Clinical usefulness of bioimpedance analysis for assessing volume status in patients receiving maintenance dialysis
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Chronic volume overload is associated with left ventricular hypertrophy and high cardiovascular mortality in patients undergoing dialysis. Therefore, estimating body fluid status is important in these patients. However, most dry-weight assessments are still performed clinically, while attempts have been made to measure the volume status and dry weight of patients undergoing dialysis using bioimpedance analysis (BIA). BIA uses the electrical properties of the human body to alternate current flow and measures resistance values to estimate body water content and composition. BIA is divided into single-frequency BIA, multi-frequency BIA, and bioimpedance spectroscopy (BIS) according to the number of frequencies used, and into whole-body and segmental BIA according to whether or not the whole body is divided into segments. Extracellular water (ECW), intracellular water, and total body water (TBW) contents can be measured with BIA. Dry weight can be estimated by measuring the volume overload of the patient through the ECW/TBW and ECW-to-body weight ratios. Other estimation methods include the normovolemia/hypervolemia slope method, a resistance-reactance (RXc) graph, overhydration measurements using a body composition monitor, and calf BIS. In this review, we will examine the principles of BIA, introduce various volume status measurement methods, and identify the optimal method for patients undergoing dialysis.
Abstract
Chronic volume overload is associated with left ventricular hypertrophy and high cardiovascular mortality in patients undergoing dialysis. Therefore, estimating body fluid status is important in these patients. However, most dry-weight assessments are still performed clinically, while attempts have been made to measure the volume status and dry weight of patients undergoing dialysis using bioimpedance analysis (BIA). BIA uses the electrical properties of the human body to alternate current flow and measures resistance values to estimate body water content and composition. BIA is divided into single-frequency BIA, multi-frequency BIA, and bioimpedance spectroscopy (BIS) according to the number of frequencies used, and into whole-body and segmental BIA according to whether or not the whole body is divided into segments. Extracellular water (ECW), intracellular water, and total body water (TBW) contents can be measured with BIA. Dry weight can be estimated by measuring the volume overload of the patient through the ECW/TBW and ECW-to-body weight ratios. Other estimation methods include the normovolemia/hypervolemia slope method, a resistance-reactance (RXc) graph, overhydration measurements using a body composition monitor, and calf BIS. In this review, we will examine the principles of BIA, introduce various volume status measurement methods, and identify the optimal method for patients undergoing dialysis.
참고문헌 (60)
- 진동찬, "Current characteristics of dialysis therapy in Korea: 2015 registry data focusing on elderly patients", Kidney Research and Clinical Practice, 35(4), pp.204~211 (2016), 대한신장학회
- Parfrey PS, "Congestive heart failure in dialysis patients", Arch Intern Med, 148, pp.1519~1525 (1988)[DOI]
- Wizemann V, "The mortality risk of overhydration in haemodialysis patients", Nephrol Dial Transplant, 24, pp.1574~1579 (2009)[DOI]
- 김예진, "Overhydration measured by bioimpedance analysis and the survival of patients on maintenance hemodialysis: a single-center study", Kidney Research and Clinical Practice, 34(4), pp.212~218 (2015), 대한신장학회
- Barth C, "Characteristics of hypotension-prone haemodialysis patients: is there a critical relative blood volume?", Nephrol Dial Transplant, 18, pp.1353~1360 (2003)[DOI]
- Shoji T, "Hemodialysis-associated hypotension as an independent risk factor for two-year mortality in hemodialysis patients", Kidney Int, 66, pp.1212~1220 (2004)[DOI]
- Thomson GE, "Hemodialysis for chronic renal failure. Clinical observations", Arch Intern Med, 120, pp.153~167 (1967)[DOI]
