Predicting total body water and extracellular fluid volumes from bioelectrical measurements of the human body.

1992 ◽  
Vol 11 (5) ◽  
pp. 539-547 ◽  
Author(s):  
H L Johnson ◽  
S P Virk ◽  
P Mayclin ◽  
T Barbieri
2004 ◽  
Vol 1 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Michael I Lindinger ◽  
Gloria McKeen ◽  
Gayle L Ecker

AbstractThe purpose of the present study was to determine the time course and magnitude of changes in extracellular and intracellular fluid volumes in relation to changes in total body water during prolonged submaximal exercise and recovery in horses. Seven horses were physically conditioned over a 2-month period and trained to trot on a treadmill. Total body water (TBW), extracellular fluid volume (ECFV) and plasma volume (PV) were measured at rest using indicator dilution techniques (D2O, thiocyanate and Evans Blue, respectively). Changes in TBW were assessed from measures of body mass, and changes in PV and ECFV were calculated from changes in plasma protein concentration. Horses exercised by trotting on a treadmill for 75–120 min incurred a 4.2% decrease in TBW. During exercise, the entire decrease in TBW (mean±standard error: 12.8±2.0 l at end of exercise) could be attributed to the decrease in ECFV (12.0±2.4 l at end of exercise), such that there was no change in intracellular fluid volume (ICFV; 0.9±2.4 l at end of exercise). PV decreased from 22.0±0.5 l at rest to 19.8±0.3 l at end of exercise and remained depressed (18–19 l) during the first 2 h of recovery. Recovery of fluid volumes after exercise was slow, and characterized by a further transient loss of ECFV (first 30 min of recovery) and a sustained increase in ICFV (between 0.5 and 3.5 h of recovery). Recovery of fluid volumes was complete by 13 h post exercise. It is concluded that prolonged submaximal exercise in horses favours net loss of fluid from the extracellular fluid compartment.


1992 ◽  
Vol 27 (8) ◽  
pp. 1003-1008 ◽  
Author(s):  
Harry L. Anderson ◽  
Arnold G. Coran ◽  
Robert A. Drongowski ◽  
Hyun J. Ha ◽  
Robert H. Bartlett

2004 ◽  
Vol 24 (4) ◽  
pp. 353-358 ◽  
Author(s):  
Colin H. Jones ◽  
Charles G. Newstead

Background Patients receiving peritoneal dialysis experience a high technique failure rate and are often overhydrated. We examined whether an increased extracellular fluid volume (VECF) as a proportion of the total body water (VTBW) predicted technique survival (TS) in a prevalent patient cohort. Methods The VECF and VTBW were estimated by multiple-frequency bioelectric impedance in 59 prevalent peritoneal dialysis patients (median time on dialysis 14 months). Demographic, biochemical (albumin, C-reactive protein, and ferritin), and anthropometric data, forearm muscle strength, nutritional score by three-point Subjective Global Assessment, residual renal function, dialysate-to-plasma (D/P) creatinine ratio, total weekly Kt/V urea, total creatinine clearance, normalized protein equivalent of nitrogen appearance, and midarm muscle circumference were also assessed. Technique survival was determined at 3 years, and significant predictors of TS were sought. Results In patient groups defined by falling above or below the median value for each parameter, only residual renal function ( p = 0.002), 24-hour ultrafiltrate volume ( p = 0.02), and VECF / VTBW ratio ( p = 0.05) were significant predictors of TS. Subjects with a higher than median VECF / VTBW ratio had a 3-year TS of 46%, compared to 78% in subjects with a lower than median value. In multivariate analysis, systolic blood pressure and VECF / VTBW ratio (both p < 0.05) were significant predictors of TS. C-reactive protein approached significance. Conclusion Increased ratio of extracellular fluid volume to total body water is associated with decreased TS in peritoneal dialysis.


1963 ◽  
Vol 18 (6) ◽  
pp. 1231-1233 ◽  
Author(s):  
S. G. Srikantia ◽  
C. Gopalan

Determinations of body-fluid spaces with antipyrine for total-body water and sodium thiocyanate for extracellular fluid volume, hematological indices, and several serum constituents in about 500 Macaca radiata monkeys revealed that most of the values obtained were very similar to values obtained in man. body fluid spaces; hematology Submitted on April 22, 1963


1956 ◽  
Vol 34 (5) ◽  
pp. 959-966 ◽  
Author(s):  
C. Deb ◽  
J. S. Hart

Body fluid volumes and hematological values have been compared in rats exposed to 6 °C. for various periods of time and in rats at 30 °C. for comparable periods. Absolute blood and plasma volumes (T1824 space) decreased with time of exposure to 30 °C, while extracellular fluid volume (sodium space), total body water, and body weight increased. Rats transferred from the warm to the cold environment had larger plasma and blood volumes than those of rats at 30 °C. after the first week of exposure. After five weeks, blood volume was 22% greater on an absolute basis and 30% greater relative to total body water than that of the larger rats at 30 °C. There were no differences in extracellular fluid volumes between warm and cold exposed rats at comparable intervals. Total water and intracellular water tended to be greater in rats at 30 °C. on an absolute basis but they were much greater per unit body weight in rats at 6 °C. No differences were observed in red blood cell counts, in hemoglobin concentration, or in plasma specific gravity between warm and cold exposed rats, but there was an increased hematocrit, increased corpuscular volume, and decreased corpuscular hemoglobin content in rats kept at 6 °C. Hemoglobin, red cells, and plasma specific gravity increased with time in both groups.


