Academic Journal

Body Fat Plays an Important Role in of Bioimpedance Spectroscopy-Based Dry Weight Measurement Error for Patients with Hemodialysis.

التفاصيل البيبلوغرافية
العنوان: Body Fat Plays an Important Role in of Bioimpedance Spectroscopy-Based Dry Weight Measurement Error for Patients with Hemodialysis.
المؤلفون: Kim, Hae-Ri, Jeon, Jae-Wan, Bae, Hong-Jin, Shin, Jin-Ah, Ham, Young-Rok, Na, Ki-Ryang, Lee, Kang-Wook, Choi, Dae-Eun, Hyon, Yun-Kyong
المصدر: Diagnostics (2075-4418); Oct2021, Vol. 11 Issue 10, p1907-1907, 1p
مصطلحات موضوعية: FAT, MEASUREMENT errors, HEMODIALYSIS patients, ADIPOSE tissues, BODY mass index
مستخلص: Accurate dry weight (DW) estimation is important for hemodialysis patients. Although bioimpedance spectroscopy (BIS) is commonly used to measure DW, the BIS-based DW frequently differs from the clinical DW. We analyzed the characteristics of patients whose BIS-based DWs were over- and underestimated. In this retrospective cohort study, we evaluated 1555 patients undergoing maintenance hemodialysis in Chungnam National University Hospital. The gap (DWCP-BIS) was calculated by comparing the BIS and clinical DWs. We analyzed the clinical characteristics of patients with positive (n = 835) and negative (n = 720) gaps. Compared with other patients, the DWCP-BIS-positive group had higher extracellular water (ECW) level and extracellular/intracellular water index (E/I) and had lower weight, body mass index (BMI), lean tissue index (LTI), fat tissue index (FTI), fat mass (FAT), and adipose tissue mass (ATM). The DWCP-BIS-negative group exhibited elevated BMI, FTI, FAT, and ATM; however, it had lower height, ECW, and E/I. Linear regression analysis revealed that FAT significantly predicted DWCP accuracy. The clinical DW of patients with a low fat mass tended to be underestimated, while the clinical DW of patients with comparatively large fat reserves tended to be overestimated. These characteristics will aid in the reduction of BIS-based DW errors. [ABSTRACT FROM AUTHOR]
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