Update on body composition tools in clinical settings: computed tomography, ultrasound, and bioimpedance applications for assessment and monitoring
Abstract
Patients with acute/critical illness are particularly vulnerable to muscle loss and fluid shifts, which adversely impact clinical outcomes. Assessment of these parameters in hospital settings is often subjective and imprecise, which creates discrepancies in identification and difficulty in assessing longitudinal changes. Body composition (BC) technologies provide objective information about muscle and fluid status that can enhance clinical assessment, and BC variables could be biomarkers for prognosis and targets to monitor intervention. There is growing interest in computed tomography (CT), ultrasound (US), and bioimpedance techniques as bedside assessment tools in clinical populations, and specific muscle measures, whole-body BC estimates, and select BC variables show promise as biomarkers of muscle health, nutrition risk, and fluid status. This brief review highlights work within the past 5 years on the use of BC variables generated from CT, US, and bioimpedance in clinical populations with an emphasis on those with acute/critical illness and a brief discussion of implementation challenges in these populations. Consensus on measurement protocols will facilitate identification of BC targets that best reflect prognosis and outcomes and will ultimately allow clinicians to identify individuals who would benefit most from targeted nutrition and physical therapy interventions and reliably monitor their response to treatment.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Accuracy of technology-based methods is decreased when used on obese individuals.
“Furthermore, their accuracy is also decreased when used on obese individuals (61).”
From Evolution of the diagnosis of malnutrition in adults: a primer for clinicians (2024) · cites this paper as [61]
Cites
Mourtzakis, M., Prado, C. M. M., Lieffers, J. R., Reiman, T., McCargar, L. J., & Baracos, V. E. (2008) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h08-075 · Cited by 2,224 · see citing works
Acute skeletal muscle wasting in critical illness
Puthucheary, Z. A., Rawal, J., McPhail, M., Connolly, B., Ratnayake, G., Chan, P., Hopkinson, N. S., Padhke, R., Dew, T., Sidhu, P. S., et al. (2013) · JAMA · doi:10.1001/jama.2013.278481 · Cited by 2,103 · see citing works
Lean Tissue Imaging: A New Era for Nutritional Assessment and Intervention
Prado, C. M. M., & Heymsfield, S. B. (2014) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607114550189 · Cited by 550 · see citing works
A multicenter study to define sarcopenia in patients with end-stage liver disease
Carey, E. J., Lai, J. C., Wang, C. W., Dasarathy, S., Lobach, I., Montano‐Loza, A. J., Dunn, M. A., & for the Fitness, L. E. (2017) · Liver Transplantation · doi:10.1002/lt.24750 · Cited by 498 · see citing works
Skeletal muscle predicts ventilator-free days, ICU-free days, and mortality in elderly ICU patients
Moisey, L. L., Mourtzakis, M., Cotton, B. A., Premji, T., Heyland, D. K., Wade, C. E., Bulger, E. M., & Kozar, R. A. (2013) · Critical Care · doi:10.1186/cc12901 · Cited by 494 · see citing works
Weijs, P. J. M., Looijaard, W. G. P. M., Dekker, I. M., Stapel, S. N., Girbes, A. R. J., Straaten, H. M. O., & Beishuizen, A. (2014) · Critical Care · doi:10.1186/cc13189 · Cited by 462 · see citing works
Parry, S. M., El‐Ansary, D., Cartwright, M. S., Sarwal, A., Berney, S. C., Koopman, R., Annoni, R., Puthucheary, Z., Gordon, I. R., Morris, P. E., et al. (2015) · Journal of Critical Care · doi:10.1016/j.jcrc.2015.05.024 · Cited by 438 · see citing works
Mainardi, M., Garbo, A. D., Caleo, M., Berardi, N., Sale, A., & Maffei, L. (2013) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2014.00001 · Cited by 438 · see citing works
Impact of prolonged assisted ventilation on diaphragmatic efficiency: NAVA versus PSV
Mussi, R. D., Spadaro, S., Mirabella, L., Volta, C. A., Serio, G., Staffieri, F., DAMBROSIO, M., Cinnella, G., Bruno, F., & Grasso, S. (2016) · Critical Care · doi:10.1186/s13054-015-1178-0 · Cited by 404 · see citing works
Assessment of adult malnutrition and prognosis with bioelectrical impedance analysis
Lukaski, H. C., Kyle, U. G., & Kondrup, J. (2017) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000387 · Cited by 376 · see citing works
Bioimpedance at the Bedside: Current Applications, Limitations, and Opportunities
Mulasi, U., Kuchnia, A. J., Cole, A. J., & Earthman, C. P. (2015) · Nutrition in Clinical Practice · doi:10.1177/0884533614568155 · Cited by 337 · see citing works
Self-citationMuscle Ultrasound and Sarcopenia in Older Individuals: A Clinical Perspective
Ticinesi, A., Meschi, T., Narici, M. V., Lauretani, F., & Maggio, M. G. (2017) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2016.11.013 · Cited by 323 · see citing works
Lukaski, H. C. (2013) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2012.149 · Cited by 306 · see citing works
