Phase angle as a tool for monitoring overweight and obesity

  • Claudio Bomesiel Bernucci Nutricionista, Curso de Especialização em Nutrição e Obesidade, Departamento de Ciências da Saúde, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brasil.
  • Cristiana Araújo Gontijo Doutora em Ciências da Saúde - UFU, Docente da Ânima Educação, Departamento de Ciências da Saúde, Uberlândia, Minas Gerais, Brasil.
  • Cristina de Matos Boaventura Mestre em Fisioterapia Cardiorrespiratória - UNITRI, Docente da Ânima Educação, Departamento de Ciências da Saúde, Uberlândia, Minas Gerais, Brasil.
  • Phelipe Elias da Silva Cirurgião-dentista, Docente da Ânima Educação, Departamento de Saúde Coletiva, Uberlândia, Minas Gerais, Brasil.
  • Heitor Bernardes Pereira Delfino Doutor em Medicina em Clínica Médica - FMRP/USP, Docente do Curso de Especialização em Nutrição Esportiva e Obesidade, Departamento de Ciências da Saúde, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brasil.
Keywords: Obesity, Bioimpedande, Phase angle

Abstract

Introduction: The assessment of body composition through the analysis of Bioelectrical Impendance (BIA) has increased in clinical practice and hospital with on the parameter of the phase angle (PA) with application in the prognosis of the development of several diseases. Objective: To evaluate the application of the phase angle in the evolution of the treatment of overweight or obese individuals. Materials and Methods: Critical narrative review through bibliographic survey of scientific materials and articles on the application of the PA as a tool in cases involving overweight or obesity. Results: The PA is related to the integrity of the cell membrane may indicate the evolution and severity of a disease and cellular balance especially in individuals with an inflammatory profile who are at high risk of oxidative stress and cell damage. Factors such as ethnicity, sex and age interfere with the use of the PA as a monitoring tool of the evolution of overweight and obesity making its isolated application difficult for this case. The lack of studies for populations and the lack of standardization in obtaining data limit the use in clinical and hospital practice when related exclusively to monitoring the evolution of overweight and obesity. Conclusion: The PA has potential as an auxiliary tool in the prognosis of overweight and obese individuals. The lack of reference values for this public is an obstacle to its application in clinical and hospital practice requiring more specific studies by ethnicity, sex, and age groups.

References

-Afshin, A.; e colaboradores. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J. Med. Vol. 77. Num. 1. 2017. p. 13-27.

-ABESO. Associação Brasileira para Estudo da Obesidade e da Síndrome Metabólica. Diretriz brasileiras de obesidade. 4ª edição. São Paulo: ABESO. 2016.

-Bosy-Westphal, A.; e colaboradores. Phase angle from bioelectrical Impedance analysis: population Reference values by age, sex, and body mass index. JPEN J Parenter Enteral Nutr. Vol. 30. Num. 4. 2006. p. 309-316.

-Brasil. Ministério da Saúde. Linhas de Cuidado: Obesidade no Adulto. 2023. Disponível em: https://linhasdecuidado.saude.gov.br/portal/obesidade-no-adulto/unidade-de-atencao-Acesso em 25/02/2023.

-Bucan-Nenadic, D.; e colaboradores. Phase Angle Association with Dietary Habits and Metabolic Syndrome in Diabetic Hypertensive Patients: A Cross-Sectional Study. Nutrients. Vol. 14. Num. 23. 2022. p. 5058. Disponível em: https://pubmed.ncbi.nlm.nih.gov/36501088/.

-Caballero, B. Humans against Obesity: Who Will Win?. Adv. Nutr. Num. 10 (suppl 1). 2019. p. S4-S9. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363526/. Acesso em 11 abr. 2023.

-Curvello-Silva, K.; e colaboradores. Phase angle and metabolic parameters in severely obese patients. Nutr Hosp. Vol. 37. Num. 6. 2020. p. 1130-1134. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33054299.

-Eickemberg, M.; e colaboradores. Bioimpedância elétrica e sua aplicação em avaliação nutricional. Rev. de Nutrição, Campinas. Vol. 24. Num. 6. 2011. p. 883-893.

