Comparison between bioelectrical impedance analysis and anthropometric indices in hypertensive patients

• Authors: Paweł Krzesiński , Paweł Rozbicki , Ewelina Pałkowska-Goździk , Małgorzata Banak

Title variants

PL

Porównanie analizy bioimpedancyjnej ze wskaźnikami antropometrycznymi u chorych z nadciśnieniem tętniczym

• Languages of publication: EN

Abstracts

EN

Aim: Obesity is one of the most crucial challenges of contemporary medicine. Bioelectrical impedance analysis is a useful tool to identify individuals with increased fat mass. However, the equipment is relatively expensive, especially compared to basic anthropometric methods. The aim of this study was to evaluate the relations between anthropometric indices and bioelectrical impedance analysis in patients with uncomplicated arterial hypertension. Material and methods: In 137 hypertensives the correlations between fat mass (absolute, FM; relative, %FM) and anthropometric parameters (body mass index, BMI; waist circumference, WC; waist-to-hip ratio, WHR; waist-to-height ratio, WHtR; body adiposity index, BAI; visceral adiposity index, VAI) were analysed. Results: Classic anthropometrics correlated well with bioimpedance indices of adipose tissue content: %FM vs. BAI (R = 0.77), WHtR (R = −0.54), BMI (R = 0.52), WC (R = 0.29); FM vs. BMI (R = 0.82), WC (R = 0.66), BAI (R = 0.58), VAI (R = 0.26), WHtR (R = 0.23), WHR (R = 0.19). In females BMI, WC and BAI showed the strongest correlations with adiposity. In males they were WHtR and WC. Conclusions: Some anthropometric measurements show good agreement with bioelectrical impedance analysis and can be considered a valid surrogate for body composition assessment in the case of its inaccessibility. In hypertensive women WC and BMI seem to be the most precise in the assessment of %FM, while in men WHtR and WC are more useful.

PL

Cel: Otyłość należy do głównych wyzwań współczesnej medycyny. Analiza bioimpedancyjna stanowi użyteczne narzędzie identyfikacji osób ze zwiększoną masą tkanki tłuszczowej. Niestety, sprzęt do analizy bioimpedancyjnej jest dość kosztowny, zwłaszcza w porównaniu z podstawowymi metodami antropometrycznymi. Celem pracy była ocena związku pomiędzy pomiarami antropometrycznymi a analizą bioimpedancyjną u pacjentów z niepowikłanym nadciśnieniem tętniczym. Materiał i metody: U 137 osób z nadciśnieniem tętniczym oceniono korelacje między ilością tkanki tłuszczowej (bezwzględnej, fat mass, FM; względnej, %FM) a parametrami antropometrycznymi (wskaźnik masy ciała, body mass index, BMI; obwód talii, waist circumference, WC; wskaźnik talia–biodra, waist-to-hip ratio, WHR; wskaźnik talia–wzrost, waistto-height ratio, WHtR; wskaźnik otłuszczenia ciała, body adiposity index, BAI; wskaźnik wisceralnej – trzewnej tkanki tłuszczowej, visceral adiposity index, VAI). Wyniki: Klasyczne pomiary antropometryczne korelowały z bioimpedancyjnymi wskaźnikami zawartości tkanki tłuszczowej: %FM vs BAI (R = 0,77), WHtR (R = −0,54), BMI (R = 0,52), WC (R = 0,29); FM vs BMI (R = 0,82), WC (R = 0,66), BAI (R = 0,58), VAI (R = 0,26), WHtR (R = 0,23), WHR (R = 0,19). U kobiet najsilniejszy związek z ilością tkanki tłuszczowej wykazywały BMI, WC i BAI, zaś u mężczyzn – WHtR i WC. Wnioski: Niektóre pomiary antropometryczne wykazują wysoką zgodność z analizą bioimpedancyjną i mogą być brane pod uwagę jako zastępcze wskaźniki oceny składu ciała w przypadku braku możliwości jej zastosowania. U kobiet z nadciśnieniem tętniczym najbardziej precyzyjne w ocenie %FM okazują się WC i BMI, podczas gdy u mężczyzn są to WHtR i WC.

Keywords

EN

adipose tissue; bioelectrical impedance; hypertension; obesity

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Communications
• Journal: Pediatria i Medycyna Rodzinna
• Year: 2018
• Volume: 14
• Issue: 3
• Pages: 301–305

Contributors

author

Paweł Krzesiński

• Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland

author

Paweł Rozbicki

• Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland

author

Ewelina Pałkowska-Goździk

• Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland

author

Małgorzata Banak

• Department of Cardiology and Internal Diseases, Military Institute of Medicine, Warsaw, Poland

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• Document Type: article