Echo intensity obtained from ultrasonography images reflecting muscle strength in elderly men
Watanabe, Y., Yamada, Y., Fukumoto, Yokoyama, K., Yoshida, T., Miyake, Yamagata, E., Kimura, K., & Ishihara (2013) · Clinical Interventions in Aging · doi:10.2147/cia.s47263 · Cited by 298 · see citing works
Gomez‐Perez, S. L., Haus, J. M., Sheean, P., Patel, B., Mar, W., Chaudhry, V., McKeever, L., & Braunschweig, C. (2016) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607115604149 · Cited by 275 · see citing works
Qualitative Ultrasound in Acute Critical Illness Muscle Wasting
Puthucheary, Z., Phadke, R., Rawal, J., McPhail, M. J. W., Sidhu, P. S., Rowlerson, A. M., Moxham, J., Harridge, S. D. R., Hart, N., & Montgomery, H. (2015) · Critical Care Medicine · doi:10.1097/ccm.0000000000001016 · Cited by 244 · see citing works
Body Composition Tools for Assessment of Adult Malnutrition at the Bedside
Earthman, C. P. (2015) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607115595227 · Cited by 238 · see citing works
Self-citationSchepens, T., Verbrugghe, W., Dams, K., Corthouts, B., Parizel, P. M., & Jorens, P. G. (2015) · Critical Care · doi:10.1186/s13054-015-1141-0 · Cited by 194 · see citing works
Skeletal Muscle Ultrasound in Critical Care: A Tool in Need of Translation
Mourtzakis, M., Parry, S. M., Connolly, B. A., & Puthucheary, Z. (2017) · Annals of the American Thoracic Society · doi:10.1513/annalsats.201612-967ps · Cited by 182 · see citing works
Body Composition and Survival in Dialysis Patients
Marcelli, D., Usvyat, L. A., Kotanko, P., Bayh, I., Canaud, B., Etter, M., Gatti, E., Grassmann, A., Wang, Y., Marelli, C., et al. (2015) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.08550814 · Cited by 170 · see citing works
Paris, M. T., Mourtzakis, M., Day, A. G., Leung, R., Watharkar, S. S., Kozar, R. A., Earthman, C. P., Kuchnia, A. J., Dhaliwal, R., Moisey, L. L., et al. (2016) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607116637852 · Cited by 166 · see citing works
Self-citationA Comparison of Muscle Function, Mass, and Quality in Liver Transplant Candidates
Wang, C. W., Feng, S., Covinsky, K. E., Hayssen, H., Zhou, L.-Q., Yeh, B. M., & Lai, J. C. (2016) · Transplantation · doi:10.1097/tp.0000000000001232 · Cited by 151 · see citing works
Thibault, R., Makhlouf, A.-M., Mulliez, A., Cristina Gonzalez, M., Kekstas, G., Kozjek, N. R., Preiser, J.-C., Rozalen, I. C., Dadet, S., Krznaric, Z., et al. (2016) · Intensive Care Medicine · doi:10.1007/s00134-016-4468-3 · Cited by 151 · see citing works
de Jong, M. F. C., Molenaar, N., Beishuizen, A., & Groeneveld, A. B. J. (2015) · Critical Care · doi:10.1186/s13054-014-0721-8 · Cited by 150 · see citing works
Muscle ultrasound for early assessment of critical illness neuromyopathy in severe sepsis
Grimm, A. M., Teschner, U., Porzelius, C., Ludewig, K., Zielske, J., Witte, O. W., Brunkhorst, F. M., & Axer, H. (2013) · Critical Care · doi:10.1186/cc13050 · Cited by 142 · see citing works
Age-Related Ultrasound Changes in Muscle Quantity and Quality in Women
Fukumoto, Y., Ikezoe, T., Yamada, Y., Tsukagoshi, R., Nakamura, M., Takagi, Y., Kimura, M., & Ichihashi, N. (2015) · Ultrasound in Medicine & Biology · doi:10.1016/j.ultrasmedbio.2015.06.017 · Cited by 141 · see citing works
Yamada, Y., Buehring, B., Krueger, D. C., Anderson, R. M., Schoeller, D. A., & Binkley, N. (2016) · The Journals of Gerontology Series A · doi:10.1093/gerona/glw225 · Cited by 133 · see citing works
Sheean, P., Peterson, S. J., Gomez‐Perez, S. L., Troy, K. L., Patel, A. K., Sclamberg, J. S., Ajanaku, F. C., & Braunschweig, C. A. (2013) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607113500308 · Cited by 128 · see citing works
Stapel, S. N., Looijaard, W. G. P. M., Dekker, I. M., Girbes, A. R. J., Weijs, P. J. M., & Straaten, H. M. O. (2018) · European Journal of Clinical Nutrition · doi:10.1038/s41430-018-0167-1 · Cited by 117 · see citing works
Samoni, S., Vigo, V., Reséndiz, L. I. B., Villa, G., Rosa, S. D., Nalesso, F., Ferrari, F., Meola, M., Brendolan, A., Malacarne, P., et al. (2016) · Critical Care · doi:10.1186/s13054-016-1269-6 · Cited by 105 · see citing works
Yamada, Y., Yoshida, T., Yokoyama, K., Watanabe, Y., Miyake, M., Yamagata, E., Yamada, M., Kimura, M., & Study, K.-K. (2016) · The Journals of Gerontology Series A · doi:10.1093/gerona/glw125 · Cited by 104 · see citing works
Development of a bedside viable ultrasound protocol to quantify appendicular lean tissue mass
Paris, M. T., Lafleur, B., Dubin, J. A., & Mourtzakis, M. (2017) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.12213 · Cited by 97 · see citing works
Teigen, L. M., John, R., Kuchnia, A. J., Nagel, E., Earthman, C. P., Kealhofer, J. V., Martin, C. M., & Cogswell, R. J. (2017) · Circulation Heart Failure · doi:10.1161/circheartfailure.117.004069 · Cited by 95 · see citing works
