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Cited by 48Body Composition Measurement TechniquesDialysis and Renal Disease ManagementNutrition and Health in Aging

Evaluation of body composition in hemodialysis thai patients: comparison between two models of bioelectrical impedance analyzer and dual-energy X-ray absorptiometry

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Jayanama, Kulapong, Putadechakun, Supanee, Srisuwarn, Praopilad, Vallibhakara, Sakda Arj-Ong, Chattranukulchai Shantavasinkul, Prapimporn, Sritara, Chanika, Kantachuvesiri, Surasak, Komindr, Surat·2018·Journal of Nutrition and Metabolism
DOI 10.1155/2018/4537623PMC PMC6098916
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Abstract

Background . Body composition measurement is very important for early nutritional care in hemodialysis patients. Dual-energy X-ray absorptiometry (DXA) is a gold standard test, but clinically limited. Bioelectrical impedance analysis (BIA) with multifrequency technique is a practical and reliable tool. Objective . This cross-sectional study was aimed to compare the agreement of BIA with DXA in measurement of body composition in hemodialysis patients and to evaluate their associated factors. Methods . Body composition was measured by 2 BIA methods (InBody S10 and InBody 720) and DXA after a hemodialysis session. A total of 69 measurements were included. Pearson’s correlation and Bland and Altman analysis were used to determine the correlation of body composition between methods and to compare the methods agreement, respectively. Results . The correlation coefficients of body compositions were strong between DXA and InBody S10 (fat mass index (FMI): r = 0.95 , fat-free mass index (FFMI): r = 0.78 ) and also between DXA and InBody 720 (FMI: r = 0.96 , FFMI: r = 0.81 ). Comparing to DXA, the means of each body composition measured by InBody S10 method were not significantly different in each gender, but differences were found in FM, %FM, and FMI measured by InBody 720. Conclusions . In maintenance hemodialysis patients, the measurement of body composition with DXA and both BIA methods had highly significant correlations; practically, BIA method could be used as an instrument to follow FM and FFM and to measure the edematous stage. Further studies with large populations are warranted.

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  • Several studies indicated comparable outcomes between DXA and MF-BIA.

    “Several studies have indicated comparable outcomes between DXA and MF-BIA (26–29).”

    From Transforming body composition with semaglutide in adults with obesity and type 2 diabetes mellitus (2024) · cites this paper as [28]

    Materials and Methods §2.2 identifies both devices as multifrequency BIA analyzers. Results §3 reports strong correlations with DXA and no significant mean differences for InBody S10, supporting comparable outcomes for that model. But InBody 720 differed significantly on several measures, and both models had wide limits of agreement with DXA, so the unqualified claim needs qualification. (LLM, conf=0.85)

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Authors
Jayanama, K., Putadechakun, S., Srisuwarn, P., Vallibhakara, S. A.-O., Chattranukulchai Shantavasinkul, P., Sritara, C., Kantachuvesiri, S., & Komindr, S.
Affiliations
  • Mahidol University (TH)
  • Division of Nutrition and Biochemical Medicine, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama 6 Road Thungphayathai, Ratchathewi, Bangkok 10400, Thailand
Corresponding author
  • Jayanama, Kulapong
  • Komindr, Surat
ORCID
Venue
Journal of Nutrition and Metabolism
Publisher
Wiley
Published
2018-08-05
Volume
2018
Pages
1-11
ISSN
  • 2090-0724 (ISSN-L)
  • 2090-0732
DOI
10.1155/2018/4537623
PMC
PMC6098916
OpenAlex
W2887926815
Cited by
48
References
2
Citations by year
2026: 4 · 2025: 4 · 2024: 11 · 2023: 8 · 2022: 11 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 1
FWCI
1.72
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Nutrition and Metabolism (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Greater South Information System
Funders
Mahidol University
Topics
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
  • Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Keywords
body composition, hemodialysis, bioelectrical impedance analysis, dual-energy X-ray absorptiometry, fat mass, fat-free mass, measurement agreement, nutritional assessment, edema, Thai patients

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