Bioelectrical impedance vector analysis detects low body cell mass and dehydration in patients with Alzheimer’s disease
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- Buffa, R., Mereu, R.M., Putzu, P.F. et al. J Nutr Health Aging (2010) 14: 823. doi:10.1007/s12603-010-0115-9
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This paper evaluates the nutritional status in patients with mild-moderate and severe Alzheimer’s disease (AD) by bioelectrical impedance vector analysis (BIVA).
Cross-sectional study. Setting: Alzheimer Center, SS. Trinità Hospital, Cagliari, and “Monsignor Angioni” Nursing Home, Quartu Sant’Elena (Cagliari, Italy).
83 free-living patients with mild-moderate Alzheimer’s disease (29 men, 54 women), 9 institutionalized women in the severe stage; 468 age-matched controls (202 men, 266 women).
Mini Nutritional Assessment (MNA), anthropometric (height, weight, BMI), bioelectrical (R, Xc) and biochemical variables (serum albumin) were assessed.
Bioelectrical characteristics were significantly different in the patients with mild-moderate AD with respect to controls, indicating low body cell mass (men, T2= 12.8; women, T2=34.9; p<0.01). Women with severe AD showed low body cell mass and dehydration with respect to patients with mild-moderate AD (T2=17.1; p<0.01). The phase angle, R/H and Z/H were significantly correlated (p<0.05) with MNA (phase: r = 0.31; R/H: r =−0.37; Z/H: r =−0.37) and albumin (phase: r=0.47; R/H: r=−0.36; Z/H: r=−0.36).
Alzheimer’s disease is characterized by a tendency to malnutrition, present even in the mild-moderate stages, and a tendency to dehydration that appears in the severe stage. The BIVA technique is a promising tool for the screening and monitoring of nutrition and hydration status in Alzheimer’s disease.
Key wordsAlzheimer’s diseaseBIVAnutritional statushydration status
Bioelectrical Impedance Analysis
Bioelectrical Impedance Vector Analysis
Mini Nutritional Assessment
Clinical Dementia Rating
National Institute of Neurological and Communicative Disorders and Stroke and Alzheimer’s Disease and Related Disorders
Mini Mental State Examination