Accuracy of the estimation of

Published
February 18, 2020
Journal
Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis
PICOID
c8614215
DOI
Citations
10
Keywords
Bioimpedance, body composition, isotope dilution, total body water
Copyright
Patients/Population/Participants

healthy population, dialysis population

Intervention

isotopic dilution, anthropometric equations (e.g. Watson formula), bioimpedance analysis

Comparison

between-method population means

Outcome

typically within 1-1.5 L of each other, larger bias seen when applying anthropometric equations to different racial groups, 95% LOA for all comparisons were consistently wide, typically ranging ±12-18% of the TBW

Abstract

P
I
C
O

Current guidelines for the prescription of peritoneal dialysis dose rely on a single cut-off 'minimal' value of A literature search was undertaken of studies comparing TBW estimation using two or three of the following methods: isotopic dilution (gold standard), anthropometric equations (e.g. Watson formula) and bioimpedance analysis. Studies of healthy and dialysis populations of all ages were included. Mean differences and 95% limits of agreement (LOA) were extracted and pooled. In 44 studies (31 including dialysis subjects), the between-method population means were typically within 1-1.5 L of each other, although larger bias was seen when applying anthropometric equations to different racial groups. However, the 95% LOA for all comparisons were consistently wide, typically ranging ±12-18% of the TBW. For a typical individual whose TBW is 35 L with a measured There are limitations to the accuracy of estimation of

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