利用运动员的原始生物电阻抗参数预测体水分隔:串联和并联测量的比较。

Prediction of body water compartments by raw bioelectrical impedance parameters in athletes: Comparison between series and parallel measurements.

机构信息

Exercise and Health Laboratory, CIPER, Faculdade Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal.

National Institute of Health Doutor Ricardo Jorge, Lisbon, Portugal.

出版信息

Scand J Med Sci Sports. 2023 Oct;33(10):1998-2008. doi: 10.1111/sms.14443. Epub 2023 Jul 5.

Abstract

BACKGROUND

The aim of this study was to determine the predictive role of series and parallel bioelectrical impedance-derived parameters in predicting total body (TBW), intracellular (ICW), and extracellular water (ECW) in athletes.

METHODS

This cross-sectional study analyzed 134 male (21.33 ± 5.11 years) and 64 female (20.45 ± 5.46 years) athletes. Using dilution techniques, TBW and ECW were determined while ICW was the difference between both. Raw and standardized for height (/H) bioelectrical resistance (R), reactance (Xc), and impedance (Z) values were obtained using a phase-sensitive device at a single frequency in a series array (s). These were mathematically transformed in a parallel array (p) and capacitance (CAP). Fat-free mass (FFM) was assessed by dual-energy X-ray absorptiometry.

RESULTS

Multiple regressions adjusted for age and FFM show that R/Hs, Z/Hs, R/Hp, and Z/Hp were significant predictors of TBW (p < 0.001 in females and males). While Xc/Hs did not predict ICW, Xc/Hp was a predictor (p < 0.001 in females and Males). In females, R/H and Z/H predicted similarly TBW, ICW, and ECW. In males, R/Hs was considered a better predictor than R/Hp for TBW and ICW, and the Xc/Hp was considered the best predictor for ICW. Another significant predictor of ICW was CAP (p < 0.001 in females and males).

CONCLUSION

This study highlights the potential value of parallel bioelectrical impedance values to identify fluid compartments in athletes as an alternative to the regularly used series measurements. Moreover, this study supports Xc in parallel, and ultimately CAP, as valid indicators of cell volume.

摘要

背景

本研究旨在确定串联和并联生物电阻抗衍生参数在预测运动员的总体水(TBW)、细胞内水(ICW)和细胞外水(ECW)中的预测作用。

方法

本横断面研究分析了 134 名男性(21.33±5.11 岁)和 64 名女性(20.45±5.46 岁)运动员。使用稀释技术,确定 TBW 和 ECW,而 ICW 则是两者之间的差值。使用单相敏感设备在串联数组(s)中获得未经高度标准化(/H)和标准化的生物电阻(R)、电抗(Xc)和阻抗(Z)值,然后在并联数组(p)和电容(CAP)中进行数学转换。使用双能 X 射线吸收法评估去脂体重(FFM)。

结果

调整年龄和 FFM 的多元回归显示,R/Hs、Z/Hs、R/Hp 和 Z/Hp 是 TBW 的显著预测因子(女性和男性均 p<0.001)。Xc/Hs 不能预测 ICW,但 Xc/Hp 是预测因子(女性和男性均 p<0.001)。在女性中,R/H 和 Z/H 对 TBW、ICW 和 ECW 的预测作用相似。在男性中,R/Hs 被认为是 TBW 和 ICW 的更好预测因子,而 Xc/Hp 被认为是 ICW 的最佳预测因子。另一个 ICW 的重要预测因子是 CAP(女性和男性均 p<0.001)。

结论

本研究强调了并联生物电阻抗值在识别运动员体液隔室方面的潜在价值,这是对常用串联测量的替代方法。此外,本研究支持了并联的 Xc 以及最终的 CAP,作为细胞体积的有效指标。

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