics Department, Brugmann University Hospital, Université Libre de Bruxelles, 1020 Brussels, Belgium.ORCID 0000-0001-8662-5172
Marta Tejero-SánchezPhysical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital del Mar-Hospital de l'Esperança), 08003 Barcelona, Spain.
Delky Meza-ValderramaRehabilitation Research Group, Hospital del Mar Medical Research Group, 08003 Barcelona, Spain.ORCID 0000-0001-9259-7745
María Dolors MunsDepartment of Endocrinology and Nutrition, Hospital del Mar, 08003 Barcelona, Spain.
Julio PascualNephrology Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Ester MarcoPhysical Medicine and Rehabilitation Department, Parc de Salut Mar (Hospital del Mar-Hospital de l'Esperança), 08003 Barcelona, Spain.

Funding

Instituto de Salud Carlos III PI19/00037
6 · The paper itself

Abstract

Malnutrition has a negative impact on patients with chronic diseases and its early identification is a priority. The primary objective of this diagnostic accuracy study was to assess the performance of the phase angle (PhA), a bioimpedance analysis (BIA)-derived parameter, for malnutrition screening using the Global Leadership Initiative for Malnutrition (GLIM) criteria as the reference standard in patients with advanced chronic kidney disease (CKD) waiting for kidney transplantation (KT); criteria associated with low PhA in this population were also analyzed. Sensitivity, specificity, accuracy, positive and negative likelihood ratios, predictive values, and area under the receiver operating characteristic curve were calculated for PhA (index test) and compared with GLIM criteria (reference standard). Of 63 patients (62.9 years old; 76.2% men), 22 (34.9%) had malnutrition. The PhA threshold with the highest accuracy was ≤4.85° (sensitivity 72.7%, specificity 65.9%, and positive and negative likelihood ratios 2.13 and 0.41, respectively). A PhA ≤ 4.85° was associated with a 3.5-fold higher malnutrition risk (OR = 3.53 (CI95% 1.0-12.1)). Considering the GLIM criteria as the reference standard, a PhA ≤ 4.85° showed only fair validity for detecting malnutrition, and thus cannot be recommended as a stand-alone screening tool in this population.

Indexed as

Kidney TransplantationMalnutritionFemaleHumansLeadershipMaleMiddle AgedNutritional StatusNutrition AssessmentReference StandardsROC Curveadvanced chronic kidney diseaseGLIMmalnutritionmuscle massphase angleprehabilitation

Identifiers

PMID36904084
PMCPMC10005429

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.