Vnitr Lek 2016, 62(Suppl 6):47-54

Bioimpedometry and its utilization in dialysis therapy

František Lopot1,2
1 Interní oddělení Strahov VFN v Praze
2 Ústav biofyziky a informatiky 1. LF UK, Praha

Measurement of living tissue impedance - bioimpedometry - started to be used in medicine some 50 years ago, first exclusively for estimation of extracellular and intracellular compartment volumes. Its most simple single frequency (50 kHz) version works directly with the measured impedance vector. Technically more sophisticated versions convert the measured impedance in values of volumes of different compartments of body fluids and calculate also principal markers of nutritional status (lean body mass, adipose tissue mass). The latest version specifically developed for application in dialysis patients includes body composition modelling and provides even absolute value of overhydration (excess fluid). Still in experimental phase is the bioimpedance exploitation for more precise estimation of residual glomerular filtration. Not yet standardized is also segmental bioimpedance measurement which should enable separate assessment of hydration status of the trunk segment and ultrafiltration capacity of peritoneum in peritoneal dialysis patients.

Keywords: assessment; bioimpedance; excess fluid; fluid status; glomerular filtration; haemodialysis; nutritional status; peritoneal dialysis

Received: August 29, 2016; Accepted: October 13, 2016; Published: December 1, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Lopot F. Bioimpedometry and its utilization in dialysis therapy. Vnitr Lek. 2016;62(Supplementum 6):47-54.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Thomasset A. Proprietés bio-électrique des tissus, appréciation par la mesure de l'impédance de la teneur ionique extra-cellulaire et la teneur intra-cellulaire en clinique. Lyon Med 1963; 209: 1325-1350. Go to PubMed...
    2. Hanai T. Electrical properties of emulsions. In: Sherman PH (ed). Emulsion science. Academic Press: London 1968: 354-477.
    3. Cole KS. Membranes, ions and impulses. A chapter of classical biophysics. University of Califormia Press 1968. ISBN 978-0520002517. Go to original source...
    4. Nyboer J, Sedensky JA. Bioelectric impedance during renal dialysis. Proc Clin Dial Transplant Forum 1974; (4): 214-219.
    5. Salanský I, Kyselka D. Impedometrie tkáňových tekutin in vivo. Lékař a technika 1982; 13(3): 47-49.
    6. Matthie JR. Bioimpedance measurements of human body composition: critical analysis and outlook. Expert Rev Med Devices 2008; 5(2): 239-261. Dostupné z DOI: <http://dx.doi.org/10.1586/17434440.5.2.239>. Go to original source... Go to PubMed...
    7. Zhu F, Kuhlman M, Kotanko P et al. A Device for Monitoring Hydration State in Hemodialysis Patients Using a Calf Bioimpedance Technique. In Scharfetter H, Merwa R (Eds): 13th International Conference on Electrical Bioimpedance and the 8th Conference on Electrical Impedance Tomography. ICEBI 2007. IFMBE Proceedings 2007; 17: 775-778. ISBN 978-3-540-73840-4 (Print) 978-3-540-73841-1 (Online). Dostupné z DOI: <http://dx.doi.org/10.1007/978-3-540-73841-1_200>. Go to original source...
    8. Picolli A, Ross B, Pillon L et al. A new method for monitoring body fluid variation by bioimpedance analysis: the RXC graph. Kidney Int 1994; 46(2): 534-539. Go to original source... Go to PubMed...
    9. Picolli A, Ross B, Pillon L et al. Body fluid overload and bioelectrical impedance analysis in renal patients. Mineral Electrolyte Metab 1996; 22(1-3): 76-78.
    10. BIVAconfidence and BIVAtolerance are two Excel files for the Bioelectrical Impedance Vector Analysis with the RXc Graph method. Dostupné z WWW: <http://www.renalgate.it/formule_calcolatori/BIVAguide.pdf>.
    11. Katzarski K, Charra B, Laurent G et al. Multifrequency bioimpedance in assessment of dry weight in hemodialysis. Nephrol Dial Transplant 1996; 11(Suppl 2): S20-S23. Go to original source... Go to PubMed...
    12. Chamney PW, Kraemer M, Rode C et al. A new technique for establishing dry weight in hemodialysis patients via whole body bioimpedance. Kidney Int 2002; 61(6): 2250-2258. Go to original source... Go to PubMed...
    13. Lopot F, Nejedlý B, Novotná H et al. Age-related extracellular to total body water volume ratio (ECV/TBW) - can it be used for "dry weight" determination in dialysis patients? - application of multifrequency bioimpedance measurement. Int J Artif Organs 2002; 25(8): 762-769. Go to original source... Go to PubMed...
