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Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (29 June 2023) | Viewed by 12573

Special Issue Editors

Dr. Paweł Więch

E-Mail Website
Guest Editor
Institute of Nursing and Health Sciences, Faculty of Medicine, University of Rzeszów, 35959 Rzeszów, Poland
Interests: nutritional status; body composition; public health education; simulation
Dr. Bazaliński Dariusz

E-Mail Website
Guest Editor
Institute of Nursing and Health Sciences, Faculty of Medicine, University of Rzeszów, 35959 Rzeszów, Poland
Interests: nutritional status; body composition; public health education; simulation

Special Issue Information

Dear Colleagues,

For this Special Issue of Nutrients, we are seeking papers on application of bioimpedance analysis (BIA) in the pediatric and adult population. We welcome the submission of original research articles, reviews, and meta-analyses investigating the possibility of using bioimpedance to analyze the body composition in different age groups. 

The dynamics of changes in the body composition in different periods of life proceed in a different way. There are visible differences between the selected indicators and components of the body composition of the human population, from childhood to old age. 

Numerous reports anylysing the nutritional status of adults and children by BIA method have been published in recent years. They have showed their high usefulness in the evaluation of overweight and obesity as well as malnutrition. 

Simultaneously, the diagnostic possibilities of human body composition analysis have developed significantly. Technological progress has increased the chance for their use in screening tests, including sick and healthy people. In the face of the increase in the global trend of disturbances in the nutrional status, the search for the multifaceted application of BIAseems to be crucial. 

Therefore, there is a need to analyse the possibilities of using BIA in various areas of human life.

Dr. Paweł Więch
Dr. Bazaliński Dariusz
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

 

Keywords

  • bioimpenadne
  • body composition changes
  • bioimpedance devices
  • nutritional status
  • obesity
  • uverweight
  • malnutrition
  • children and adolescents
  • adults
  • aging
  • epidemiology
  • disease
  • health
  • observational study

Published Papers (7 papers)

