title: Is the impedance index (ht2/R) significant in predicting total body water?
abstract: We investigated the general utility of bioelectrical impedance analysis (BIA) and the implications of BIA theory in populations of various ages from infancy to adulthood by developing a single impedance equation. Four subject data sets representing 62 adults, 37 prepubertal children, 44 preschool children, and 32 premature low-birth-weight neonates were combined. Subjects were randomly divided into a development group (n = 116) and a cross-validation group (n = 59). The single best predictor of total body water (TBW) was height2/resistance (ht2/R), which explained 99% of the variation in TBW (SEE = 1.67 kg). The addition of weight reduced the SEE to 1.41 kg. A significant bias was only seen in the preschool children. These results were confirmed in the cross-validation group and the best prediction formula was TBW = 0.59 ht2/R + 0.065 wt + 0.04. We conclude that the impedance index (ht2/R) is a significant predictor of TBW and that there is some improvement in prediction of TBW by inclusion of a weight term.
authors.affiliation: Clinical Nutrition Research Unit, University of Chicago, IL.
authors.forename: R F
authors.initials: RF
authors.lastname: Kushner
authors.forename: D A
authors.initials: DA
authors.lastname: Schoeller
authors.forename: C R
authors.initials: CR
authors.lastname: Fjeld
authors.forename: L
authors.initials: L
authors.lastname: Danford
mesh_terms: D000328:Adult; D000368:Aged; D001823:Body Composition; D001834:Body Water; D002648:Child; D002675:Child, Preschool; D017097:Electric Impedance; D005260:Female; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D008875:Middle Aged; D012044:Regression Analysis