Feasibility of bioelectrical impedance analysis in routine clinical care to assess body composition in geriatric rehabilitation inpatients: RESORT

Laure M. G. Verstraeten; Janneke P. van Wijngaarden; Dong Y. Kim; Carel G. M. Meskers; Andrea B. Maier

doi:10.1007/s40520-022-02320-8

Feasibility of bioelectrical impedance analysis in routine clinical care to assess body composition in geriatric rehabilitation inpatients: RESORT

Laure M. G. Verstraeten, Janneke P. van Wijngaarden, Dong Y. Kim, Carel G. M. Meskers, Andrea B. Maier

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Abstract

Background: Sarcopenia is prevalent in 20–50% of geriatric rehabilitation inpatients, but it is often undiagnosed.

Aims: The aim of the study is to evaluate the feasibility of bioelectric impedance analysis (BIA) to measure muscle mass in routine clinical care in a cohort of geriatric rehabilitation inpatients.

Methods: REStORing Health of acutely unwell adulTs (RESORT) is an observational, longitudinal inception cohort of geriatric rehabilitation inpatients. BIA was implemented at admission and discharge as routine care performed by nursing staff. BIA feasibility was defined as completion rate (low ≤ 25%, moderate > 25– ≤ 50%, good > 50– ≤ 75%, excellent > 75%), reasons for non-completion and need for remeasurement. Clinical characteristics associated with BIA completion and remeasurements were assessed.

Results: Patients (n = 1890, 56% females) had a median age of 83.4 years (interquartile range: [77.6–88.4]). Of the total cohort, 5.7% had a contraindication (pacemaker/other electronic medical device) for BIA at admission and 4.5% at discharge. BIA was completed in 77.1% of patients eligible for BIA at admission and 63.2% at discharge indicating good feasibility; remeasurement was required in 7.4 and 6.9%, respectively; 5.9% had a medical reason preventing BIA completion at admission and 3.7% at discharge. Refusal and technical issues occurred in 1.6 and 0.7% at admission and 2.1 and 1.8% at discharge. Reason for non-completion was unknown/missing in 14.7% at admission and 28.6% at discharge. Worse functional and physical performance was associated with BIA non-completion and remeasurement.

Conclusions: BIA in routine clinical care in geriatric rehabilitation inpatients is feasible; completion rates may be enhanced further by reviewing barriers and enablers.

Original language	English
Pages (from-to)	293-302
Number of pages	10
Journal	Aging Clinical and Experimental Research
Volume	35
Issue number	2
Early online date	7 Jan 2023
DOIs	https://doi.org/10.1007/s40520-022-02320-8
Publication status	Published - Feb 2023

Funding

This work was supported by an unrestricted grant of the University of Melbourne received by Prof. Andrea B. Maier and the Medical Research Future Fund (MRFF) provided by the Melbourne Academic Centre for Health (MACH). This work is also part of a collaboration project co-funded by the PPP Allowance made available by Health ~ Holland (grant number TKI-LSHM19069-H049), Top Sector Life Sciences & Health, to stimulate public–private partnerships, and Topsector Agri & Food (grant number LWV19287). The collaboration project also includes an in-cash and in-kind contribution from Danone Nutricia Research. The authors thank the multidisciplinary team members of the Royal Melbourne Hospital, Royal Park Campus, involved in the RESORT cohort for their clinical work and the @AgeMelbourne team for their role in the data collection and data curation, especially Dr. E.M. Reijnierse and J. Pacifico.

Funders	Funder number
Medical Research Future Fund
Melbourne Academic Centre for Health
Topsector Agri & Food	LWV19287
Royal Melbourne Hospital
Health~Holland	TKI-LSHM19069-H049
University of Melbourne

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Feasibility of bioelectrical impedance analysis in routine clinical care to assess body composition in geriatric rehabilitation inpatients_RESORTFinal published version, 1.05 MBLicence: Article 25fa Dutch Copyright Act

