A Current Review of the Uses of Bioelectrical Impedance Analysis and Bioelectrical Impedance Vector Analysis in Acute and Chronic Heart Failure Patients: An Under-valued Resource?

Overview

Journal Biol Res Nurs

Specialties Biology
Nursing

Date 2022 Nov 7

PMID 36342073

Authors

Jenjiratchaya Thanapholsart

Ehsan Khan

Geraldine A Lee

Affiliations

Soon will be listed here.

Abstract

Background: There is a need to detect and prevent fluid overload and malnutrition in heart failure. Bioelectrical impedance analysis and bioelectrical impedance vector analysis are medical instruments that can advance heart failure management by generating values of body composition and body water, assisting clinicians to detect fluid and nutritional status. However, there is a lack of evidence to summarise how they have been used among heart failure patients.

Method: A systematic search was conducted.

Result: Two hundred and four papers were screened. Forty-eight papers were reviewed, and 46 papers were included in this review. The literature shows that bioelectrical impedance analysis and bioelectrical impedance vector analysis were mostly used to assess fluid and nutritional status, together with diagnostic and prognostic values. Contraindication of using BIA and implications for practice are also demonstrated.

Conclusion: The findings suggest that bioelectrical impedance vector analysis is superior to bioelectrical impedance analysis when assessing hydration/nutritional status in heart failure. Assessing a patient using bioelectrical impedance analysis /bioelectrical impedance vector analysis, together with natriuretic peptide -heart failure biomarkers, increases the diagnostic accuracy of heart failure. Further studies are required to examine the cost effectiveness of using these instruments in clinical practice.

Citing Articles

Prognostic Impact of Malnutrition Evaluated via Bioelectrical Impedance Vector Analysis (BIVA) in Acute Ischemic Stroke: Findings from an Inverse Probability Weighting Analysis.

Dal Bello S, Ceccarelli L, Tereshko Y, Gigli G, DAnna L, Valente M Nutrients. 2025; 17(5).

PMID: 40077787 PMC: 11901430. DOI: 10.3390/nu17050919.

Methodology for integrated analysis of vector- and spectroscopic bioimpedance methods.

Bello J, Lafargue A, Ciria H, Luna T, Leyva Y J Electr Bioimpedance. 2024; 15(1):154-161.

PMID: 39717622 PMC: 11665879. DOI: 10.2478/joeb-2024-0018.

Noninvasive biometric monitoring technologies for patients with heart failure.

Arriola-Montenegro J, Mutirangura P, Akram H, Tsangaris A, Koukousaki D, Tschida M Heart Fail Rev. 2024; .

PMID: 39436486 DOI: 10.1007/s10741-024-10441-7.

A Narrative Review of the Diagnosis and Treatment of Sarcopenia and Malnutrition in Patients with Heart Failure.

de Jorge-Huerta L, Marco-Alacid C, Grande C, Velardo Andres C Nutrients. 2024; 16(16).

PMID: 39203852 PMC: 11357594. DOI: 10.3390/nu16162717.

Body composition assessment with ultrasound muscle measurement: optimization through the use of semi-automated tools in colorectal cancer.

Palmas F, Mucarzel F, Ricart M, Lluch A, Zabalegui A, Melian J Front Nutr. 2024; 11:1372816.

PMID: 38694226 PMC: 11062347. DOI: 10.3389/fnut.2024.1372816.

References

Stapel S, Looijaard W, Dekker I, Girbes A, Weijs P, Oudemans-van Straaten H . Bioelectrical impedance analysis-derived phase angle at admission as a predictor of 90-day mortality in intensive care patients. Eur J Clin Nutr. 2018; 72(7):1019-1025. PMC: 6035150. DOI: 10.1038/s41430-018-0167-1. View

Castillo-Martinez L, Colin-Ramirez E, Orea-Tejeda A, Gonzalez Islas D, Rodriguez Garcia W, Santillan Diaz C . Cachexia assessed by bioimpedance vector analysis as a prognostic indicator in chronic stable heart failure patients. Nutrition. 2012; 28(9):886-91. DOI: 10.1016/j.nut.2011.11.024. View

Ogawa A, Shimizu K, Nakagami T, Maruoka H, Shirai K . Physical Function and Cardio-Ankle Vascular Index in Elderly Heart Failure Patients. Int Heart J. 2020; 61(4):769-775. DOI: 10.1536/ihj.20-058. View

Gil Martinez P, Mesado Martinez D, Garcia J, Cadinanos Loidi J . Amino-terminal pro-B-type natriuretic peptide, inferior vena cava ultrasound, and biolectrical impedance analysis for the diagnosis of acute decompensated CHF. Am J Emerg Med. 2016; 34(9):1817-22. DOI: 10.1016/j.ajem.2016.06.043. View

Ponikowski P, Voors A, Anker S, Bueno H, Cleland J, Coats A . 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special.... Eur J Heart Fail. 2016; 18(8):891-975. DOI: 10.1002/ejhf.592. View

