Clinical usefulness of phase angle as an indicator of muscle wasting and malnutrition in inpatients with cardiovascular diseases
▪ Author : J Yokomachi, T Fukuda, Y Mizhushima, N Nozawa, H Ishizaka, K Matsumoto et al
▪ Keyword : phase angle, extracellular water, sarcopenia, malnutrition, cardiovascular disease
▪ Content : Background and Objectives: Extracellular water is increased in patients with edema, such as those with chronic heart failure, and it is difficult to assess skeletal muscle mass with the skeletal muscle mass index when extracellular water is high. We investigated the relationship between phase angle and physical function, nutritional indices, and sarcopenia in patients with cardiovascular diseases, including chronic heart failure. Methods and Study Design: In 590 patients with cardiovascular diseases (372 men), handgrip strength, gait speed, and anterior mid-thigh muscle thickness by ultrasound were measured, and the skeletal muscle mass index, phase angle, and the extracellular water: total body water ratio were measured with a bioelectrical im-pedance analyzer, and presence of sarcop...