Self-citationKuchnia, A., Earthman, C., Teigen, L., Cole, A., Mourtzakis, M., Paris, M., Looijaard, W., Weijs, P., Oudemans‐van Straaten, H., Beilman, G., et al. (2017) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607116651063 · Cited by 91 · see citing works
Self-citationAssessment of skeletal muscle mass in critically ill patients
Paris, M. T., & Mourtzakis, M. (2016) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000259 · Cited by 85 · see citing works
Basso, F., Berdin, G., Virzì, G. M., Mason, G., Piccinni, P., Day, S., Cruz, D. N., Wojewódzka‐Żeleźniakowicz, M., Giuliani, A., Brendolan, A., et al. (2013) · Blood Purification · doi:10.1159/000356366 · Cited by 83 · see citing works
Braunschweig, C. A., Sheean, P. M., Peterson, S. J., Gomez Perez, S., Freels, S., Troy, K. L., Ajanaku, F. C., Patel, A., Sclamberg, J. S., & Wang, Z. (2014) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607113500505 · Cited by 81 · see citing works
Harris‐Love, M. O., Monfaredi, R., Ismail, C., Blackman, M. R., & Cleary, K. (2014) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2014.00172 · Cited by 79 · see citing works
Computed tomography measured psoas density predicts outcomes in trauma
Yoo, T., Lo, W. D., & Evans, D. C. (2017) · Surgery · doi:10.1016/j.surg.2017.03.014 · Cited by 78 · see citing works
Teigen, L. M., Kuchnia, A. J., Mourtzakis, M., & Earthman, C. P. (2017) · Nutrition in Clinical Practice · doi:10.1177/0884533616676264 · Cited by 75 · cited 2× · see citing works
“Furthermore, using CT imaging to assess sarcopenia from reference cutpoints or to track muscle changes longitudinally is subject to errors caused by differences in patient positioning, the use of contrast dye (the effect of which on muscle measures is not well studied), technician variability, voltage and other device…”
BackgroundMethodSelf-citationImpact of psoas muscle index on short-term outcome after living donor liver transplantation
Izumi, T., Watanabe, J., Tohyama, T., & Takada, Y. (2016) · The Turkish Journal of Gastroenterology · doi:10.5152/tjg.2016.16201 · Cited by 60 · see citing works
Mifepristone Reduces Food Palatability and AffectsDrosophilaFeeding and Lifespan
Yamada, R., Deshpande, S. A., Keebaugh, E. S., Ehrlich, M. R., Obando, A. S., & Ja, W. W. (2016) · The Journals of Gerontology Series A · doi:10.1093/gerona/glw072 · Cited by 53 · see citing works
Ward, L. C., Isenring, E. A., Dyer, J. M., Kagawa, M., & Essex, T. (2015) · Physiological Measurement · doi:10.1088/0967-3334/36/7/1529 · Cited by 47 · see citing works
Arbeille, P. L., Kerbeci, P., Capri, A., Dannaud, C., Trappe, S. W., & Trappe, T. A. (2009) · Ultrasound in Medicine & Biology · doi:10.1016/j.ultrasmedbio.2009.01.004 · Cited by 46 · see citing works
Rymarz, A., Bartoszewicz, Z., Szamotulska, K., & Niemczyk, S. (2015) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2015.09.005 · Cited by 41 · see citing works
Bioelectrical impedance vector analysis and clinical outcomes in patients with acute heart failure
Núñez, J. E., Mascarell, B., Stubbe, H. C., Ventura, S., Bonanad, C., Bodı́, V., Núñez, E., Miñana, G., Fácila, L., Bayés‐Genís, A., et al. (2014) · Journal of Cardiovascular Medicine · doi:10.2459/jcm.0000000000000208 · Cited by 38 · see citing works
Hise, A. C. D. R., & González, M. C. (2017) · Clinical Nutrition · doi:10.1016/j.clnu.2017.02.016 · Cited by 33 · see citing works
Teigen, L. M., Kuchnia, A. J., Nagel, E., Deuth, C., Vock, D. M., Mulasi, U., & Earthman, C. P. (2017) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1036 · Cited by 33 · see citing works
Self-citationErnstbrunner, M., Kostner, L., Kimberger, O., Wabel, P., Säemann, M. D., Markstaller, K., Fleischmann, E., Kabon, B., & Hecking, M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0111139 · Cited by 31 · see citing works
Computed Tomography–Measured Psoas Density Predicts Outcomes After Enterocutaneous Fistula Repair
Lo, W. D., Evans, D. C., & Yoo, T. (2017) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1028 · Cited by 28 · see citing works
Bioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients
Dewitte, A., Carles, P., Joannès-Boyau, O., Fleureau, C., Rozé, H., Combe, C., & Ouattara, A. (2015) · Journal of Clinical Monitoring and Computing · doi:10.1007/s10877-015-9706-7 · Cited by 26 · see citing works
Park, K. H., Shin, J., Hwang, J. H., & Kim, S. (2017) · The Korean Journal of Critical Care Medicine · doi:10.4266/kjccm.2017.00136 · Cited by 25 · see citing works
Abe, T., Dabbs, N. C., Nahar, V. K., Ford, M. A., Bass, M. A., & Loftin, M. (2013) · International Journal of Clinical Medicine · doi:10.4236/ijcm.2013.46049 · Cited by 20 · see citing works
Phadke, R., Puthucheary, Z., Rawal, J., McPhail, M. J. W., Sidhu, P. S., Rowlerson, A. M., Moxham, J., Harridge, S. D. R., Hart, N., & Montgomery, H. (2015) · Neuromuscular Disorders · doi:10.1016/j.nmd.2015.06.237 · Cited by 6 · see citing works
