Evaluating the Clinical Applicability of Multifrequency Bioelectrical Impedance Analysis for Nutritional Status Prediction in Hospitalized Persons With Severe Motor and Intellectual Disabilities

IF 2.1 2区医学 Q1 EDUCATION, SPECIAL

Journal of Intellectual Disability Research Pub Date : 2024-12-08 DOI:10.1111/jir.13203

Nozomu Yano, Akihiko Ohwatashi, Daishi Iwashita

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Abstract

Background

Persons with severe motor and intellectual disabilities (SMID) have difficulty using general nutritional assessments in the elderly and other populations because of their physical characteristics. The purpose of this study was to investigate the clinical utility of body composition, which has been suggested to be related to biochemical tests in persons with SMID.

Methods

We calculated cutoff values of body composition predicting malnutrition and compared the usage of peripheral parenteral nutrition for the two groups divided by each body composition cutoff value. We also compared body composition at the baseline between nonsurvivors and survivors.

Results

Only group comparisons based on skeletal muscle ratio and extracellular water to total body water (ECW/TBW) cutoffs showed significant differences in the usage of peripheral parenteral nutrition. Nonsurvivors had significantly higher ECW/TBW than survivors at the baseline.

Conclusions

In persons with SMID, skeletal muscle ratio and ECW/TBW measured using multifrequency bioelectrical impedance were associated with biochemical indices and ill health. Furthermore, ECW/TBW was also associated with mortality, suggesting that ECW/TBW is a significant measure for nutritional assessment in clinical practice.

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评价多频生物电阻抗分析在重度运动和智力障碍住院患者营养状况预测中的临床适用性。

背景：严重运动和智力残疾者（SMID）由于其身体特征，在老年人和其他人群中难以进行一般营养评估。本研究的目的是探讨身体成分的临床应用，这被认为与SMID患者的生化测试有关。方法：计算机体成分预测营养不良的临界值，并按各机体成分临界值划分，比较两组患者外周肠外营养的使用情况。我们还比较了非幸存者和幸存者基线时的身体成分。结果：只有基于骨骼肌比率和细胞外水/全身水（ECW/TBW）截断值的组间比较显示外周肠外营养的使用有显著差异。在基线时，非幸存者的ECW/TBW明显高于幸存者。结论：在SMID患者中，多频生物电阻抗测量的骨骼肌比和ECW/TBW与生化指标和健康状况相关。此外，ECW/TBW还与死亡率相关，表明ECW/TBW是临床营养评估的重要指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Intellectual Disability Research Multiple-

CiteScore

5.60

自引率

5.60%

发文量

期刊介绍： The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.