Valor pronóstico de la bioimpedancia eléctrica en ancianos con riesgo nutricional ingresados en una unidad de convalecencia de un centro de atención intermedia

4区医学 Q3 Nursing

Endocrinologia, Diabetes y Nutricion Pub Date : 2026-10-01 Epub Date: 2026-02-26 DOI:10.1016/j.endinu.2026.501775

Jéssica Martínez Rodríguez, Mateu Serra-Prat, Elisabet Palomera Fanegas

{"title":"Valor pronóstico de la bioimpedancia eléctrica en ancianos con riesgo nutricional ingresados en una unidad de convalecencia de un centro de atención intermedia","authors":"Jéssica Martínez Rodríguez, Mateu Serra-Prat, Elisabet Palomera Fanegas","doi":"10.1016/j.endinu.2026.501775","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Bioelectrical impedance analysis (BIA) is a widely used technique in clinical practice, especially in the field of nutrition. Some of its parameters have been associated with an increased risk of malnutrition, sarcopenia, and mortality.</div></div><div><h3>Aim</h3><div>To evaluate the prognostic value of BIA parameters in elderly people at risk of malnutrition admitted to a convalescent unit.</div></div><div><h3>Methods</h3><div>We conducted an observational and prospective study of older adults at nutritional risk admitted to a convalescent unit, followed from admission to hospital discharge. All of them underwent BIA within the first week of admission. The main outcome measures were in-hospital complications, in-hospital mortality, and length of stay. Nutritional status (GLIM criteria), sarcopenia (EWGSOP2 criteria), and frailty (Frail-VIG criteria) were assessed as well.</div></div><div><h3>Results</h3><div>142 patients (62% men, mean age of 82.5 years (SD, 7.58) were recruited. A total of 57.7% exhibited complications during admission; the mean length of stay was 45.0 days (SD, 24.1), and the in-hospital mortality rate, 11.3%. In women, in-hospital complications and mortality were associated with a lower Phase Angle (PhA) and a higher total body water/fat free mass and extracellular water/intracellular water ratios. Survival was significantly lower when PhA on admission was <4.5° in men and <4.0° in women, as well as when the intracellular water/fat free mass ratio was <0.33 in both sexes.</div></div><div><h3>Conclusions</h3><div>PhA and an imbalance between extracellular and intracellular water are indicators of poor prognosis in elderly patients admitted to a convalescent unit.</div></div>","PeriodicalId":37725,"journal":{"name":"Endocrinologia, Diabetes y Nutricion","volume":"73 8","pages":"Article 501775"},"PeriodicalIF":0.0000,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Endocrinologia, Diabetes y Nutricion","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2530016426000194","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/26 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Bioelectrical impedance analysis (BIA) is a widely used technique in clinical practice, especially in the field of nutrition. Some of its parameters have been associated with an increased risk of malnutrition, sarcopenia, and mortality.

Aim

To evaluate the prognostic value of BIA parameters in elderly people at risk of malnutrition admitted to a convalescent unit.

Methods

We conducted an observational and prospective study of older adults at nutritional risk admitted to a convalescent unit, followed from admission to hospital discharge. All of them underwent BIA within the first week of admission. The main outcome measures were in-hospital complications, in-hospital mortality, and length of stay. Nutritional status (GLIM criteria), sarcopenia (EWGSOP2 criteria), and frailty (Frail-VIG criteria) were assessed as well.

Results

142 patients (62% men, mean age of 82.5 years (SD, 7.58) were recruited. A total of 57.7% exhibited complications during admission; the mean length of stay was 45.0 days (SD, 24.1), and the in-hospital mortality rate, 11.3%. In women, in-hospital complications and mortality were associated with a lower Phase Angle (PhA) and a higher total body water/fat free mass and extracellular water/intracellular water ratios. Survival was significantly lower when PhA on admission was < 4.5° in men and < 4.0° in women, as well as when the intracellular water/fat free mass ratio was < 0.33 in both sexes.

Conclusions

PhA and an imbalance between extracellular and intracellular water are indicators of poor prognosis in elderly patients admitted to a convalescent unit.

查看原文本刊更多论文

有营养风险的老年人在中级保健中心康复单位的电生物阻抗预测值

生物阻抗分析（BIA）是一种广泛应用于临床实践的技术，特别是在营养领域。它的一些参数与营养不良、肌肉减少症和死亡率增加的风险有关。目的探讨BIA参数在康复病房有营养不良危险的老年人中的预后价值。方法：我们对从入院到出院期间住进康复病房的有营养风险的老年人进行了一项观察性和前瞻性研究。所有患者均在入院第一周内接受BIA治疗。主要结局指标为院内并发症、院内死亡率和住院时间。营养状况（GLIM标准）、肌肉减少症（EWGSOP2标准）和虚弱（虚弱- vig标准）也进行了评估。结果共纳入142例患者，其中男性占62%，平均年龄82.5岁（SD, 7.58）。入院时出现并发症的占57.7%；平均住院时间45.0天（SD, 24.1），住院死亡率11.3%。在女性中，住院并发症和死亡率与较低的相位角（PhA）、较高的全身水/无脂肪质量和细胞外水/细胞内水比有关。当入院时男性PhA为4.5°，女性PhA为4.0°，以及两性细胞内水/无脂肪质量比均为0.33时，生存率显著降低。结论spha和细胞外水与细胞内水失衡是老年住院患者预后不良的指标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Endocrinologia, Diabetes y Nutricion Nursing-Nutrition and Dietetics

CiteScore

2.10

自引率

0.00%

发文量

169

审稿时长

35 days

期刊介绍： Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.