Johnson, A. J., Matthie, J. R., Kuchnia, A. J., Teigen, L. M., Beckman, L. M., Mager, J. R., Nicklay, S. A., Mulasi, U., Sibley, S. D., Nagel, E., et al. (2017) · PubMed · Cited by 4 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Barazzoni, R., Jensen, G. L., Correia, M. I. T. D., Gonzalez, M. C., Higashiguchi, T., Shi, H. P., Bischoff, S. C., Boirie, Y., Carrasco, F., Cruz-Jentoft, A., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.02.001 · Cited by 406 · see citing works
Casey, P., Alasmar, M., McLaughlin, J., Ang, Y., McPhee, J., Heire, P., & Sultan, J. (2022) · Journal of Cachexia, Sarcopenia and Muscle · doi:10.1002/jcsm.13041 · Cited by 164 · see citing works
Dietary management of adults with IBD — the emerging role of dietary therapy
Fitzpatrick, J. A., Melton, S. L., Yao, C. K., Gibson, P. R., & Halmos, E. P. (2022) · Nature Reviews Gastroenterology & Hepatology · doi:10.1038/s41575-022-00619-5 · Cited by 138 · see citing works
Compher, C., Cederholm, T., Correia, M. I. T. D., Gonzalez, M. C., Higashiguch, T., Shi, H. P., Bischoff, S. C., Boirie, Y., Carrasco, F., Cruz‐Jentoft, A., et al. (2022) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.2366 · Cited by 125 · see citing works
Santos, L. P., Gonzalez, M. C., Orlandi, S. P., Bielemann, R. M., Barbosa‐Silva, T. G., Heymsfield, S. B., & COCONUT Study Group (2019) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1605 · Cited by 122 · see citing works
Kiss, N. K., Loeliger, J. M., Findlay, M., Isenring, E. A., Baguley, B. J., Boltong, A. G., Butler, A., Deftereos, I., Eisenhuth, M., Fraser, S. F., et al. (2020) · Nutrition & Dietetics · doi:10.1111/1747-0080.12631 · Cited by 87 · see citing works
Bedrikovetski, S., Seow, W., Kroon, H. M., Traeger, L., Moore, J. W., & Sammour, T. (2022) · European Journal of Radiology · doi:10.1016/j.ejrad.2022.110218 · Cited by 72 · see citing works
Kiss, N. K., & Curtis, A. R. (2022) · Advances in Nutrition · doi:10.1093/advances/nmac070 · Cited by 44 · see citing works
Jiang, N., Zhang, J., Cheng, S., & Liang, B. (2022) · Nutrients · doi:10.3390/nu15010050 · Cited by 44 · see citing works
Low phase angle is associated with 60‐day mortality in critically ill patients with COVID‐19
Osuna-Padilla, I., Rodríguez-Moguel, N., Rodríguez-Llamazares, S., Aguilar-Vargas, A., Casas-Aparicio, G., Ríos-Ayala, M., & Hernández-Cárdenas, C. (2021) · JPEN - Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.2236 · Cited by 31 · see citing works
Vargo, M. M., Aldrich, M. B., Donahue, P. M. C., Iker, E., Koelmeyer, L. A., Crescenzi, R. L., & Cheville, A. L. (2024) · Medical Oncology · doi:10.1007/s12032-024-02472-9 · Cited by 41 · see citing works
Fetterplace, K., Gill, B. M. T., Chapple, L. S., Presneill, J., MacIsaac, C., & Deane, A. M. (2019) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1725 · Cited by 38 · see citing works
New insights on how and where to measure muscle mass
Fayh, A. P. T., de Sousa, I. M., & González, M. C. (2020) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0000000000000524 · Cited by 38 · see citing works
A Deep Learning Model to Automate Skeletal Muscle Area Measurement on Computed Tomography Images
Amarasinghe, K. C., Lopes, J. J., Beraldo, J., Kiss, N. K., Bucknell, N. W., Everitt, S., Jackson, P. A., Litchfield, C., Denehy, L., Blyth, B. J., et al. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.580806 · Cited by 39 · see citing works
Osuna‐Padilla, I. A., Rodríguez‐Moguel, N. C., Rodríguez‐Llamazares, S., Orsso, C. E., Prado, C. M. M., Ríos‐Ayala, M. A., Villanueva-Camacho, O., Aguilar‐Vargas, A., Pensado-Piedra, L. E., Juárez-Hernández, F., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2022.02.019 · Cited by 35 · see citing works
Lima, J., Foletto, E., Cardoso, R. C. B., Garbelotto, C., Frenzel, A. P., Carneiro, J. U., Carpes, L. S., Barbosa-Silva, T. G., González, M. C., & Silva, F. M. (2023) · Clinical Nutrition · doi:10.1016/j.clnu.2023.11.003 · Cited by 33 · see citing works
Broers, N. J. H., Canaud, B., Dekker, M. J. E., SANDE, F. M. V. D., Stuard, S., Wabel, P., & Kooman, J. P. (2020) · Hemodialysis International · doi:10.1111/hdi.12812 · Cited by 33 · see citing works
Crombé, A., Kind, M., Toulmonde, M., Italiano, A., & Cousin, S. (2020) · European Journal of Radiology · doi:10.1016/j.ejrad.2020.109340 · Cited by 30 · see citing works
Effect of 12-Week Swimming Training on Body Composition in Young Women
Charmas, M., & Gromisz, W. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16030346 · Cited by 30 · see citing works
Lambell, K., Earthman, C. P., Tierney, A. C., Goh, G. S., Forsyth, A. K., & King, S. (2020) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12804 · Cited by 29 · see citing works
Self-citationFetterplace, K., Corlette, L., Abdelhamid, Y. A., Presneill, J., Paris, M. T., Stella, D. L., Mourtzakis, M., MacIsaac, C., & Deane, A. M. (2020) · Australian Critical Care · doi:10.1016/j.aucc.2020.10.008 · Cited by 28 · see citing works
Evolution of the diagnosis of malnutrition in adults: a primer for clinicians
