Randomized trial of bioelectrical impedance analysis versus clinical criteria for guiding ultrafiltration in hemodialysis patients: effects on blood pressure, hydration status, and arterial stiffness

2011 ◽  
Vol 44 (2) ◽  
pp. 583-591 ◽  
Author(s):  
Mihai Onofriescu ◽  
Nicoleta Genoveva Mardare ◽  
Liviu Segall ◽  
Luminiţa Voroneanu ◽  
Claudiu Cuşai ◽  
...  
2015 ◽  
Vol 12 (C) ◽  
pp. 20
Author(s):  
Monika Latka ◽  
Dorota Drozdz* ◽  
Tomasz Drozdz ◽  
Kinga Wojtowicz ◽  
Przemko Kwinta ◽  
...  

1997 ◽  
Vol 20 (7) ◽  
pp. 371-374 ◽  
Author(s):  
B. Oe ◽  
W.M. De Fijter ◽  
C.W.H. De Fijter ◽  
B. Straver ◽  
P.L. Oe ◽  
...  

The purpose of the present study was to investigate whether total body bioelectrical impedance analysis (BIA) could be appropriate to assess normohydration (i.e. dry weight) in hemodialysis patients. This study is warranted, because the simultaneous assessment of both hydration and nutritional status by BIA requires the presence of a situation of normohydration in order to guarantee valid conclusions about the nutritional analysis. Segmental bioelectrical impedance was performed to classify patients according to their hydration status. BIA measurements revealed significant differences in TBW, ECW and ICW/ECW between three hydration subgroups (under-, normo-, and overhydration), whereas ICW was similar. Therefore, TBW, ECW and ICW/ECW appear appropriate variables to assess hydration status in patients on hemodialysis. Hemodialysis diminished ECW significantly, whereas ICW did not change, suggesting that a decrease of ECW explains the fluid loss during hemodialysis.


2009 ◽  
Vol 41 ◽  
pp. 165
Author(s):  
Kimberly A. Smith ◽  
Anne E. Hays ◽  
Jeff Lynn ◽  
Marty Prokop ◽  
Ciara Pomerico ◽  
...  

2020 ◽  
Author(s):  
Jenn-Yeu Wang ◽  
Shu- Chin Chen ◽  
Betau Hwang

Abstract Background Maintenance hemodialysis patients often experience protein- calorie malnutrition. Our aim is to evaluate the independent prediction accuracy of bioelectrical impedance analysis derived variables by the measurements of upper arm anthropometry and clinical laboratory indexes for evaluation of nutritional status of hemodialysis patients. Furthermore, the relationship between measurements of upper arm anthropometry and clinical laboratory indexes and cross –sectional evaluation of the prevalence of malnutrition with the use of the norms and thresholds were done. Methods In a cross- sectional survey of 32 stable hemodialysis patients (aged 28 to 82 years) in hemodialysis unit of Taipei Municipal Zhongxiao Hospital, we evaluated measurements of upper arm anthropometry with measurements of single frequency bioelectrical impedance analysis and clinical laboratory indexes. Results The comparisons between measurements of upper arm anthropometry with measurements of single frequency bioelectrical impedance analysis and some of clinical laboratory indexes were statistically significant. This study further found that both mid-arm fat area and triceps skin-fold thickness were independent contributors to percent fat mass after adjustment for body mass index and gender in the multiple regression models. This study also demonstrated that mid-arm muscle circumference, or mid-arm muscle area, or corrected mid-arm muscle area independently predicted height normalized indices of fat-free mass respectively after adjustment for body mass index and gender in the multiple regression models. The prevalence of protein wasting measured by mid-arm muscle circumference (50%) appears to be equivalent to that measured by serum albumin concentration (50%). Conclusions Mid-arm muscle and fat variables by upper arm anthropometry correlated with nutritional variables of single frequency bioelectrical impedance analysis and clinical laboratory indexes. Mid-arm muscle and fat variables by upper arm anthropometry were independent predictors of body composition regarding height-normalized indices of fat-free mass and percent fat mass of hemodialysis patients even after adjustment of gender and BMI.


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