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Cited by 75Body Composition Measurement TechniquesHemodynamic Monitoring and TherapyElectrical and Bioimpedance Tomography

Validation of Multi‐Frequency Bioelectrical Impedance Analysis in Detecting Changes in Fluid Balance of Geriatric Patients

Rikkert, Marcel G.M. Olde, Deurenberg, Paul, Jansen, René W.M.M., van't Hof, Martin A., Hoefnagels, Willibrord H.L.·1997·Journal of the American Geriatrics Society
DOI 10.1111/j.1532-5415.1997.tb02934.x
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Abstract

Objectives Multi-Frequency Bioelectrical Impedance Analysis (MFBIA) is a quick, simple, and inexpensive method to assess body fluid compartments. This study aimed at determining the validity of MFBIA in detecting clinically relevant changes of fluid balance in geriatric patients. Design A prospective, observational study. Setting The 22-bed Geriatric Department of the University Hospital Nijmegen. Participants Hospitalized patients were eligible if they did not have a pacemaker, were not suffering from terminal illnesses, and did not have psychogeriatric diseases likely to interfere with capacity to consent or comply. During a 16-months period, 218 patients were admitted, of whom 78 patients were eligible and 53 consented to participate. Measurements Each subject's fluid balance was diagnosed twice a week as dehydrated, overhydrated, or euvolemic, based on standardized physical examination, laboratory tests, and weight evaluation. Changes in fluid balance were quantified by measuring total body water (TBW) and extracellular fluid (ECF) applying deuterium- and bromide-dilution techniques. Impedance at 1, 5, 50, and 100 kHz and body weight were measured daily. Sensitivity and Guyatt's responsiveness indexes of MFBIA in detecting dehydration and overhydration were determined. Results In total, 1071 MFBIA measurements were performed, during which 14 transitions from dehydration to euvolemia and 13 transitions from overhydration to euvolemia were monitored. Rehydration of dehydrat…

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Crossref · 10.1111/j.1532-5415.1997.tb02934.x

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  • Total body water is reduced in older adults.

    “In addition, total body water is reduced, and many older adults use medications such as diuretics and laxatives which increase fluid losses (247-251).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [250]

  • Many older adults use medications such as diuretics and laxatives which increase fluid losses.

    “In addition, total body water is reduced, and many older adults use medications such as diuretics and laxatives which increase fluid losses (247-251).”

    From ESPEN practical guideline: Clinical nutrition and hydration in geriatrics (2022) · cites this paper as [250]

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Authors
Rikkert, M. G. M. O., Deurenberg, P., Jansen, R. W. M. M., van't Hof, M. A., & Hoefnagels, W. H. L.
Affiliations
  • Radboud University Nijmegen (NL)
  • Wageningen University & Research (NL)
Corresponding author
Rikkert, Marcel G.M. Olde
ORCID
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
1997-11
Volume
45
Issue
11
Pages
1345-1351
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
DOI
10.1111/j.1532-5415.1997.tb02934.x
OpenAlex
W2141005052
Cited by
75
References
36
Citations by year
2026: 3 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 2 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 5 · 2014: 8 · 2013: 3 · 2012: 2
FWCI
0.40
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 6386 d)
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Physical Sciences › Engineering › Electrical and Electronic Engineering › Electrical and Bioimpedance Tomography
Keywords
multifrequency bioelectrical impedance analysis, fluid balance, dehydration, fluid overload, elderly patients, total body water, extracellular fluid, deuterium dilution, bromide dilution, rehydration, diagnostic sensitivity, responsiveness, body fluid compartments, hospitalized older adults, method validation, weight monitoring, fluid restriction, diuretics
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, Body Composition, Body Weight, Dehydration, Female, Fluid Therapy, Humans, Male, Prospective Studies, Sensitivity and Specificity, Water-Electrolyte Balance, Geriatric Assessment, Electric Impedance

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