Follow-up of a Geriatric Patient

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(The original language of this article is Spanish, the graphs are shown as real screenshots in the original language)
Measurement Date: June 24, 2020
SexFemale
Age83 years
Activity LevelSedentary
PathologiesPulmonary hypertension, cardiomegaly, cataracts

An 83-year-old woman with pulmonary hypertension, cardiomegaly, nocturnal home ventilatory support, inoperable cataracts due to her pulmonary condition, and vertigo; cooked with wood for many years in adulthood; personal history of gastric ulcer surgery, does not engage in physical activity. As noted in the report, her weight was 83 kg and her height was 165 cm, with a BMI of 30.12, classifying her as obese.

As observed, the phase angle is very low despite her age (4.2) and the impedance ratio is above 0.8, which is consistent with her health status and literature; explaining that phase angle and IR are inversely proportional and reflect the patient’s health status, related to her nutritional status and cell integrity.

Data Interpretation

Her BMI classifies her as Obesity type I, as seen on the chart, due to an excess of 9.2 kg of fat and 1.66 kg of muscle. The latter is very important for her health status, being a protective marker against sarcopenia.

She presents a water balance despite having 1.19 liters less water than recommended.

The other components of her body composition are ideal for her age.

The indicators of fat mass at constant hydration and fat-free dry mass corroborate the values presented on the chart; in geriatrics, in an elderly person, fat-free dry mass (muscle, proteins, and minerals) is a fundamental indicator for monitoring medical and nutritional interventions, as it allows determining if weight losses or gains are due to fat, water, or proteins and muscle mass; in this case, fat-free dry mass confirms that the patient’s muscle mass is a protective factor.

This statement is supported by the indicators of her skeletal muscle mass and metabolic protein mass (both normal), implying that the patient is not at risk of sarcopenia; her active cell mass is 340 g below the reference; which also corroborates what is stated in the literature, which suggests that phase angle is a predictor of body cell mass. Bone mineral content is normal, indicating that there is no risk of osteopenia or osteoporosis either.

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