Bioelectrical Impedance Phase Angle as an Indicator of Malnutrition in Hospitalized Children with Diagnosed Inflammatory Bowel Diseases-A Case Control Study

The phase angle (PhA) seems to be a reliable screening tool for the identification of malnutrition risk in hospitalized children with inflammatory bowel disease (IBD). The aim of the present study was to assess the body composition and nutritional status of hospitalized children and adolescents with...

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Bibliographic Details
Published in:Nutrients 2018-04, Vol.10 (4), p.499
Main Authors: Więch, Paweł, Dąbrowski, Mariusz, Bazaliński, Dariusz, Sałacińska, Izabela, Korczowski, Bartosz, Binkowska-Bury, Monika
Format: Article
Language:English
Subjects:
Adolescents
bioelectrical impedance
Bioelectricity
Body composition
Children
Crohn's disease
Disease control
Hospitalization
Impedance
Inflammatory bowel disease
Inflammatory bowel diseases
Intestine
Malnutrition
Nutrition
Nutritional status
phase angle
Phase shift
Teenagers
Ulcerative colitis
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Summary:The phase angle (PhA) seems to be a reliable screening tool for the identification of malnutrition risk in hospitalized children with inflammatory bowel disease (IBD). The aim of the present study was to assess the body composition and nutritional status of hospitalized children and adolescents with IBD by using bioelectrical impedance analysis (BIA) with phase angle (PhA) calculation, which has not been evaluated in hospitalized children with IBD yet. A total of 59 children and adolescents aged 4-18 years, with IBD: 34 ulcerative colitis (UC) and 25 Crohn's disease (CD) were included in the study. The control group consisted of healthy children and adolescents, strictly matched for gender and age in a 1:1 case-control manner. In both groups, BIA was performed and PhA was calculated. IBD patients had significantly lower PhA (UC: 5.34 ± 1.34 vs. 5.96 ± 0.76, = 0.040; CD: 5.16 ± 1.18 vs. 5.90 ± 0.62, = 0.009) compared to the control subjects. Significant changes in selected body composition parameters were observed particularly in CD, especially in fat free mass components. Lower phase angle score together with lower body composition parameters and selected nutrition indicators in children and adolescents with IBD demonstrate their worse nutritional and functional status compared to healthy subjects.
ISSN:2072-6643
2072-6643
DOI:10.3390/nu10040499