Near infra-red interactance for nutritional assessment of dialysis patients

Malnutrition is a common problem in dialysis patients and may affect up to one-third of patients. Near-infrared interactance (NIR) is a novel approach to estimate body composition and per cent total body fat. We used near-infrared interactance (Futrex 5000) to estimate the body composition including...

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Bibliographic Details
Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 1999, Vol.14 (1), p.169-175
Main Authors: KALANTAR-ZADEH, K, DUNNE, E, NIXON, K, KAHN, K, LEE, G. H, KLEINER, M, LUFT, F. C
Format: Article
Language:English
Subjects:
Adipose Tissue - anatomy & histology
Adult
Aged
Aged, 80 and over
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anthropometry - methods
Biological and medical sciences
Body Composition
Body Mass Index
Emergency and intensive care: renal failure. Dialysis management
Female
Humans
Infrared Rays
Intensive care medicine
Male
Medical sciences
Middle Aged
Nutrition Assessment
Nutrition Disorders - diagnosis
Nutrition Disorders - etiology
Regression Analysis
Renal Dialysis - adverse effects
Skinfold Thickness
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Summary:Malnutrition is a common problem in dialysis patients and may affect up to one-third of patients. Near-infrared interactance (NIR) is a novel approach to estimate body composition and per cent total body fat. We used near-infrared interactance (Futrex 5000) to estimate the body composition including body fat percentage, as well as subjective global assessment (SGA), anthropometric measurements including mid-arm circumference (MAC), triceps and biceps skinfold thickness, calculated mid-arm muscle circumference (MAMC), body mass index (BMI), and laboratory values. NIR score, SGA assessment and anthropometric parameters were measured shortly after the end of a dialysis session. NIR measurement was made by placing a Futrex sensor on the nonaccess upper arm for several seconds. Serum albumin, transferrin (reflected by total iron binding capacity), and total cholesterol concentrations were performed as well. Thirty-four patients (20 men and 14 women) were selected from a pool of 120 haemodialysis patients. Their ages ranged from 26 to 86 years (58+/-14 years). Time on dialysis ranged from 8 months to 19 years (4.5+/-4.6 years). NIR scores were significantly different in three SGA groups: (A) well-nourished, 32.5+/-6.9%; (B) mildly to moderately malnourished, 29.2+/-5.3%; and (C) severely malnourished, 23.2+/-10.2% (P
ISSN:0931-0509
1460-2385
1460-2385
DOI:10.1093/ndt/14.1.169