- Vasko R, "Clinical judgment is the most important element in overhydration assessment of chronic hemodialysis patients", Clin Exp Nephrol, 17, pp.563~568 (2013)[DOI]
- Lee SW, "Plasma brain natriuretic peptide concentration on assessment of hydration status in hemodialysis patient", Am J Kidney Dis, 41, pp.1257~1266 (2003)[DOI]
- Ando Y, "The inferior vena cava diameter as a marker of dry weight in chronic hemodialyzed patients", Artif Organs, 19, pp.1237~1242 (1995)[DOI]
- Steuer RR, "Enhanced fluid removal guided by blood volume monitoring during chronic hemodialysis", Artif Organs, 22, pp.627~632 (1998)[DOI]
- Schloerb PR, "The measurement of total body water in the human subject by deuterium oxide dilution; with a consideration of the dynamics of deuterium distribution", J Clin Invest, 29, pp.1296~1310 (1950)[DOI]
- Miller ME, "Bromide space determination using anion-exchange chromatography for measurement of bromide", Am J Clin Nutr, 50, pp.168~171 (1989)[DOI]
- Pierson RN Jr, "Body composition measurements in normal man: the potassium, sodium, sulfate and tritium spaces in 58 adults", J Chronic Dis, 35, pp.419~428 (1982)[DOI]
- Kyle UG, "Bioelectrical impedance analysis: part I: review of principles and methods", Clin Nutr, 23, pp.1226~1243 (2004)[DOI]
- Hannan WJ, "Evaluation of multi-frequency bio-impedance analysis for the assessment of extracellular and total body water in surgical patients", Clin Sci (Lond), 86, pp.479~485 (1994)[DOI]
- Sartorio A, "Body water distribution in severe obesity and its assessment from eight-polar bioelectrical impedance analysis", Eur J Clin Nutr, 59, pp.155~160 (2005)[DOI]
- Kuhlmann MK, "Bioimpedance, dry weight and blood pressure control: new methods and consequences", Curr Opin Nephrol Hypertens, 14, pp.543~549 (2005)[DOI]
- Cha K, "Principles of bioelectritical impedance analysis", pp.1~8 (1977), InBody Co. Ltd.
- Matthie J, "Analytic assessment of the various bioimpedance methods used to estimate body water", J Appl Physiol (1985), 84, pp.1801~1816 (1998)[DOI]
- Buendia R, "Estimation of body fluids with bioimpedance spectroscopy: state of the art methods and proposal of novel methods", Physiol Meas, 36, pp.2171~2187 (2015)[DOI]
- Tattersall J, "Bioimpedance analysis in dialysis: state of the art and what we can expect", Blood Purif, 27, pp.70~74 (2009)
- Khalil SF, "The theory and fundamentals of bioimpedance analysis in clinical status monitoring and diagnosis of diseases", Sensors (Basel), 14, pp.10895~10928 (2014)[DOI]
- Lukaski HC, "Validation of tetrapolar bioelectrical impedance method to assess human body composition", J Appl Physiol (1985), 60, pp.1327~1332 (1986)[DOI]
- Hannan WJ, "Comparison of bio-impedance spectroscopy and multi-frequency bio-impedance analysis for the assessment of extracellular and total body water in surgical patients", Clin Sci (Lond), 89, pp.651~658 (1995)[DOI]
- Patel RV, "Estimation of total body and extracellular water in post-coronary artery bypass graft surgical patients using single and multiple frequency bioimpedance", Crit Care Med, 24, pp.1824~1828 (1996)[DOI]
- Olde Rikkert MG, "Validation of multi-frequency bioelectrical impedance analysis in detecting changes in fluid balance of geriatric patients", J Am Geriatr Soc, 45, pp.1345~1351 (1997)[DOI]
- Abbas SR, "Bioimpedance can solve problems of fluid overload", J Ren Nutr, 25, pp.234~237 (2015)[DOI]
- Bedogni G, "Accuracy of an eight-point tactile-electrode impedance method in the assessment of total body water", Eur J Clin Nutr, 56, pp.1143~1148 (2002)[DOI]
- Chamney PW, "A new technique for establishing dry weight in hemodialysis patients via whole body bioimpedance", Kidney Int, 61, pp.2250~2258 (2002)[DOI]
- Moissl UM, "Body fluid volume determination via body composition spectroscopy in health and disease", Physiol Meas, 27, pp.921~933 (2006)[DOI]
- Chertow GM, "Nutritional assessment with bioelectrical impedance analysis in maintenance hemodialysis patients", J Am Soc Nephrol, 6, pp.75~81 (1995)
- Zhu F, "Application of bioimpedance techniques to peritoneal dialysis", Contrib Nephrol, 150, pp.119~128 (2006)
- Asghar RB, "Relationship of demographic, dietary, and clinical factors to the hydration status of patients on peritoneal dialysis", Perit Dial Int, 24, pp.231~239 (2004)
