Impiego della dual energy X-ray absorptiometry (DEXA) per la determinazione dell'acqua corporea totale nei pazienti in trattamento dialitico cronico

Translated title of the contribution: Use of Dual Energy X-ray Absorptiometry (DEXA) in the determination of body water in hemodialyzed patients

P. E. Nebiolo, M. Manes, G. Bonfant, T. Varetto, D. Cantalupi, S. Alloatti

Research output: Contribution to journalArticle

Abstract

In order to assess Total Body Water (TBW), three methods are compared, in 18 patients on regular dialysis treatment: DEXA, Bioimpedance Analysis (BIA) and urea Kinetic Volume (V urea). The mean difference between gravimetric weight and Total Body Mass (TBM) DEXA is closed (1.04 kg, SD of differences 0.4 kg). The mean difference between Δ pre-post HD gravimetric weight loss (2.6 kg) and Δ pre-post TBM DEXA is - 0.03 kg (SD 0.28). TBW measured with the three methods are (Liters): TBW DEXA=31.2 (SD 5.2), TBW BIA=29.7 (SD 5.2), TBW V urea=29.1 (SD 4.8). TBW comparisons between the three methods are (Liters): TBW DEXA-TBW BIA=mean 1.5 (SD 3.8), r=0.73. TBW DEXA-TBW V urea=mean 2.1 (SD 2.2), r=0.88. TBW BIA-TBW V urea=mean 0.6 (SD 3.6), r=0.80. Hydration index of lean body mass, calculated by assuming V urea as standard, is 0.69 (SD 0.05), range 0.62-0.77, in agreement with others studies. In conclusion DEXA, a useful method for body composition and nutritional status assessing, represents a new tool for measuring hydration status, combined with others TBW evaluation formulas (BIA or V urea).

Original languageItalian
Pages (from-to)67-74
Number of pages8
JournalMinerva Urologica e Nefrologica
Volume48
Issue number1
Publication statusPublished - Mar 1996

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ASJC Scopus subject areas

  • Nephrology
  • Urology

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