scholarly journals Importance of Whole-Body Bioimpedance Spectroscopy for the Management of Fluid Balance

2009 ◽  
Vol 27 (1) ◽  
pp. 75-80 ◽  
Author(s):  
Peter Wabel ◽  
Paul Chamney ◽  
Ulrich Moissl ◽  
Tomas Jirka
Keyword(s):  
Fluid Balance ◽  
Whole Body ◽  
Bioimpedance Spectroscopy

scholarly journals Effects of Resistance Training with Different Pyramid Systems on Bioimpedance Vector Patterns, Body Composition, and Cellular Health in Older Women: A Randomized Controlled Trial

2020 ◽  
Vol 12 (16) ◽  
pp. 6658 ◽  
Author(s):  
Leandro dos Santos ◽  
Alex S. Ribeiro ◽  
Luís A. Gobbo ◽  
João Pedro Nunes ◽  
Paolo M. Cunha ◽  
...  
Keyword(s):  
Resistance Training ◽  
Older Women ◽  
Controlled Trial ◽  
Bioelectrical Impedance ◽  
Whole Body ◽  
Bioimpedance Spectroscopy ◽  
Randomized Controlled ◽  
Health Related ◽  
Impedance Vector ◽  
Effects Of Aging

Bioelectrical impedance vector analysis (BIVA) and phase angle (PhA) have been widely used to monitor changes in health-related parameters in older adults, while resistance training (RT) is one of the potential strategies to mitigate the adverse effects of aging. The purpose of this study was to compare the effects of the crescent pyramid RT system with two repetition zones on BIVA patterns and PhA. Fifty-five older women (≥60 years) were randomly assigned into three groups: control (CON, n = 18), narrow pyramid (NPR, n = 19), and wide pyramid (WPR, n = 18). The RT was performed for eight weeks, three times per week, in eight exercises for the whole body with three sets of 12/10/8 (NPR) or 15/10/5 repetitions (WPR). Bioimpedance spectroscopy (50 kHz frequency) was assessed. After the intervention period, both training groups showed significant changes in BIVA patterns compared to CON (p < 0.001); resistance decreased and reactance increased, which resulted in a BIVA-vector displacement over time (p < 0.001). Changes in PhA were greater for WPR (∆% = 10.6; effect size [ES] = 0.64) compared to NPR (∆% = 5.3; ES = 0.41) and CON (∆% = −6.4; ES = −0.40). The results suggest that the crescent pyramid RT system with both repetition zones (WPR and NPR) is effective for inducing improvements in BIVA patterns and PhA in older women, although WPR elicits greater increases in PhA than NPR.

Bioimpedance Spectroscopy Is a Valid and Reliable Measure of Edema Following Hand Burn Injury (Part 1—Method Validation)

2020 ◽  
Vol 41 (4) ◽  
pp. 780-787 ◽  
Author(s):  
Dale O Edwick ◽  
Dana A Hince ◽  
Jeremy M Rawlins ◽  
Fiona M Wood ◽  
Dale W Edgar
Keyword(s):  
Repeated Measures ◽  
Burn Injury ◽  
High Reliability ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Whole Body ◽  
Bioimpedance Spectroscopy ◽  
Water Displacement ◽  
Reliable Measure ◽  
Minimum Detectable Difference

Abstract The assessment of swelling following burn injury is complicated by the presence of wounds and dressings and due to patients experiencing significant pain and impaired movement. There remains a lack of sensitive objective measures for edema in patients presenting with hand burn injury. Bioimpedance spectroscopy (BIS) is a measure of body composition that has been demonstrated by our group to be reliable for measuring whole body and limb edema during resuscitation and to be sensitive to edema changes within healing wounds. The aim of this study was to determine the reliability and validity of BIS as a measure of edema following hand burn injury specifically. One hundred patients presenting with burn injury including a portion of a hand were recruited to this trial. Repeated measures of the hand were recorded using a novel application of BIS and in parallel with water displacement volumetry (WDV). The results were analyzed using mixed-effects regressions. Paired repeated measures were obtained for 195 hands, using four electrode configurations. BIS demonstrated high reliability in measuring hand BIS—Intraclass Correlation Coefficient 0.995 to 0.999 (95% CI 0.992–1.000) and sensitivity—Minimum Detectable Difference 0.74 to 3.86 Ω (0.09–0.48 Ω/cm). A strong correlation was shown with WDV, Pearson’s r = −0.831 to −0.798 (P &lt; .001). BIS is a sensitive and reliable measure of edema following acute hand burn injury.

scholarly journals A metered intake of milk following exercise and thermal dehydration restores whole-body net fluid balance better than a carbohydrate–electrolyte solution or water in healthy young men

