title: CUTOFF POINT OF THE PHASE ANGLE IN PRE-RADIOTHERAPY CANCER PATIENTS.
abstract: BACKGROUND
  malnutrition is a common complication for cancer patients. The phase angle (PA), direct measurement of bioelectrical impedance analysis (BIA), has been considered a predictor of body cell mass and prognostic indicator. Cutoff points for phase angle (PA) associated with nutritional risk in cancer patients have not been determined yet.
  
  
  OBJECTIVE
  assess the possibility of determining the cutoff point for PA to identify nutritional risk in pre-radiotherapy cancer patients.
  
  
  METHODS
  sample group: Patients from both genders diagnosed with cancer and sent for ambulatory radiotherapy.
  
  
  METHODS
  body mass index (BMI), percentage of weight loss (% WL), mid-arm circumference (MAC), triceps skinfold thickness (TST), mid-arm muscle circumference (MAMC), mid-arm muscle area (MAMA), score and categorical assessment obtained using the Patient-Generated Subjective Global Assessment (PG-SGA) form, PA and standardized phase angle (SPA). Kappa coefficient was used to test the degree of agreement between the diagnoses of nutritional risk obtained from several different methods of nutritional assessment. Cutoff points for the PA through anthropometric indicators and PG-SGA were determined by using Receiver Operating Characteristic (ROC) curves, and patient survival was analyzed with the Cox regression method.
  
  
  RESULTS
  the cutoff points with the greatest discriminatory power were those obtained from BMI (5.2) and the categorical assessment of PG-SGA (5.4). The diagnosis obtained using these cutoff points showed a significant association with risk of death for the patients in the sample group.
  
  
  CONCLUSIONS
  we recommend using the cutoff point 5.2 for the PA as a criterion for identifying nutritional risk in pre-radiotherapy cancer patients.
authors.affiliation: Brazilian National Cancer Institute José Alencar Gomes da Silva.. rachelthomps@gmail.com.
authors.forename: Rachel
authors.initials: R
authors.lastname: Souza Thompson Motta
authors.affiliation: Pedro Ernesto University Hospital.. ivanyac@gmail.com.
authors.forename: Ivany
authors.initials: I
authors.lastname: Alves Castanho
authors.affiliation: Department of Statistics at Federal Fluminense University, Brazil.. guilleco@terra.com.br.
authors.forename: Luis
authors.initials: L
authors.lastname: Guillermo Coca Velarde
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000886:Anthropometry; D015992:Body Mass Index; D017097:Electric Impedance; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000532:radiotherapy*; D015596:Nutrition Assessment; D009752:Nutritional Status; D018570:Risk Assessment; D055815:Young Adult