The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older Individuals
Low phase angle (PhA), as determined via bioelectrical impedance analysis, reflects unhealthy aging and mortality. In this study, we assessed whether nutritional status, including serum nutritional markers and dietary habits, is related to PhA in older individuals. We recruited 212 participants (age...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-08-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/15/16/3599 |
| _version_ | 1797583552714375168 |
|---|---|
| author | Shintaro Kajiyama Naoko Nakanishi Shinta Yamamoto Takahiro Ichikawa Takuro Okamura Yoshitaka Hashimoto Noriyuki Kitagawa Masahide Hamaguchi Michiaki Fukui |
| author_facet | Shintaro Kajiyama Naoko Nakanishi Shinta Yamamoto Takahiro Ichikawa Takuro Okamura Yoshitaka Hashimoto Noriyuki Kitagawa Masahide Hamaguchi Michiaki Fukui |
| author_sort | Shintaro Kajiyama |
| collection | DOAJ |
| description | Low phase angle (PhA), as determined via bioelectrical impedance analysis, reflects unhealthy aging and mortality. In this study, we assessed whether nutritional status, including serum nutritional markers and dietary habits, is related to PhA in older individuals. We recruited 212 participants (aged ≥ 65 years) who underwent medical health checkups. PhA was measured using a multi-frequency impedance body composition analyzer. Habitual food and nutrient intake was evaluated using a brief, self-administered diet history questionnaire. Low PhA values were defined as ≤4.95 in males and ≤4.35 in females. Males with low PhA had poor exercise habits (<i>p</i> = 0.0429) and a lower body mass index (<i>p</i> = 0.0024). PhA was significantly correlated with serum cholinesterase levels, a nutritional status marker (r = 0.3313, <i>p</i> = 0.0004 in males; r = 0.3221, <i>p</i> = 0.0070 in females). The low-PhA group had significantly lower total energy and carbohydrate intake per ideal body weight (IBW) than the high-PhA group in males (total energy intake:30.2 ± 9.8 and 34.5 ± 9.3 kcal/kg/day, <i>p</i> = 0.0307; carbohydrate intake:15.2 ± 4.9 and 18.0 ± 5.8 kcal/kg/day, <i>p</i> = 0.0157). Total energy intake per IBW (adjusted odds ratio [95% confidence interval], 0.94 [0.89–1.00] per 1 kcal/kg/day increase) was independently associated with a low PhA in males. Our study revealed that lower total energy intake independently impacted low PhA in older males. |
| first_indexed | 2024-03-10T23:40:30Z |
| format | Article |
| id | doaj.art-53162cac6bc043aa95d1d6d68e07b78e |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T23:40:30Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-53162cac6bc043aa95d1d6d68e07b78e2023-11-19T02:30:24ZengMDPI AGNutrients2072-66432023-08-011516359910.3390/nu15163599The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older IndividualsShintaro Kajiyama0Naoko Nakanishi1Shinta Yamamoto2Takahiro Ichikawa3Takuro Okamura4Yoshitaka Hashimoto5Noriyuki Kitagawa6Masahide Hamaguchi7Michiaki Fukui8Department of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanDepartment of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto 602-8566, JapanLow phase angle (PhA), as determined via bioelectrical impedance analysis, reflects unhealthy aging and mortality. In this study, we assessed whether nutritional status, including serum nutritional markers and dietary habits, is related to PhA in older individuals. We recruited 212 participants (aged ≥ 65 years) who underwent medical health checkups. PhA was measured using a multi-frequency impedance body composition analyzer. Habitual food and nutrient intake was evaluated using a brief, self-administered diet history questionnaire. Low PhA values were defined as ≤4.95 in males and ≤4.35 in females. Males with low PhA had poor exercise habits (<i>p</i> = 0.0429) and a lower body mass index (<i>p</i> = 0.0024). PhA was significantly correlated with serum cholinesterase levels, a nutritional status marker (r = 0.3313, <i>p</i> = 0.0004 in males; r = 0.3221, <i>p</i> = 0.0070 in females). The low-PhA group had significantly lower total energy and carbohydrate intake per ideal body weight (IBW) than the high-PhA group in males (total energy intake:30.2 ± 9.8 and 34.5 ± 9.3 kcal/kg/day, <i>p</i> = 0.0307; carbohydrate intake:15.2 ± 4.9 and 18.0 ± 5.8 kcal/kg/day, <i>p</i> = 0.0157). Total energy intake per IBW (adjusted odds ratio [95% confidence interval], 0.94 [0.89–1.00] per 1 kcal/kg/day increase) was independently associated with a low PhA in males. Our study revealed that lower total energy intake independently impacted low PhA in older males.https://www.mdpi.com/2072-6643/15/16/3599phase angleserum cholinesterasetotal energy intakeprotein intake |
| spellingShingle | Shintaro Kajiyama Naoko Nakanishi Shinta Yamamoto Takahiro Ichikawa Takuro Okamura Yoshitaka Hashimoto Noriyuki Kitagawa Masahide Hamaguchi Michiaki Fukui The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older Individuals Nutrients phase angle serum cholinesterase total energy intake protein intake |
| title | The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older Individuals |
| title_full | The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older Individuals |
| title_fullStr | The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older Individuals |
| title_full_unstemmed | The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older Individuals |
| title_short | The Impact of Nutritional Markers and Dietary Habits on the Bioimpedance Phase Angle in Older Individuals |
| title_sort | impact of nutritional markers and dietary habits on the bioimpedance phase angle in older individuals |
| topic | phase angle serum cholinesterase total energy intake protein intake |
| url | https://www.mdpi.com/2072-6643/15/16/3599 |
| work_keys_str_mv | AT shintarokajiyama theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT naokonakanishi theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT shintayamamoto theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT takahiroichikawa theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT takurookamura theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT yoshitakahashimoto theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT noriyukikitagawa theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT masahidehamaguchi theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT michiakifukui theimpactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT shintarokajiyama impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT naokonakanishi impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT shintayamamoto impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT takahiroichikawa impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT takurookamura impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT yoshitakahashimoto impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT noriyukikitagawa impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT masahidehamaguchi impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals AT michiakifukui impactofnutritionalmarkersanddietaryhabitsonthebioimpedancephaseangleinolderindividuals |