Hegazi, R., Miller, A., & Sauer, A. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1169538 · Cited by 26 · see citing works
Formenti, P., Coppola, S., Umbrello, M., Froio, S., Caccioppola, A., Giorgis, V. D., Galanti, V., Lusardi, A. C., Ferrari, E., Noè, D., et al. (2021) · Journal of Critical Care · doi:10.1016/j.jcrc.2021.11.014 · Cited by 26 · see citing works
Ackermans, L. L. G. C., Volmer, L., Timmermans, Q. M. M. A., Brecheisen, R., Damink, S. W. M. O., Dekker, A. L. A. J., Loeffen, D. V., Poeze, M., Blokhuis, T. J., Wee, L., et al. (2022) · Injury · doi:10.1016/j.injury.2022.05.004 · Cited by 25 · see citing works
Smith, L. O., Olieman, J. F., Berk, K. A., Ligthart‐Melis, G. C., & Earthman, C. P. (2022) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.2444 · Cited by 21 · see citing works
Self-citationKokura, Y., Nishioka, S., Maeda, K., & Wakabayashi, H. (2023) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2023.06.026 · Cited by 21 · see citing works
Validation of a new prognostic body composition parameter in cancer patients
Cereda, E., Caraccia, M., Klersy, C., Cappello, S., Turri, A., Borioli, V., Stobäus, N., Giannoni, A., Arcaini, L., Benazzo, M., et al. (2020) · Clinical Nutrition · doi:10.1016/j.clnu.2020.06.011 · Cited by 21 · see citing works
Cárdenas, D., Díaz, G., Fuchs‐Tarlovsky, V., González, M. C., Fernando Carrasco, N., Cano, A. M. P., Bermúdez, C., Moscoso, C. P. M., Ferraresi, E., Lipovestky, F., et al. (2021) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.2203 · Cited by 20 · see citing works
Revisiting the beyond BMI paradigm in excess weight diagnosis and management: A call to action
Aguas‐Ayesa, M., Yárnoz‐Esquíroz, P., Perdomo, C. M., Olazarán, L., Vegas-Aguilar, I. M., García‐Almeida, J. M., Gómez‐Ambrosi, J., & Frühbeck, G. (2024) · European Journal of Clinical Investigation · doi:10.1111/eci.14218 · Cited by 17 · see citing works
Bennett, J. P., Ford, K. L., Siervo, M., González, M. C., Lukaski, H. C., Sawyer, M. B., Mourtzakis, M., Deutz, N. E. P., Shepherd, J., & Prado, C. M. M. (2024) · Nutrition · doi:10.1016/j.nut.2024.112494 · Cited by 18 · see citing works
Update on nutritional assessment and therapy in critical care
Blaser, A. R., Rice, T. W., & Deane, A. M. (2020) · Current Opinion in Critical Care · doi:10.1097/mcc.0000000000000694 · Cited by 16 · see citing works
Coelho‐Júnior, H. J., & Marzetti, E. (2025) · The Lancet Healthy Longevity · doi:10.1016/j.lanhl.2025.100756 · Cited by 16 · see citing works
Virto, N., Río, X., Zorrilla, A. M., & García-Zapirain, B. (2024) · BMC Geriatrics · doi:10.1186/s12877-024-05243-3 · Cited by 15 · see citing works
Šostakaitė, G., Jauniškytė, M., Budrys, D., Budrevičius, K., Šalčiūtė-Šimėnė, E., Svetikienė, M., Jovaiša, T., Žvirblis, T., Klimašauskas, A., & Šipylaitė, J. (2024) · Nutrition · doi:10.1016/j.nut.2024.112607 · Cited by 13 · see citing works
Wireless, Artefact Aware Impedance Sensor Node for Continuous Bio-Impedance Monitoring
Dheman, K., Mayer, P., Magno, M., & Schuerle, S. (2020) · IEEE Transactions on Biomedical Circuits and Systems · doi:10.1109/tbcas.2020.3021186 · Cited by 13 · see citing works
Gomez‐Perez, S. L., Zhang, Y., Mourtzakis, M., Tussing-Humphreys, L. M., Ridlon, J. M., Gaskins, H. R., & Mutlu, E. (2021) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2021.08.038 · Cited by 13 · see citing works
Status of adult inpatient burn rehabilitation in Europe: are we neglecting metabolic outcomes?
Schieffelers, D. R., van Breda, E., Gebruers, N., Meirte, J., & Daele, U. V. (2020) · Burns & Trauma · doi:10.1093/burnst/tkaa039 · Cited by 12 · see citing works
Comparative assessment of abdominal and thigh muscle characteristics using CT-derived images
de Medeiros, G. O. C., de Sousa, I. M., Chaves, G. V., González, M. C., Prado, C. M. M., & Fayh, A. P. T. (2022) · Nutrition · doi:10.1016/j.nut.2022.111654 · Cited by 13 · see citing works
Agreement between bioimpedance analysis and ultrasound scanning in body composition assessment
Bondareva, E. A., Parfenteva, O. I., Troshina, E. A., Ershova, E. V., Mazurina, N. V., Komshilova, K. A., Kulemin, N. A., & Ahmetov, I. I. (2023) · American Journal of Human Biology · doi:10.1002/ajhb.24001 · Cited by 11 · see citing works
Fetterplace, K., Ridley, E. J., Beach, L. J., Abdelhamid, Y. A., Presneill, J., MacIsaac, C., & Deane, A. M. (2020) · Journal of Parenteral and Enteral Nutrition · doi:10.1002/jpen.1949 · Cited by 9 · see citing works
Djordjevic, A., Deftereos, I., Carter, V. M., Morris, S., Shannon, R., Kiss, N. K., & Yeung, J. M. C. (2022) · Nutrition in Clinical Practice · doi:10.1002/ncp.10844 · Cited by 9 · see citing works
Mota, J. F., González, M. C., Lukaski, H. C., Oto, G. L., Trottier, C. F., Tibães, J. R. B., & Prado, C. M. M. (2021) · European Journal of Clinical Nutrition · doi:10.1038/s41430-021-00932-3 · Cited by 9 · see citing works
Body Composition Assessment in Critically Ill Adults – Where are We now?
