TY - JOUR
T1 - Non-fasting bioelectrical impedance analysis in cystic fibrosis
T2 - Implications for clinical practice and research
AU - Hollander-Kraaijeveld, F. M.
AU - Lindeman, Y.
AU - de Roos, N. M.
AU - Burghard, M.
AU - van de Graaf, E. A.
AU - Heijerman, H. G.M.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Background: Nutritional status affects pulmonary function in cystic fibrosis (CF) patients and can be monitored by using bioelectrical impedance analysis (BIA). BIA measurements are commonly performed in the fasting state, which is burdensome for patients. We investigated whether fasting is necessary for clinical practice and research. Methods: Fat free mass (FFM) and fat mass (FM) were determined in adult CF patients (n = 84) by whole body single frequency BIA (Bodystat 500) in a fasting and non-fasting state. Fasting and non-fasting BIA outcomes were compared with Bland-Altman plots. Pulmonary function was expressed as Forced Expiratory Volume at 1 s percentage predicted (FEV1%pred). Comparability of the associations between fasting and non-fasting body composition measurements with FEV1%pred was assessed by multiple linear regression. Results: Fasting FFM, its index (FFMI), and phase angle were significantly lower than non-fasting estimates (−0.23 kg, p = 0.006, −0.07 kg/m2, p = 0.002, −0.10°, p = 0.000, respectively). Fasting FM and its index (FMI) were significantly higher than non-fasting estimates (0.22 kg, p = 0.008) 0.32%, p = 0.005, and 0.07 kg/m2, (p = 0.005). Differences between fasting and non-fasting FFM and FM were <1 kg in 86% of the patients. FFMI percentile estimates remained similar in 83% of the patients when measured after nutritional intake. Fasting and non-fasting FFMI showed similar associations with FEV1%pred (β: 4.3%, 95% CL: 0.98, 7.70 and β: 4.6%, 95% CI: 1.22, 8.00, respectively). Conclusion: Differences between fasting and non-fasting FFM and FM were not clinically relevant, and associations with pulmonary function remained similar. Therefore, BIA measurements can be performed in a non-fasting state.
AB - Background: Nutritional status affects pulmonary function in cystic fibrosis (CF) patients and can be monitored by using bioelectrical impedance analysis (BIA). BIA measurements are commonly performed in the fasting state, which is burdensome for patients. We investigated whether fasting is necessary for clinical practice and research. Methods: Fat free mass (FFM) and fat mass (FM) were determined in adult CF patients (n = 84) by whole body single frequency BIA (Bodystat 500) in a fasting and non-fasting state. Fasting and non-fasting BIA outcomes were compared with Bland-Altman plots. Pulmonary function was expressed as Forced Expiratory Volume at 1 s percentage predicted (FEV1%pred). Comparability of the associations between fasting and non-fasting body composition measurements with FEV1%pred was assessed by multiple linear regression. Results: Fasting FFM, its index (FFMI), and phase angle were significantly lower than non-fasting estimates (−0.23 kg, p = 0.006, −0.07 kg/m2, p = 0.002, −0.10°, p = 0.000, respectively). Fasting FM and its index (FMI) were significantly higher than non-fasting estimates (0.22 kg, p = 0.008) 0.32%, p = 0.005, and 0.07 kg/m2, (p = 0.005). Differences between fasting and non-fasting FFM and FM were <1 kg in 86% of the patients. FFMI percentile estimates remained similar in 83% of the patients when measured after nutritional intake. Fasting and non-fasting FFMI showed similar associations with FEV1%pred (β: 4.3%, 95% CL: 0.98, 7.70 and β: 4.6%, 95% CI: 1.22, 8.00, respectively). Conclusion: Differences between fasting and non-fasting FFM and FM were not clinically relevant, and associations with pulmonary function remained similar. Therefore, BIA measurements can be performed in a non-fasting state.
KW - Anthropometry
KW - Body composition
KW - Cystic fibrosis
KW - FEV1%pred
KW - Non-fasting
KW - Single frequency bioelectrical impedance analysis
UR - http://www.scopus.com/inward/record.url?scp=85066464421&partnerID=8YFLogxK
U2 - 10.1016/j.jcf.2019.05.018
DO - 10.1016/j.jcf.2019.05.018
M3 - Article
AN - SCOPUS:85066464421
SN - 1569-1993
VL - 19
SP - 153
EP - 158
JO - Journal of Cystic Fibrosis
JF - Journal of Cystic Fibrosis
IS - 1
ER -