Application of phase angle in evaluating nutritional status of peritoneal dialysis patients
10.3969/j.issn.1673-9701.2024.20.013
- VernacularTitle:相位角在评估腹膜透析患者营养状况中的应用
- Author:
Jialu ZHUO
1
;
Ning YANG
;
Zhihua QU
;
Yuehua ZHANG
;
Ting HAN
Author Information
1. 同济大学附属第十人民医院临床营养科,上海 200072
- Keywords:
Phase angle;
Nutritional status;
Peritoneal dialysis
- From:
China Modern Doctor
2024;62(20):57-62
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the value of phase angle(PA)measured by bioelectrical impedance analysis in evaluating nutritional status of peritoneal dialysis(PD)patients.Methods Totally 271 patients admitted to the Department of Nephrology,Tenth People's Hospital Affiliated to Tongji University from April 2020 to December 2021 were selected.InBody S10(Korean Biospace)was used to detect PA at 50kHz,which was divided into normal PA group and low PA group.The differences of general data and laboratory indexes between the two groups were compared,and the relationship between PA and each index was analyzed by Pearson correlation analysis and multiple linear regression analysis.Results Among 271 PD patients,108(39.9％)were in the normal PA group and 163(60.1％)were in the low PA group.The proportion of diabetic nephropathy patients in low PA group was significantly higher than that in normal PA group.Pearson correlation analysis showed that PA was negatively correlated with age,glycated hemoglobin,neutrophil to lymphocyte ratio(NLR),percent body fat(PBF),edema index and visceral fat area(VFA).It was positively correlated with creatinine,prealbumin,albumin,predictive nutritional index(PNI),25-hydroxyvitamin D3[25(OH)D3],serum iron,fat free mass,skeletal muscle mass,arm muscle circumference(AMC),bone mineral content,VFA,basal metabolic rate and skeletal muscle mass index(SMI)(P＜0.05).Multiple linear regression analysis showed that creatinine,NLR,AMC,SMI were independently correlated with PA.Conclusions Bioelectrical impedance analysis(BIA)is non-invasive and rapid to evaluate the nutritional status of patients.Early identification of patients'nutritional status and implementation of individualised nutritional interventions are important ways to improve the quality of life and survival of patients with renal failure.
