Body composition monitoring in children and adolescents: reproducibility and reference values

Eyck, Annelies Van; Eerens, Sofie; Trouet, Dominique; Lauwers, E.; Wouters, Kristien; Winter, Benedicte Y. De; Lee, Johanna H. van der; Hoeck, Koen Van; Ledeganck, Kristien J.

doi:10.1007/s00431-021-03936-0

Cited by 28 publications

(16 citation statements)

References 37 publications

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“…Body cell waters were measured by a whole‐body bioimpedance spectroscopy device, Body Composition Monitor (BCM, Fresenius Medical Care). Reliability of the BCM device has been proved to be high both in general population and dialysis paients 18,19 . To reduce operator variability, according to the manufacturer's instructions, all BISs were performed by the same operators.…”

Section: Methodsmentioning

confidence: 99%

“…Reliability of the BCM device has been proved to be high both in general population and dialysis paients. 18,19 To reduce operator variability, according to the manufacturer's instructions, all BISs were performed by the same operators. A well-trained renal physician and a dialysis nurse carried out the measurements approximately 30 min before the HD session.…”

Section: Measurements Of Body Cell Watersmentioning

confidence: 99%

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Low intracellular water and incident cognitive impairment in chronic hemodialysis patients

Tian,

Yuan,

et al. 2023

Int J Geriat Psychiatry

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ObjectiveTo explore the effect of intracellular water (ICW) evaluated by the bioelectrical Impedance Spectroscopy (BIS) on the risk of incident cognitive impairment (CI) in chronic hemodialysis (HD) patients.MethodsThree thousand three hundred eighty‐five patients were recruited and monitored prospectively for up to 3 years (the median follow‐up time, 2 years) in this observational cohort study. Mini‐Mental State Examination score (MMSE) was used to assess the global cognitive function. ICW was measured by body composition monitor based on BIS. Multiple Cox regression models, stratified analyses, and interactive analyses were conducted.ResultsDuring the follow‐up period, 1256 patients (37.1%) experienced incident CI. The incidence of CI was increased with decreasing quartiles of ICW (27.4%, 32.2%, 38.9%, and 50.1% for the fourth, third, second, and first quartiles, respectively). Decreased ICW was significantly associated with incident CI. The association remained statistically significant even after adjusting for age, sex, education, albumin, C‐reactive protein, residual renal function and various medical histories. The hazard ratios were 1.38 (1.17–1.64) and 1.28 (1.08–1.52) for ICW quartile 1 and quartile 2, respectively (reference, quartile 4). The association stably existed across subgroups, and the residual renal function had an interactive role in the association between ICW and incident CI (p = 0.014).ConclusionLow baseline ICW was an independent risk factor for CI in chronic HD patients. Our finding highlights the necessity of using BIS to measure body composition when assessing the risk of CI in HD patients.

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Section: Methodsmentioning

confidence: 99%

Section: Measurements Of Body Cell Watersmentioning

confidence: 99%

Low intracellular water and incident cognitive impairment in chronic hemodialysis patients

Tian,

Yuan,

et al. 2023

Int J Geriat Psychiatry

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“…On average, three-year-olds have total body water of 7 to 11 L depending on their weight and sex. At 10 years old, there is between 15 and 25 L depending on sex and age, and at 18 years old between 35 and 50 L for boys and between 25 and 38 L for girls [ 39 , 40 , 41 ]. A new method using isotope tracking (2 H) allows investigation of water turnover (water used by the body each day), confirming that age and body size were significantly associated with water turnover, as were physical activity, socioeconomic status, and environmental characteristics (altitude, air temperature) [ 42 ].…”

Section: Overall Benefits Of Hydrationmentioning

confidence: 99%

Hydration and Nephrolithiasis in Pediatric Populations: Specificities and Current Recommendations

et al. 2023

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Renal lithiasis is less frequent in children than in adults; in pediatrics, lithiasis may be caused by genetic abnormalities, infections, and complex uropathies, but the association of urological and metabolic abnormalities is not uncommon. The aim of this study is to provide a synthesis of nephrolithiasis in children and to emphasize the role of hydration in its treatment. As an etiology is reported in 50% of cases, with a genetic origin in 10 to 20%, it is proposed to systematically perform a complete metabolic assessment after the first stone in a child. Recent data in the field reported increased incidence of pediatric urolithiasis notably for calcium oxalate stones. These changes in the epidemiology of stone components may be attributable to metabolic and environmental factors, where hydration seems to play a crucial role. In case of pediatric urolithiasis, whatever its cause, it is of utmost importance to increase water intake around 2 to 3 L/m2 per day on average. The objective is to obtain a urine density less than 1010 on a dipstick or below 300 mOsm/L, especially with the first morning urine. Some genetic diseases may even require a more active 24 h over-hydration, e.g., primary hyperoxaluria and cystinuria; in such cases naso-gastric tubes or G-tubes may be proposed. Tap water is adapted for children with urolithiasis, with limited ecological impact and low economical cost. For children with low calcium intake, the use of calcium-rich mineral waters may be discussed in some peculiar cases, even in case of urolithiasis. In contrast, sugar-sweetened beverages are not recommended. In conclusion, even if parents and patients sometimes have the feeling that physicians do not propose “fancy” therapeutic drugs, hydration and nutrition remain cornerstones of the management of pediatric urolithiasis.

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“…The tests were carried out according to a standard protocol in accordance with the manufacturer's recommendations without shoes or socks, with clean and dried feet, and wearing light clothing. The children were asked to (1) avoid exertion and excessive fluid intake before the test; (2) were properly prepared by their parents (point 2.2); (3) at least 30 min before the measurement, children were asked to empty their intestines and bladder; (4) the children were standing for at least 5 min before the measurement to redistribute the tissue fluids; (5) measurement was performed while standing [49][50][51][52][53].…”

Section: Fat Content Measurementmentioning

confidence: 99%

The Impact of Physical Activity at School on Body Fat Content in School-Aged Children

Ługowska

Kolanowski

2022

IJERPH

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(1) Background: Excessive amounts of adipose tissue is a health risk. The aim of this study was to assess the impact of increased physical activity (PA) at school on body fat content in children aged 10 to 12 years over a 2-year follow-up. (2) Methods: Children born in 2007 (n = 245) in two groups, (1) standard PA and (2) increased PA at school, 4 and 10 h of physical education lessons per week, respectively. BIA measurements of body fat content were taken twice a year. Results were interpreted based on children’s fat content reference curves. (3) Results: During 2 years of observation, the percentage of children with excessive fat mass (overweight and obese) increased by one-third (from 28.11% to 39.67%) in the group of standard PA, while decreased by one-third in the increased PA one (from 28.92% to 21.00%); with normal fat content increased by one-quarter in the increased PA group (from 59.86% to 76.26%) and decreased by one-tenth in the standard PA one (from 61.61% to 56.29%). (4) Conclusions: An increase in PA at school has a positive impact on children’s body fat content. It is recommended to increase the number of physical education lessons at school, which has a positive effect on children’s health, reducing the risk of obesity.

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Body composition monitoring in children and adolescents: reproducibility and reference values

Cited by 28 publications

References 37 publications

Low intracellular water and incident cognitive impairment in chronic hemodialysis patients

Low intracellular water and incident cognitive impairment in chronic hemodialysis patients

Hydration and Nephrolithiasis in Pediatric Populations: Specificities and Current Recommendations

The Impact of Physical Activity at School on Body Fat Content in School-Aged Children

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