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Hemodiyaliz Hastalarında Biyoelektrik İmpedans Analiz Yönteminin Vücut Kompozisyonunun Belirlenmesindeki Etkinliği

Determination of the Validity of Bioelectric Impedance Analysis in Body Composition in Haemodialysis Patients

Journal Name:

  • Fırat Tıp Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Aim: To determine the validity and clinical safety of body compositon under the condition of acute fluid loss using bioelectrical impedance analysis (BIA). Material and Method: Total of 24 hemodialysis patients' body composition were measured and analysed before and after dialysis using foot-to-foot BIA. Pearson correlation analysis and paired t-test were used to analyse data and P<0.05 accepted as a significant. Results: The mean (±SE) body weight reduction after dialysis was 2.15±0.2 kg, (%3.77, P=0.0001). Body fat mass changed between -0.7 to 1.3 kg among the patients (mean 2.15% increased, P=0.02). There were 3 different conditions in body fat mass: it decreased in 6 patients (25%), it did not change in 4 patients (16.7%) and it increased in 14 patients (58.3%). There was a negative lineer correlation between body water and fat mass (r = -0.516, P< 0.009). Conclusion: BIA can be affected by body water content and results inaccurate estimation. Erroneous in body composition estimation using BIA methods should be considered before having a clinical desicion on patients with obesity, cardiac problems and hemodialysis, which body content has a vital effects. Importantly the results were supported by other methods. ©2005, Fırat Üniversitesi, Tıp Fakültesi
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Abstract (Original Language): 
Amaç: Biyoelektrik impedans analizinin (BİA) akut su kaybının olduğu durumlarda vücut kompozisyon ölçüm etkinliğinin ve klinik olarak kullanım güvenliğini belirlemek. Gereç ve Yöntem: Hemodiyaliz tedavisi gören 24 hastasının vücut kompozisyonları dializ öncesi ve sonrası ayaktan-ayağa BİA ile ölçülüp değerlendirildi. Pearson korelasyon analizi ve eşleştirilmiş t-testi sonuçların değerlendirilmesinde kullanıldı ve p<0.05 önemli olarak kabul edildi. Bulgular: Diyaliz sonrası hastaların ortalama (±SH) vücut ağırlıkları 2.15±0.2 kg, azaldı (%3.77, P=0.0001). Vücut yağ miktarı ise diyaliz sonrasında -0.7 kg ile 1.3 kg arasında değişti (ortalama %2.15 artma, P=0.02). Hastaların yağ kitlelerinde 3 farklı durum gözlendi: 6 hastada (%25) yağ miktarında azalma, 4 hastada (%16.7) değişim gözlenmedi, 14 hastada ise (%58.3) yağ miktarında artma gözlendi. Vücut su miktarı ile vücut yağ oranı arasında negatif yönde lineer bir korelasyon bulundu (r = - 0.516, P< 0.009). Sonuç: BİA vücut su miktarından etkilenerek vücut yağ oranını hatalı ölçmektedir. Vücut kompozisyon ölçümünün hayati oranda önemli olduğu obez, kardiyak problemli veya hemodiyalizli hastalar için karar verilme durumunda BİA metodunun hatalı sonuçlar verebileceği göz önünde bulundurulmalıdır. Önemli olarak elde edilen bulgular diğer tekniklerce desteklenmelidir. ©2005, Fırat Üniversitesi, Tıp Fakültesi
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  • Turkish

REFERENCES

References: 

