Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis

IntroductionThe phase angle (PhA) has been used as a nutritional marker and predictor of mortality in patients on peritoneal dialysis (PD). The coronary artery calcium (CAC) score has shown to predict the incidence of acute myocardial infarction and death from cardiovascular disease in these patient...

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Main Authors: Fabricio Moreira Reis, Maryanne Zilli Canedo da Silva, Nayrana Soares do Carmo Reis, Fabiana Lourenço Costa, Caroline Ferreira da Silva Mazeto Pupo da Silveira, Pasqual Barretti, Luis Cuadrado Martin, Silméia Garcia Zanati Bazan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.912642/full
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author Fabricio Moreira Reis
Maryanne Zilli Canedo da Silva
Nayrana Soares do Carmo Reis
Fabiana Lourenço Costa
Caroline Ferreira da Silva Mazeto Pupo da Silveira
Pasqual Barretti
Luis Cuadrado Martin
Silméia Garcia Zanati Bazan
author_facet Fabricio Moreira Reis
Maryanne Zilli Canedo da Silva
Nayrana Soares do Carmo Reis
Fabiana Lourenço Costa
Caroline Ferreira da Silva Mazeto Pupo da Silveira
Pasqual Barretti
Luis Cuadrado Martin
Silméia Garcia Zanati Bazan
author_sort Fabricio Moreira Reis
collection DOAJ
description IntroductionThe phase angle (PhA) has been used as a nutritional marker and predictor of mortality in patients on peritoneal dialysis (PD). The coronary artery calcium (CAC) score has shown to predict the incidence of acute myocardial infarction and death from cardiovascular disease in these patients. However, the association between PhA and CAC score in patients with PD is not well-established, which is the objective of this study.Materials and methodsCross-sectional study with patients on PD, followed up at a University Hospital, between March 2018 and August 2019. PhA was evaluated by unifrequency bioimpedance (BIA). The CAC score was calculated based on cardiovascular computed tomography, considering positive when greater than or equal to 100 Agatston and negative when less than 100 Agatston.ResultsWe evaluated 44 patients on dialysis, with a mean age of 56 years and median time on dialysis therapy was 11.7 months. In the statistical analysis, a significant association was only observed between the CAC score and the PhA.ConclusionThe PhA is associated with a positive CAC score in patients with PD, and despite other factors, may be useful as a risk marker for coronary artery disease in this population.
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spelling doaj.art-9bd8d92fb80844e19024145419e9d5d72022-12-22T03:41:17ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-08-01910.3389/fnut.2022.912642912642Association between phase angle and coronary artery calcium score in patients on peritoneal dialysisFabricio Moreira ReisMaryanne Zilli Canedo da SilvaNayrana Soares do Carmo ReisFabiana Lourenço CostaCaroline Ferreira da Silva Mazeto Pupo da SilveiraPasqual BarrettiLuis Cuadrado MartinSilméia Garcia Zanati BazanIntroductionThe phase angle (PhA) has been used as a nutritional marker and predictor of mortality in patients on peritoneal dialysis (PD). The coronary artery calcium (CAC) score has shown to predict the incidence of acute myocardial infarction and death from cardiovascular disease in these patients. However, the association between PhA and CAC score in patients with PD is not well-established, which is the objective of this study.Materials and methodsCross-sectional study with patients on PD, followed up at a University Hospital, between March 2018 and August 2019. PhA was evaluated by unifrequency bioimpedance (BIA). The CAC score was calculated based on cardiovascular computed tomography, considering positive when greater than or equal to 100 Agatston and negative when less than 100 Agatston.ResultsWe evaluated 44 patients on dialysis, with a mean age of 56 years and median time on dialysis therapy was 11.7 months. In the statistical analysis, a significant association was only observed between the CAC score and the PhA.ConclusionThe PhA is associated with a positive CAC score in patients with PD, and despite other factors, may be useful as a risk marker for coronary artery disease in this population.https://www.frontiersin.org/articles/10.3389/fnut.2022.912642/fullbioelectrical impedancephase anglecoronary artery calcium scoreperitoneal dialysisnutrition
spellingShingle Fabricio Moreira Reis
Maryanne Zilli Canedo da Silva
Nayrana Soares do Carmo Reis
Fabiana Lourenço Costa
Caroline Ferreira da Silva Mazeto Pupo da Silveira
Pasqual Barretti
Luis Cuadrado Martin
Silméia Garcia Zanati Bazan
Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis
Frontiers in Nutrition
bioelectrical impedance
phase angle
coronary artery calcium score
peritoneal dialysis
nutrition
title Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis
title_full Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis
title_fullStr Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis
title_full_unstemmed Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis
title_short Association between phase angle and coronary artery calcium score in patients on peritoneal dialysis
title_sort association between phase angle and coronary artery calcium score in patients on peritoneal dialysis
topic bioelectrical impedance
phase angle
coronary artery calcium score
peritoneal dialysis
nutrition
url https://www.frontiersin.org/articles/10.3389/fnut.2022.912642/full
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