Phase angle as a predictor of outcomes in Chronic Kidney Disease: an integrative review
Keywords:
Phase angle, Electrical impedance, Chronic kidney diseaseAbstract
Introduction: Considered a global health problem, chronic kidney disease progresses silently, leading to nutritional disorders that have negative repercussions on body composition, prognosis and life expectancy. The need to quickly identify whether nutritional intake is adequate or whether it needs to be revised has led researchers to investigate the usefulness of phase angle (PA) as an indicator of muscle quality. From this perspective, this research aimed to determine whether PA is an adequate predictor of clinical outcomes for mortality and/or readmission in patients with chronic kidney disease. Methods: Integrative review with an exploratory bias, conducted according to a protocol previously orderly and registered in the Open Science Framework (OSF). Through the Virtual Health Library (BVS), the MEDLINE, IBECS, LILACS and WPRIM databases were accessed; the Cochrane Library was accessed through the collection of the Coordination for the Improvement of Higher Education Personnel (CAPES), and the SciELO scientific library was accessed through its virtual address. The search was limited to articles published between 2019 and 2024, in Portuguese, English or Spanish. Results: Of the total of 392 publications screened, 5 were eligible for detailed analysis criteria. Conclusions: Considering the small number of articles produced in recent years, as well as the small number of evidence on clinically relevant results to correlate PA and mortality in the CKD population, it is concluded that it is not possible to use PA as a predictor of mortality or readmission.
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