Efficacy of specific bioelectrical impedance vector analysis (BIVA) for assessing body composition in the elderly
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This study aimed to ascertain the efficacy of bioelectrical impedance vector analysis (BIVA) in assessing body composition in the elderly by comparing findings with the results of dual-energy X-ray absorptiometry (DXA), and to test an analytical variant of the method (specific BIVA).
The sample comprised 207 free-living elderly individuals (75 men and 132 women) aged 65 to 93 years.
Anthropometric and bioelectrical measurements were taken according to standard criteria. BIVA was applied using the ‘classic’ procedure and correcting bioelectrical values for body geometry to obtain an estimate of the whole-body impedivity. DXA was used as a reference body composition assessment method. BIVA (classic and specific values) and DXA findings were compared using Student’s t and Hotelling’s T2 tests, and Pearson’s correlation coefficient.
In both sexes, BIVA distinguished between individuals with different amounts of fat and fat-free mass (lean mass including bone mineral content), according to DXA, but not between those with different proportions of fat mass (FM%). Specific bioelectrical values detected changes in body composition.
BIVA should be used with caution for evaluating body composition in the elderly. Specific bioelectrical values proved effective, showing promise as a methodological variant of BIVA, suitable for identifying age-related changes in body fatness.
- Ahmed T, Haboubi N (2010) Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging 5:207–216.
- Morley JE (1997) Anorexia of aging: physiologic and pathologic. Am J Clin Nutr 66:760–773.
- Buffa R, Floris GU, Putzu PF, Marini E. Body composition variations in ageing. Coll Antropol. 2011 Mar;35(1): 259–265.
- Morley JE (2011) Assessment of malnutrition in older persons: a focus on the Mini Nutritional Assessment. J Nutr Health Aging 15:87–90. CrossRef
- Sergi G, Coin A, Enzi G, Volpato S, Inelmen EM, Buttarello M, Peloso M, Mulone S, Marin S, Bonometto P. Role of visceral proteins in detecting malnutrition in the elderly. Eur J Clin Nutr. 2006 Feb;60(2):203–209. CrossRef
- Baumgartner R N, Stauber P M, McHugh D, Koehler K M, Garry P J (1995) Crosssectional age difference in body composition in persons 60+ years of age. J Gerontol A Biol Sci Med Sci 50:M307–M316. CrossRef
- Bioelectrical impedance analysis in body composition measurement: National Institutes of Health Technology Assessment Conference Statement (1996). Am J Clin Nutr 64:524S–532S.
- Dittmar M (2003) Reliability and variability of bioimpedance measures in normal adults: effects of age, gender, and body mass. Am J Phys Anthropol 122:361–370. CrossRef
- Piccoli A, Pillon L, Favaro E. Asymmetry of the total body water prediction bias using the impedance index. Nutrition. 1997 May;13(5):438–441. CrossRef
- Barbosa-Silva MC, Barros AJ (2005) Bioelectrical impedance analysis in clinical practice: a new perspective on its use beyond body composition equations. Curr Opin Clin Nutr Metab Care 8(3):311–317. CrossRef
- Piccoli A, Rossi B, Pillon L, Bucciante G (1994) A new method for monitoring body fluid variation by bioimpedance analysis: the RXc graph. Kidney Int 46:534–539. CrossRef
- Bronhara B, Piccoli A, Pereira JC (2012) Fuzzy linguistic model for bioelectrical impedance vector analysis. Clin Nutr 31:710–716. CrossRef
- Kyle U G, Bosaeus I, De Lorenzo A D, Deurenberg P, Elia M, Gómez J M, Heitmann B L, Kent-Smith L, Melchior J C, Pirlich M, Scharfetter H, Schols A M, Pichard C; Composition of the ESPEN Working Group (2004) Bioelectrical impedance analysis — Part I: Review of principles and methods. Clin Nutr 23:1226–1243. CrossRef
- Lukaski H C (2009) Evaluation of body composition: why and how? Mediterr J Nutr Metab 2:1–10. CrossRef
- Piccoli A (2010) Bioelectric impedance measurement for fluid status assessment. Contrib Nephrol 164:143–152. CrossRef
- Norman K, Stobäus N, Pirlich M, Bosy-Westphal A (2012) Bioelectrical phase angle and impedance vector analysis — Clinical relevance and applicability of impedance parameters. Clin Nutr. 2012. http://dx.doi.org/10.1016/j.clnu.2012.05.008.
- Kyle U G, Bosaeus I, De Lorenzo A D, Deurenberg P, Elia M, Manuel Gómez J, Lilienthal Heitmann B, Kent-Smith L, Melchior J C, Pirlich M, et al; ESPEN (2004) Bioelectrical impedance analysis — Part II: Utilization in clinical practice. Clin Nutr 23:1430–1453. CrossRef
- Buffa R, Floris G, Marini E (2009) Bioelectrical Impedance Vector Analysis in the assessment of nutritional status in the elderly. Nutr Ther Metabol 27:175–182.