Lambell, K., Paris, M. T., González, M. C., & Prado, C. M. M. (2024) · Critical Care Clinics · doi:10.1016/j.ccc.2024.09.006 · Cited by 8 · see citing works
Clinimetrics: Bioelectrical Impedance Analysis in Clinical Practice
Ferguson, C. E., & Lambell, K. (2022) · Journal of physiotherapy · doi:10.1016/j.jphys.2022.05.007 · Cited by 8 · see citing works
Starkoff, B. E., & Nickerson, B. S. (2024) · Nutrition in Clinical Practice · doi:10.1002/ncp.11151 · Cited by 8 · see citing works
Triglyceride-glucose index as a marker for visceral obesity in patients with gastric cancer
Zuo, J., Huang, Z., Ge, Y., Ding, X., Wang, X., & Huang, Y. (2025) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1515918 · Cited by 7 · see citing works
Loeliger, J. M., Edbrooke, L., Daly, R. M., Stewart, J. A., Bucci, L., Puskas, C., Fitzgerald, M., Baguley, B. J., & Kiss, N. K. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19074038 · Cited by 7 · see citing works
Cavezzi, A., Urso, S. U., Paccasassi, S., Mosti, G. B., Campana, F., & Colucci, R. (2020) · Phlebology The Journal of Venous Disease · doi:10.1177/0268355520938578 · Cited by 7 · see citing works
Medical imaging in the assessment of cardiovascular disease risk
Alcántara, J. M. A., Idoate, F., & Labayen, I. (2023) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000000960 · Cited by 7 · see citing works
Bondareva, E. A., Parfenteva, O. I., Vasil’eva, A. A., Kulemin, N. A., Popova, E. V., Gadzhiakhmedova, A. N., Ковалева, О. Н., & Николаевич, Х.-Б. Н. (2023) · Human Physiology · doi:10.1134/s0362119723600042 · Cited by 6 · see citing works
Livshits, G., Tarabeih, N., Kalinkovich, A., Shalata, A., & Ashkenazi, S. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26125699 · Cited by 5 · see citing works
Potential Role of Imaging in the Evaluation of Adiposity and Approval of Anti-Obesity Drugs
Kim, S. Y., Won, S. E., Park, H. J., Woo, C.-Y., Kim, D. W., Suh, C. H., & Kim, K. W. (2026) · Korean Journal of Radiology · doi:10.3348/kjr.2025.0937 · Cited by 5 · see citing works
Maddox, S. S., Palines, P. A., Hoffman, R. D., Danos, D., Womac, D. J., Tuggle, C. T., & Stalder, M. W. (2021) · Journal of Reconstructive Microsurgery · doi:10.1055/s-0041-1726396 · Cited by 5 · see citing works
Bondareva, E. A., & Parfenteva, O. I. (2021) · Экология человека · doi:10.33396/1728-0869-2021-10-57-64 · Cited by 5 · see citing works
Survival predictions of different arm circumference classifications in patients under intensive care
Silva-Filho, J. Z., Pereira, J. P. D. C., Zapanta, I. K., Brasil, E. C. L., Silva, R. L. S., & Silva, F. M. (2025) · Clinical Nutrition ESPEN · doi:10.1016/j.clnesp.2025.07.1131 · Cited by 4 · see citing works
Yan, G., Liu, L., Liu, M., Jiang, X., Chen, P., Li, M., Ma, Q., Li, Y., Duan, S., You, R., et al. (2024) · Frontiers in Nutrition · doi:10.3389/fnut.2024.1381995 · Cited by 4 · see citing works
Acute muscle loss in elderly hospitalized patients: Risk factors and adverse clinical outcomes
Liu, J., Xue, H., Ma, Y., & Wang, Z. (2024) · Geriatric Nursing · doi:10.1016/j.gerinurse.2024.12.032 · Cited by 3 · see citing works
Blasco, L. G., Corrales, P. J. P., Hanzu, F. A., Martínez, A. F., Lesmes, I. B., & Escalada, J. (2023) · Endocrinología Diabetes y Nutrición · doi:10.1016/j.endinu.2023.01.005 · Cited by 3 · see citing works
Osman, A. A., Hoff, M., & Videm, V. (2023) · Rheumatology International · doi:10.1007/s00296-023-05348-9 · Cited by 3 · see citing works
Ferguson, C. E., Lambell, K., Ridley, E. J., Goh, G. S., Hodgson, C. L., Holland, A. E., Harrold, M., Chan, T., & Tipping, C. J. (2023) · Australian Critical Care · doi:10.1016/j.aucc.2023.06.008 · Cited by 3 · see citing works
Pérez, L. M. L., Fernández-Bueso, M., Ambrojo, A., Guijarro, M., Ferreira, A. C., Pereira‐da‐Silva, L., Moreira-Rosário, A., Faria, A., Calhau, C., Daly, A., et al. (2023) · Nutrients · doi:10.3390/nu15245133 · Cited by 3 · see citing works
La, T., Nguyen, K. T., Kaipatur, N. R., Lou, E. H. M., Major, P. W., & Le, L. H. (2024) · Advanced Materials Technologies · doi:10.1002/admt.202301732 · Cited by 3 · see citing works
Inter- and Intra-Day Precision of a Low-Cost and Wearable Bioelectrical Impedance Analysis Device
Robertz, L., Rieppo, L., Korkala, S., Jaako, T., & Saarakkala, S. S. (2024) · Communications in computer and information science · doi:10.1007/978-3-031-59091-7_29 · Cited by 3 · see citing works
Wang, Z., Zhu, L., Wang, Y., Han, X., Xu, Q., & Dai, M. (2025) · Abdominal Radiology · doi:10.1007/s00261-025-04919-7 · Cited by 2 · see citing works
Combining GLIM phenotypic criteria improves survival prediction in cancer-associated malnutrition.
