BODYGRAM® HBO is an application software designed for the assessment of bioimpedance parameters measured using Akern analyzers; it is intended for use in hospitals, universities and healthcare organizations. With BODYGRAM® HBO it is possible to obtain complete measurements of body composition, nutritional indicators, Biavector® analysis, on pediatric, adult and geriatric populations.
Algorithms based on the true hydration state so fat mass and fat free mass estimates are more accurate.
Direct qualitative analysis of tissue using BIVA approach and the Biavector® nomogram.
Predictive formulas and specific reference values for paediatric, adult and geriatric populations.
By introducing the Biavector® nomogram in 1994, AKERN® has been the first company to implement the Bioelectrical Impedance Vector Analysis (BIVA) within a body composition software. The Biavector® offers a directs interpretation of the hydration and nutritional status.
Being based only on tissue electrical properties, body mass and volume assessments are not influenced by errors derived from predictive equations. Impedance data interpretation further evolved with the introduction of Hydragram® and Nutrigram® scales.
THE HYDRAGRAM® SCALE: TISSUE HYDRATION BY A NUMBER
Hydragram® provides the true subject hydration by giving fluids percentage within the fat free mass. Percentage values correlate with the impedance vector position on the Biavector® nomogram and follow the displacement along the major axis.
Hydragram® classifies subjects as Normohydrated, Hyperhydrated or Dehydrated according to the Moore et al. 1 classification. Subjects with altered hydration can be further stratified according to the degree of fluid alteration (mild, moderate or severe). The use of the Hydragram® scale for hydration also in clinical setting in association with other specific biomarkers as BNP, ProBNP, nGAL3 2,3,4,.
THE NUTRIGRAM® SCALE: A CLINICALLY VALIDATED PARAMETER FOR NUTRITIONAL STATUS ASSESSMENT
Nutrigram® provides an estimate of creatine excretion (Ucr/24h) obtained from BCM values. Creatinine is an indirect product of muscle cells totally excreted by the kidney.
The amount of creatinine detected in the 24h is used as a parameter to define the subjects’s cellular mass.
Nutrigram® values correlate with the position of the vector on the Biavector® nomogram and follow the displacement along the minor axis. This parameter was recently validated and is particularly helpful for the management of patients at high risk of malnutrition who require continue nutritional support 5.
INDICES FOR SCREENING AND DIAGNOSIS OF MALNUTRITION AND SARCOPENIA ASSESSMENT
Fat-Free Mass Index (FFMI) and Fat Mass Index (FMI) BODYGRAM® software can monitor the nutritional status over time throught the use of FFMI and FMI percentile curves dor Caucasian subjects from 18 to 98 years old.
Appendicular Skeletal Muscle Index (ASMI): this index represents the ratio between Appendicular Skeletal Muscle Mass (ASMM) calculated using Sergi’s equation (Sergi et al) and height 2(6.7). ASMI has been formally recognized by the latest European guidelines for diagnosis of Sarcopenia (EWGSOP 2).
Muscle Quality Index (MQI): this index in a measure of muscle mass quality and depends on muscle strenght measured dynamometry and the amount of estimated muscle mass.
Standardized Phase Angle (SPA): the phase angle standardized by sex and age. This parameter expresses within the population of normal subjects, the ratio between average Phase Angle values of subjects beloging to a specific age and sex group and its standard deviation.
ANTHROPOMETRIC EVALUATION OF BODY CONSTITUTION AND CARDIO-METABOLIC RISK
The anthropometric data that is collected is particularly important to monitor localized fat and to assess the risk of cardio-metabolic diseases. The software provides a simple method for anthropometric data collection and evaluation.
ANALYTICAL EVALUATION OF ENERGY EXPENDITURE
Integrates the calculation of daily energy expenditure with the level of physical activity (PAL) and the energy expenditure induced by physical and sports activities. Based on this data, the user can set a clear weight loss program, based on an accurate estimate of the energy requirement, adjust the calorie intake in the diet, plan the timing of the amount of weight to lose.
BODYGRAM® HBO is an offline software that works through a Desktop application (for Windows and MacOS) to guarantee specific confidentiality and privacy needs often required by public institutions
AUTOMATIC DATABASE IMPORT
BODYGRAM® HBO automatically imports database from previous BODYGRAM® software versions without data loss.
BODYGRAM® HBO is a recently validated platform updated with the latest progress in clinical research.
BODYGRAM® HBO patient data management is compliant with the EU GDPR regulation 2016/679.
BODYGRAM® HBO includes a new tool that allows the user to choose which specific elements to be included in printed report, to better guide the subject along his path.
CE MEDICAL DEVICE
BODYGRAM® HBO is a CE marked Class I Medical software.