1.
Marce
n R, Teruel JL, de la Cal MA, Gamez C. The impact of malnutrition in morbidity and mortality in stable haemodialysis patients. Spanish Cooperative Study of Nutrition in
Hemodialysis. Nephrol Dial Transplant 1997; 12: 2324-2331.
2. Ikizler TA, Hakim RM. Nutrition in end-stage renal disease.
Kidney Int 1996; 50: 343-357.
3. Qureshi AR, Alvestrand A, Danielsson A, ve ark. Factors predicting malnutrition in hemodialysis patients: A cross-
sectional study. Kidney Int 1998; 53: 773-782.
4. Kopple JD, Zhu X, Lew NL, Lowrie EG. Body weight-for-height relationships predict mortality in maintenance hemodialysis patients. Kidney Int 1999; 56: 1136-1148.
5. Kaysen GA, Stevenson FT, Depner TA. Determinants of albumin concentration in hemodialysis patients. Am J Kidney Dis 1997;
29: 658-668.
6. Goldwasser P, Kaldas AI, Barth RH. Rise in serum albumin and creatinine in the first half year on hemodialysis. Kidney Int 1999;
56: 2260-2268.
7. Maggiore Q, Nigrelli S, Ciccarelli C, ve ark. Nutritional and prognostic correlates of bioimpedance indexes in hemodialysis patients. Kidney Int 1996; 50: 2103-2108.
8. Dumler F. Use of bioelectric impedance analysis and dual-energy X-ray absorptiometry for monitoring the nutritional status of dialysis patients. ASAIO J 1997; 43: 256-260.
9. Isenring E, Bauer J, Capra S, Davies PS. Evaluation of foot-to-foot bioelectrical impedance analysis for the prediction of total body water in oncology outpatients receiving radiotherapy. Eur J
Clin Nutr 2004; 58: 46-51.
10. Lukaski HC. Validation of body composition assessment techniques in the dialysis population. ASAIO J 1997; 43: 251¬255.
52
Fırat Tıp Dergisi 2005;10(2): 50-53
11. Jebb SA, Elia M: Techniques for the measurement of body composition: A practical guide. Int J Obes Relat Metab Disord 1993; 17: 611-621.
12. Erselcan T, Candan F, Saruhan S, Ayca T. Comparison of body composition analysis methods in clinical routine. Ann Nutr Metab
2000; 44: 243-248.
13. Özçelik O, Çolak R, Ayan V, Aslan M. Adolesanların vücut bileşimlerinin değerlendirilmesinde vücut kitle indeksi ve biyoelektrik impedans analizinin karşılaştırılması. Fırat Tıp
Dergisi 2002; 7: 865-870.
14. Salinari S, Bertuzzi A, Mingrone G, ve ark. Bioimpedance analysis: a useful technique for assessing appendicular lean soft tissue mass and distribution. J Appl Physiol. 2003; 94: 1552¬1556.
15. Sung
RY
, Lau P, Yu CW, Lam PK, Nelson EA. Measurement of body fat using leg to leg bioimpedance. Arch Dis Child 2001; 85:
263-267.
16. Guida B, Trio R, Nastasi A, ve ark. Body composition and cardiovascular risk factors in pretransplant hemodialysis patients.
Clin Nutr 2004; 23: 363-372.
17. Guida B, De Nicola L, Pecoraro P, ve ark. Abnormalities of bioimpedance measures in overweight and obese hemodialyzed
patients. Int J Obes Relat Metab Disord 2001; 25: 265-272.
18. Dittmar M. Reliability and variability of bioimpedance measures in normal adults: effects of age, gender, and body mass. Am J
Phys Anthropol 2003; 122: 361-370.
19. Lazzer S, Boirie Y, Meyer M, Vermorel M. Evaluation of two foot-to-foot bioelectrical impedance analysers to assess body composition in overweight and obese adolescents. Br J Nutr
2003; 90: 987-992.
20. Utter AC, Nieman DC, Ward AN, Butterworth DE. Use of the
leg-to-leg bioelectrical impedance method in assessing body-composition change in obese women. Am J Clin Nutr 1999; 69: 603-607.
21. Nunez C, Gallagher D, Visser M, ve ark. Bioimpedance analysis: evaluation of leg-to-leg system based on pressure contact foot¬pad electrodes. Med Sci Sports Exerc 1997; 29: 524-531.
22. Di Iorio BR, Scalfi L, Terracciano V, Bellizzi V. A systematic evaluation of bioelectrical impedance measurement after
hemodialysis session. Kidney Int 2004; 65: 2435-2440.
Özçelik
v
e Ark.
23. Dumler F, Schmidt R, Kilates C, ve ark. Use of bioelectrical impedance for the nutritional assessment of chronic hemodialysis
patients. Miner Electrolyte Metab 1992; 18: 284-287.
24. Abrahamsen B, Hansen TB, Hogsberg IM, Pedersen FB, Beck-Nielsen H. Impact of hemodialysis on dual X-ray absorptiometry, bioelectrical impedance measurements, and anthropometry. Am J
Clin Nutr 1996; 63: 80-86.
25. Berneis K, Keller U. Bioelectrical impedance analysis during acute changes of extracellular osmolality in man. Clin Nutr 2000; 19: 361-366.
26. Cin SD, Braga M, Molinari M, Cristallo M, Di Carlo V. Role of
bioelectrical impedance analysis in acutely dehydrated subjects Clin Nutr 1992; 11: 128-133.
27. Kyle UG, Bosaeus I, De Lorenzo AD, ve ark. Bioelectrical impedance analysis-part II: utilization in clinical practice. Clin Nutr 2004; 23: 1430-1453.
28. Asghar RB, Green S, Engel B, Davies SJ. Relationship of demographic, dietary, and clinical factors to the hydration status of patients on peritoneal dialysis. Perit Dial Int 2004; 24: 231¬239.
29. Sinning WE, De Oreo PB, Morgan AL, Brister EC. Monitoring hemodialysis changes with bioimpedance. What do we really measure? ASAIO J 1993; 39: M584-589.
30. Lazzer S, Boirie Y, Meyer M, Vermorel M. Evaluation of two foot-to-foot bioelectrical impedance analysers to assess body composition in overweight and obese adolescents. Br J Nutr
2003; 90: 987-992.
31. Powell LA, Nieman DC, Melby C, ve ark. Assessment of body composition change in a community-based weight management program. J Am Coll Nutr 2001; 20: 26-31.
32. Graci S, Izzo G, Savino S,ve ark. Weight cycling and cardiovascular risk factors in obesity. Int J Obes Relat Metab
Disord 2004; 28: 65-71.
33. Sartorio A, Conte G, Morini P, ve ark. Changes of bioelectrical impedance after a body weight reduction program in highly obese subjects. Diabetes Nutr Metab 2000; 13: 186-191.

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