Stuck, Anna K; Weber, A; Wittwer, R; Limacher, Andreas; Kressig, R W (2022). Performance of a Novel Handheld Bioelectrical Impedance Device for Assessing Muscle Mass in Older Inpatients. Journal of Frailty & Aging, 11(2), pp. 156-162. Springer 10.14283/jfa.2021.40
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OBJECTIVES
To investigate practicality and repeatability of a handheld compared to a state-of-the-art multisegmental bioelectrical impedance analysis (BIA) device to facilitate screening of sarcopenia in older inpatients.
DESIGN AND SETTING
Cross-sectional study in a geriatric rehabilitation hospital.
PARTICIPANTS
207 inpatients aged 70+.
MEASUREMENTS
In a first phase, appendicular skeletal muscle mass index (ASMI) was measured using the handheld Biody xpertZm II BIA device (n=100). In a second phase, ASMI was obtained using the multisegmental Biacorpus RX 4004M device (n=107). Repeatability of BIA devices was compared in subgroups of patients (handheld BIA device: n=36, multisegmental BIA device: n=46) by intra-class correlation (ICC) and Bland-Altman plots.
RESULTS
Overall, measurement failure was seen in 31 patients (31%) tested with the handheld BIA device compared to one patient (0.9%) using the multisegmental BIA device (p<0.001). Main reasons for measurement failure were inability of patients to adopt the position necessary to use the handheld BIA device and device failure. The mean difference of two ASMI measurements in the same patient was 0.32 (sd 0.85) using the handheld BIA device compared to 0.02 kg/m2 (sd 0.07) using the multisegmental device (adjusted mean difference between both groups -0.35, 95% confidence interval (CI) -0.61 to -0.09 kg/m2). Congruently, Bland-Altman plots showed poor agreement with the handheld compared to the multisegmental BIA device.
CONCLUSION
The handheld BIA device is neither a practical nor reliable device for assessing muscle mass in older rehabilitation inpatients.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Pre-clinic Human Medicine > Department of Clinical Research (DCR) 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Geriatric Clinic |
UniBE Contributor: |
Stuck, Anna, Limacher, Andreas |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2273-4309 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
21 Apr 2022 15:56 |
Last Modified: |
20 Feb 2024 14:16 |
Publisher DOI: |
10.14283/jfa.2021.40 |
PubMed ID: |
35441192 |
Uncontrolled Keywords: |
Appendicular skeletal muscle mass bioelectrical impedance analysis geriatric practicality repeatability sarcopenia |
BORIS DOI: |
10.48350/169417 |
URI: |
https://boris.unibe.ch/id/eprint/169417 |
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