We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Validity of Bioelectrical Impedance Analysis to Estimate Body Composition Changes After Bariatric Surgery in Premenopausal Morbidly Women.
- Authors
Savastano, Silvia; Belfiore, Annamaria; Di Somma, Carolina; Mauriello, Concetta; Rossi, Annalisa; Pizza, Genoveffa; De Rosa, Annalba; Prestieri, Giovanni; Angrisani, Luigi; Colao, Annamaria
- Abstract
In obese patients, subtle variations of the hydration of soft tissues can propagate errors in bioelectrical impedance analysis (BIA) measures of body composition. Bioelectrical impedance vector analysis (BIVA) is a useful method to evaluate tissue hydration. Laparoscopic adjustable gastric banding (LAGB) is a purely restrictive bariatric surgical procedure resulting in lower fat-free mass (FFM) loss than other malabsorptive or mixed intervention. The aim of this study was to evaluate the 6- and 12-month changes in body composition in a homogeneous group of premenopausal morbidly obese women treated by LAGB by comparing the results of conventional BIA and BIVA with dual-energy X-ray absorptiometry (DXA) method. Forty-five consecutive morbidly obese patients (mean age, 35.3 ± 9.1 years; body mass index, 34.5–48.7 kg/m2) were prospectively evaluated at the Endocrinology Unit of the Department of Molecular and Clinical Endocrinology and Oncology. The LAGB device (Lap-Band™ System; Inamed Health, Santa Barbara, CA, USA) was inserted laparoscopically. Soft tissue hydration was evaluated by BIVA; fat mass (FM) and FFM were evaluated by BIA (BIA 101 RJL, Akern Bioresearch, Firenze, Italy) and by DXA (Hologic QDR 4500A S/N 45622; Hologic Inc., Bedford, MA, USA). Pre- and postoperative BIVA vectors indicated a normal hydration in all patients. Postoperatively, the excess of body weight loss was mainly due to a decrease in FM. The regression analysis of BIA and DXA methods at baseline and at the 6- and 12-month follow-up for FM r2 values were 0.98, 0.94, and 0.99, respectively ( p < 0.001); FM% r2 values were 0.91, 0.89, and 0.98, respectively ( p < 0.001); and FFM r2 values were 0.87, 0.82, 0.99, respectively ( p < 0.001). BIA and DXA measurements of body composition exhibit a high relative agreement in the study group of normo-hydrated obese subjects. BIA tends to overestimate FFM, but this effect is reduced along with the weight loss during the follow-up. Under the stable hydration, the BIA method may be useful as an alternative to DXA in a selected clinical setting when repeated comparisons of body composition are required.
- Subjects
OVERWEIGHT persons; BIOELECTRIC impedance; HUMAN body composition; MORBID obesity; LAPAROSCOPY; GASTRIC banding; BODY mass index; BARIATRIC surgery
- Publication
Obesity Surgery, 2010, Vol 20, Issue 3, p332
- ISSN
0960-8923
- Publication type
Report
- DOI
10.1007/s11695-009-0006-5