2021 ◽  
pp. 1-6
Author(s):  
Lenka Vitova ◽  
Monika Tothova ◽  
Otto Schuck ◽  
Miroslava Horackova

<b><i>Introduction:</i></b> Hyponatraemia is associated with increased mortality in patients undergoing maintenance haemodialysis. In anuric patients, hyponatraemia development depends on the water-sodium ratio in retained fluid within the interdialysis interval (IDI). <b><i>Objective:</i></b> This study aimed to calculate the retained sodium-retained water ratio in patients on maintenance haemodialysis and make a differential diagnosis of hyponatraemia according to these data. <b><i>Methods:</i></b> The amount of retained water was determined as body weight gain (ΔBW) within the IDI. Sodium retention was calculated using our formula: eRNa<sup>+</sup> = ΔBW × (SNa<sup>+</sup>)<sub>t2</sub> − total body water (TBW)<sub>t1</sub> × ([SNa<sup>+</sup>]<sub>t1</sub> − [SNa<sup>+</sup>]<sub>t2</sub>), where TBW represents the calculated volume of the total body water and (SNa<sup>+</sup>)<sub>t1</sub> and (SNa<sup>+</sup>)<sub>t2</sub> represent the sodium concentration at the beginning and at the end of the IDI, respectively. We performed 89 measurements in 32 anuric patients on maintenance haemodialysis. <b><i>Results:</i></b> Hyponatraemia was detected in 13 measurements at the end of the IDI. The ΔBW had no statistically significant difference between normonatraemic and hyponatraemic patients. Hyponatraemic patients had significantly lower levels of retained sodium. The retained water-­retained sodium ratio facilitated in differentiating dilution hyponatraemia, nutritional hyponatraemia, depletion hyponatraemia, and dilution hyponatraemia associated with sodium wasting or malnutrition. <b><i>Conclusion:</i></b> The composition of retained fluid during the IDI may be hypotonic, hypertonic, or isotonic in relation to the extracellular fluid. Most of the hyponatraemic patients had hypotonic fluid retained during the IDI because of dilution as well as gastrointestinal sodium loss and/or malnutrition.


1996 ◽  
Vol 17 (11) ◽  
pp. 395-403
Author(s):  
Nicholas Jospe ◽  
Gilbert Forbes

Changes in volume and composition of body fluids due to disorders of fluid and electrolyte balance cause various common clinical illnesses. The rationale for reviewing the diagnosis and management of fluid and electrolyte disorders was eloquently denoted by Dr Altemeier, when he suggested that this knowledge belongs among the core concepts needed by the "keepers of the gates," that is, primary care pediatricians.1 In the body, homeostasis is maintained by the coordinated action of behavioral, hormonal, renal, and vascular adaptations to volume and osmotic changes. These core issues have been outlined in a previous article in this journal by Dr Hellerstein, and the current article proceeds from that discussion.2 Following introductory comments about body fluid volume and composition, we provide an overview of some of the etiologies of the disorders of volume, tonicity, and composition of body fluids and of the therapy to correct these disorders. Sodium, Osmolality, and the Volume of Body Fluids Total body water, which is 55% to 72% of body mass, varies with sex, age, and fat content and is distributed between the intracellular and extracellular spaces. The extracellular fluid (ECF), which comprises about one third of total body water, includes the intravascular plasma fluid and the extravascular interstitial fluid.


1972 ◽  
Vol 50 (1) ◽  
pp. 107-116 ◽  
Author(s):  
R. D. Cameron ◽  
J. R. Luick

The effects of climatic and nutritional changes on body fluid compartmentalization and turnover were investigated in grazing female reindeer. Total body water volume and turnover, extracellular fluid volume, and blood volume were estimated using tritiated water, sodium sulfate-35S, and sodium chromate-51Cr, respectively. During winter and spring, body weights were either maintained or reduced while total body water (percentage of body weight) increased, resulting in appreciable losses of total body solids. In summer, large gains in body weight were accompanied by reduced total body water volumes resulting in substantial increases in body solids. An apparent fluid shift from the intravascular to the extracellular compartment during late spring suggested the occurrence of a starvation edema. Mean water flux rates (ml/day per kilogram body weight) were higher in late spring than during other seasons; lowest values were recorded in early winter. Seasonal variations in nutritional status as reflected by body composition and fluid compartmentalization, and changes in water turnover are discussed in relation to climate and the quality and availability of forage. The complicating influences of pregnancy and lactation are also considered.


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