Castizo-Olier J, Irurtia A, Jemni M, Carrasco-Marginet M, Fernandez-Garcia R, Rodriguez F . Bioelectrical impedance vector analysis (BIVA) in sport and exercise: Systematic review and future perspectives. PLoS One. 2018; 13(6):e0197957. PMC: 5991700. DOI: 10.1371/journal.pone.0197957. View

Khalil S, Mohktar M, Ibrahim F . The theory and fundamentals of bioimpedance analysis in clinical status monitoring and diagnosis of diseases. Sensors (Basel). 2014; 14(6):10895-928. PMC: 4118362. DOI: 10.3390/s140610895. View

Marra M, Sammarco R, De Lorenzo A, Iellamo F, Siervo M, Pietrobelli A . Assessment of Body Composition in Health and Disease Using Bioelectrical Impedance Analysis (BIA) and Dual Energy X-Ray Absorptiometry (DXA): A Critical Overview. Contrast Media Mol Imaging. 2019; 2019:3548284. PMC: 6560329. DOI: 10.1155/2019/3548284. View

Valle R, Aspromonte N, Milani L, Peacock F, Maisel A, Santini M . Optimizing fluid management in patients with acute decompensated heart failure (ADHF): the emerging role of combined measurement of body hydration status and brain natriuretic peptide (BNP) levels. Heart Fail Rev. 2011; 16(6):519-29. PMC: 3151484. DOI: 10.1007/s10741-011-9244-4. View

10.

McDonagh T, Metra M, Adamo M, Gardner R, Baumbach A, Bohm M . Corrigendum to: 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With.... Eur Heart J. 2021; 42(48):4901. DOI: 10.1093/eurheartj/ehab670. View

11.

Roehrich L, Suendermann S, Just I, Knierim J, Mulzer J, Mueller M . Safety of bioelectrical impedance analysis in advanced heart failure patients. Pacing Clin Electrophysiol. 2020; 43(10):1078-1085. DOI: 10.1111/pace.14018. View

12.

Kammar-Garcia A, Castillo-Martinez L, Villanueva-Juarez J, Perez-Perez A, Rocha-Gonzalez H, Arrieta-Valencia J . Comparison of Bioelectrical Impedance Analysis Parameters for the Detection of Fluid Overload in the Prediction of Mortality in Patients Admitted at the Emergency Department. JPEN J Parenter Enteral Nutr. 2020; 45(2):414-422. DOI: 10.1002/jpen.1848. View

13.

Yamazoe M, Mizuno A, Niwa K, Isobe M . Edema index measured by bioelectrical impedance analysis as a predictor of fluid reduction needed to remove clinical congestion in acute heart failure. Int J Cardiol. 2015; 201:190-2. DOI: 10.1016/j.ijcard.2015.07.086. View

14.

Curbelo J, Rodriguez-Cortes P, Aguilera M, Gil-Martinez P, Martin D, Suarez Fernandez C . Comparison between inferior vena cava ultrasound, lung ultrasound, bioelectric impedance analysis, and natriuretic peptides in chronic heart failure. Curr Med Res Opin. 2018; 35(4):705-713. DOI: 10.1080/03007995.2018.1519502. View

15.

Alves F, Souza G, Aliti G, Rabelo-Silva E, Clausell N, Biolo A . Dynamic changes in bioelectrical impedance vector analysis and phase angle in acute decompensated heart failure. Nutrition. 2014; 31(1):84-9. DOI: 10.1016/j.nut.2014.05.004. View

16.

Cornier M, Despres J, Davis N, Grossniklaus D, Klein S, Lamarche B . Assessing adiposity: a scientific statement from the American Heart Association. Circulation. 2011; 124(18):1996-2019. DOI: 10.1161/CIR.0b013e318233bc6a. View

17.

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372:n71. PMC: 8005924. DOI: 10.1136/bmj.n71. View

18.

Massari F, Scicchitano P, Ciccone M, Caldarola P, Aspromonte N, Iacoviello M . Bioimpedance vector analysis predicts hospital length of stay in acute heart failure. Nutrition. 2019; 61:56-60. DOI: 10.1016/j.nut.2018.10.028. View

19.

Lyons K, Bischoff M, Fonarow G, Horwich T . Noninvasive Bioelectrical Impedance for Predicting Clinical Outcomes in Outpatients With Heart Failure. Crit Pathw Cardiol. 2017; 16(1):32-36. DOI: 10.1097/HPC.0000000000000105. View

20.

Garlini L, Alves F, Kochi A, Zuchinali P, Zimerman L, Pimentel M . Safety and Results of Bioelectrical Impedance Analysis in Patients with Cardiac Implantable Electronic Devices. Braz J Cardiovasc Surg. 2020; 35(2):169-174. PMC: 7199980. DOI: 10.21470/1678-9741-2019-0098. View