MO599COMPARISON OF TOTAL BODY WATER MEASURED BY BIOIMPEDANCE SPECTROSCOPY TO UREA DISTRIBUTION VOLUME ESTIMATED FROM UREA KINETIC MODELING IN HEMODIALYSIS PATIENTS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Ariella Mermelstein ◽  
Ulrich Moissl ◽  
Bernard Canaud ◽  
Jeroen Kooman ◽  
Rachel Lasky ◽  
...  
Keyword(s):  
Body Composition ◽  
Kinetic Modeling ◽  
Total Body Water ◽  
Distribution Volume ◽  
Body Water ◽  
The Body ◽  
Whole Body ◽  
Tissue Mass ◽  
Total Body ◽  
Urea Distribution Volume

Abstract Background and Aims Monitoring of fluid, body composition and nutritional changes is important in clinical nephrology. The Body Composition Monitor (BCM; Fresenius Medical Care, Bad Homburg, Germany) measures whole-body bioimpedance and determines extracellular and intracellular resistance by using the Cole-model to estimate total body water (TBW-BCM) and its partition into extracellular and intracellular water. Both can then be used to define body composition and separate body weight into lean tissue mass, adipose tissue mass, and fluid overload. Urea kinetic modeling (UKM) allows the estimation of dialysis dose (double-pooled Kt/V), urea distribution volume (V-UKM) and dietary protein intake. We studied the bias between estimated V-UKM to anthropometric and measured TBW-BCM (Vant, TBW-BCM). Method Pre-hemodialysis (HD), electrodes for the BCM assessments were placed on the non-arteriovenous access arm and ipsilateral leg, respectively, with the patient in a supine position. Vant was calculated using the Watson equation. In addition to these assessments we entered the specified values from the most recent urea kinetic modeling (UKM) treatment into the online solute-solver calculator (http://ureakinetics.org). We chose a baseline ratio of modeled/anthropometric volume of 0.6 to 1.3 L to exclude values with data entry errors and/or UKM sampling errors. We calculated the post HD TBW-BCM by subtracting the intradialytic weight loss and adjusted these estimates by the differences in post HD weight between sessions to make both estimates comparable. We depicted the comparison between the estimated V-UKM versus the TBW-BCM in a scatter- and Bland-Altman (BA) plot (Figure). For the purpose of error investigation we studied the computed bias (V-UKM minus TBW-BCM) as a function of body mass index (BMI) and stray capacitance (td) in a BA plot. We then calculated the difference between Vant and V-UKM and illustrated the comparison in a scatter and BA plot. Results In a cross-sectional design, we studied 161 stable prevalent HD patients (61.3±14.7 years, 98 (60.9%) males, height of 167.5±10.7 cm) prior to their treatment. The regression plot showed slight agreement (R2= 0.69) and the Bland-Altman plot no systematic trends or proportional error in the main analysis (Figure 1a and b). Neither BMI or td explained bias and variance in the bias between both estimates. Vant and V-UKM plots showed agreement (R2 of 0.68) with a mean bias of -2.3±5.1 and no proportional error. Conclusion Both TBW-BCM and the V-UKM as the “bronze standard” of TBW estimation seemed to agree reasonably well. Neither body composition measurement or kinetic modeling approach showed any significant influence on the accuracy and precision of the estimate. According to BCM availability, estimated V-UKM or measured TBW-BCM could be used alternatively in practice to support clinical decision when pharmacokinetic considerations are concerned.

scholarly journals Measuring the body composition of elderly subjects: a comparison of methods

1994 ◽  
Vol 72 (1) ◽  
pp. 33-44 ◽  
Author(s):  
J. J. Reilly ◽  
L. A. Murray ◽  
J. Wilson ◽  
J. V. G. A. Durnin
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Body Water ◽  
The Body ◽  
Practical Significance ◽  
Elderly Subjects ◽  
Younger Adults ◽  
Individual Level ◽  
Total Body ◽  
The Individual

There is a paucity of data on differences between methods for the assessment of body composition in elderly subjects. Studies on younger adults suggest that such differences are of some practical significance at the individual level. In the present study the following methods of estimating percentage body fatness (BF%) were compared in healthy elderly men and women (mean age 70 (SD 6) years: densitometry; skinfold thickness; total body water; bioelectrical impedance (BIA) using an age-specific predictive equation and the manufacturers' equation; body mass index (BMI). Though BF% estimates from the various methods tended to be highly correlated with those from densitometry and with each other, differences between methods at the individual level were marked. In particular, the age-specific equations based on BMI and BIA systematically overestimated BF% relative to the other methods. Biases between BF% estimates derived from densitometry, skinfolds, BIA (manufacturers' equation) and total body water were less marked, indicating little evidence of systematic differences between these methods in elderly subjects. Individual differences between methods were slightly greater than those reported in some studies of younger adults, but this may be of little practical significance, and may be considered inevitable in view of variability between and within subjects in the extent to which the underlying assumptions of these two-component methods are met in elderly subjects.

scholarly journals Body composition monitoring in children and adolescents: reproducibility and reference values

2021 ◽  
Author(s):  
Annelies Van Eyck ◽  
Sofie Eerens ◽  
Dominique Trouet ◽  
Eline Lauwers ◽  
Kristien Wouters ◽  
...  
Keyword(s):  
Body Composition ◽  
Reference Values ◽  
Total Body Water ◽  
The Body ◽  
Lean Tissue ◽  
Tissue Mass ◽  
Lean Tissue Mass ◽  
Body Composition Monitor ◽  
Total Body

AbstractThere is an increasing need for suitable tools to evaluate body composition in paediatrics. The Body Composition Monitor (BCM) shows promise as a method, but reference values in children are lacking. Twenty children were included and measured twice by 4 different raters to asses inter- and intra-rater reproducibility of the BCM. Reliability was assessed using the Bland-Altman method and by calculating intraclass correlation coefficients (ICCs). The intra-rater ICCs were high (≥ 0.97) for all parameters measured by BCM as were the inter-rater ICCs for all parameters (≥ 0.98) except for overhydration (0.76). Consequently, a study was set up in which BCM measurements were performed in 2058 healthy children aged 3–18.5 years. The age- and gender-specific percentile values and reference curves for body composition (BMI, waist circumference, fat mass and lean tissue mass) and fluid status (extracellular and intracellular water and total body water) relative to age were produced using the GAMLSS method for growth curves.Conclusion: A high reproducibility of BCM measurements was found for fat mass, lean tissue mass, extracellular water and total body water. Reference values for these BCM parameters were calculated in over 2000 children and adolescents aged 3 to 18 years. What is Known• The 4-compartment model is regarded as the ‘gold standard’ of body composition methods, but is inappropriate for regular follow-up or screening of large groups, because of associated limitations. • Body Composition Monitor® is an inexpensive field method that has the potential to be an adequate monitoring tool.What is New• Good reproducibility of BCM measurements in children provides evidence to use the device in longitudinal follow-up, multicentre and comparative studies.• Paediatric reference values relative to age and sex for the various compartments of the body are provided.

In vivo estimation of body composition of lactating dairy cattle from urea space measurements

2001 ◽  
Vol 2001 ◽  
pp. 206-206 ◽  
Author(s):  
R. E. Agnew ◽  
W J McCaughey ◽  
J.D. McEvoy ◽  
D C Patterson ◽  
M G Porter ◽  
...  
Keyword(s):  
Body Composition ◽  
Body Fat ◽  
Total Body Water ◽  
Body Water ◽  
The Body ◽  
Water Volume ◽  
Plasma Urea ◽  
Space Technique ◽  
Total Body

San Pietro and Rittenberg (1953) reported that urea appeared to meet all the requirements of a satisfactory tracer. Urea is non toxic, not foreign to the body and it shows an even and rapid distribution throughout the total body water without any physiological effect. For these reasons in addition to its easy and accurate measurement, urea is an ideal candidate tracer to estimate empty body water in vivo. Total body water volume (urea space) can be estimated by dividing the total amount of urea infused by the increase in plasma urea concentration from prior to infusion until 12 or 30 minutes after mean infusion time. Kock and Preston (1973) reported significant relationships between urea space measurements and percentage of empty body fat and water in cattle. However, Andrew et al. (1995) using 21 Holstein cows showed that prediction of empty body water using the urea space technique only explained 31 % of the variation. The objective of this experiment was to use the urea dilution technique to estimate the body composition of lactating dairy cows and produce relationships between urea space and body fat and protein content.

Body composition in vivo. IX. The relation of body composition to the tritiated water spaces of ewes and wethers fasted for short periods

1968 ◽  
Vol 19 (2) ◽  
pp. 267 ◽  
Author(s):  
BA Panaretto
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Tritiated Water ◽  
Body Water ◽  
The Body ◽  
Total Body ◽  
Water Space

Correlations are described between tritiated water space, total body water, fat, and protein in sheep subjected to 18–21 hr of fasting. These provide a system for estimating the body composition of living ruminants.

In vivo estimation of body composition in Belgian Blue double-muscled bulls from urea space and fasted live weight

1999 ◽  
Vol 1999 ◽  
pp. 50-50
Author(s):  
S. De Campeneere ◽  
L.O. Fiems ◽  
J.M. Vanacker ◽  
B.G. Cottyn ◽  
Ch.V. Boucqué
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Live Weight ◽  
Physiological Effect ◽  
Body Water ◽  
The Body ◽  
Water Volume ◽  
Plasma Urea ◽  
Total Body

Urea is non-toxic, not foreign to the body and it shows an even and rapid distribution throughout the total body water without any physiological effect or toxic manifestation. For these reasons and for its easy and accurate measurement, urea is an ideal tracer to estimate body composition in vivo. Total body water volume (urea space) can be estimated by dividing the total amount of urea infused by the increase in plasma urea concentration between prior to infusion and 12, 18 or 24 min after mean infusion time (Preston and Kock, 1973). In this experiment the urea infusion technique was evaluated to estimate body composition of Belgian Blue double-muscled bulls.

BODY COMPOSITION STUDIES ON THE SUCKLING PIG: II. THE IN-VIVO DETERMINATION OF TOTAL BODY WATER

1965 ◽  
Vol 45 (1) ◽  
pp. 14-21 ◽  
Author(s):  
T. D. D. Groves ◽  
A. J. Wood
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Deuterium Oxide ◽  
Body Water ◽  
The Body ◽  
Total Body ◽  
Sequential Studies ◽  
Good Agreement

The method of Keston et al. (J. Biol. Chem. 122, 227) for the in-vivo determination of total body water when applied to the growing piglet has been evaluated and found to produce values in good agreement with those obtained by desiccation of the same animals.The densitometric method for the determination of deuterium oxide provides results of sufficient precision when considered in relation to the other unavoidable errors involved in work with live animals. The relative simplicity of the techniques and equipment in the present investigation recommend them for more extensive use in sequential studies of the body composition of growing animals.

Body composition of live cattle and its prediction from fasted liveweight, tritiated water space and age

1982 ◽  
Vol 33 (2) ◽  
pp. 375 ◽  
Author(s):  
PR Bird ◽  
PC Flinn ◽  
JWD Cayley ◽  
MJ Watson
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Tritiated Water ◽  
Protein A ◽  
Body Water ◽  
The Body ◽  
Linear Regression Models ◽  
Wide Range ◽  
Total Body ◽  
Water Space

The body composition of 23 Hereford steers was related to their liveweight after a 24 h fast (W), total body water (TBW), tritiated water space (T) and age in months (A) by using allometric or linear regression models. Fifteen steers, of similar initial age, were taken at intervals from a grazing experiment having a wide range of stocking rates. These steers were 15-22 months of age and 189-461 kg W at slaughter. Six younger and two older steers were also used to expand the range to 3-33 months and 90-517 kg. The steers were taken from pasture 3 h after sunrise and deprived of feed and water thereafter. After 4 h, tritiated water was given intramuscularly and 20 h later blood was collected and the animals were weighed and slaughtered. Models having the least residual standard deviation (r.s.d.) and the predictors which contributed significantly in the stepwise regression analysis (P i 0.05) are given for each range of W. T greatly improved the estimation of fat and slightly improved the prediction of protein. A only slightly improved the prediction of TBW and fat. Equations applicable to the narrow range of W were: total body water (kg) =

scholarly journals The effect of zinc supplementation on body composition and hormone levels related to adiposity among children: a systematic review

2016 ◽  
Vol 19 (16) ◽  
pp. 2924-2939 ◽  
Author(s):  
Inong R Gunanti ◽  
Abdullah Al-Mamun ◽  
Lisa Schubert ◽  
Kurt Z Long
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Developed Countries ◽  
Body Water ◽  
The Body ◽  
Fat Free Mass ◽  
Upper Arm ◽  
Muscle Area ◽  
Hormone Levels ◽  
Total Body

