PMID- 17483008 OWN - NLM STAT- MEDLINE DCOM- 20070709 LR - 20071115 IS - 0899-9007 (Print) IS - 0899-9007 (Linking) VI - 23 IP - 5 DP - 2007 May TI - Bioelectrical impedance and strength measurements in patients with heart failure: comparison with functional class. PG - 412-8 AB - OBJECTIVE: Patients with chronic heart failure (HF) develop important changes in body composition. Nevertheless, the usual methods of body composition assessment can be misleading in patients with HF because tissue hydration is altered. Bioelectrical impedance vector analysis (BIVA) works without making any assumption about constant soft tissue hydration. In this study, patients with HF and systolic dysfunction (HFS) and preserved systolic function (HFPSF) underwent a body composition evaluation by the BIVA method; the comparison was done between New York Heart Association (NYHA) functional classes I-II and III-IV. METHODS: We studied 243 patients with HF, 140 (101 in NYHA I-II and 39 in III-IV) with HFS and 103 (67 in NYHA I-II and 36 in II-IV) with HFPSF. Whole-body bioelectrical impedance was measured using BodyStat QuadScan 4000, which is tetrapolar and multiple-frequency equipment. RESULTS: In both HF categories, reactance and phase angle were significantly lower, the impedance ratio of 200 kHz to that at 5 kHz was higher, and had significantly shorter and downsloping impedance vector in the NYHA III-IV group compared with the NYHA I-II group by gender. CONCLUSION: Bioelectrical impedance analysis allows an easier evaluation of body composition and this might be particularly useful to stratify the severity of HF. FAU - Castillo Martinez, Lilia AU - Castillo Martinez L AD - Heart Failure Clinic and Cardiology Department, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico City, Mexico. FAU - Colin Ramirez, Eloisa AU - Colin Ramirez E FAU - Orea Tejeda, Arturo AU - Orea Tejeda A FAU - Asensio Lafuente, Enrique AU - Asensio Lafuente E FAU - Bernal Rosales, Laura Paola AU - Bernal Rosales LP FAU - Rebollar Gonzalez, Veronica AU - Rebollar Gonzalez V FAU - Narvaez David, Rene AU - Narvaez David R FAU - Dorantes Garcia, Joel AU - Dorantes Garcia J LA - eng PT - Journal Article PL - United States TA - Nutrition JT - Nutrition (Burbank, Los Angeles County, Calif.) JID - 8802712 SB - IM MH - Aged MH - Body Composition/*physiology MH - Body Water/*metabolism MH - *Electric Impedance MH - Female MH - Hand Strength MH - Heart Failure/classification/metabolism/*physiopathology MH - Humans MH - Male MH - Middle Aged MH - Severity of Illness Index EDAT- 2007/05/08 09:00 MHDA- 2007/07/10 09:00 CRDT- 2007/05/08 09:00 PHST- 2006/10/16 00:00 [received] PHST- 2007/01/26 00:00 [revised] PHST- 2007/02/16 00:00 [accepted] PHST- 2007/05/08 09:00 [pubmed] PHST- 2007/07/10 09:00 [medline] PHST- 2007/05/08 09:00 [entrez] AID - S0899-9007(07)00026-3 [pii] AID - 10.1016/j.nut.2007.02.005 [doi] PST - ppublish SO - Nutrition. 2007 May;23(5):412-8. doi: 10.1016/j.nut.2007.02.005.