Impact of diffusion, ultrafiltration, and posture on total body electrical resistance in patients on hemodialysis

Author:

Schotman Jantine1ORCID,van Borren Marcel2,Wetzels Jack3,Kloke Heinrich3,Reichert Louis1,Doorenbos Cornelius J.4,de Boer Hans1

Affiliation:

1. Department of Internal Medicine, Rijnstate Hospital, Arnhem, The Netherlands

2. Department of Clinical Chemistry, Rijnstate Hospital, Arnhem, The Netherlands

3. Department of Nephrology, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands

4. Department of Internal Medicine, Deventer Hospital, Deventer, The Netherlands

Abstract

Current BIA methods have limited accuracy in patients on HD. This may be related to the incorrect assumption that all changes in total body electrical resistance (TBER) are caused by changes in body water volumes. The present study indicates that two-thirds of the change in TBER during a conventional 4-h HD session can be attributed to fluid extraction, and that the remaining part is caused by other processes such as postural change and electrolyte exchange. This may cause volume prediction errors when not recognized.

Funder

Radboud-Rijnstate PhD Funding

Publisher

American Physiological Society

Subject

Physiology (medical),Physiology

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