Bioimpedance spectrometry in the determination of body water compartments: Accuracy and clinical significance

Bioelectrical impedance analysis (BIA) offers the potential for a simple, portable and relatively inexpensive technique for the in vivo measurement of total body water (TBW). The potential of BIA as a technique of body composition analysis is even greater when one considers that body water can be used as a surrogate measure of lean body mass. However, BIA has not found universal acceptance even with the introduction of multi-frequency BIA (MFBIA) which, potentially, may improve the predictive accuracy of the measurement. There are a number of reasons for this lack of acceptance, although perhaps the major reason is that no single algorithm has been developed which can be applied to all subject groups. This may be due, in part, to the commonly used wrist-to-ankle protocol which is not indicated by the basic theory of bioimpedance, where the body is considered as five interconnecting cylinders. Several workers have suggested the use of segmental BIA measurements to provide a protocol more in keeping with basic theory. However, there are other difficulties associated with the application of BIA, such as effects of hydration and ion status, posture and fluid distribution. A further putative advantage of MFBIA is the independent assessment not only of TBW but also of the extracellular fluid volume (ECW), hence heralding the possibility of,being able to assess the fluid distribution between these compartments. Results of studies in this area have been, to date, mixed. Whereas strong relationships of impedance values at low frequencies with ECW, and at high frequencies with TBW, have been reported, changes in impedance are not always well correlated with changes in the size of the fluid compartments (assessed by alternative and more direct means) in pathological conditions. Furthermore, the theoretical advantages of Cole-Cole modelling over selected frequency prediction have not always been apparent. This review will consider the principles, methodology and applications of BIA. The principles and methodology will,be considered in relation to the basic theory of BIA and difficulties experienced in its application. The relative merits of single and multiple frequency BIA will be addressed, with particular attention to the latter's role in the assessment of compartmental fluid volumes. (C) 1998 Elsevier Science Ltd. All rights reserved.

Bioelectrical impedance analysis predicts outcome in patients with suspected bacteremia

Fluid shifts from intracellular to extracellular water (ICW to ECW) are a feature of sepsis, caused by increased vascular permeability and cell catabolism. Changes in ECW and total body water (TBW) were assessed in a prospective observational study of patients with bacteremia by a bedside technique, and its prognostic impact determined; In 78 hospital patients with fever, the resistance ratio (Rinf/RO) and estimated ECW/TBW ratio from multifrequency bioelectrical impedance analysis, and serum albumin concentration were measured. Rinf/RO and ECW/TBW ratios decreased from day 0 to 2 in patients with significant bacteremia (n = 31), but not in patients with doubtful or negative blood cultures (n = 22 and 25), Increased Rinf/RO at baseline, and further increase of ECW/TBW from day 0 to 2, were associated with lower rate of recovery after 1 week and with higher mortality. Baseline Rinf/RO above the median (0.75) had positive and negative predictive values of 0.31 and 0.95 for death. This prognostic effect was independent of underlying disease and blood culture result in a multivariate model. Hypoalbuminemia at baseline was predictive of outcome, but changes in albumin from day 0 to 2 were unrelated to blood culture results or outcome. In patients with bacteremia,fluid shifts from intracellular to extracellular,vater occur early are rapidly reversible by antibiotic treatment but are associated with adverse prognosis. Bioelectrical impedance deserves further study as a tool for bedside monitoring of patients with bacteremia.

Sensitivity of multiple frequency bioelectrical impedance analysis to changes in ion status

Bioelectrical impedance analysis has found extensive application as a simple noninvasive method for the assessment of body fluid volumes, The measured impedance is, however, not only related to the volume of fluid but also to its inherent resistivity. The primary determinant of the resistivities of body fluids is the concentration of ions. The aim of this study was to investigate the sensitivity of bioelectrical impedance analysis to bodily ion status. Whole body impedance over a range of frequencies (4-1012 kHz) of rats was measured during infusion of various concentrations of saline into rats concomitant with measurement of total body and intracellular water by tracer dilution techniques. Extracellular resistance (R-o), intracellular resistance (R-i) and impedance at the characteristic frequency (Z(c)) were calculated. R-o and Z(c) were used to predict extracellular and total body water respectively using previously published formulae. The results showed that whilst R-o and Z(c) decreased proportionately to the amount of NaCl infused, R-i increased only slightly. Impedances at the end of infusion predicted increases iu TBW and ECW of approximately 4-6% despite a volume increase of less than 0.5% in TBW due to the volume of fluid infused. These data are discussed in relation to the assumption of constant resistivity in the prediction of fluid volumes from impedance data.

