{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T22:59:59Z","timestamp":1794005999139,"version":"4.8.0"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T00:00:00Z","timestamp":1758326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Appendicular lean mass index is a major determinant of cardiorespiratory fitness in patients with obesity\u2010related heart failure with preserved ejection fraction (HFpEF). Moreover, appendicular lean mass index can be used to diagnose sarcopenia and sarcopenic obesity in this population. We aimed to validate the ability of segmental single\u2010frequency bioelectrical impedance analysis (SF\u2010BIA) to assess body composition compared with dual\u2010energy x\u2010ray absorptiometry (DXA) in patients with HFpEF and obesity, with a focus on appendicular lean mass index for its critical role in diagnosing sarcopenia and sarcopenic obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed 62 euvolemic patients from a heart failure outpatient clinic with persistent obesity\u2010related HFpEF (83.8% women, 60.8\u2009\u00b1\u20092.8 years of age). We used DXA and segmental SF\u2010BIA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Strong correlations were found between segmental SF\u2010BIA and DXA for appendicular lean mass index (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.897), appendicular fat mass index (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.864), fat mass (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.968), fat mass percentage (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.867), fat\u2010free mass (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.954), fat\u2010free mass percentage (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.852), fat mass index (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.97), and fat\u2010free mass index (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.88) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), without significant proportional bias for all parameters, except for appendicular fat mass index.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Segmental SF\u2010BIA\u2013measured body composition shows strong correlations, appropriate agreements, and no proportional bias compared with DXA. Segmental SF\u2010BIA should be considered in patients with obesity\u2010related HFpEF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.70013","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T10:20:31Z","timestamp":1758363631000},"page":"1002-1011","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Body composition in patients with obesity\u2010related heart failure with preserved ejection fraction: A comparison study"],"prefix":"10.1002","volume":"49","author":[{"given":"Hannah","family":"Salmons","sequence":"first","affiliation":[{"name":"Department of Kinesiology &amp; Health Sciences, College of Humanities &amp; Sciences Virginia Commonwealth University Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Imran","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Kinesiology &amp; Health Sciences, College of Humanities &amp; Sciences Virginia Commonwealth University Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hayley E.","family":"Billingsley","sequence":"additional","affiliation":[{"name":"Department of Kinesiology &amp; Health Sciences, College of Humanities &amp; Sciences Virginia Commonwealth University Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Reavey\u2010Cantwell","sequence":"additional","affiliation":[{"name":"Department of Kinesiology &amp; Health Sciences, College of Humanities &amp; Sciences Virginia Commonwealth University Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshanak","family":"Markley","sequence":"additional","affiliation":[{"name":"Pauley Heart Center Virginia Commonwealth University Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0141-0127","authenticated-orcid":false,"given":"Michele","family":"Golino","sequence":"additional","affiliation":[{"name":"Pauley Heart Center Virginia Commonwealth University Richmond Virginia USA"},{"name":"Robert M. Berne Cardiovascular Research Center, and Division of Cardiology University of Virginia Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco Giuseppe","family":"Del Buono","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Pulmonary Sciences Catholic University of the Sacred Heart Rome Italy"},{"name":"Department of Cardiovascular Medicine Fondazione Policlinico Universitario A. Gemelli IRCCS Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Ignacio","family":"Damonte","sequence":"additional","affiliation":[{"name":"Hospital Universitario Austral Pilar Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Pinel","sequence":"additional","affiliation":[{"name":"Hospital Italiano de Buenos Aires Ciudad Aut\u00f3noma de Buenos Aires  Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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