- Lindley E, "A ward-based procedure for assessment of fluid status in peritoneal dialysis patients using bioimpedance spectroscopy", Perit Dial Int, 25(Suppl 3), pp.S46~S48 (2005)
- Davies SJ, "The role of bioimpedance and biomarkers in helping to aid clinical decision-making of volume assessments in dialysis patients", Kidney Int, 86, pp.489~496 (2014)[DOI]
- Konings CJ, "Fluid status, blood pressure, and cardiovascular abnormalities in patients on peritoneal dialysis", Perit Dial Int, 22, pp.477~487 (2002)
- van de Kerkhof J, "Reference values for multifrequency bioimpedance analysis in dialysis patients", Blood Purif, 22, pp.301~306 (2004)[DOI]
- Wang X, "Volume status and blood pressure in continuous ambulatory peritoneal dialysis patients", Blood Purif, 23, pp.373~378 (2005)[DOI]
- Plum J, "Comparison of body fluid distribution between chronic haemodialysis and peritoneal dialysis patients as assessed by biophysical and biochemical methods", Nephrol Dial Transplant, 16, pp.2378~2385 (2001)[DOI]
- Piccoli A, "Whole body: single frequency bioimpedance", Contrib Nephrol, 149, pp.150~161 (2005)
- Piccoli A, "A new method for monitoring body fluid variation by bioimpedance analysis: the RXc graph", Kidney Int, 46, pp.534~539 (1994)[DOI]
- Chamney PW, "A whole-body model to distinguish excess fluid from the hydration of major body tissues", Am J Clin Nutr, 85, pp.80~89 (2007)[DOI]
- "Fresenius Medical Care. BCM standard", Fresenius Medical Care, ~ (2014)
- Onofriescu M, "Bioimpedance-guided fluid management in maintenance hemodialysis: a pilot randomized controlled trial", Am J Kidney Dis, 64, pp.111~118 (2014)[DOI]
- Chen YC, "Adjusting dry weight by extracellular volume and body composition in hemodialysis patients", Nephron, 92, pp.91~96 (2002)[DOI]
- Pillon L, "Vector length as a proxy for the adequacy of ultrafiltration in hemodialysis", Kidney Int, 66, pp.1266~1271 (2004)[DOI]
- Piccoli A, "Identification of operational clues to dry weight prescription in hemodialysis using bioimpedance vector analysis. The Italian Hemodialysis-Bioelectrical Impedance Analysis (HD-BIA) Study Group", Kidney Int, 53, pp.1036~1043 (1998)[DOI]
- Onofriescu M, "Overhydration, cardiac function and survival in hemodialysis patients", PLoS One, 10, pp.e0135691~ (2015)[DOI]
- Machek P, "Guided optimization of fluid status in haemodialysis patients", Nephrol Dial Transplant, 25, pp.538~544 (2010)[DOI]
- Moissl U, "Bioimpedance-guided fluid management in hemodialysis patients", Clin J Am Soc Nephrol, 8, pp.1575~1582 (2013)[DOI]
- Zhu F, "Adjustment of dry weight in hemodialysis patients using intradialytic continuous multifrequency bioimpedance of the calf", Int J Artif Organs, 27, pp.104~109 (2004)[DOI]
- Oe B, "Hemodialysis (HD) versus peritoneal dialysis (PD): latent overhydration in PD patients?", Int J Artif Organs, 25, pp.838~843 (2002)[DOI]
- O'Lone EL, "Clinical significance of multi-frequency bioimpedance spectroscopy in peritoneal dialysis patients: independent predictor of patient survival", Nephrol Dial Transplant, 29, pp.1430~1437 (2014)[DOI]
- Yoon HE, "Overhydration negatively affects quality of life in peritoneal dialysis patients: evidence from a prospective observational study", Int J Med Sci, 13, pp.686~695 (2016)[DOI]
- 장문, "Numerical expression of volume status using the bioimpedance ratio in continuous ambulatory peritoneal dialysis patients: A pilot study", Kidney Research and Clinical Practice, 36(3), pp.290~295 (2017), 대한신장학회
- Foley RN, "Effect of hemoglobin levels in hemodialysis patients with asymptomatic cardiomyopathy", Kidney Int, 58, pp.1325~1335 (2000)[DOI]
- Hur E, "Effect of fluid management guided by bioimpedance spectroscopy on cardiovascular parameters in hemodialysis patients: a randomized controlled trial", Am J Kidney Dis, 61, pp.957~965 (2013)[DOI]
- Middleton RJ, "Left ventricular hypertrophy in the renal patient", J Am Soc Nephrol, 12, pp.1079~1084 (2001)
- Chazot C, "Importance of normohydration for the long-term survival of haemodialysis patients", Nephrol Dial Transplant, 27, pp.2404~2410 (2012)[DOI]
