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October 24, 2024Journal of Cachexia Sarcopenia and MuscleOpen Access

Improving the nutritional evaluation in head neck cancer patients using bioelectrical impedance analysis: Not only the phase angle matters

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Authors

AHAura D. Herrera‐MartínezIPInmaculada Prior‐SánchezMFMaría Luisa Fernández‐Soto

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Overview

Cross-sectional study demonstrates that bioelectrical impedance parameters detect malnutrition in head and neck cancer, indicating clinical value beyond phase angle alone.

Key Points

  • To evaluate the applicability and accuracy of bioelectrical impedance vectorial analysis (BIVA) for diagnosing malnutrition and sarcopenia in head and neck cancer patients undergoing systemic therapy.
  • Conducted a cross-sectional, observational study involving 509 patients with head and neck cancer undergoing chemotherapy or radiotherapy.
  • Administered a comprehensive nutritional assessment incorporating bioelectrical impedance vectorial analysis (BIVA).
  • Malnutrition occurred more frequently with chemotherapy (59.2% vs. 40.8%, P < 0.001) and was associated with increased mortality (33.3% vs. 20.1%, P < 0.001) and worse ECOG status (59.2% vs. 22.8%, P < 0.001).
  • Body cell mass (OR 0.88, 95% CI: 0.84–0.93) and fat-free mass index were significantly associated with sarcopenia (OR 0.81, 95% CI: 0.76–0.87 and OR 0.78, 95% CI: 0.66–0.92, respectively).
  • A body cell mass index < 7.8 combined with fat-free mass index and body cell mass predicted malnutrition with an accuracy of 0.803 (95% CI: 0.763–0.839; AUC: 0.618, P < 0.01), with a 7.6 cutoff identifying malnutrition in males (P < 0.001).

Cite This Study

Herrera‐Martínez et al. (2024) studied this question.

synapsesocial.com/papers/6a75c47544cec601e08b8211https://doi.org/10.1002/jcsm.13577
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prognostic value of bioelectrical impedance analysis in head and neck cancer patients undergoing radiotherapy: a VALOR® study2024 · 17 citations
  2. 2Bioelectrical Impedance Analysis in the nutritional assessment and prediction of complications in patients undergoing surgery for head and neck malignancies, A pilot observational study2022
  3. 3Bioelectrical Impedance and GLIM Criteria Identify Early Nutritional Deterioration and Mortality in Acute Leukemia Patients Undergoing Chemotherapy2026 · 2 citations
  4. 4Bioelectrical‐Impedance‐Analysis in the Perioperative Nutritional Assessment and Prediction of Complications in Head‐and‐Neck Malignancies2025
  5. 5Patient-Generated Subjective Global Assessment and Phase Angle as Predictors of Survival in Cancer Patients2025