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Phase angle: A deeper understanding of the body's electrical health and future prognosis

Uno Vita AS |

Phase angle: A deeper understanding of the body's electrical health and future prognosis

Introduction

Phase angle, known as Phase Angle in English, has in recent years received increased attention as an important biomarker in medical research and clinical practice. It provides insight into the body's cellular health by indicating the integrity of cell membranes and the body's ability to store and use electrical energy. Measurement of phase angle can provide information of great importance for diagnosis, treatment planning and prognosis of a number of health conditions, including chronic diseases and nutritional status.

 

What is phase angle?

Phase angle is measured in degrees and represents the relationship between the body's resistance to electrical current and the ability to store electrical energy in the cell membranes. This ratio gives an indication of how efficiently the cell membranes work. A high phase angle signals strong, intact membranes that can maintain a favorable electrical potential, while a low phase angle can indicate weakened or damaged cells, often associated with disease, malnutrition or aging.

The cell membrane's electrical potential and significance

The electrical potential of cell membranes is crucial for many vital cell functions, including transport of nutrients, removal of waste products, signal transmission and maintenance of cell volume. The membranes act as insulators and capacitors that maintain an electrical potential difference across the membrane. A high phase angle reflects a high electrical potential, which is critical for the cells' functions. If this potential is reduced, it can lead to poorer cellular homeostasis, accumulation of toxins, reduced ATP production and potentially cell death.

Possible sources of error in phase angle measurement

Although phase angle measurement is a reliable indicator of cellular health, several factors can affect the results:

  1. Hydration Status: Dehydration can increase resistance, leading to a lower phase angle. On the other hand, overhydration can also reduce it and give inaccurate results. Correct hydration status is therefore essential for accurate measurements.

 

  1. Measuring technique and equipment: Different bioelectrical impedance analysis (BIA) devices can have varying degrees of accuracy. Improper use, such as poor contact between electrodes and skin, can result in inaccurate measurements.
  2. Individual differences: Genetics, body composition and gender can affect the phase angle. For example, people with a high body fat percentage or low muscle mass may have a lower phase angle, even if they are otherwise healthy.
  3. Physical activity before measurement: Intense physical activity can temporarily change the body's fluid distribution and electrical properties, which affects the phase angle measurement.
  4. Chronic and acute health conditions: A low phase angle can sometimes be due to temporary conditions, such as acute infections, rather than chronic health problems.

Interpretation of phase angle results

Phase angle results should always be interpreted in the light of reference values, which are specific for age, gender and body composition. In general, the results can be categorized as follows:

  1. High phase angle: A higher than average phase angle indicates robust, healthy cells. This is a sign of good health and a low risk of disease.
  2. Average phase angle: A phase angle that is close to the average indicates that the state of health is within the normal range, but that there may be room for improvement.
  3. Low phase angle: A low phase angle can be a sign of weakened cell membranes, which can be caused by chronic diseases, malnutrition or general poor health. It is important to consider all possible sources of error before drawing conclusions.

Clinical use of phase angle

Phase angle has become a valuable parameter in clinical practice, particularly in monitoring disease prognoses and assessing treatment effect:

  • Cancer treatment: Patients with a low phase angle often have a worse prognosis. Phase angle monitoring can help adjust nutritional status and treatments to improve patient health and survival.
  • Cardiovascular diseases: In patients with heart failure, the phase angle can be an indicator of fluid balance and muscle mass. A low phase angle may indicate an increased risk of complications that require adjustments in treatment.
  • Dialysis patients: Phase angle can be used to monitor hydration and muscle mass in patients receiving dialysis. Changes in phase angle may indicate the need for adjustments in treatment.

Monitoring of phase angle over time

One of the biggest advantages of phase angle measurement is the ability to monitor changes over time. This is particularly useful for assessing the effects of lifestyle changes, diet or medical treatments. Increasing phase angle over time indicates improved health and cell function, while a falling phase angle can be a warning sign that requires action.

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For athletes, continuous monitoring of phase angle can help to optimize training regime and nutritional strategy. In people with chronic diseases, the phase angle can be an important indicator of disease development and response to treatment, and thus be a valuable tool in disease management.

The functional and supportive mass in the body

Active body mass (BCM): The active component of the body mass in which all biochemical transformations take place. Muscle tissue makes up the largest part of BCM, and this mass is critical for the body's functional capacity.

Extracellular mass (ECM): The supporting components that mainly consist of extracellular fluid and structural elements such as bone and cartilage. The ECM provides structural support and contributes to transport processes in the body.

Fat mass (FM): The body stores fat which the body can use to form ATP during physical activity. The total fat mass can affect the phase angle measurement, but is also a critical indicator of energy balance in the body.

Phase angle as an indicator of mortality

Research has shown that phase angle is a reliable indicator of mortality in various clinical situations. Low phase angle has been associated with a higher risk of death in patients with serious health problems, including cancer, COPD and other chronic conditions. This makes phase angle a valuable tool in clinical practice to identify high-risk patients who may benefit from early intervention and intensified treatment.

The importance of professional judgment

Although phase angle provides valuable information about the body's state of health, it should always be considered together with other clinical data and health indicators. Consultation with healthcare personnel is essential for correct interpretation of results and development of an adapted healthcare plan. This includes identifying possible underlying health problems that may affect the phase angle, such as other diseases, nutritional deficiencies or improper hydration.

Conclusion

Phase angle is a powerful biomarker that provides deep insight into the body's cellular health and electrical potential. Measurement of phase angle has been shown to be a reliable indicator of both the current state of health and future health forecasts. Regular monitoring of the phase angle can provide a better understanding of how lifestyle changes, diet and medical treatment affect the state of health over time. This can contribute to informed decisions about health and well-being and to improve long-term health outcomes.

