Bioelectrical Impedance Analysis-Derived Phase Angle Predicts Protein-Energy Wasting in Maintenance Hemodialysis Patients.

OBJECTIVE(S): To explore the validity of using bioelectrical impedance analysis (BIA)-derived 50 kHz phase angle (PhA) in predicting protein-energy wasting (PEW) in Chinese maintenance hemodialysis (MHD) patients. DESIGN AND METHODS: The design was a cross-sectional study. A total of 173 of MHD patients and 173 healthy adults were enrolled in the study. The prevalence of PEW in patients was performed by the International Society of Renal Nutrition and Metabolism criteria. The PhA, body cell mass, fat mass, body fat percentage, fat-free mass, and extracellular water/total body water were measured by InBody S10 body composition analyzer. The biochemical indices and anthropometric measurements were assessed using the way published elsewhere. The PhA, other values of BIA and its relationship with age, visceral protein, anthropometric measurements of the MHD patients were compared with the healthy group. The independent variables for predicting PEW and its cutoff values were explored using logistic regression model and receiver operating characteristic curve analysis, respectively. RESULTS: The MHD patients' PhA value was significantly lower than the healthy group (4.89°± 1.19 vs. 6.32°± 2.23, P < .01). A total of 34.1% MHD patients with PEW had significantly lower PhA values compared with well-nourished patients (P < .05). The PhA decreased more significantly with age in MHD (r = -0.35, P < .001), compared with controls (r = -0.26, P < .001). The PhA values were positively associated with nutritional indices related to serum albumin, prealbumin, fat-free mass, and mid-arm muscle circumference. PhA values were not associated significantly with fat mass and body fat percentage (P > .05). Multivariate logistic regression analysis showed that PhA and body mass index were independent predictors of PEW, but the PhA was the stronger predictor (odds ratio = 4.48, P < .05). Receiver operating characteristic curve analysis suggested that the optimal PhA cutoff value to predict PEW was 4.6°. CONCLUSIONS: BIA-derived PhA appears to be a useful bioelectrical marker for predicting PEW in Chinese hemodialysis patients with a cutoff value of 4.6°.

[Investigation on the fabrication and spectrum properties of Yb3+ -doped silicate laser glasses].

Two kinds of Yb3+ doped silicate laser glass with little difference were produced by high temperature of melting process. The absorption and emission spectra of the two glass samples were tested by the correlative spectrographs; the integral absorption cross section, stimulated emission cross section, fluorescence line-width, fluorescence lifetime, least particle count, saturation pump intensity and least pump intensity of the Yb3+ -doped laser glasses were calculated respectively, and by comparison it was found that the chart of the absorption cross section is similar to the stimulated emission cross section calculated by the reciprocity method, and is very different from the stimulated emission cross section calculated by the Fuchbauer-Ladenburger method. This result is precisely in line with the theoretical analysis. The line-types of the absorption spectra of the two glass samples are almost the same, and the first peak value of absorption is located at 975 nm while the second peak value is at 908 nm. As the two components of the samples are not very different, the accord of the line-types of the absorption spectra indicates that the makeup of the glass material is the primary factor influencing the line-type of the absorption spectra. The fluorescence spectra of the two glass samples are very different, and the first fluorescence peak value of sample one is located at 993 nm with the second peak value at 1029 nm, while the first fluorescence peak value of sample two is located at 1 035 nm with the second peak value at 994 nm. The cause of the major difference in the fluorescence spectra of two samples lies in the different doping density of Yb3+. By comparison we found that the laser performance of sample two is better than that of sample one. The test shows that both samples are suitable for drawing fiber.