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10 pages, 890 KiB  
Article
Association between PhA and Physical Performance Variables in Cancer Patients
by Borja Gutiérrez-Santamaría, Aitor Martinez Aguirre-Betolaza, Arturo García-Álvarez, Maria Soledad Arietaleanizbeaskoa, Nere Mendizabal-Gallastegui, Gonzalo Grandes, Arkaitz Castañeda-Babarro and Aitor Coca
Int. J. Environ. Res. Public Health 2023, 20(2), 1145; https://doi.org/10.3390/ijerph20021145 - 9 Jan 2023
Cited by 2 | Viewed by 1512
Abstract
Maintaining the physical performance of cancer patients is increasingly considered due to the growing number of cancer patients and the aggressiveness of the treatments. For this reason, bioimpedance is now being used to record patients’ body composition by obtaining the phase angle (PhA). [...] Read more.
Maintaining the physical performance of cancer patients is increasingly considered due to the growing number of cancer patients and the aggressiveness of the treatments. For this reason, bioimpedance is now being used to record patients’ body composition by obtaining the phase angle (PhA). Although there is a direct relationship between PhA, age, sex and disease prognosis, it has not been measured as an analysis of physical performance in oncology patients and is a valid tool in the follow-up of cancer patients. For this purpose, 311 patients were evaluated, and both bioelectrical impedance analysis (BIA) and physical performance measurements were performed. The modification of the results concerning PhA was found to be highly relational, as a variation in one of the variables affected the other. It was concluded that each degree increase in PhA modified −22.57 s [−27.58; −17.53] in 400-m walking test (400 mWT); 13.25 kg [10.13; 16.35] in upper-body strength (UBS); 6.3 [4.95; 7.65] in lower-body strength (LBS); 1.55 mL/kg/min [0.98; 2.12] in VO2peak; 6.53 Watts [3.83; 9.20] in ventilatory threshold 1 (VT1); 10.36 Watts [7.02; 13.64] in ventilatory threshold 2 (VT2). It was also noted that age was a factor that affected the relationship between PhA and 400 mWT; the older the age, the higher the relationship. PhA data has been shown to be highly correlated with physical performance. This is of great importance in clinical practice because a cancer patient’s physical performance levels can be assessed during treatment. Full article
(This article belongs to the Special Issue Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life)
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13 pages, 377 KiB  
Article
Bioimpedance-Derived Membrane Capacitance: Clinically Relevant Sources of Variability, Precision, and Reliability
by Valene Garr Barry, Jasmine L. Chiang, Kaylan G. Bowman, Kristina D. Johnson and Barbara A. Gower
Int. J. Environ. Res. Public Health 2023, 20(1), 686; https://doi.org/10.3390/ijerph20010686 - 30 Dec 2022
Viewed by 1167
Abstract
Membrane capacitance (CM), a bioimpedance-derived measure of cell membrane health, has been suggested as an indicator of health status. However, there are few published data to support its use in clinical settings. Hence, this study evaluated clinically relevant sources of variation, [...] Read more.
Membrane capacitance (CM), a bioimpedance-derived measure of cell membrane health, has been suggested as an indicator of health status. However, there are few published data to support its use in clinical settings. Hence, this study evaluated clinically relevant sources of variation, precision, and reliability of CM measurements. This longitudinal study included 60 premenopausal women. Sources of variability (e.g., demographics, body composition, serum measures, diet) were identified by stepwise regression. Precision and reliability were assessed by the coefficient of variation (CV), intraclass correlation coefficients (ICC), and technical error of the measurement (TEM) for intra-day (30 min apart) and inter-day measurements (7–14 days apart). Body composition, temperature, and metabolic activity were identified as sources of variability. CM measurements had high precision (CV = 0.42%) and high reliability for intra-day (ICC = 0.996) and inter-day (ICC = 0.959) measurements, independent of menstrual cycle and obesity status. Our results showed that CM measurements are sensitive to clinical factors and have high precision and reliability. The results of this study suggest that CM is sufficiently reliable for health status monitoring in conditions with variation in body composition, metabolic activity, or body temperature among premenopausal women. Full article
(This article belongs to the Special Issue Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life)
10 pages, 1263 KiB  
Article
A Comparison of Bioimpedance Analysis vs. Dual X-ray Absorptiometry for Body Composition Assessment in Postpartum Women and Non-Postpartum Controls
by Valene Garr Barry, Samantha L. Martin, Paula Chandler-Laney, Ebony B. Carter and Camille S. Worthington
Int. J. Environ. Res. Public Health 2022, 19(20), 13636; https://doi.org/10.3390/ijerph192013636 - 20 Oct 2022
Cited by 2 | Viewed by 1743
Abstract
Postpartum fat mass (FM) and fat-free mass (FFM) may be informative predictors of future disease risk among women; hence, there is growing use of bioelectrical impedance analysis (BIA) to quantify FFM and FM among postpartum women due to the quick, non-invasive, and inexpensive [...] Read more.
