Consistency of the estimated target weights and ECW/TBW using BIA after hemodialysis in patients between standing and lying-down positions

Abstract

Background As hemodialysis is administered with the patient lying down, the distribution of body fluid is stable in the lying position, which is why this position is recommended for bioimpedance analysis (BIA). Although the InBody S10 is widely used for hemodialysis patients in the lying position, clinicians must make the measurements in person. In contrast, patients can use the InBody 770 to obtain measurements by themselves in the standing position, which may be more convenient. Therefore, this study compared the measurements of hemodialysis patients’ estimated target weight and ECW/TBW obtained lying down using the S10 to those obtained in the standing position using the 770. Methods This study was conducted among maintenance hemodialysis patients at Chuncheon Sacred Heart Hospital in October 2020. Measurements from 56 patients before and after hemodialysis were obtained using the 2 machines. Each (S10 or 770) estimated target weight, both pre- and post-hemodialysis, was considered ideal when the ECW/TBW ratio was 0.380. R2 was calculated and the Bland-Altman test was performed. Results The patients’ median age was 64 years old, and 51% were men. The actual ultrafiltration was 2 kg, and the mean TBW change measured using the InBody devices was 1.5 L (R2 = 0.718) for the S10 and 1.7 L (R2 = 0.616) for the 770. The estimated target weight at pre- and post-hemodialysis showed a remarkably high correlation with the patients’ actual pre- and post-hemodialysis weight (R2 > 0.095). The correlation between these measurements (lying vs. standing) before and after hemodialysis was also very close (R2 = 1.0000). In addition, ECW/TBW had a good correlation (R2 ≥ 0.970) The Bland-Altman test of dry weight and ECW/TBW yielded similar results. Conclusions This study showed that patients’ estimated target weights in the lying position using the InBody S10 device and in the standing position using the InBody 770 device were consistent in both pre- and post-hemodialysis states.

Associations of sarcopenic obesity vs either sarcopenia or obesity alone with cognitive impairment risk in patients requiring maintenance hemodialysis

“…Fourth, lean tissue mass was assessed by the body composition monitor in our study, whereas lean tissue mass was assessed with DXA in many studies. The body composition monitor has been widely accepted to assess body composition in hemodialysis patients because it is not affected by overhydration 29 . Besides, we have excluded those patients with excessive fluid overload.…”

“…The body composition monitor has been widely accepted to assess body composition in hemodialysis patients because it is not affected by overhydration. 29 Besides, we have excluded those patients with excessive fluid overload. Fifth, the Montreal Cognitive Assessment was reported to have higher predictive performance for identifying severe CI than MMSE.…”

Association between dynapenia and cognitive decline in community‐dwelling older Japanese adults: The IRIDE Cohort Study

“…The BIA‐derived SMI was determined using the InBody S10 (InBody Co., Ltd, Korea) for the Takashimadaira cohort, and the InBody 720 and InBody 770 (InBody Co., Ltd, Korea) for the remaining cohorts. The compatibility of these devices has been detailed in previous studies 20–22 . Impedance was measured at multiple frequencies, and the SMI was calculated from these parameters, along with height and weight, using the built‐in algorithms of the device.…”

“…The compatibility of these devices has been detailed in previous studies. [20][21][22] Impedance was measured at multiple frequencies, and the SMI was calculated from these parameters, along with height and weight, using the built-in algorithms of the device. The grip strength of the dominant hand was measured in the standing position using a Smedley-type dynamometer, and the value from the initial trial was adopted.…”

Association Between Changes in Bioelectrical Impedance Analysis (BIA) Parameter and the Clinical Outcomes in Patients With Acute Heart Failure

“…The method of BIA with Inbody S10 has been published elsewhere. 11 17 18 Briefly, all patients lying posture for 10 minutes before the examination and electrodes were applied to both arm and leg, the foot electrodes should be positioned between patient’s anklebone and heel. Body water composition including ICW, ECW, TBW, and ratio of ECW to TBW (ECW/TBW) were calculated automatically by the BIA device.…”