| Theme | How To Use Monitoring Machines | |
|---|---|---|
| Title | Apparatus for nutritional assessment-bioelectrical impedance analysis (BIA) | |
| Publish Date | 2002/09 | |
| Author | Yumi Seto | Department of Food and Nutrition, Eijinkai Hospital |
| Author | Tomoko Akiyama | Department of Food and Nutrition, Eijinkai Hospital |
| Author | Asumi Sekiuchi | Department of Food and Nutrition, Eijinkai Hospital |
| Author | Kazuhiko Oikawa | Department of Clinical Engineering, Eijinkai Hospital |
| Author | Tomohito Matsunaga | Kidney Center, Eijinkai Hospital |
| Author | Makoto Ishizaki | Kidney Center, Eijinkai Hospital |
| [ Summary ] | In order to reduce mortality and morbidity in dialysis patients, it is very important to prevent protein energy malnutrition (PEM). Assessment of PEM severity and response to therapy requires measurement of nutritional status. Standard anthropometric measurements are carried out by dietitians. But, errors in measuring arm muscle circumstance are made by dietitians and degree of edema. Therefore, valid result in nutritional parameters are indispensable for the precise evaluation of nutritional status. Recently, the use of bioelectrical impedance analysis (BIA), InBody 3.0TM is gaining acceptance as one of body composition analyzer. This method is simple and non-invasive. Moreover, there are a few measurement errors as a result of using multi-frequency BIA. The following parameters related to nutritional status can be estimated; total body fluid, intra- and extra- cellular fluid, tissue edema and lean body mass, total muscle mass and mid arm circumstance. etc. Nutritional status is correlated directly with dialysis dosage. The accumulation of uremic toxins decreases appetite, and excessive body fluid increases inflammatory cytokines. Appetiteloss and increased cytokines promote PEM. Therefore, the measurement of nutritional status is indispensable to reduce mortality and morbidity in dialysis therapy. |
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