Evaluation of a new bioelectrical impedance instrument for the prediction of body cell mass independently of height or weight

The objective of the present study was to evaluate the performance of a new bioelectrical impedance instrument, the Soft Tissue Analyzer (STA), which predicts a subject's body composition. A cross-sectional population study in which the impedance of 205 healthy adult subjects was measured using the STA. Extracellular water (ECW) volume (as a percentage of total body water, TBW) and fat-free mass (FFM) were predicted by both the STA and a compartmental model, and compared according to correlation and limits of agreement analysis, with the equivalent data obtained by independent reference methods of measurement (TBW measured by D2O dilution, and FFM measured by dual-energy X-ray absorptiometry). There was a small (2.0 kg) but significant (P < 0.02) difference in mean FFM predicted by the STA, compared with the reference technique in the males, but not in the females (-0.4 kg) or in the combined group (0.8 kg). Both methods were highly correlated. Similarly, small but significant differences for predicted mean ECW volume were observed. The limits of agreement for FFM and ECW were -7.5-9.9 and -4.1-3.0 kg, respectively. Both FFM and ECW (as a percentage of TBW) are well predicted by the STA on a population basis, but the magnitude of the limits of agreement with reference methods may preclude its usefulness for predicting body composition in an individual. In addition, the theoretical basis of an impedance method that does not include a measure of conductor length requires further validation. (C) Elsevier Science Inc. 2000.

Fluid shifts resulting from exercise in rats as detected by bioelectrical impedance

Purpose: This study was designed to investigate the immediate effect of exercise intensity and duration on body fluid volumes in rats throughout a 3-wk exercise program. Methods: Changes in the extracellular water (ECW) and total body water (TBW) volumes of rats were measured preexercise and postexercise using multiple frequency bioelectrical impedance analysis. Groups of rats were exercised at two intensities (6 m.min(-1) and 12 m.min(-1)) for two exercise times (60 min and 90 min) 5 d.wk(-1) during a 3-wk period. Changes in plasma electrolytes, glucose, and lactate resulting from the exercise were also measured on 3 d of each week. Results: Each group of animals showed significant losses in ECW and TBW as a direct result of daily exercise. The magnitude of fluid loss was directly related to the intensity of the exercise, bur not to exercise duration; although the magnitude of daily fluid loss at the higher intensity exercise (12 m.min(-1)) decreased as the study progressed, possibly indicating a training effect. Conclusion: At low-intensity exercise, there is a small bur significant loss in both TBW and ECW fluids, and the magnitude of these losses does not change throughout a 3-wk exercise program. At moderate levels of exercise intensity, there is a greater loss of both TBW and ECW fluids. However, the magnitudes of these losses decrease significantly during the 3-wk exercise program, thus demonstrating a training effect.

Assessment of body composition by bioelectrical impedance analysis without the need for measurement of height

Conventional whole-body single frequency bioelectrical impedance analysis (BIA) of body composition typically uses height as a surrogate measure of conductor length. A new method of BIA analysis for the prediction of body cell mass (BCM) and extracellular water (ECW, as % body weight) not using height has been introduced-the Soft Tissue Analyser (STA(TM), Akern Sri, Florence, Italy)-making it ideal for use in subjects where measurement of height is difficult or impossible. The performance of the new analytical method in predicting BCM and ECW in 139 normal control subjects was assessed by comparison with reference data obtained from a four-component (4-C) model of body composition and with predictions obtained from conventional BIA analysis. Both predicted BCM and ECW were strongly (r = 0.82, SEE = 6.3 kg and 0.89, SEE = 1.3 kg respectively) correlated with the corresponding 4-C model measurements although differing significantly from the lines of identity (P < 0.0001). Fat-free mass, calculated from STA estimates of BCM and ECW, was better predicted (r = 0.91, SEE = 5.6 kg). The significant differences in STA-group mean values for BCM and ECW and wide limits of agreement compared with the reference data indicate that the method cannot be used with confidence for prediction of these body compartments despite the obvious advantage of not requiring an accurate measurement of height. (C) 2001 Harcourt Publishers Ltd.

