Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body composition
Abstract Introduction Severe forms of COVID-19 are more common in patients with abnormal fat distribution, particularly high visceral adiposity. The patient’s muscle strength may be reduced during the acute phase of the infection. Electrical bioimpedance (BIA) is a non-invasive method for measuring...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-11-01
|
| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-023-08833-5 |
| _version_ | 1797453753618530304 |
|---|---|
| author | Juliana Bonfleur Carvalho Grasiela Konkolisc Pina de Andrade Ludiane Alves do Nascimento Natalia Golin Ana Lucia Chalhoub Chediac Rodrigues Erika Suiter Maryana Virginia Orellana Soprani Ariane Severine Nadolskis |
| author_facet | Juliana Bonfleur Carvalho Grasiela Konkolisc Pina de Andrade Ludiane Alves do Nascimento Natalia Golin Ana Lucia Chalhoub Chediac Rodrigues Erika Suiter Maryana Virginia Orellana Soprani Ariane Severine Nadolskis |
| author_sort | Juliana Bonfleur Carvalho |
| collection | DOAJ |
| description | Abstract Introduction Severe forms of COVID-19 are more common in patients with abnormal fat distribution, particularly high visceral adiposity. The patient’s muscle strength may be reduced during the acute phase of the infection. Electrical bioimpedance (BIA) is a non-invasive method for measuring body compartments and estimating visceral fat area (VFA) that can be used at the bedside. Objective To assess the association between several body composition parameters, primarily high adipose tissue and high VFA, in patients with and without a diagnosis of COVID-19 infection, and whether it worsened the severity parameters. Methods This retrospective cohort study was conducted in a private hospital in the city of São Paulo from March 2020 to August 2021. The demographic and clinical data was collected from medical reports. Body composition is assessed using the InBODY® model S10 bioelectrical impedance device and a Jamar® digital hydraulic manual dynamometer with a scale from 0 to 90 kg is used to measure handgrip strength (HGS). Results A total of 96 patients with a mean age of 69.1 years (SD 15) were divided into two groups of 48 individuals, with and without COVID-19 infection. Body mass index (odds ratio [OR]: 4.47, 95% confidence interval [CI]: 1.69, 11.83), fat mass (OR: 2.03, 95% CI: 0.48, 8.55), and VFA (OR: 1.08, 95% CI: 0.33, 3.53) were all higher in the infection group. When COVID-19 patients were evaluated, those with higher VFA had longer hospital stays (OR: 0.99, 95% CI: 0.97, 1.01) and used more vasoactive drugs (p = 0.043). Patients with COVID-19 with poor handgrip strength were 3.29 times more likely to require a prolonged intensive care unit (ICU) stay. Conclusion The study concluded that excess weight and body fat are significantly associated with COVID-19 involvement, but the severity is primarily related to a greater area of visceral fat. The use of bioimpedance for visceral fat measurement was effective, as it is a simple method performed in the hospital setting that does not require the use of radiation. |
| first_indexed | 2024-03-09T15:27:25Z |
| format | Article |
| id | doaj.art-980e0eb88e054b3096804c7df989d5a5 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-03-09T15:27:25Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-980e0eb88e054b3096804c7df989d5a52023-11-26T12:27:46ZengBMCBMC Infectious Diseases1471-23342023-11-012311810.1186/s12879-023-08833-5Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body compositionJuliana Bonfleur Carvalho0Grasiela Konkolisc Pina de Andrade1Ludiane Alves do Nascimento2Natalia Golin3Ana Lucia Chalhoub Chediac Rodrigues4Erika Suiter5Maryana Virginia Orellana Soprani6Ariane Severine Nadolskis7Department of Nutrition, Hospital Sírio LibanêsDepartment of Nutrition, Hospital Sírio LibanêsDepartment of Nutrition, Hospital Sírio LibanêsDepartment of Nutrition, Hospital Sírio LibanêsDepartment of Nutrition, Hospital Sírio LibanêsDepartment of Nutrition, Hospital Sírio LibanêsDepartment of Nutrition, Hospital Sírio LibanêsDepartment of Nutrition, Hospital Sírio LibanêsAbstract Introduction Severe forms of COVID-19 are more common in patients with abnormal fat distribution, particularly high visceral adiposity. The patient’s muscle strength may be reduced during the acute phase of the infection. Electrical bioimpedance (BIA) is a non-invasive method for measuring body compartments and estimating visceral fat area (VFA) that can be used at the bedside. Objective To assess the association between several body composition parameters, primarily high adipose tissue and high VFA, in patients with and without a diagnosis of COVID-19 infection, and whether it worsened the severity parameters. Methods This retrospective cohort study was conducted in a private hospital in the city of São Paulo from March 2020 to August 2021. The demographic and clinical data was collected from medical reports. Body composition is assessed using the InBODY® model S10 bioelectrical impedance device and a Jamar® digital hydraulic manual dynamometer with a scale from 0 to 90 kg is used to measure handgrip strength (HGS). Results A total of 96 patients with a mean age of 69.1 years (SD 15) were divided into two groups of 48 individuals, with and without COVID-19 infection. Body mass index (odds ratio [OR]: 4.47, 95% confidence interval [CI]: 1.69, 11.83), fat mass (OR: 2.03, 95% CI: 0.48, 8.55), and VFA (OR: 1.08, 95% CI: 0.33, 3.53) were all higher in the infection group. When COVID-19 patients were evaluated, those with higher VFA had longer hospital stays (OR: 0.99, 95% CI: 0.97, 1.01) and used more vasoactive drugs (p = 0.043). Patients with COVID-19 with poor handgrip strength were 3.29 times more likely to require a prolonged intensive care unit (ICU) stay. Conclusion The study concluded that excess weight and body fat are significantly associated with COVID-19 involvement, but the severity is primarily related to a greater area of visceral fat. The use of bioimpedance for visceral fat measurement was effective, as it is a simple method performed in the hospital setting that does not require the use of radiation.https://doi.org/10.1186/s12879-023-08833-5ObesityCOVID-19Bioimpedance electricalVisceral fat areaMuscle strength |
| spellingShingle | Juliana Bonfleur Carvalho Grasiela Konkolisc Pina de Andrade Ludiane Alves do Nascimento Natalia Golin Ana Lucia Chalhoub Chediac Rodrigues Erika Suiter Maryana Virginia Orellana Soprani Ariane Severine Nadolskis Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body composition BMC Infectious Diseases Obesity COVID-19 Bioimpedance electrical Visceral fat area Muscle strength |
| title | Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body composition |
| title_full | Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body composition |
| title_fullStr | Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body composition |
| title_full_unstemmed | Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body composition |
| title_short | Visceral fat area measured by electrical bioimpedance as an aggravating factor of COVID-19: a study on body composition |
| title_sort | visceral fat area measured by electrical bioimpedance as an aggravating factor of covid 19 a study on body composition |
| topic | Obesity COVID-19 Bioimpedance electrical Visceral fat area Muscle strength |
| url | https://doi.org/10.1186/s12879-023-08833-5 |
| work_keys_str_mv | AT julianabonfleurcarvalho visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition AT grasielakonkoliscpinadeandrade visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition AT ludianealvesdonascimento visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition AT nataliagolin visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition AT analuciachalhoubchediacrodrigues visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition AT erikasuiter visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition AT maryanavirginiaorellanasoprani visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition AT arianeseverinenadolskis visceralfatareameasuredbyelectricalbioimpedanceasanaggravatingfactorofcovid19astudyonbodycomposition |