{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:47:22Z","timestamp":1791805642812,"version":"4.3.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Protein-energy-wasting (PEW) is a prevalent condition in patients undergoing peritoneal dialysis (PD) associated with poor outcomes and anthropometry assessment is necessary for its diagnosis. The aim of this study was to compare whether anthropometry or bioimpedance spectroscopy (BIS) in the diagnosis of PEW differ in predicting all-cause mortality in PD patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective, multicenter and observational study. The diagnosis of PEW was performed using the criteria of the International Society of Renal Nutrition and Metabolism (ISRNM). The measurement of muscle and fat mass was done using both anthropometry and BIS. Patients were followed for up to two years for adverse events. The survival rates of the patients identified with PEW according to both methods were compared. Patient survival was analyzed using a competing risk approach as proposed by Fine and Gray.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We included 121 patients with mean age of 58.9\u2009\u00b1\u200914.2 years, almost half of them with diabetes as the primary kidney disease (48.4%) and 52.5% were males. We identified 16 (13.2%) patients with PEW using anthropometry and 25 (20.7%) using BIS. In 92 (76%) patients there was no diagnosis of PEW independent of the method used to measure muscle mass and fat. PEW was a strong predictor of death. After adjustments for confounders the diagnosis of PEW using anthropometry was a better predictor of patient survival comparing to BIS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PEW was associate with all-cause mortality either using anthropometry or BIS. Both assessment tools have clinical utility; however, in this study, anthropometry demonstrated greater effectiveness in identifying patients at increased risk of mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08968608251396334","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:12:46Z","timestamp":1764090766000},"page":"551-558","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Protein-energy-wasting and patient survival in maintenance peritoneal dialysis: Anthropometry or bioimpedance spectroscopy for the diagnosis? Results of a prospective multicenter study"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9626-9092","authenticated-orcid":false,"given":"Nat\u00e1lia K","family":"Scatone","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Pr\u00f3-Rim, Joinville, Brazil"},{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1 (PUCPR)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Techy Roth-Stefanski","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1 (PUCPR)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naiane","family":"Rodrigues de Almeida","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1 (PUCPR)"},{"name":"Santa Casa de Miseric\u00f3rdia de Curitiba, Curitiba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9696-0529","authenticated-orcid":false,"given":"Viviane","family":"Calice-Silva","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Pr\u00f3-Rim, Joinville, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilson","family":"Biagini","sequence":"additional","affiliation":[{"name":"Instituto do Rim do Paran\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiana B","family":"Nerbass","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Pr\u00f3-Rim, Joinville, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thyago Proen\u00e7a","family":"de Moraes","sequence":"additional","affiliation":[{"name":"Pontif\u00edcia Universidade Cat\u00f3lica do Paran\u00e1 (PUCPR)"},{"name":"Santa Casa de Miseric\u00f3rdia de Curitiba, Curitiba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5002585"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jrn.2010.06.026"},{"key":"e_1_3_3_4_2","volume-title":"Princ\u00edpios de Nefrologia e Dist\u00farbios Hidroeletrol\u00edticos","author":"Pecoits Filho R","year":"2018","unstructured":"Pecoits Filho R, Proen\u00e7a de Moraes T. Di\u00e1lise Peritoneal. In: Riella MC (eds) Princ\u00edpios de Nefrologia e Dist\u00farbios Hidroeletrol\u00edticos. 6th ed. Rio de Janeiro: Guanabara Koogan, 2018. p. 1032-1046.","edition":"6"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1415-52732004000100011"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.05.006"},{"key":"e_1_3_3_7_2","article-title":"The diagnosis of protein energy wasting in chronic peritoneal dialysis patients is influenced by the method of calculating muscle mass. A prospective, multicenter study","volume":"8","author":"Roth-stefanski CT","year":"2021","unstructured":"Roth-stefanski CT, De Almeida NR, Biagini G. The diagnosis of protein energy wasting in chronic peritoneal dialysis patients is influenced by the method of calculating muscle mass. A prospective, multicenter study. Front Med (Lausanne) 2021; 8: \u20137.","journal-title":"Front Med (Lausanne)"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1079\/BJN19740060"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/34.11.2540"},{"key":"e_1_3_3_10_2","first-page":"758","article-title":"Assessment of nutritional status in continuous ambulatory peritoneal dialysis patients: a comparison of bioelectric impedance and conventional methods","volume":"63","author":"Cheng CH","year":"2000","unstructured":"Cheng CH, Chen MY, Lee YJ, et al. Assessment of nutritional status in continuous ambulatory peritoneal dialysis patients: a comparison of bioelectric impedance and conventional methods. Zhonghua Yi Xue Za Zhi (Taipei) 2000; 63: 758\u2013764.","journal-title":"Zhonghua Yi Xue Za Zhi (Taipei)"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gft355"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1999.10474144"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2013.00282"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1159\/000444401"},{"key":"e_1_3_3_15_2","first-page":"48","article-title":"Prevalence of protein-energy wasting and its association with cardiovascular disease risk factors in Iranian peritoneal dialysis patients","volume":"13","author":"As\u2019habi A","year":"2019","unstructured":"As\u2019habi A, Najafi I, Tabibi H, et al. Prevalence of protein-energy wasting and its association with cardiovascular disease risk factors in Iranian peritoneal dialysis patients. 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