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title = "Feasibility of bioelectrical impedance analysis in routine clinical care to assess body composition in geriatric rehabilitation inpatients: RESORT",

abstract = "Background: Sarcopenia is prevalent in 20–50% of geriatric rehabilitation inpatients, but it is often undiagnosed.Aims: The aim of the study is to evaluate the feasibility of bioelectric impedance analysis (BIA) to measure muscle mass in routine clinical care in a cohort of geriatric rehabilitation inpatients.Methods: REStORing Health of acutely unwell adulTs (RESORT) is an observational, longitudinal inception cohort of geriatric rehabilitation inpatients. BIA was implemented at admission and discharge as routine care performed by nursing staff. BIA feasibility was defined as completion rate (low ≤ 25%, moderate > 25– ≤ 50%, good > 50– ≤ 75%, excellent > 75%), reasons for non-completion and need for remeasurement. Clinical characteristics associated with BIA completion and remeasurements were assessed.Results: Patients (n = 1890, 56% females) had a median age of 83.4 years (interquartile range: [77.6–88.4]). Of the total cohort, 5.7% had a contraindication (pacemaker/other electronic medical device) for BIA at admission and 4.5% at discharge. BIA was completed in 77.1% of patients eligible for BIA at admission and 63.2% at discharge indicating good feasibility; remeasurement was required in 7.4 and 6.9%, respectively; 5.9% had a medical reason preventing BIA completion at admission and 3.7% at discharge. Refusal and technical issues occurred in 1.6 and 0.7% at admission and 2.1 and 1.8% at discharge. Reason for non-completion was unknown/missing in 14.7% at admission and 28.6% at discharge. Worse functional and physical performance was associated with BIA non-completion and remeasurement.Conclusions: BIA in routine clinical care in geriatric rehabilitation inpatients is feasible; completion rates may be enhanced further by reviewing barriers and enablers.",

author = "Verstraeten, {Laure M. G.} and {van Wijngaarden}, {Janneke P.} and Kim, {Dong Y.} and Meskers, {Carel G. M.} and Maier, {Andrea B.}",

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doi = "10.1007/s40520-022-02320-8",

language = "English",

volume = "35",

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Feasibility of bioelectrical impedance analysis in routine clinical care to assess body composition in geriatric rehabilitation inpatients: RESORT. / Verstraeten, Laure M. G.; van Wijngaarden, Janneke P.; Kim, Dong Y. et al.
In: Aging Clinical and Experimental Research, Vol. 35, No. 2, 02.2023, p. 293-302.

Research output: Contribution to Journal › Article › Academic › peer-review

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T1 - Feasibility of bioelectrical impedance analysis in routine clinical care to assess body composition in geriatric rehabilitation inpatients: RESORT

AU - Verstraeten, Laure M. G.

AU - van Wijngaarden, Janneke P.

AU - Kim, Dong Y.

AU - Meskers, Carel G. M.

AU - Maier, Andrea B.

PY - 2023/2

Y1 - 2023/2

N2 - Background: Sarcopenia is prevalent in 20–50% of geriatric rehabilitation inpatients, but it is often undiagnosed.Aims: The aim of the study is to evaluate the feasibility of bioelectric impedance analysis (BIA) to measure muscle mass in routine clinical care in a cohort of geriatric rehabilitation inpatients.Methods: REStORing Health of acutely unwell adulTs (RESORT) is an observational, longitudinal inception cohort of geriatric rehabilitation inpatients. BIA was implemented at admission and discharge as routine care performed by nursing staff. BIA feasibility was defined as completion rate (low ≤ 25%, moderate > 25– ≤ 50%, good > 50– ≤ 75%, excellent > 75%), reasons for non-completion and need for remeasurement. Clinical characteristics associated with BIA completion and remeasurements were assessed.Results: Patients (n = 1890, 56% females) had a median age of 83.4 years (interquartile range: [77.6–88.4]). Of the total cohort, 5.7% had a contraindication (pacemaker/other electronic medical device) for BIA at admission and 4.5% at discharge. BIA was completed in 77.1% of patients eligible for BIA at admission and 63.2% at discharge indicating good feasibility; remeasurement was required in 7.4 and 6.9%, respectively; 5.9% had a medical reason preventing BIA completion at admission and 3.7% at discharge. Refusal and technical issues occurred in 1.6 and 0.7% at admission and 2.1 and 1.8% at discharge. Reason for non-completion was unknown/missing in 14.7% at admission and 28.6% at discharge. Worse functional and physical performance was associated with BIA non-completion and remeasurement.Conclusions: BIA in routine clinical care in geriatric rehabilitation inpatients is feasible; completion rates may be enhanced further by reviewing barriers and enablers.

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JO - Aging Clinical and Experimental Research

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Feasibility of bioelectrical impedance analysis in routine clinical care to assess body composition in geriatric rehabilitation inpatients: RESORT

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