However, it is important to understand that phase angle alone does not provide a complete diagnosis, but that it forms part of a broader assessment of the state of health. Therefore, phase angle should always be assessed in conjunction with other clinical findings, guided by qualified health personnel to ensure the best possible health management and treatment.

Reservation
Uno Vita increasingly uses artificial intelligence for analyses, summaries and design of articles. We do not accept responsibility for possible errors in texts, articles or descriptions due to human or computer technology (AI) errors, inaccuracies or missing information in scientific and medical studies.

We encourage all readers to examine all information critically to ensure that the content is correct. The information on this website is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis or treatment. The content must not be used as a basis for making diagnoses or choosing treatment. All information and materials on this website are provided without any warranties, either expressed or implied, including, but not limited to, implied warranties of merchantability, fitness for a particular purpose, or non-infringement.

Uno Vita disclaims all responsibility for loss or damage that may arise as a result of the use of information or products from this website. We strongly advise patients to consult a qualified healthcare professional before starting a new treatment, making dietary changes or using supplements. Any use of products or information from this website is at your own risk.

Use of supplements and treatments should always be done in consultation with a doctor. Recommended daily doses should not be exceeded. Devices that require medical expertise must only be used by people with the relevant education. The effect of the products may vary from person to person. Dietary supplements should not replace a varied diet and must be kept out of the reach of children.

Uno Vita AS does not claim that our products can cure disease, regardless of any research that suggests this.

Freedom of expression and right to information
Uno Vita reserves the right to share publicly available research and information on health and wellness technologies, natural substances, vitamins and the like. We do this with reference to national and international laws on freedom of expression and belief, including:

United Nations Universal Declaration of Human Rights (1948): Article 19 ensures the right to freedom of opinion and expression, including the freedom to receive and impart information regardless of frontiers.

The International Covenant on Civil and Political Rights (1966): Article 19 emphasizes the right to freedom of expression and the freedom to seek, receive and impart information and ideas through various media.

The Norwegian Constitution § 100 Ensures freedom of expression with certain limitations for reasons of child protection, privacy, public order and safety.

United States First Amendment: Protects freedom of speech from government intrusion and provides one of the strongest protections for free speech.

References:

  1. Barbosa-Silva, M. C. G., Barros, A. J. D., Wang, J., Heymsfield, S. B., & Pierson, R. N. (2005). Bioelectrical impedance analysis: Population reference values ​​for phase angle by age and sex. The American Journal of Clinical Nutrition, 82(1), 49-52. doi:10.1093/ajcn.82.1.49.

  2. Norman, K., Stobäus, N., Pirlich, M., & Bosy-Westphal, A. (2012). Bioelectrical phase angle and impedance vector analysis—Clinical relevance and applicability of impedance parameters. Clinical Nutrition, 31(6), 854-861. doi:10.1016/j.clnu.2012.05.008.

  3. Mattiello, R., Amaral, M. A., Mundstock, E., & Ziegelmann, P. K. (2020). Reference values ​​for phase angle as a marker of cellular health: A systematic review. Journal of Clinical Nutrition and Dietetics, 6(4), 183-190. doi:10.1007/s12576-020-00764-7.

  4. Kyle, U.G., Genton, L., Slosman, D.O., & Pichard, C. (2004). Fat-free and fat mass percentiles in 5225 healthy subjects aged 15 to 98 years. Nutrition, 20(6), 412-416. doi:10.1016/j.nut.2004.04.002.

  5. Bosy-Westphal, A., Danielzik, S., Dörhöfer, R.P., Later, W., Wiese, S., & Müller, M.J. (2006). Phase angle from bioelectrical impedance analysis: Population reference values ​​by age, sex, and body mass index. The British Journal of Nutrition, 96(4), 673-682. doi:10.1079/bjn20061813.

  6. Stobäus, N., Pirlich, M., Valentini, L., Schulzke, J.-D., & Norman, K. (2010). Determinants of bioelectrical phase angle in disease. The British Journal of Nutrition, 104(8), 1272-1277. doi:10.1017/S0007114510002138.

  7. Lukaski, H.C., & Siders, W.A. (2003). Validity of the bioelectrical impedance method in human body composition analysis. The American Journal of Clinical Nutrition, 87(6), 412S-416S. doi:10.1093/ajcn/87.1.412S.

  8. Gupta, D., Lis, C.G., Dahlk, S.L., Vashi, P.G., Grutsch, J.F., & Lammersfeld, C.A. (2008). Bioelectrical impedance phase angle as a prognostic indicator in advanced cancer. Clinical Nutrition, 27(6), 862-867. doi:10.1016/j.clnu.2008.06.008.

  9. Ward, L.C. (2012). Phase angle as a marker of physical health and survival in cancer patients: Bioelectrical impedance analysis applications. Current Opinion in Clinical Nutrition and Metabolic Care, 15(5), 424-429. doi:10.1097/MCO.0b013e328356dbe5.

  10. González, M. C., Barbosa-Silva, T. G., & Heymsfield, S. B. (2015). Bioelectrical impedance analysis in clinical practice: Improving the definition of malnutrition. Clinical Nutrition, 34(3), 370-371. doi:10.1016/j.clnu.2015.01.014.

  11. da Silva, A. M., & Orellana, J. D. (2020). Phase angle as a risk marker for death in critical illness: A systematic review and meta-analysis. Critical Care, 24, 5-12. doi:10.1186/s13054-020-02917-5.

  12. Zamberlan, P., Gama, A. M., & Santos, A. (2021). Relationship between phase angle and mortality in chronic disease: A cohort study. Nutrition Research and Practice, 15(4), 1-7. doi:10.4162/nrp.2021.15.4.312.

These references offer insight into the use of phase angle in assessing health, mortality risk, and cellular health in various clinical settings.

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