Postpartum fat mass (FM) and fat-free mass (FFM) may be informative predictors of future disease risk among women; hence, there is growing use of bioelectrical impedance analysis (BIA) to quantify FFM and FM among postpartum women due to the quick, non-invasive, and inexpensive nature of BIA. Despite this, very few studies have examined BIA’s performance, and it remains unclear as to whether specific BIA equations are needed for postpartum women. To explore these questions, we measured total body FFM and FM with a multi-frequency, segmental BIA, and dual-X-ray absorptiometry (DXA) in (1) women at one and four months postpartum (n = 21); and (2) height- and weight-matched non-postpartum women (controls, n = 21). BIA was compared to DXA using Deming regression models, paired t-tests, and Bland–Altman plots. Between-group comparisons were performed using an analysis of variance models. The mean difference between DXA and BIA was 1.2 ± 1.7 kg FFM (p < 0.01) and −1.0 ± 1.7 kg FM (p < 0.05) in postpartum women at both time points. The measurements of longitudinal changes in FFM and FM were not significantly different between BIA and DXA. Furthermore, there was no significant difference in BIA’s performance in postpartum vs. non-postpartum women (p = 0.29), which suggests that population-specific equations are not needed for postpartum women. The results of this study suggest that BIA is a suitable method to assess postpartum body composition among women at one and four months postpartum, using existing age-, race-, and sex-adjusted equations. Full article
(This article belongs to the Special Issue Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life)
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19 pages, 2007 KiB  
Article
Do Body Composition and Values of Selected Nutritional Status Indices Influence the Glycaemic Index Values of Vegetarian Dishes? A Pilot Study in a Group of Older Women
by Ewa Raczkowska, Maciej Bienkiewicz, Robert Gajda, Monika Bronkowska, Ewa Piotrowska and Marta Habánová
Int. J. Environ. Res. Public Health 2022, 19(16), 9918; https://doi.org/10.3390/ijerph19169918 - 11 Aug 2022
Viewed by 1563
Abstract
An ageing population brings with it the need for public policy to respond to the demands and health needs of this group of people. The ageing process has been shown to be associated with changes in body composition. These mainly concern a decrease [...] Read more.
An ageing population brings with it the need for public policy to respond to the demands and health needs of this group of people. The ageing process has been shown to be associated with changes in body composition. These mainly concern a decrease in muscle mass and an increase in body fat. Body composition and other indicators of nutritional status are important factors differentiating carbohydrate management. Glycaemic index (GI) values may be affected by differences resulting from individual metabolism. The rate of carbohydrate digestion is also influenced by a number of factors, including the degree to which the product is processed, the structure of the starch, and the presence of protein, fat and dietary fibre. Available studies do not provide information on the glycaemic response following the consumption of specific products by older people with varying BMI and body composition. Therefore, the aim of this study was to evaluate the effect of the body mass index (BMI) values of women aged 50–80 years on the glycaemic response after eating vegetarian meals and the influence of selected indices of nutritional status on their GI values. It has been shown that the areas under the glycaemic curves after the consumption of the tested foods, both traditional and modified, are higher in the group of overweight and obese women. Nevertheless, the GI of meals consumed by those with a BMI ≥ 25.0 kg/m2 is lower than that of foods consumed by women with normal values of this index. In the group of women with BMI 18.5–24.9 kg/m2, on the basis of an analysis of the obtained correlations, it was observed that the GI value of modified products depends on the percentage of body fat (FM%) (p = 0.0363) and the percentage of fat free mass (FFM%) (p = 0.0363), and, in the case of traditional products, also on the percentage of total body water (%) (p = 0.0133). In the group of women with a BMI ≥ 25.0 kg/m2, significant correlations were only found between the GI of modified foods and the waist-to-hip ratio (WHR) (p = 0.0363) and the ratio of waist circumference to height (WHtR) (p = 0.0369) indices. The GI values of food set solely with the participation of young, healthy people should not be the basis for the nutrition planning of all groups of people. Full article
(This article belongs to the Special Issue Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life)
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10 pages, 355 KiB  
Article
Does Body Position Influence Bioelectrical Impedance? An Observational Pilot Study
by Paweł Więch, Filip Wołoszyn, Patrycja Trojnar, Mateusz Skórka and Dariusz Bazaliński
Int. J. Environ. Res. Public Health 2022, 19(16), 9908; https://doi.org/10.3390/ijerph19169908 - 11 Aug 2022
Cited by 7 | Viewed by 1628
Abstract
As the availability of various bioelectric impedance analysis (BIA) tools is increasing, the patient’s position during the test may be of significant importance for the comparability of the results. An observational pilot study was undertaken between March and May 2021 at the Center [...] Read more.