A new technique for the quantification of peripheral edema with application in both unilateral and bilateral cases

Current noninvasive techniques for the routine and frequent quantification of peripheral lymphedema in patients are total limb volume measurement (by water immersion or by circumferential measurements) and bioelectrical impedance analysis (BIA). However both of these techniques require standardizing the measurement using a contralateral measurement from the unaffected limb, Hence these techniques are essentially restricted to unilateral lymphedema. This paper describes the results from a preliminary study to investigate an alternative approach to the analysis of the data from multiple frequency BIA to produce an index of lymphedema without the need for normalization to another body segment. Twenty patients receiving surgical treatment for breast cancer were monitored prior to surgery and again after diagnosis with unilateral lymphedema. The data recorded were total limb volume, by circumferential measurements; and BIA measurements of both limbs. From these measurements total limb volumes and extracellular fluid volumes were calculated and expressed as ratios of the affected limb to that of the unaffected limb. An index of the ratio of the extracellular fluid volume to the intracellular fluid volume was determined. This ECW/ICW index was calculated for both the affected and unaffected limbs at both measurement times. Results confirmed that the established techniques of total limb volume and extracellular fluid volume normalized to the unaffected contralateral limb were accurate in the detection of lymphedema (p < 10(-6)). Comparison of the ECW/ICW index from the affected limb after diagnosis with that from the pre-surgery measurement revealed a significant (p< 10(-6)) and considerable (75%) increase. The results of this pilot study suggest that by using multiple frequency bioelectrical impedance analysis, an index of the ECW/ICW ratio can be obtained and this index appears to have an equal, or better, sensitivity, than the other techniques in detecting lymphedema. More importantly, this index does not require normalization to another body segment and can be used to detect all types of peripheral edema including both unilateral and bilateral lymphedema.

Nutritional status and overhydration: can bioimpedance spectroscopy be useful in haemodialysis patients?

Background: Protein-energy wasting (PEW), associated with inflammation and overhydration, is common in haemodialysis (HD) patients and is associated with high morbidity and mortality. Objective: Assess the relationship between nutritional status, markers of inflammation and body composition through bioimpedance spectroscopy (BIS) in HD patients. Methods: This observational, cross-sectional, single centre study, carried out in an HD centre in Forte da Casa (Portugal), involved 75 patients on an HD programme. In all participating patients, the following laboratory tests were conducted: haemoglobin, albumin, C-reactive protein (CRP) and 25-hydroxyvitamin D3 [25(OH)D3]. The body mass index of all patients was calculated and a modified version of subjective global assessment (SGA) was produced for patients on dialysis. Intracellular water (ICW) and extracellular water (ECW) were measured by BIS (Body Composition Monitor®, Fresenius Medical Care®) after the HD session. In statistical analysis, Spearman’s correlation was used for the univariate analysis and linear regression for the multivariate analysis (SPSS 14.0). A P value of <.05 was considered statistically significant. Results: PEW, inversely assessed through the ICW/body weight (BW) ratio, was positively related to age (P<.001), presence of diabetes (P=.004), BMI (P=.01) and CRP (P=.008) and negatively related to albumin (p=.006) and 25(OH)D3 (P=.007). Overhydration, assessed directly through the ECW/BW ratio, was positively related with CRP (P=.009) and SGA (P=.03), and negatively with 25(OH)D3 (P=.006) and BMI (P=.01). In multivariate analysis, PEW was associated with older age (P<.001), the presence of diabetes (P=.003), lower 25(OH)D3 (P=.008), higher CRP (P=.001) and lower albumin levels (P=.004). Over-hydration was associated with higher CRP (P=.001) and lower levels of 25(OH)D3 (P=.003). Conclusions: Taking these results into account, the ICW/BW and ECW/BW ratios, assessed with BIS, have proven to be good markers of the nutritional and inflammatory status of HD patients. BIS may be a useful tool for regularly assessing the nutritional and hydration status in these patients and may allow nutritional advice to be improved and adjusted.

