Making the invisible visible: bioelectrical impedance analysis demonstrates unfavourable body composition in rheumatoid arthritis patients in clinical practice

@article{Konijn2014MakingTI,
  title={Making the invisible visible: bioelectrical impedance analysis demonstrates unfavourable body composition in rheumatoid arthritis patients in clinical practice},
  author={Nicole P. C. Konijn and Lilian H D van Tuyl and Irene E. M. Bultink and Willem F. Lems and Carrie P. Earthman and Marian A. E. van Bokhorst-de van der Schueren},
  journal={Scandinavian Journal of Rheumatology},
  year={2014},
  volume={43},
  pages={273 - 278}
}
Objectives: To examine differences between the assessment of body composition by body mass index (BMI) and bioelectrical impedance analysis (BIA) in patients with rheumatoid arthritis (RA). Method: The body composition of RA patients was assessed during their visit to the outpatient department of a Dutch academic hospital using BMI, fat-free mass index (FFMI), and fat mass index (FMI). FFMI and FMI were determined by single-frequency BIA. Results: Sixty-five consecutive RA patients (83% women… 
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References

SHOWING 1-10 OF 31 REFERENCES
Redefining overweight and obesity in rheumatoid arthritis patients.
TLDR
The equation developed can be used to accurately predict BF from BMI in RA patients and may be important in the context of the cardiovascular comorbidity of RA.
Malnutrition in women with rheumatoid arthritis is not revealed by clinical anthropometrical measurements or nutritional evaluation tools
TLDR
A large proportion of in-ward RA patients had reduced FFMI, which made BMI a non-reliable tool to detect malnutrition and should be followed by body composition determination.
A close association of body cell mass loss with disease activity and disability in Chinese patients with rheumatoid arthritis
TLDR
The loss of body cell mass is associated with higher disease activity and greater disability in rheumatoid arthritis patients and body composition determined by bioelectrical impedance analysis can provide valuable information for arheumatologist to more rapidly recognize rheumatism cachexia.
Rheumatoid cachexia, central obesity and malnutrition in patients with low-active rheumatoid arthritis: feasibility of anthropometry, Mini Nutritional Assessment and body composition techniques
TLDR
Rheumatoid cachexia and central obesity were common in patients with RA and neither BMI nor MNA could detect this properly, and there was a good relative agreement between DXA and BIA, but the limits of agreement were wide, which may restrict the utility of BIA in clinical practice.
Prevalence of low body mass in rheumatoid arthritis: association with the acute phase response
TLDR
There is an increased prevalence of low body mass, greatest for lean tissue, in the RA population and in the female group there was an inverse relation between the acute phase response and fat free mass.
Body composition in rheumatoid arthritis.
TLDR
Assessment of bone mineral density (BMD) at different body sites in rheumatoid arthritis patients related to disease severity parameters, disease duration and corticosteroid intake confirmed previous data in different patient groups, but no clear influence of disease severity and steroid intake could be found.
Body composition measurements: interpretation finally made easy for clinical use
TLDR
The assessment of fat‐free mass and body fat provides valuable information about changes in body composition with weight gain or loss and physical activity, and during ageing.
Single prediction equation for bioelectrical impedance analysis in adults aged 22–59 years
TLDR
The results of this study show that the newly developed multi-frequency bioelectrical impedance measurement system with the single prediction BIA equation can be used in screening the subjects suspected with osteoporosis and for follow-up study of the patient under the therapy for osteoporeosis.
Fat-free mass index and fat mass index percentiles in Caucasians aged 18–98 y
TLDR
Reference intervals for FFMI and FMI could be of practical value for the clinical evaluation of a deficit in fat-free mass with or without excess fat mass (sarcopenic obesity) for a given age category, complementing the classical concept of body mass index (BMI) in a more qualitative manner.
Cachexia in rheumatoid arthritis is associated with inflammatory activity, physical disability, and low bioavailable insulin‐like growth factor
TLDR
A large proportion of RA inpatients, mainly women, had rheumatoid cachexia, and the muscle wasting was explained by inflammatory activity and physical disability as well as low bioavailable IGF‐1.
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