Kalantar-Zadeh K, Dunne E, Nixon K, Kahn K, Lee GH, Kleiner M
Significant correlation between near-infrared interactance and
nutritional parameters in hemodialysis patients.
ASN 30th Annual Meeting, San Antonio
J Am Soc Nephrol
(Sep) 8:239A 1997
A near-infrared interactance was used to help estimate body composition in 35
chronic hemodialysis
patients. The measurements from the near-infrared interactants (NIR) were
compared with
anthropometric measurements including mid-arm circumference, triceps and
biceps skinfold thickness,
calculated mid-arm muscle circumference, and body mass index. All of the
body composition
parameters were measured between 10 and 20 minutes after the completion of a
dialysis session. The
near-infrared interactance measurements were measured on the non-access upper
arm.
The near-infrared interactance measure correlated significantly with
anthropometric measurements as
well as years on dialysis and serum total iron binding capacity. The
correlation between the NIR
score was good to excellent with a correlation of 0.74 with mid-arm
circumference, 0.53 with mid-arm
muscle circumference, 0.55 with triceps skinfold thickness, 0.55 with biceps
skinfold thickness, and
0.81 with body mass index. There was no statistical correlation between the
near-infrared
interactants score and age, gender, serum albumin, as well as with other
unspecified biochemical
measurements.
It was felt that the near infrared interactants was a relatively simple and
quick method of
determining body composition in chronic hemodialysis patients. Additional
studies will be needed to
determine if the NIR is a predictor of morbidity and mortality in this
cohort.
Michael V. Rocco, M.D., Bowman Gray School of Medicine
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ASN 30th Annual Meeting, San Antonio
CRF by organ system :
Nutrition