Medicao do impacto da irrigacao gota a gota no ambiente - Salinidade

Para dar continuidade ao estudo de avaliação do impacto do sistema de rega gota a gota no meio ambiente, foram colhidas 43 amostras de solos e 24 de águas, nas parcelas dos agricultores beneficiários dos projectos financiados pela ACDI/VOCA (Agricultural Cooperative Development International et Volunteers in Overseas Cooperative Assistance) na ilha de Santiago, e analisadas no Laboratório de Análise de Solos, Águas e Plantas (LASAP) do INIDA. Foram apr0esentados os resultados de análise do pH e da condutividade eléctrica (ECW), enquanto que os do azoto (N), do fósforo (P), do potássio (K), do magnésio (Mg) e do cálcio (Ca) serão apresentados posteriormente. Segundo esses resultados e, baseado na tabela de classificação de salini0dade do solo (INIDA, 1997), 65% dos solos analisados, situadas em Librão, Cidade Velha, Cabeça d'Horta, Pico Leão, Água de Gato, Chã de Vaca, Principal, São Francisco, Laje/Órgãos, Pó de Saco, Flamengos, Calhetona, Praia Formosa, são considerados sem efeito salino ou muito pouco salino; enquanto 24% das amostras localizadas em Praia Baixo, Castelinho e Cumba Baixo são solos considerados pouco a moderadamente salinos. Por outro lado encontramos que 11% dos solos analisados (situados em Baía e Achada Baleia) são classificados de fortemente a muito fortemente salinos. O alto teor de sais encontrado, nestes solos, poderá advir do efeito da intrusão salina e da maresia, adjuvada da aplicação de fertilizantes, assim como da má qualidade da água utilizada na rega. Recomenda-se, análises de solos periódicas, assim como a elaboração de um programa de fertilização racional. Comparando os resultados das análises do solo realizadas em 2002, encontramos que em 2004 houve um aumento substancial nos valores da condutividade eléctrica do solo. O pH do solo apresentou-se sem grandes variações (7,6 a 7,9), estando dentro dos valores encontrados para a maioria dos solos em Cabo Verde (Neutro a ligeiramente alcalino). 88 % das amostras de água dos furos, dos poços e das nascentes são classificados de boa qualidade (29%) e permissível (59%) para a rega, e não representam grandes riscos na salinização dos solos. O furo FT-44, na zona de Baía, carece de um cuidado especial na exploração e utilização da água para a rega. Pois, um controle dos pontos de água é fundamental para evitar a sobre-exploração e consequentemente a salinização dos mesmos. Alertamos, ainda, aos responsáveis dos serviços de água, da necessidade urgente de reavaliar a exploração do furo (FT-26) em Achada Baleia e o poço (P – 55-587) em Cassunda – Cumba, pelo facto de apresentarem valores elevados de condutividade eléctrica (3760 a 5550 S/cm), considerados de má qualidade para a rega.

Impacto do sistema de microirrigacao no ambiente - salinidade

Trata-se do quinto estudo de monitorização e avaliação do impacto do sistema de rega gota a gota no meio ambiente encomendado pela ACDI/VOCA (Agricultural Cooperative Development International et Volunteers in Overseas Cooperative Assistance). Foram colhidas 45 amostras de solos e 29 de águas, nas parcelas dos agricultores beneficiários dos projectos financiados pela referida ONG na ilha de Santiago. Essas amostras foram analisadas no Laboratório de Análise de Solos, Águas e Plantas (LASAP) do INIDA para determinar o pH, a condutividade eléctrica (ECW), o cálcio (Ca) e magnésio (Mg) com objectivo de avaliar o grau de salinidade dos solos. 58 % dos solos analisados são considerados sem efeito salino ou muito pouco salino podendo receber a maioria das hortícola, mesmo as mais sensíveis aos sais e 11% só poderão receber culturas que toleram um alto grau de salinidade, nomeadamente beterraba, espargos, espinafres, repolho, tamareira, entre outras. os valores de condutividade eléctrica, encontrados em Achada Baleia (Egídio) , Baía e Cassunda, correspondem a solos classificados entre forte a muito fortemente salinos onde somente culturas altamente tolerantes aos sais atingem produções aceitáveis. As amostras de água, que ano passado, foram classificadas de boa para rega, aumentaram em média cerca de 40 mS/cm no valor condutividade eléctrica. Em termos médios, enquanto que no solo a quantidade de sais diminuiu ligeiramente, na água houve um aumento global do teor de sal. O valor máximo da condutividade eléctrica do solo encontrado no presente trabalho é de longe superior ao do ano passado para uma diferença de 1,77 mS/cm.

Parâmetros erosividade da chuva e da enxurrada correlacionados com as perdas de solo de um solo Bruno Não-Cálcico Vértico em Sumé (PB)

