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Clinical Nutrition Research Unit, University of Chicago, Chicago, Illinois 60637
The 1994 National Institutes of Health Technology Conference on bioelectrical
impedance analysis (BIA) did not support the use of BIA under
conditions that alter the normal relationship between the extracellular
(ECW) and intracellular water (ICW) compartments. To extend
applications of BIA to these populations, we investigated the accuracy
and precision of seven previously published BIA models for the
measurement of change in body water compartmentalization among
individuals infused with lactated Ringer solution or administered a
diuretic agent. Results were compared with dilution by using deuterium
oxide and bromide combined with short-term changes of body weight. BIA,
with use of proximal, tetrapolar electrodes, was measured from 5 to 500 kHz, including 50 kHz. Single-frequency, 50-kHz models did not
accurately predict change in total body water, but the 50-kHz parallel
model did accurately measure changes in ICW. The only model that
accurately predicted change in ECW, ICW, and total body water was the
0/
-kHz parallel (Cole-Cole) multifrequency model. Use of the Hanai
correction for mixing was less accurate. We conclude that the
multifrequency Cole-Cole model is superior under conditions in which
body water compartmentalization is altered from the normal state.
body composition; bioimpedance; deuterium; bromide; modeling
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