Gallardo, M. G., Jiménez, B. R., Pena, N. G., Gómez, P. R. D. V., Padillo, J. P., Arenas, Á. V., López, M. L., Aguilera, B. G., Martínez-Brocca, M. A., & Restrepo, J. R. R. (2025) · Nutrition (Burbank, Los Angeles County, Calif.) · doi:10.1016/j.nut.2025.112958 · Cited by 3 · see citing works
Blasco, L. G., Corrales, P. J. P., Hanzu, F. A., Martínez, A. F., Lesmes, I. B., & Martín, J. E. S. (2023) · Endocrinología Diabetes y Nutrición (English ed ) · doi:10.1016/j.endien.2023.04.004 · Cited by 2 · see citing works
Osuna‐Padilla, I. A., Valle-Alegría, G. R. G. D., Gómez‐Rodriguez, A. L., Alarcón-Dionet, A., Rodriguez-Díaz, Z., & Buendía-Roldán, I. (2024) · Nutrición Hospitalaria · doi:10.20960/nh.04882 · Cited by 2 · see citing works
Psoas Muscle Volume as an Indicator of Sarcopenia and Disposition in Traumatic Hip Fracture Patients
Hovsepian, S. E., Zwemer, C. H., Halpern, A. I., Wu, S. H., Farag, C. M., Herur-Raman, A., Ismail, A., Srivastava, A. P., Melnyk, O., Baginsky, M., et al. (2024) · Journal of Surgical Research · doi:10.1016/j.jss.2024.10.005 · Cited by 2 · see citing works
Rengan, V. S., Sundaram, P. M., Arora, E., Sitaraman, R. R., Sekaran, P. G., Kalla, R., Bawa, A., Alexander, N., & Ramanan, R. V. (2024) · Journal of Gastrointestinal and Abdominal Radiology · doi:10.1055/s-0044-1795111 · Cited by 2 · see citing works
Encuesta sobre la docencia pregrado de Endocrinología y Nutrición en España-2021
Pinés-Corrales, P. J., Hanzu, F. A., Fernández, R. C., Martínez, A. F., Pérez, C. T., Escalada, J., & Lesmes, I. B. (2022) · Endocrinología Diabetes y Nutrición · doi:10.1016/j.endinu.2022.05.005 · Cited by 2 · see citing works
Pérez, L. M. L., Fernández-Bueso, M., Guzmán-Carmona, C., López-Navia, A., & García-Lobato, C. (2024) · Nutrients · doi:10.3390/nu16121833 · Cited by 2 · see citing works
Ribeiro, J. G., Rossato, M. F., Orssatto, L. B. R., Picanço, L. A. A., Silva, D. A. S., & Bezerra, E. D. S. (2023) · Brazilian Journal of Kinanthropometry and Human Performance · doi:10.1590/1980-0037.2023v25e92458 · Cited by 1 · see citing works
Applications of bioimpedance measurement in clinical and allied fields: a comprehensive review
Bora, D. J., & Manikonda, S. K. G. (2026) · BioMedical Engineering OnLine · doi:10.1186/s12938-026-01581-y · Cited by 1 · see citing works
Morphometric Changes in Children With Small Bowel Crohn Disease During Induction of Therapy
Steien, D. B., Dillman, J. R., Lopez, M. J., Ehrlich, P. F., & Adler, J. (2020) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000003009 · Cited by 1 · see citing works
Bondareva, E. A., Parfenteva, O. I., Vasileva, A. A., Kulemin, N. A., Gadzhiakhmedova, A. N., Ковалева, О. Н., & Николаевич, Х.-Б. Н. (2023) · Biological Communications · doi:10.21638/spbu03.2023.305 · Cited by 1 · see citing works
Gomes, K., Irwin, C. G., Desbrow, B., & Roberts, S. (2023) · Renal Society of Australasia Journal · doi:10.33235/rsaj.19.2.56-67 · Cited by 1 · see citing works
Zheng, Q., Li, F., Tang, W., Huang, X., Cao, S., Ping, F., Li, Y., Zhang, Z., & Huang, W. (2024) · American Journal of Critical Care · doi:10.4037/ajcc2024240 · Cited by 1 · see citing works
Kangalgil, M., Ulusoy, H., & Ayaz, S. (2024) · Neurocritical Care · doi:10.1007/s12028-024-02104-0 · Cited by 1 · see citing works
da Silva, T. S., Rodrigues, A., Micheleti, J. F., Hernandes, N. A., Pitta, F. D. O., & Furlanetto, K. C. (2019) · Journal of Health Sciences · doi:10.17921/2447-8938.2019v21n4p390-6
Body Composition Assessment and Protein Recommendations In Clinical Populations
Price, K. L. (2020) · University of Minnesota Digital Conservancy (University of Minnesota)
Self-citationVaamonde, J., Buey, G. G., & Llavero-Valero, M. (2022) · Medicine - Programa de Formación Médica Continuada Acreditado · doi:10.1016/j.med.2022.12.002
Survey on Endocrinology and Nutrition undergraduate teaching in Spain-2021
Pinés-Corrales, P. J., Hanzu, F. A., Fernández, R. C., Martínez, A. F., Pérez, C. T., Martín, F. J. E. S., & Lesmes, I. B. (2023) · Endocrinología Diabetes y Nutrición (English ed ) · doi:10.1016/j.endien.2023.08.006
Paternina, F. J. P., Pereira, M. L., Durán, J. L. J., & Barbosa-Barbosa, J. (2023) · Revista de Nutrición Clínica y Metabolismo · doi:10.35454/rncm.v6n2.478
Пиндус, В. Б., Дєньга, Е. М., Pyndus, T. O., Щепанський, Ф., & Шнайдер, С. А. (2023) · Інновації в стоматології · doi:10.35220/2523-420x/2023.4.4
Ángulo de fase y su relación con marcadores biológicos de salud.