Foram estudadas correlações lineares simples entre os parâmetros erosividade da chuva e da enxurrada e as perdas de solo provocadas por chuvas erosivas num solo Bruno Não-Cálcico Vértico. Os dados correspondentes aos anos de 1986-1990 foram obtidos na estação experimental de Sumé (PB), pertencente à Universidade Federal da Paraíba-UFPB. Os parâmetros erosividade da chuva e da enxurrada estudados foram: (a) altura total da chuva (P), em mm; (b) intensidades máximas (In), ocorridas nos tempos de 5; 10; 15; 20; 25; 30; 35; 40; 45; 50; 55; 60 e 120 minutos, respectivamente, em mm h-1; (c) energia cinética total, pelo método de Wischmeier e Smith (Ec) e pelo método de Wagner e Massambani (EcW), em MJ ha-1; (d) somatório da energia cinética de intensidades superior a 10 mm h-1 (Ec > 10 e EcW > 10) em MJ ha-1; (e) somatório da energia cinética de intensidades superior a 25 mm h-1 (Ec > 25 e EcW > 25), em MJ ha-1; (f) produtos da energia cinética total pelas intensidades máximas de chuva em intervalos crescentes de tempo (EIn), ou seja: EI5; EI10; EI15; EI20; EI25; EI30; EIW30; EI35; EI40; EI45; EI50; EI55; EI60 e EI120, em MJ mm ha-1 h-1; (g) produtos da altura total da chuva pelas intensidades máximas das chuvas em intervalos crescentes de tempo (PIn), ou seja: PI5; PI10; PI15; PI20; PI25; PI30; PI35; PI40; PI45; PI50; PI55; PI60 e PI120, em mm² h-1, e (h) volume de enxurrada (Vu), em m³. O parâmetro volume de enxurrada (Vu) foi o que melhor estimou (r = 0,812) as perdas de solo em Sumé (PB). Dentre os parâmetros erosividade da chuva, o que melhor se correlacionou com as perdas de solo foi o parâmetro PI25 (r = 0,753). As equações de Wischmeier & Smith e de Wagner & Massambani, utilizadas no cálculo da energia cinética total da chuva, apresentaram o mesmo grau de precisão na estimativa das perdas de solo.

gvSIG Mobile: nuevas funcionalidades del SIG Libre para PDA

gvSIG Mobile, la versión de gvSIG para dispositivos móviles presenta su nueva versión que incluye las esperadas funcionalidades de creación de nuevas entidades geográficas y utilización de formularios personalizados para edición de datos, además de nuevos formatos de datos vectoriales (GML, KML, GPX) y sistemas de referencia. Funcionalidades que se suman a las capacidades de visor de cartografía (ECW, SHP, WMS) y sistema de localización mediante GPS que ya posee. gvSIG Mobile está siendo desarrollado por Prodevelop, la Universitat de València e Iver para la Conselleria d’Infraestructures i Transport de la Generalitat Valenciana y se distribuye con una licencia GPL

Bioimpedance in Pregnant Women with Preeclampsia

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Morfofisiologia da cunhã cultivada sob estresse salino

The experiment was developed based on the importance of the nutritional factor cunhã for large and small, animals and on the growth of this forage in typical soils of the semiarid region, generally with salinity from natural or anthropogenic action. The experiment was performed in vessels with a capacity of 5kg prepared in a protected environment with full sunshine in the Department of Technology and Social Sciences (DTCS) of UNEB Campus III in Juazeiro - BA. It evaluated the effect of seven different salt concentrations on increasing levels of irrigation water electrical conductivity - ECw (0, 2, 4, 6, 8, 10 and 12 dS/m), at room temperature. The analysis of culture were taken every seven days observing the number of leaves, stem diameter, plant, plant length and total chlorophyll content at 13; 20; 27; 34 and 40 days after the start of irrigation with saline. The contents of proline, the ratio aero part/Root (AP/Rt), the root length and water content were evaluated in the 40 th day after the onset of treatment. The results showed that the elevation of ECw affected all variables.

Effect of dietary sodium restriction on body water, blood pressure, and inflammation in hemodialysis patients: a prospective randomized controlled study

Purpose: Accumulating evidence suggests an association between body volume overload and inflammation in chronic kidney diseases. The purpose of this study was to evaluate the effect of dietary sodium reduction in body fluid volume, blood pressure (BP), and inflammatory state in hemodialysis (HD) patients. Methods: In this prospective controlled study, adult patients on HD for at least 90 days and those with C-reactive protein (CRP) levels ≥0.7 mg/dl were randomly allocated into two groups: group A, which included 21 patients treated with 2 g of sodium restriction on their habitual diet; and group B, which included 18 controls. Clinical, inflammatory, biochemical, hematological, and nutritional markers were assessed at baseline and after 8 and 16 weeks. Results: Baseline characteristics were not significantly different between the groups. Group A showed a significant reduction in serum concentrations of CRP, tumor necrosis factor-α, and interleukin-6 during the study period, while BP and extracellular water (ECW) did not change. In group B, there were no changes in serum concentrations of inflammatory markers, BP, and ECW. Conclusions: Dietary sodium restriction is associated with the attenuation of the inflammatory state, without changes in BP and ECW, suggesting inhibition of a salt-induced inflammatory response. © 2013 Springer Science+Business Media Dordrecht.