2016 ◽  
Vol 116 (6) ◽  
pp. 1013-1021 ◽  
Author(s):  
Suzanne Seery ◽  
Philip Jakeman
Keyword(s):  
Electrolyte Solution ◽  
Fluid Balance ◽  
Arginine Vasopressin ◽  
Exercise Performance ◽  
Nutrient Intake ◽  
Plasma Osmolality ◽  
Whole Body ◽  
Thermal Dehydration ◽  
Fluid Ingestion ◽  
Better Than

AbstractAppropriate rehydration and nutrient intake in recovery is a key component of exercise performance. This study investigated whether the recovery of body net fluid balance (NFB) following exercise and thermal dehydration to −2 % of body mass (BM) was enhanced by a metered rate of ingestion of milk (M) compared with a carbohydrate–electrolyte solution (CE) or water (W). In randomised order, seven active men (aged 26·2 (sd 6·1) years) undertook exercise and thermal dehydration to −2 % of BM on three occasions. A metered replacement volume of M, CE or W equivalent to 150 % of the BM loss was then consumed within 2–3 h. NFB was subsequently measured for 5 h from commencement of rehydration. A higher overall NFB in M than CE (P=0·001) and W (P=0·006) was observed, with no difference between CE and W (P=0·69). After 5 h, NFB in M remained positive (+117 (sd 122) ml) compared with basal, and it was greater than W (−539 (sd 390) ml, P=0·011) but not CE (−381 (sd 460) ml, P=0·077, d=1·6). Plasma osmolality (Posm) and K remained elevated above basal in M compared with CE and W. The change in Posm was associated with circulating pre-provasopressin (rs 0·348, P<0·001), a biomarker of arginine vasopressin, but could not account fully for the augmented NFB in M compared with CE and W. These data suggest that a metered approach to fluid ingestion acts in synergy with the nutrient composition of M in the restoration of NFB following exercise and thermal dehydration.

Segment-specific resistivity improves body fluid volume estimates from bioimpedance spectroscopy in hemodialysis patients

2006 ◽  
Vol 100 (2) ◽  
pp. 717-724 ◽  
Author(s):  
F. Zhu ◽  
M. K. Kuhlmann ◽  
G. A. Kaysen ◽  
S. Sarkar ◽  
C. Kaitwatcharachai ◽  
...  
Keyword(s):  
Gold Standard ◽  
Total Body Water ◽  
Body Fluid ◽  
Hemodialysis Patients ◽  
Fluid Volume ◽  
Whole Body ◽  
Bioimpedance Spectroscopy ◽  
Specific Resistivity ◽  
Body Fluid Volume ◽  
Total Body

Discrepancies in body fluid estimates between segmental bioimpedance spectroscopy (SBIS) and gold-standard methods may be due to the use of a uniform value of tissue resistivity to compute extracellular fluid volume (ECV) and intracellular fluid volume (ICV). Discrepancies may also arise from the exclusion of fluid volumes of hands, feet, neck, and head from measurements due to electrode positions. The aim of this study was to define the specific resistivity of various body segments and to use those values for computation of ECV and ICV along with a correction for unmeasured fluid volumes. Twenty-nine maintenance hemodialysis patients (16 men) underwent body composition analysis including whole body MRI, whole body potassium (40K) content, deuterium, and sodium bromide dilution, and segmental and wrist-to-ankle bioimpedance spectroscopy, all performed on the same day before a hemodialysis. Segment-specific resistivity was determined from segmental fat-free mass (FFM; by MRI), hydration status of FFM (by deuterium and sodium bromide), tissue resistance (by SBIS), and segment length. Segmental FFM was higher and extracellular hydration of FFM was lower in men compared with women. Segment-specific resistivity values for arm, trunk, and leg all differed from the uniform resistivity used in traditional SBIS algorithms. Estimates for whole body ECV, ICV, and total body water from SBIS using segmental instead of uniform resistivity values and after adjustment for unmeasured fluid volumes of the body did not differ significantly from gold-standard measures. The uniform tissue resistivity values used in traditional SBIS algorithms result in underestimation of ECV, ICV, and total body water. Use of segmental resistivity values combined with adjustment for body volumes that are neglected by traditional SBIS technique significantly improves estimations of body fluid volume in hemodialysis patients.

scholarly journals Fluid Balance and Sodium Losses During Indoor Tennis Match Play

2011 ◽  
Vol 21 (6) ◽  
pp. 492-500 ◽  
Author(s):  
Matthew J.E. Lott ◽  
Stuart D.R. Galloway
Keyword(s):  
Heart Rate ◽  
Body Mass ◽  
Fluid Balance ◽  
Fluid Intake ◽  
Sweat Rate ◽  
Fluid Replacement ◽  
Whole Body ◽  
Electrolyte Balance ◽  
Match Play ◽  
Tennis Match