- Norman K, Smoliner C, Valentini L, Lochs H, Pirlich M (2007) Is bioelectrical impedance vector analysis of value in the elderly with malnutrition and impaired functionality? Nutrition 23:564–569. CrossRef
- Santomauro F, Olimpi N, Baggiani L, Comodo N, Mantero S, Bonaccorsi G (2011) Bioelectrical Impedance Vector Analysis and Mini Nutritional Assessment in elderly nursing home residents. J Nutr Health Aging 15:163–167. CrossRef
- Kehayias J J, Ribeiro S M L, Skahan A, Itzkowitz L, Dallal G, Rogers G, Khodeir M (2012) Water homeostasis, frailty and cognitive function in the nursing home. J Nutr Health Aging 16:35–39. CrossRef
- Ward L C, Heitmann B L (2000) Re: “Electrical maturation trajectory of human tissues identified by bioelectrical impedance vector analysis”. Nutrition 16:319–320. CrossRef
- Piccoli A. Author’s Response (2000) Re: “Electrical Maturation Trajectory of Human Tissues Identified by Bioelectrical Impedance Vector Analysis”. Nutrition 16:320–321. CrossRef
- Buffa R, Floris G, Marini E (2003) Migration of the bioelectrical impedance vector in healthy elderly subjects. Nutrition 19: 917–921. CrossRef
- Biggs J, Cha K, Horch K (2001) Electrical resistivity of the upper arm and leg yields good estimates of whole body fat. Physiol Meas 22:365–376. CrossRef
- Bracco D, Thiébaud D, Chioléro RL, Landry M, Burckhardt P, Schutz Y (1996) Segmental body composition assessed by bioelectrical impedance analysis and DEXA in humans. J Appl Physiol 81:2580–2587.
- Chumlea WC, Baumgartner RN, Roche AF (1988) Specific resistivity used to estimate fat-free mass from segmental body measures of bioelectric impedance. Am J Clin Nutr 48:7–15.
- Fuller NJ, Fewtrell MS, Dewit O, Elia M, Wells JC (2002) Segmental bioelectrical impedance analysis in children aged 8–12 y: 1. The assessment of whole-body composition. Int J Obes Relat Metab Disord 26:684–691. CrossRef
- Lohman T G, Roche A F, Martorell R (1988) Anthropometric Standardization Reference Manual. Champaign IL: Human Kinetics
- Sergi G, Perissinotto E, Pisent C, Buja A, Maggi S, Coin A, Grigoletto F, Enzi G; ILSA Working Group (2005) An adequate threshold for body mass index to detect underweight condition in elderly persons: the Italian Longitudinal Study on Aging (ILSA). J Gerontol A Biol Sci Med Sci 60:866–871. CrossRef
- Obesity: preventing and managing the global epidemic. Report of a WHO consultation (2000) World Health Organ Tech Rep Ser 894:i–xii, 1–253.
- Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: executive summary. Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults (1998) Am J Clin Nutr 68:899–917.
- Gualdi-Russo E, Toselli S (2002) Influence of various factors on the measurement of multifrequency bioimpedence. HOMO 53:1–16. CrossRef
- Piccoli A, Nigrelli S, Caberlotto A, Bottazzo S, Rossi B, Pillon L, Maggiore Q (1995) Bivariate normal values of the bioelectrical impedance vector in adult and elderly populations. Am J Clin Nutr 61:269–270.
- Marini E (1992) Il dimorfismo sessuale nella popolazione della Sardegna centromeridionale. PhD Thesis, University of Cagliari.
- Piccoli A, Pillon L, Dumler F (2002) Impedance vector distribution by sex, race, body mass index, and age in the United States: standard reference intervals as bivariate Z scores. Nutrition 18:153–167. CrossRef
- Bosy-Westphal A, Danielzik S, Dörhöfer R P, Piccoli A, Müller M J (2005) Patterns of bioelectrical impedance vector distribution by body mass index and age: implications for body-composition analysis. Am J Clin Nutr 82:60–68.
- Norman K, Smoliner C, Kilbert A, Valentini L, Lochs H, Pirlich M (2008) Diseaserelated malnutrition but not underweight by BMI is reflected by disturbed electric tissue properties in the bioelectrical impedance vector analysis. Br J Nutr 100:590–595. CrossRef
- Efficacy of specific bioelectrical impedance vector analysis (BIVA) for assessing body composition in the elderly
The journal of nutrition, health & aging
Volume 17, Issue 6 , pp 515-521
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- Springer Paris
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- Body composition
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- 1411. Department of Environmental and Life Sciences, University of Cagliari, Cagliari, Italy
- 3411. Department of Environmental and Life Sciences, Anthropological Science Section, University of Cagliari, Cittadella Universitaria, 09042, Monserrato (Cagliari), Italy
- 2411. Department of Medical and Surgical Sciences, Division of Geriatrics, University of Padua, Padua, Italy