Assessing nutritional status in older adults requiring long‐term care: Interchangeability of bioelectrical impedance analysis and manual methods for upper arm anthropometric measurements. Issue 11 (24th September 2022)

• Record Type: Journal Article
• Authors: Sato, Ryo; Sawaya, Yohei; Ishizaka, Masahiro; Shiba, Takahiro; Hirose, Tamaki; Urano, Tomohiko
• Is Part Of: Geriatrics and gerontology international. Volume 22:Issue 11(2022)
• Page Start: 938
• Page End: 942
• Publication Date: 2022-09-24
• Subjects: arm -- bioelectrical impedance analysis -- long‐term care -- nutritional assessment -- sarcopenia; Geriatrics -- Periodicals; Gerontology -- Periodicals; Geriatrics -- Japan -- Periodicals; Gerontology -- Japan -- Periodicals; 618.97
• DOI: 10.1111/ggi.14486
• Languages: English
• ISSNs: 1444-1586

Abstract

Abstract : Aim: In older adults, arm circumference and arm muscle circumference are common nutritional assessment tools. Bioelectrical impedance analysis devices can automatically measure arm circumference and arm muscle circumference. However, the interchangeability of the measurements made by bioelectrical impedance analysis with the actual manual measurements has not been clarified. This study examined the interchangeability of these two measurements and their relationship with sarcopenia. Methods: The interchangeability between bioelectrical impedance analysis and manual arm circumference and arm muscle circumference measurements was calculated using Bland–Altman analysis in 112 older adults certified to require long‐term care in the Japanese system. Furthermore, multivariate analysis was used to investigate the association between arm circumference and arm muscle circumference obtained using the bioelectrical impedance analysis method and sarcopenia. Results: The bioelectrical impedance analysis and manual methods were interchangeable, with a percentage error of <15% (arm circumference 13.54% and arm muscle circumference 13.54%) for the upper arm anthropometric measurement. In multivariate analysis, decreased arm muscle circumference was significantly associated with sarcopenia risk. Conclusions: Values obtained using the bioelectrical impedance analysis method were interchangeable with the values obtained using manual measurement. This shows that upper arm anthropometric measurement using bioelectrical impedance analysis might be useful as a nutritional assessment tool for older adults requiring long‐term care. Geriatr Gerontol Int 2022; 22: 938–942 . Abstract : To the best of our knowledge, this is the first study to determine the interchangeability of bioelectrical impedance analysis (BIA) and manual methods of upper arm anthropometric measurements, and evaluate the association of BIA with sarcopenia. Our findings suggest that BIA and manual methods are interchangeable, and that the arm muscle circumference measured by BIA is associated with sarcopenia.