Document Detail


Estimation of body water compartments in cirrhosis by multiple-frequency bioelectrical-impedance analysis.
MedLine Citation:
PMID:  11165885     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Estimation of total body water by measuring bioelectrical impedance at a fixed frequency of 50 kHz is useful in assessing body composition in healthy populations. However, in cirrhosis, the distribution of total body water between the extracellular and intracellular compartments is of greater clinical importance. We report an evaluation of a new multiple-frequency bioelectrical-impedance analysis technique (MFBIA) that may quantify the distribution of total body water in cirrhosis. In 21 cirrhotic patients and 21 healthy control subjects, impedance to the flow of current was measured at frequencies ranging from 4 to 1012 kHz. These measurements were used to estimate body water compartments and then compared with total body water and extracellular water determined by isotope methodology. In cirrhotic patients, extracellular water and total body water (as determined by isotope methods) were well predicted by MFBIA (r = 0.73 and 0.89, respectively). However, the 95% confidence intervals of the limits of agreement between MFBIA and the isotope methods were +/-14% and +/-9% for cirrhotics (extracellular water and total body water, respectively) and +/-9% and +/-9% for cirrhotics without ascites. The 95% confidence intervals estimated from the control group were +/-10% and +/-5% for extracellular water and total body water, respectively. Thus, despite strong correlations between MFBIA and isotope measurements, the relatively large limits of agreement with accepted techniques suggest that the MFBIA technique requires further refinement before it can be routinely used to determine the nutritional assessment of individual cirrhotic patients.
Authors:
M E Lehnert; D D Clarke; J G Gibbons; L C Ward; S M Golding; R W Shepherd; B H Cornish; D H Crawford
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nutrition (Burbank, Los Angeles County, Calif.)     Volume:  17     ISSN:  0899-9007     ISO Abbreviation:  Nutrition     Publication Date:  2001 Jan 
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-11-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8802712     Medline TA:  Nutrition     Country:  United States    
Other Details:
Languages:  eng     Pagination:  31-4     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Ipswich Road, Wooloongabba, Queensland 4102, Australia.
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MeSH Terms
Descriptor/Qualifier:
Ascites / complications,  metabolism
Body Composition*
Body Water / metabolism*
Case-Control Studies
Electric Impedance
Extracellular Space / metabolism*
Female
Humans
Intracellular Fluid
Liver Cirrhosis / complications,  metabolism*
Male
Middle Aged
Potassium / analysis
Radioisotope Dilution Technique
Chemical
Reg. No./Substance:
7440-09-7/Potassium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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