This study assessed fluid balance, sodium losses, and effort intensity during indoor tennis match play (17 ± 2 °C, 42% ± 9% relative humidity) over a mean match duration of 68.1 ± 12.8 min in 16 male tennis players. Ad libitum fluid intake was recorded throughout the match. Sweat loss from change in nude body mass; sweat electrolyte content from patches applied to the forearm, calf, and thigh, and back of each player; and electrolyte balance derived from sweat, urine, and daily food-intake analysis were measured. Effort intensity was assessed from on-court heart rate compared with data obtained during a maximal treadmill test. Sweat rate (M ± SD) was 1.1 ± 0.4 L/hr, and fluid-ingestion rate was 1.0 ± 0.6 L/hr (replacing 93% ± 47% of fluid lost), resulting in only a small mean loss in body mass of 0.15% ± 0.74%. Large interindividual variabilities in sweat rate (range 0.3–2.0 L/hr) and fluid intake (range 0.31–2.52 L/hr) were noted. Whole-body sweat sodium concentration was 38 ± 12 mmol/L, and total sodium losses during match play were 1.1 ± 0.4 g (range 0.5–1.8 g). Daily sodium intake was 2.8 ± 1.1 g. Indoor match play largely consisted of low-intensity exercise below ventilatory threshold (mean match heart rate was 138 ± 24 beats/min). This study shows that in moderate indoor temperature conditions players ingest sufficient fluid to replace sweat losses. However, the wide range in data obtained highlights the need for individualized fluid-replacement guidance.

scholarly journals Influence of experimental metabolic syndrome on bioimpedance spectroscopy indicators of rat body

2021 ◽  
Vol 11 (8) ◽  
pp. 470-479
Author(s):  
T. Ivanenko ◽  
T. Hrekova ◽  
T. Abramova ◽  
A. Shiryaeva ◽  
G. Vasilenko
Keyword(s):  
Metabolic Syndrome ◽  
Fluid Balance ◽  
Extracellular Fluid ◽  
The Other ◽  
Bioimpedance Spectroscopy ◽  
The Metabolic Syndrome ◽  
Total Fat ◽  
First Time ◽  
Total Fluid

The objective of this experiment was to establish sex-related differences in the parameters of bioimpedance spectroscopy of the Wistar rat’s bodies in the experimental metabolic syndrome (endocrine-salt model). Sexual dependencies of bioimpedance measurements in intact animals have been determined for the first time: males have higher amount of total fluid, but lower one of total fat. The intra/extracellular fluid balance in males is characterized with ratio  2:1, while in females is the other one - 1:1. For the first time the formation of the metabolic syndrome has already been determined on the seventh day in females which lead to decreasing in the percentage of total fat and to changing  of the intra / extracellular fluid balance to ‘male’ type -  2:1. The last one should be considered as a sign of intracellular hyperhydration. In males the examined parameters have been being within the control values ​​throughout 21 days of experiment.

Mortality in adult patients with fluid overload evaluated by BIVA upon admission to the emergency department

2018 ◽  
Vol 94 (1113) ◽  
pp. 386-391 ◽  
Author(s):  
Ashuin Kammar-García ◽  
Ziv Pérez-Morales ◽  
Lilia Castillo-Martinez ◽  
José Luis Villanueva-Juárez ◽  
Fernanda Bernal-Ceballos ◽  
...  
Keyword(s):  
Emergency Department ◽  
Fluid Balance ◽  
Fluid Overload ◽  
Bioelectrical Impedance ◽  
Whole Body ◽  
Assessment Scores ◽  
Significant Difference ◽  
Failure Assessment ◽  
Impedance Vector

Purpose of the studyThe aim of this study was to investigate the association of fluid overload, measured by bioelectrical impedance vector analysis (BIVA) and also by accumulated fluid balance, with 30-day mortality rates in patients admitted to the emergency department (ED).DesignWe conducted a prospective observational study of fluid overload using BIVA, taking measures using a multiple-frequency whole-body tetrapolar equipment. Accumulated fluid balances were obtained at 24, 48 and 72 hours from ED admission and its association with 30-day mortality.Patients109 patients admitted to the ED classified as fluid overloaded by both methods.ResultsAccording to BIVA, 71.6% (n=78) of patients had fluid overload on ED admission. These patients were older and had higher Sequential Organ Failure Assessment scores. During a median follow-up period of 30 days, 32.1% (n=25) of patients with fluid overload evaluated by BIVA died versus none with normovolaemia (p=0.001). There was no statistically significant difference in mortality between patients with and without fluid overload as assessed by accumulated fluid balance (p=0.81).ConclusionsFluid overload on admission evaluated by BIVA was significantly related to mortality in patients admitted to the ED.

