Extracellular resistance is sensitive to tissue sodium status; implications for bioimpedance-derived fluid volume parameters in chronic kidney disease.

ABSTRACT: Multifrequency bioimpedance spectroscopy (BIS) is an established method for assessing fluid status in chronic kidney disease (CKD). However, the technique is lacking in predictive value and accuracy. BIS algorithms assume constant tissue resistivity, which may vary with changing tissue ionic sodium concentration (Na⁺). This may introduce significant inaccuracies to BIS outputs. To investigate this, we used ²³Na magnetic resonance imaging (MRI) to measure Na⁺ in muscle and subcutaneous tissues of 10 healthy controls (HC) and 20 patients with CKD 5 (not on dialysis). The extracellular (Re) and intracellular (Ri) resistance, tissue capacitance, extracellular (ECW) and total body water (TBW) were measured using BIS. Tissue water content was assessed using proto

SUBMITTER: Mitsides N 

PROVIDER: S-EPMC7007413 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature