The Impact of Equations on Calculation of Lean Body Mass by Bioelectrical Impedance Analysis in RDT Patients

2000 ◽  
Vol 23 (3) ◽  
pp. 168-172 ◽  
Author(s):  
B. Oe ◽  
C.W.H. De Fijter ◽  
A.B.M. Geers ◽  
P.F. Vos ◽  
A.J.M. Donker ◽  
...  

Several equations are available to derive lean body mass (LBM) from bioelectrical impedance analysis (BIA). The purpose of this study was to investigate in dialysis patients the impact of the equation used on the outcome of LBM assessment. To avoid dyshydration as a confounder, vena cava diameter measurement was used to assess normohydration in the 21 patients studied. Five equations were compared. In a previously published study to assess total body water using antipyrine as a gold standard, Deurenberg's formula was advocated to be used in the estimation of LBM by BIA. Therefore, this formula was used as a basis for comparison with the other four equations. One equation gave results comparable to those obtained by Deurenberg's formula. Despite high correlations and agreement according to Bland and Altman analysis, the other three equations showed a significant difference with Deurenberg-derived LBM. Thus, the equation used has a major impact on the outcome of LBM estimations. (Int J Artif Organs 2000; 23: 168–72)

2006 ◽  
Vol 904 (1) ◽  
pp. 218-220 ◽  
Author(s):  
A. TAGLIABUE ◽  
A. ANDREOLI ◽  
S. BERTOLI ◽  
E. PAGLIATO ◽  
M. COMELLI ◽  
...  

2021 ◽  
Vol 9 ◽  
Author(s):  
David J. Farbo ◽  
Deborah J. Rhea

Background: Body mass index (BMI) is frequently labeled as “flawed” in assessing obesity since it cannot differentiate between muscle and fat leading to misclassifications of healthy individuals. Bioelectrical impedance analysis (BIA) may be a more accurate indicator of obesity since it can distinguish the difference between muscle and fat in children. This pilot study investigated discrepancies between BMI and BIA body composition classifications in children with high levels of physical activity.Methods: Participants were selected from three elementary schools (N = 380, K = 76, 1st = 64, 2nd = 62, 3rd = 61, 4th = 83, and 5th = 34) receiving 60 min of outdoor, unstructured play daily. BIA scales were used to collect each child's body fat percentage and BMI score, then those numbers were categorized by BIA and BMI normative values as either underweight, healthy, overweight, or obese.Results: Overall, 26% of the students were classified differently when using the normative classifications for BMI and BIA, with the largest discrepancy found in the overweight category at 38%. Similar inconsistencies were found when students were divided as younger (42%) vs older students (36%), and males (40%) vs. females (35%).Conclusions: This pilot study demonstrated that there is a significant difference in how BMI and BIA discriminate between the different body composition categories. BIA consistently shows to be a more accurate tool in assessing obesity rates in children since it directly measures body fat.


2016 ◽  
Vol 29 (4) ◽  
pp. 591-597 ◽  
Author(s):  
Giuseppe Sergi ◽  
Marina De Rui ◽  
Brendon Stubbs ◽  
Nicola Veronese ◽  
Enzo Manzato

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Dong Guo ◽  
Jianfeng Gong ◽  
Lei Cao ◽  
Yao Wei ◽  
Zhen Guo ◽  
...  

Aim. The study aimed to investigate the impact of laparoscopic surgery and open surgery on postoperative edema in Crohn’s disease.Methods. Patients who required enterectomy were divided into open group (Group O) and laparoscopic group (Group L). Edema was measured using bioelectrical impedance analysis preoperatively (PRE) and on postoperative day 3 (POD3) and postoperative day 5 (POD5). The postoperative edema was divided intoslight edemaandedemaby an edema index, defined as the ratio of total extracellular water to total body water.Results. Patients who underwent laparoscopic surgery had better clinical outcomes and lower levels of inflammatory and stress markers. A total of 31 patients (26.05%) developedslight edemaand 53 patients (44.54%) developededemaon POD3. More patients developed postoperative edema in Group O than in Group L on POD3 (p=0.006). The value of the edema index of Group O was higher than that of Group L on POD3 and POD5 (0.402±0.010versus0.397±0.008,p=0.001;0.401±0.009versus0.395±0.007,p=0.039, resp.).Conclusions. Compared with open surgery, laparoscopic surgery can reduce postoperative edema, which may contribute to the better outcomes of laparoscopic surgery over open surgery.


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