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Association of bio-impedance phase angle and a nutritional indicator in community-dwelling patients with type 2 diabetes mellitus

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Abstract

Purpose

Although the bio-impedance phase angle is a relevant factor in nutritional assessment, studies with community-dwelling patients with type 2 diabetes mellitus have not been identified. The purpose of this study was to determine the association between phase angle and nutritional status in community-dwelling patients with type 2 diabetes mellitus according to gender and accounting for related factors other than nutritional status.

Methods

This study included 122 patients (mean age 52.1 ± 13.5 years, 63 males and 59 females) with type 2 diabetes mellitus living in the community who used our Endocrinology and Metabolism medical clinic. The phase angle was measured using bioelectrical impedance analysis. Albumin was an independent variable and the covariates were age, hemoglobin A1c, skeletal muscle index (SMI), and body mass index. Statistical analysis was performed using linear regression with a significance level of 5%.

Results

The linear regression model results showed a significant association between phase angle and albumin in both males and females (males: β = 0.26, females: β = 0.16). Age was also a relevant factor (male: β = −0.25, female: β = −0.51), and a significant association was found between phase angle and SMI in males (β = 0.54).

Conclusion

Phase angle was positively associated with albumin, a nutritional assessment index. These results suggest that phase angle can be a simple and noninvasive measure of nutritional status.

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Author information

Authors and Affiliations

  1. Department of Rehabilitation, Hananooka Hospital, 707-3, Yamamurocho, Matsusaka-city, Mie, 515-0052, Japan

    Yuta Mori & Kazutaka Matsumoto

  2. Diabetology, Endocrinology, and Metabolism, Matsumoto Clinic, 1619-2, Maenohetacho, Matsusaka-city, Mie, 515-0045, Japan

    Yuta Mori, Haruka Koizumi & Kazutaka Matsumoto

  3. Department of Public Health, Graduate School of Medicine, Chiba University, 1-8-1, Inohana, Chuo-ku, Chiba-city, Chiba, 260-8670, Japan

    Yuta Mori

  4. Comprehensive Rehabilitation Center, Syutaikai Hospital, 8-1, Jyouhokucho, Yokkaichi-city, Mie, 510-0823, Japan

    Tomoki Tachi

  5. Department of Health Sciences, Fujita Health University, 1-98, Kutsukakecho, Toyoake-city, Mie, 470-1192, Japan

    Hiroaki Sakurai

Authors
  1. Yuta Mori
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  2. Tomoki Tachi
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  3. Haruka Koizumi
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  4. Kazutaka Matsumoto
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  5. Hiroaki Sakurai
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Contributions

Conception and design: YM and TT; data collection: HK and KM; analysis, interpretation of the data, and writing the article: YM; critical revision of the article: YM, TT, HK, MH, KM, and HS. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yuta Mori.

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Ethics approval

The study was conducted in accordance with the Declaration of Helsinki and was approved by the Ethical Review Committee of Hana-no-Oka Hospital (02020).

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Consent for this study was obtained after subjects were fully informed in writing and orally about the purpose of the study, the contents of the examination, and the protection of their personal information.

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All authors reported no conflicts of interest.

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Mori, Y., Tachi, T., Koizumi, H. et al. Association of bio-impedance phase angle and a nutritional indicator in community-dwelling patients with type 2 diabetes mellitus. J Diabetes Metab Disord (2023). https://doi.org/10.1007/s40200-023-01196-3

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  • DOI: https://doi.org/10.1007/s40200-023-01196-3

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