Parameters Flashcards

1
Q

What is Skeletal Muscle Index (SMI)

A

Skeletal muscle mass = amount of muscle attached to bone

SMI = appendicular lean mass / (height)^2

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2
Q

Body Cell Mass (BCM)

A

Total amount of all cellular elements in the body which constitutes all metabolically active tissues of the body

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3
Q

Phase Angle

A

Phase angle is a bioimpedance measurement that determines nutritional status of cell membrane.

Low PA values= frail, sarcopenic, malnourished

Predictor for outcomes of cardiac surgery

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4
Q

ECW ratio

A

Ratio of extracellular water to total body water

Indicator of body water balance

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5
Q

Healthy ECW ratio

A

.380

If greater than .39 = overhydration

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6
Q

What does Segmental Lean Analysis tell you

A

Assess muscle imbalance, sarcopenia

Top bar tells you comparison of muscle mass to ideal weight

Bottom bar tells you comparison to current weight

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7
Q

Parameters directly measured by resistance of body tissues to the flow of small alternating currents

A
  • impedance (Z)
  • reactance (Xc)
  • phase angle (PhA)
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8
Q

Basic Parameters of BIA

A

BIA provides reliable estimates of body water

  • intracellular water (ICW)
  • extracellular water (ECW)
  • total body water (TBW)
  • fat free mass (FFM)
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9
Q

Parameters from estimates of body water

A
  • soft lean mass
  • fat mass
  • percent body fat (pbf)
  • segmental lean
  • segmental water ECW ratio (TBW/FFM)
  • ECW ratio
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10
Q

How is segmental ECW ratio determined

A

TBW / FFM

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11
Q

Applied Parameters (indirectly obtained by physiological theories)

A
  • Protein
  • Skeletal Muscle Mass (SMM)
  • Body cell mass (BCM)
  • Basic metabolic rate (BMR)
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12
Q

How is protein determined

A

Proportional expression to FFM

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13
Q

How is Skeletal Muscle Mass determined

A

Appendicular lean mass / 0.75

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14
Q

How is Body Cell Mass determined

A

Protein + ICW

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15
Q

How is BMR determined

A

21.6 * FFM + 370 = basal metabolic rate

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16
Q

What are the estimated parameters using regression equation with measured values of BIA?

A
  • Bone Mineral Content (BMC)
  • Arm Circumference (AC)
  • Arm Muscle Circumference
17
Q

What is impedance

A

Impedance is a resistance value that occurs when current flows in the human body

18
Q

Phase angle values to nutritional status

A

+4 = healthy / normal

Between 4 and 2 = consider age

Under 2 = serious

19
Q

What are the two possibilities of when ECW/TBW > 0.400

A
  1. Increase of ECW

2. Decrease of ICW

20
Q

Increase of ECW means?

A

Diseases -

  • acute health failure
  • chronic kidney disease (before dialysis)
  • post surgery
21
Q

Decrease of ICW means?

A

Nutritional -

  • malnutrition
  • aging
  • cachexia
  • ALS
22
Q

What is comprised in body weight

A
  • fat
  • mineral
  • protein
  • icf
  • ecf
23
Q

What is comprised in FFM

A
  • mineral
  • protein
  • icf
  • ecf
24
Q

What is comprised in SLM

A
  • protein
  • icf
  • ecf
25
Q

What is comprised in BCM

A
  • protein

- ICF

26
Q

Calculate Dry Weight

A

Dry Weight = current weight - over hydrated ECW

Overhydrated ECW calculation :

(Normal ICW) : (Normal ECW) = 0.615 : 0.385
-> 23.3 L : (Normal ECW) = 0.615 : 0.385
—> Normal ECW = 14.59 L

Current weight - Normal ECW = over hydrated amount

27
Q

What parameter helps dialysis patients

A

Auto calculation of Dry Weight via ‘Water Control’ parameter, available through LB