    14. Lindley E, Devine Y, Hall L et al. A ward-based procedure for assessment of fluid status in peritoneal dialysis patients using bioimpedance spectroscopy. Perit Dial Int 2005; 25(Suppl 3): S46-S48. Go to original source... Go to PubMed...
    15. Moissl UM, Wabel P, Chamney PW et al. Body fluid volume determination via body composition spectroscopy in health and disease. Physiol Meas 2006; 27(9): 921-933. Go to original source... Go to PubMed...
    16. Chamney PW, Wabel P, Moissl UM et al. A whole-body model to distinguish excess fluid from the hydration of major body tissues. Am J Clin Nutr 2007; 85(1): 80-89. Go to original source... Go to PubMed...
    17. Chamney PW. Bioimpedance Master Class. 40th EDTNA/ERCA Conference. Ljubljana 2011. ISBN 978-80-260-0222-2.
    18. Booth J, Pinney J, Davenport A. The effect of vascular access modality on ganges in fluid content in the arms as determined by multifrequency bioimpedance. Nephrol Dial Transplant 2011; 26(1): 227-231. Dostupné z DOI: <http://dx.doi.org/10.1093/ndt/gfq331>. Go to original source... Go to PubMed...
    19. Panorchan K, Nongnuch A, El-kateb S et al. Does the presence of an arteriovenous fistula alter ganges in body water following hemodialysis as determined by multifrequency bioelectrical impedance assessment? Hemodial Int 2015; 19(4): 484-489. Dostupné z DOI: <http://dx.doi.org/10.1111/hdi.12282>. Go to original source... Go to PubMed...
    20. Keane DF, Lindley E. Use of hand-to-hand measurement for body composition in patients with inaccessible or amputated feet. J Renal Care 2015; 41(1): 28-32. Dostupné z DOI: <http://dx.doi.org/10.1111/jorc.12091>. Go to original source... Go to PubMed...
    21. Abbas SR, Liu L, Sipahioglu MH et al. Comparison of bioimpedance techniques to detect ganges in fluid status in hemodialysis patients. Blood Purif 2014; 37(1): 48-56. Dostupné z DOI: <http://dx.doi.org/10.1159/000356830>. Go to original source... Go to PubMed...
    22. Machek P, Jirka T, Moissl U et al. Guided optimization of fluid status in haemodialysis patients. Nephrol Dial Transplant 2010; 25(2): 538-544. Dostupné z DOI: <http://dx.doi.org/10.1093/ndt/gfp487>. Go to original source... Go to PubMed...
    23. Fouque D, Vennegoor M, ter Wee P et al. EBPG guidelines on nutrition. Nephrol Dial Transplan 2007; 22(Suppl 2): ii45-ii87. Go to original source... Go to PubMed...
    24. Kyle UG, Bosaeus I, De Lorenzo AD et al. ESPEN guidelines, Bioelectrical impedance analysis - part II: utilisation and clinical practices. Clin Nutr 2004; 23(6): 1430-1453. Go to original source... Go to PubMed...
    25. Vyhláška č. 92/2012 Sb. o požadavcích na technické a věcné vybavení zdravotnických zařízení a kontaktních pracovišť domácí péče. Dostupné z WWW: <https://portal.gov.cz/app/zakony/zakonPar.jsp?idBiblio=77185>.
    26. Macdonald JH, Marcora SM, Jibani M et al. Bioelectrical impedance can be used to predict muscle mass and hence improve estimation of glomerular filtration rate in non-diabetic patients with chronic kidney disease. Nephrol Dial Transplant 2006; 21(12): 3481-3487. Go to original source... Go to PubMed...
    27. Donadio C, Consani C, Ardini M et al. Prediction of glomerular filtration rate from body cell mass and plasma creatinine. Curr Drug Discov Technol 2004; 1(3): 221-228. Go to original source... Go to PubMed...
    28. Cigarrán S, Castro MJ, Pousa M. Glomerular filtration rate (GFR) estimated by bioelectrical impedance (BIA) is so accurate as MDRD and CKD-EPI formula. Blood Purif 2009; 28(4): 327. In: 27th Annual Meeting of the International Society of Blood Purification (ISBP - Abstracts). September 17-19, 2009, Stockholm, Sweden. Blood Purif 2009; 28(4): 293-330. Dostupné z DOI: <http://DOI:10.1159/000235632>. Go to original source...
    29. Van Biesen W, Williams JD, Covic AC et al. Fluid Status in Peritoneal Dialysis Patients: The European Body Composition Monitoring (EuroBCM) Study Cohort. PLoS ONE 2011; 6(2): e17148. Dostupné z DOI: <http://dx.doi.org/10.1371/journal.pone.0017148>. Go to original source... Go to PubMed...
    30. Medici G, Mussi C, Fantuzzi AL et al. Accuracy of eight-polar bioelectrical impedance analysis for the assessment of total and appendicular body composition in peritoneal dialysis patients. Eur J Clin Nutr 2005; 59(8): 932-937. Dostupné z DOI: <http://dx.doi.org/10.1038/sj.ejcn.1602165>. Go to original source... Go to PubMed...

    Return to the content


    Vnitřní lékařství

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.