As the availability of various bioelectric impedance analysis (BIA) tools is increasing, the patient’s position during the test may be of significant importance for the comparability of the results. An observational pilot study was undertaken between March and May 2021 at the Center for Innovative Research in Medical and Natural Sciences at the University of Rzeszow, Rzeszów, Poland. All participants (n = 49: M: 21.05 y ± 1.12 vs. F: 21.34 y ± 2.06) were subjected to measurements of selected nutritional status indicators and body components in three positions: lying, sitting and standing. The body composition indicators were obtained using a bioelectrical impedance device, AKERN BIA 101 Anniversary Sport Edition Analyzer (Akern SRL, Pontassieve, Florence, Italy). The results were analyzed using dedicated software (BodygramPlus 1.2.2.12 from AKERN 2016, Florence, Italy). Our observations indicate that there is a significant difference between lying and standing as well as sitting and standing with respect to anthropometric and nutritional indicators (resistance, reactance, phase angle, standardized phase angle, body cell mass index and fat-free mass index) and body composition components, with particular reference to intracellular and extracellular water. The described differences are significant for both sexes. This study showed that this significantly influenced the scores of components directly related to resistance, reactance and hydrated cell mass, while not affecting the percentages or absolute values of fat and fat-free mass. Full article
(This article belongs to the Special Issue Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life)
13 pages, 1578 KiB  
Article
Comparison of Bioelectrical Impedance Analysis with DXA in Adolescents with Cystic Fibrosis before and after a Resistance Training Intervention
by Clifton J. Holmes, Susan B. Racette, Leslie Symonds, Ana Maria Arbeláez, Chao Cao and Andrea Granados
Int. J. Environ. Res. Public Health 2022, 19(7), 4037; https://doi.org/10.3390/ijerph19074037 - 29 Mar 2022
Cited by 4 | Viewed by 1818
Abstract
Background: The purpose of this pilot study was to compare body composition metrics obtained by two portable bioelectrical impedance analysis (BIA) devices with dual-energy X-ray absorptiometry (DXA) among adolescents with cystic fibrosis (CF) before and after a resistance exercise training program. Methods: Participants [...] Read more.
Background: The purpose of this pilot study was to compare body composition metrics obtained by two portable bioelectrical impedance analysis (BIA) devices with dual-energy X-ray absorptiometry (DXA) among adolescents with cystic fibrosis (CF) before and after a resistance exercise training program. Methods: Participants with CF were assessed using DXA, single-frequency BIA (SFBIA), and multiple-frequency BIA (MFBIA) to quantify percent body fat (%Fat), fat mass (FM), and fat-free mass (FFM) at baseline and after a home-based resistance training intervention comprised of 36, 1 h sessions completed in 12–14 weeks. Repeated measures analysis of variance, paired samples t-tests, Cohen’s d effect sizes, and Pearson’s correlations were used to compare differences between and within methods at baseline and post-intervention. Results: Ten participants (15.8 ± 2.2 yr, 60.1 ± 15.1 kg) completed the assessments. At baseline, both SFBIA and MFBIA scales significantly underestimated %Fat and FM and overestimated FFM, with small to moderate effect sizes. Post-intervention, small, non-significant differences were found between DXA and both BIA scales for all body composition metrics. Significant changes in %Fat and FFM were observed with DXA. MFBIA displayed less constant error than SFBIA when compared to DXA for pre- and post-intervention assessments for %Fat (MFBIA: pre and post −2.8 and −0.8 vs. SFBIA: −4.6 and −2.0), FM (−0.4 and −0.4 vs. −3.0 and −1.1), and FFM (+0.8 and +0.6 vs. +3.1 and +1.3). Near-perfect correlations were observed at both time points between DXA and each BIA scale. Conclusions: Portable BIA results should be interpreted with caution, and further validation studies in CF patients are needed prior to clinical use. Full article
(This article belongs to the Special Issue Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life)
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11 pages, 993 KiB  
Systematic Review
Phase Angle as a Potential Screening Tool in Adults with Metabolic Diseases in Clinical Practice: A Systematic Review
by Samantha Praget-Bracamontes, Rogelio González-Arellanes, Carlos A. Aguilar-Salinas and Alexandro J. Martagón
Int. J. Environ. Res. Public Health 2023, 20(2), 1608; https://doi.org/10.3390/ijerph20021608 - 16 Jan 2023
Cited by 5 | Viewed by 2029
Abstract
Background: Phase angle (PhA) has been used as mortality prognostic, but there are no studies about its possible use as a screening tool. Therefore, an assessment of the possible utility of PhA in clinical practice is required. The aim of this systematic review [...] Read more.
Background: Phase angle (PhA) has been used as mortality prognostic, but there are no studies about its possible use as a screening tool. Therefore, an assessment of the possible utility of PhA in clinical practice is required. The aim of this systematic review was to explore all recent available evidence of PhA, and its possible utility as a screening tool in clinical practice in subjects with chronic metabolic diseases. Materials and Methods: This systematic review was performed and written as stated in the PRISMA 2020 guidelines. The search was conducted in PubMed, ScienceDirect and SciElo. In order to be considered eligible, within the entire search, only articles involving PhA and their utility in metabolic diseases were included. Results: PhA was associated with hyperuricemia and vitamin D deficiency in obese subjects, and decreased cardiovascular risk and malnutrition in hospitalized patients. Conclusion: PhA may be a potential screening tool in clinical practice to evaluate different biomarkers, cardiovascular risk, and nutritional diagnosis in metabolic diseases in adults. Full article
(This article belongs to the Special Issue Application of Bioelectrical Impedance Analysis (BIA) in Human Health and Life)
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