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BIA
(Bio-Impedance Assessment)

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Q: Bio-Impedance Assessment

Can you point me to information on the interpretation of and protocols for use of bioelectrical impedance (BIA)? How can I use BIA in a scientific manner that MD's will appreciate? I am a RD working with HIV+ clients. (February, 2000)

A: Barbara J. Scott, MS, RD responds:

Here are some good references on BIA:

American Journal of Clinical Nutrition:
1. Lukaski HC et al Assessment of fat free mass using BIA of the human body 1985 41:810-817
2. Kushner RF et al Estimation of total body water by BIA 1986 44: 417-424
3. Lukaski HC et al 1987 46:537-556
4. Segal KR et al Lean body masss estimation by BIA: a four-site cross-validation study 1988 47:7-14
5. Kotler et al Magnitude of BCM depletion and the timing of death from wasting in AIDS 50:444-447
6. Kotler DP et al Prediction of body cel mass, fat-free mass, and total body water with BIA : effects of race, sex, and disease. 1996 64(supp):489s-497s

Other journals:
1. Scheltinga et al Alterations in body fluid content can be detected by BIA. Journal of Surgical Research 1991 50:461-468.
2. Adami GF el al Use of BIA for monitoring body composition changes during nutrition support in end-stage neoplastic patients. Diabetes, Nutrition and Metabolism 1990 3:41-44.

Also, the equipment you purchase may come with a set of reprints, or at least references, as to the validity and interpretation of the results.

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