AbstractObjectiveTo provide a comprehensive synthesis of the effects of Zn supplementation on childhood body composition and adiposity-related hormone levels.DesignFive electronic databases were searched for randomized controlled trials of Zn supplementation studies published before 28 February 2015. No statistical pooling of results was carried out due to diversity in study designs.SettingCommunity- or hospital-based, from fourteen developing and developed countries.SubjectsChildren and adolescents aged 0 to 10 years.ResultsSeven of the fourteen studies reported an overall or subgroup effect of Zn supplementation on at least one parameter of body composition, when determined by anthropometric measurements (increased mid upper-arm circumference, triceps skinfold, subscapular skinfold and mid upper-arm muscle area, and decreased BMI). Three out of the fourteen studies reported increased mean value of total body water estimated by bio-impedance analysis and increased fat-free mass estimated by dual energy X-ray absorptiometry and by total body water. Zn supplementation was associated with increased fat-free mass among stunted children. One study found supplementation decreased leptin and insulin concentrations.ConclusionsDue to the use of anthropometry when determining body composition, a majority of the studies could not accurately address whether alterations in the fat and/or fat-free mass components of the body were responsible for the observed changes in body composition. The effect of Zn supplementation on body composition is not consistent but may modify fat-free mass among children with pre-existing growth failure.

scholarly journals The measurement of total body water in living pigs by deuterium oxide dilution and its relation to body composition

1973 ◽  
Vol 30 (1) ◽  
pp. 149-156 ◽  
Author(s):  
R. A. Houseman ◽  
I. Mcdonald ◽  
K. Pennie
Keyword(s):  
Body Composition ◽  
Total Body Water ◽  
Deuterium Oxide ◽  
Body Water ◽  
The Body ◽  
Average Weight ◽  
The Mean ◽  
Standard Deviations ◽  
Total Body ◽  
Water Space

1. Deuterium oxide was used to estimate body water in twenty-four pigs of widely differing body composition and of average weight 83·9 kg.2. After infusion of the isotope, blood samples were collected every 30 min for 4 h. The resulting plasma was purified by a heat-distillation procedure, after which it was analysed for D2O by infrared spectroscopy.3. Approximately 24 h after infusion of the D2O each pig was killed, and its composition determined both by chemical analysis and physical dissection.4. Equilibration of D2O in the body was found to be complete within 2 h of injection of the tracer.5. The mean D2O space was found to be 8·6% greater than the mean empty body water space, but only 2·2% greater than the total body water space.6. Empty body water and total body water were estimated from the regression lines with residual standard deviations of 2·7 and 1·9% respectively. Similarly, the residual standard deviations of the regressions involving the other fat-free components were 6·3% for dissectible lean, 3·2% for fat-free mass, and 5·6% for crude protein.7. The residual standard deviations of the regressions in which the weights of dissectible fat and total body lipid were predicted were 6·0 and 6·7% respectively.

scholarly journals Body Composition and Postural Stability in Goalkeepers of the Polish National Junior Handball Team

2018 ◽  
Vol 25 (3) ◽  
pp. 23-28
Author(s):  
Jacek Wilczyński
Keyword(s):  
Body Composition ◽  
Fat Mass ◽  
Total Body Water ◽  
Postural Stability ◽  
Body Water ◽  
The Body ◽  
Fat Free Mass ◽  
Average Load ◽  
Load Point ◽  
Total Body

Abstract Introduction. The aim of the study was to assess the relationship between the body composition and postural stability of goalkeepers representing the Polish National Junior Handball Team. Material and methods. Body composition was assessed by means of bioelectrical impedance analysis. Postural stability was examined using the AccuGait AMTI force platform. Results. The body composition of the subjects was correct. All of the subjects had very good postural stability. Postural sway was higher in the sagittal plane than in the frontal one. Path Length and Average COP Speed were significantly increased during the closedeyes trial. Only Fat Mass (%) and Fat Mass (kg) were significantly directly correlated with Area Ellipse (cm2) (OE, open eyes). Inverse correlations occurred between Fat-Free Mass (kg) and Average Load Point Y (cm) (OE) as well as Average Load Point Y (cm) (CE, closed eyes). Muscle Mass (kg) was significantly inversely correlated with Average Load Point Y (cm) (OE) and also with Average Load Point Y (cm) (CE). Body Mass Index correlated negatively only with Average Load Point Y (cm) (CE). Total Body Water (kg) was significantly inversely correlated with Average Load Point Y (cm) (OE) and also with Average Load Point Y (cm) (CE). However, Total Body Water (%) only correlated negatively with Area Ellipse (cm2) (OE). Conclusions. Postural stability was determined by the composition and structure of the body. Single-sided sports specialisation can lead to static disorders of the body during the developmental period discussed. Therefore, systematic tests are needed to monitor the body composition and postural stability of handball goalkeepers.

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