Comparison of bioimpedance and clinical methods for dry weight prediction in maintenance hemodialysis patients.

Abstract:

BACKGROUND:Bioelectrical impedance analysis (BIA) is a promising technique to evaluate dry weight. We compared the dry weight calculated by the three BIA equations Carlo Basile (CB) , Yanna Dou (YD) and the body composition spectroscopy (BCS) with clinical evaluation in maintenance hemodialysis (MHD) patients. METHODS:The dry weight of enrolled MHD patients (DWClin) was evaluated under strict clinical surveillance. The whole-body resistances at 50 kHz, intra- and extracellular resistances were measured to calculate the dry weight (DWCB, DWYD and DWBCS) using each of the three equations. RESULTS:Neither DWCB nor DWBCS were statistically different compared to DWClin (DWCB 63.2 ± 17.2 vs. 63.1 ± 16.1 kg; DWBCS 62.8 ± 16.8 vs. 63.1 ± 16.1 kg, p > 0.05). DWYD was significantly lower than DWClin (DWYD 62.0 ± 16.1 vs. 63.1 ± 16.1 kg, p < 0.05). The bias between DWCB and DWClin was the smallest among these three methods (ΔDWCB -0.1 ± 1.4 kg; ΔDWYD 1.1 ± 2.9 kg; ΔDWBCS 0.3 ± 1.8 kg). CONCLUSION:The CB equations have better consistency with clinical dry weight in MHD patients.

journal_name

Blood Purif

journal_title

Blood purification

authors

Jian Y,Li X,Cheng X,Chen Y,Liu L,Tao Z,Zuo L

doi

10.1159/000362109

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

214-20

issue

3

eissn

0253-5068

issn

1421-9735

pii

000362109

journal_volume

37

pub_type

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