-Fu, L.; e colaboradores. Reference Data of Phase Angle Using Bioelectrical Impendance Analysis in Overweight and Obese Chinese. Front. Endocrinol. vol. 13. 2022. Disponível em: https://doi.org/10.3389/fendo.2022.924199.

-Holmes, C.J., Racette, S.B. The Utility of Body Composition Assessment in Nutrition and Clinical Practice: Na Overview of Current Methodology. Nutrients. Vol. 13. Num. 8. 2021. p. 2493. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8399582/.

-Jensen, B.; e colaboradores. Ethnic diferences in fat and muscle mass and their implication for interpretation of bioelectrical Impendance vector analysis. Appl Physiol Nutr Metab. Vol. 44. Num. 6. 2019. p. 619-626. Disponível em: https://pubmed.ncbi.nlm.nih.gov/30354265/. Acesso em: 18 abr. 2023.

-Kuriyan, R. Body Composition Techniques. Indian J Med Res. Vol. 148. Num. 5. 2018. p. 648-658. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366261.

-Mattielo, R. Valores de Referência do Ângulo de fase da Bioimpedância Elétrica. Tese de Doutorado. Epidemiologia, Universidade Federal do Rio Grande do Sul. Porto Alegre. 2020.

-Mayoral, L.P.; e colaboradores. Obesity subtypes related biomarkers & heterogeneity. Indian J Med Res. Vol. 151. Num. 1. 2020. p. 11-21. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055173/pdf/IJMR-151-11.pdf.

-Moonen, H.P.F.X.; Zanten, A.R.H.V. Bioelectric Impendance Analysis for body composition measurement and other potential clinical applications in critical illness. Curr Opin Crit Care. Vol. 27. Num. 4 2021. p. 344-353. Disponível em: https://pubmed.ncbi.nlm.nih.gov/33967207/.

-Ribeiro, S.M.L.; Melo, C.M.; Tirapegui, J. Avaliação Nutricional: teoria e prática. 2ª edição. Rio de Janeiro: Guanabara Koogan. 2020.

-Silva, M.M.; Carvalho, R.S.M.; Freitas, M.B. Bioimpedância para avaliação da composição corporal: uma proposta didático-experimental para estudantes da área da saúde. Rev. Bras. de Ensino de Física. Vol. 41. Num. 2. 2019. p. e20180271. Disponível em: http://dx.doi.org/10.1590/1806-9126-RBEF-2018-0271

-Tanaka, S.; e colaboradores. Low Bioelectrical Impedance Phase Angle Is a Significant Risk Factor for Frailty. Biomed Res Int., 2019 jun. Disponível em: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6590642/pdf/BMRI2019-6283153.pdf>.

-Vigitel. Brasil. 2006-2021: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico: estimativas sobre frequência e distribuição sociodemográfica do estado nutricional e consumo alimentar nas capitais dos 26 estados brasileiros e no Distrito Federal entre 2006 e 2021: estado nutricional e consumo alimentar. Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Brasília: Ministério da Saúde. 2022.

-WHO. World Health Organization. Physical Status: The Use and Interpretation of Anthropometry. Geneva. 1995. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/37003/WHO_TRS_854.pdf?sequence=1&isAllowed=y.

-WHO. World Health Organization. Consultation on Obesity (‎1999: Geneva, Switzerland)‎ & World Health Organization. (‎2000)‎. Obesity: preventing and managing the global epidemic: report of a WHO consultation. World Health Organization. Disponível em: https://apps.who.int/iris/handle/10665/42330.

-WHO. World Health Organization. Obesity and overweight. Geneva. 2021. Disponível em: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

Published
2024-06-20
How to Cite
Bernucci, C. B., Gontijo, C. A., Boaventura, C. de M., Silva, P. E. da, & Delfino, H. B. P. (2024). Phase angle as a tool for monitoring overweight and obesity. Brazilian Journal of Obesity, Nutrition and Weight Loss, 18(114), 627-635. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/2422
Issue
Vol. 18 No. 114 (2024)
Section
Scientific Articles - Review

Copyright (c) 2024 Claudio Bomesiel Bernucci, Cristiana Araújo Gontijo, Cristina de Matos Boaventura, Phelipe Elias da Silva, Heitor Bernardes Pereira Delfino

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