Almanza, S. J. H., Perdomo, L. R., & Sierra, L. S. M. (2023) · REDIIS / Revista de Investigación e Innovación en Salud · doi:10.23850/rediis.v7i7.5624
Bondareva, E. A., Parfenteva, O. I., Vasileva, A. A., Kulemin, N. A., Popova, E. V., Gadzhiakhmedova, A. N., Ковалева, О. Н., & Николаевич, Х.-Б. Н. (2023) · Human Physiology · doi:10.31857/s0131164622601002 · Cited by 1 · see citing works
Efficacy of Prehabilitation in Abdominal Cancer Surgery
Edbrooke, L., Abo, S., & Denehy, L. (2024) · Springer eBooks · doi:10.1007/978-3-031-56270-9_6
Soares, B. L. D. M., Soares, N. M. D. M., Burgos, M. G. P. D. A., & de Arruda, I. K. G. (2024) · Research Square · doi:10.21203/rs.3.rs-4232829/v1
Nutritional Care Process in Hospitalized Patients with Obesity-Related Multimorbidity
Rivera-Carranza, T., Girón, A. L.-T., Mimiaga-Hernández, C., & Aguilar‐Vargas, A. (2025) · Obesities · doi:10.3390/obesities5020039
Equations for Assessing Body Composition by Ultrasound in Older Adults: A Narrative Review
Fernandes, L. V., de Oliveira, G. B., Vasques, A. C. J., & Corona, L. P. (2025) · Healthcare · doi:10.3390/healthcare13111295
Alyoshina, O. О., & Averyanova, I. V. (2025) · Siberian Journal of Life Sciences and Agriculture · doi:10.12731/2658-6649-2025-17-1-1047
Petrikov, S. S., Kiselev, V. V., Сергеевна, Ж. М., Muslimov, R. S., Yartsev, P. A., & Хамидова, Л. Т. (2025) · Pirogov Russian Journal of Surgery · doi:10.17116/hirurgia202507146
Xu, Y., Liu, B., Liu, H., Xu, R., Sun, J., Li, Y., Ren, T., Liu, H., Liu, H., & Zhou, J. (2025) · Japanese Journal of Radiology · doi:10.1007/s11604-025-01847-w
Interchangeability of different indirect methods for determining body composition
Bondareva, E. A., Аркадьевич, Г. Б., Николаевич, Х.-Б. Н., Mazurina, N. V., Ershova, E. V., Komshilova, K. A., & Troshina, E. A. (2025) · Problems of Endocrinology · doi:10.14341/probl13538
Decision-Making for Lymphedema Diagnostic and Surveillance Measures: A Case-Based Approach
Vargo, M. M., Aldrich, M. B., Iker, E., Koelmeyer, L. A., Crescenzi, R. L., & Cheville, A. L. (2025) · Current Physical Medicine and Rehabilitation Reports · doi:10.1007/s40141-025-00507-4
Robertz, L., Aghdam, N. T., Kilpijärvi, J., Panfilov, E., Salonurmi, T., Nevalainen, M. T., Korkala, S., Jaako, T., & Saarakkala, S. S. (2026) · Communications in computer and information science · doi:10.1007/978-3-032-28829-5_13
Šostakaitė, G., Jauniškytė, M., Budrys, D., Budrevičius, K., Šalčiūtė-Šimėnė, E., Svetikienė, M., Jovaiša, T., Žvirblis, T., Klimašauskas, A., & Šipylaitė, J. (2026) · Nutrients · doi:10.3390/nu18122019
- Authors
- Price, K. L., & Earthman, C. P.
- Affiliations
- University of Minnesota (US)
- ORCID
- Earthman, Carrie P.
- Venue
- European Journal of Clinical Nutrition
- Published
- 2018-10-30
- Volume
- 73
- Issue
- 2
- Pages
- 187-193
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2899483521
- Cited by
- 100
- References
- 55
- Citations by year
- 2026: 5 · 2025: 13 · 2024: 20 · 2023: 18 · 2022: 16 · 2021: 10 · 2020: 14 · 2019: 4
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
- Keywords
- body composition, muscle atrophy, volume status, computed tomography, ultrasound, bioimpedance, biomarkers, nutritional risk, muscle mass, measurement protocol standardization, bedside assessment
- MeSH terms
- Body Composition, Humans, Monitoring, Physiologic, Tomography, X-Ray Computed, Ultrasonography, Critical Illness, Electric Impedance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review