Volume repletion after exercise-induced volume depletion in humans: replacement of water and sodium losses

1998 ◽  
Vol 274 (5) ◽  
pp. F868-F875 ◽  
Author(s):  
Susan M. Shirreffs ◽  
Ronald J. Maughan
Keyword(s):  
Body Mass ◽  
Fluid Balance ◽  
Intermittent Exercise ◽  
Sodium Intake ◽  
Recovery Period ◽  
Whole Body ◽  
Sodium Balance ◽  
Volume Depletion ◽  
Urine Production ◽  
Exercise Induced

Sodium and water loss during, and replacement after, exercise-induced volume depletion was investigated in six volunteers volume depleted by 1.89 ± 0.17% (SD) of body mass by intermittent exercise in a warm, humid environment. Subjects exercised in a large, open plastic bag, allowing collection of all sweat secreted during exercise. For over 60 min beginning 40 min after the end of exercise, subjects ingested drinks containing 0, 25, 50, or 100 mmol/l sodium ( trials 0, 25, 50, and 100) in a volume (ml) equivalent to 150% of the mass lost (g) by volume depletion. Body mass loss and sweat electrolyte (Na+, K+, and Cl−) loss were the same on each trial. The measured sweat sodium concentration was 49.2 ± 18.5 mmol/l, and the total loss (63.9 ± 38.7 mmol) was greater than that ingested on trials 0 and 25. Urine production over the 6-h recovery period was inversely related to the amount of sodium ingested. Subjects were in whole body negative sodium balance on trials 0 (−104 ± 48 mmol) and 25 (−65 ± 30 mmol) and essentially in balance on trial 50(−13 ± 29 mmol) but were in positive sodium balance on trial 100 (75 ± 40 mmol). Only on trial 100 were subjects in positive fluid balance at the end of the study. There was a large urinary loss of potassium over the recovery period on trial 100, despite a negligible intake during volume repletion. These results confirm the importance of replacement of sodium as well as water for volume repletion after sweat loss. The sodium intake on trial 100 was appropriate for acute fluid balance restoration, but its consequences for potassium levels must be considered to be undesirable in terms of whole body electrolyte homeostasis for anything other than the short term.

Postexercise rehydration in man: the effects of carbohydrate content and osmolality of drinks ingested ad libitum

2009 ◽  
Vol 34 (4) ◽  
pp. 785-793 ◽  
Author(s):  
Gethin H. Evans ◽  
Susan M. Shirreffs ◽  
Ronald J. Maughan
Keyword(s):  
Fluid Balance ◽  
Fluid Intake ◽  
Intermittent Exercise ◽  
Recovery Period ◽  
Electrolyte Solutions ◽  
Carbohydrate Content ◽  
Whole Body ◽  
Total Fluid Intake ◽  
Before And After ◽  
Ad Libitum

The effectiveness of different carbohydrate solutions in restoring fluid balance in situations of voluntary fluid intake has not been examined previously. The effect of the carbohydrate content of drinks ingested after exercise was examined in 6 males and 3 females previously dehydrated by 1.99 ± 0.07% of body mass via intermittent exercise in the heat. Beginning 30 min after the cessation of exercise, subjects drank ad libitum for a period of 120 min. Drinks contained 31 mmol·L–1 Na+ as NaCl and either 0%, 2%, or 10% glucose with mean ± SD osmolalities of 74 ± 1, 188 ± 3, and 654 ± 4 mosm·kg–1, respectively. Blood and urine samples were collected before and after exercise, midway through rehydration, and throughout a 5 h recovery period. Total fluid intake was not different among trials (0%: 2258 ± 519 mL; 2%: 2539 ± 436 mL; 10%: 2173 ± 252 mL; p = 0.173). Urine output was also not different among trials (p = 0.160). No differences among trials were observed in net fluid balance or in the fraction of the ingested drink retained. In conclusion, in situations of voluntary fluid intake, hypertonic carbohydrate-electrolyte solutions are as effective as hypotonic carbohydrate-electrolyte solutions at restoring whole-body fluid balance.

Alternate electrode placement for whole body and segmental bioimpedance spectroscopy

2015 ◽  
Vol 36 (10) ◽  
pp. 2189-2201 ◽  
Author(s):  
T L Grisbrook ◽  
P Kenworthy ◽  
M Phillips ◽  
P M Gittings ◽  
F M Wood ◽  
...  
Keyword(s):  
Whole Body ◽  
Electrode Placement ◽  
Bioimpedance Spectroscopy
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