Robustness study of the different immittance spectra and frequency ranges in bioimpedance spectroscopy analysis for assessment of total body composition.
                
                        Journal article, 2014
                
            
                    
                        The estimation of body fluids is a useful and common practice for assessment of disease status and therapy outcomes. Electrical bioimpedance spectroscopy (EBIS) methods are noninvasive, inexpensive and efficient alternatives for determination of body fluids. One of the main source of errors in EBIS measurements in the estimation of body fluids is capacitive coupling. In this paper an analysis of capacitive coupling in EBIS measurements was performed and the robustness of the different immittance spectra against it tested. On simulations the conductance (G) spectrum presented the smallest overall error, among all immittance spectra, in the estimation of the impedance parameters used to estimate body fluids. Afterwards the frequency range of 10-500 kHz showed to be the most robust band of the G spectrum. The accuracy of body fluid estimations from the resulting parameters that utilized G spectrum and parameters provided by the measuring device were tested on EBIS clinical measurements from growth hormone replacement therapy patients against estimations performed with dilution methods. Regarding extracellular fluid, the correlation between each EBIS method and dilution was 0.93 with limits of agreement of 1.06 ± 2.95 l for the device, 1.10 ± 2.94 l for G [10-500 kHz] and 1.04 ± 2.94 l for G [5-1000 kHz]. Regarding intracellular fluid, the correlation between dilution and the device was 0.91, same as for G [10-500 kHz] and 0.92 for G [5-1000 kHz]. Limits of agreement were 0.12 ± 4.46 l for the device, 0.09 ± 4.45 for G [10-500 kHz] and 0.04 ± 4.58 for G [5-1000 kHz]. Such close results between the EBIS methods validate the proposed approach of using G spectrum for initial Cole characterization and posterior clinical estimation of body fluids status.
                    
                    
                            
                                Feasibility Studies
                            
                            
                                Algorithms
                            
                            
                                Electric Capacitance
                            
                            
                                Female
                            
                            
                                Male
                            
                            
                                Extracellular Fluid
                            
                            
                                Regression Analysis
                            
                            
                                physiology
                            
                            
                                Models
                            
                            
                                Middle Aged
                            
                            
                                drug effects
                            
                            
                                Factual
                            
                            
                                Hormone Replacement Therapy
                            
                            
                                physiology
                            
                            
                                Humans
                            
                            
                                Body Composition
                            
                            
                                therapeutic use
                            
                            
                                Growth Hormone
                            
                            
                                Databases
                            
                            
                                Computer Simulation
                            
                            
                                physiology
                            
                            
                                Electric Impedance
                            
                            
                                Body Fluids
                            
                            
                                methods
                            
                            
                                Intracellular Fluid
                            
                            
                                Biological
                            
                            
                                drug effects
                            
                            
                                Dielectric Spectroscopy