生物电阻抗分析能否用于识别神经性厌食症患者的水负荷?——来自年轻、健康、体重正常女性实验测量的启示。
Can bioelectrical impedance analysis be used to identify water loading in patients with anorexia nervosa?- Implications from experimental measurements in young, healthy, and normal weight women.
作者信息
Knoll-Pientka Nadja, Schils Dorina, Pasternak Katrin, Czarnetzky Sandra, Jansen Christoph, Gradl-Dietsch Gertraud, Seitz Jochen, Skoda Eva-Maria, Libuda Lars, Schweda Adam, Teufel Martin
机构信息
Clinic for Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, LVR-University Hospital Essen, Essen, Germany.
Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg-Essen, Essen, Germany.
出版信息
J Eat Disord. 2025 May 19;13(1):87. doi: 10.1186/s40337-025-01285-z.
Anorexia nervosa (AN) is a severe mental disorder, and patients with AN are characterized by a low body weight and a fear of gaining weight. Restoration of body weight to the normal range is one major treatment aim, which can be a challenging process for the patients. Hence, as a psychopathological symptom of AN, weight manipulations such as water loading before weighing are commonly observed in clinical routine. Biological impedance analysis (BIA) is a helpful tool in routinely visualizing changes in body composition during the refeeding process. Here, we targeted the question whether BIA could potentially detect water loading in healthy, young and normal weight women serving as a preclinical model for patients with AN.Sixty-one women (mean ± SD, 22.2 ± 2.2 years, 20.4 ± 1.0 kg/m) were included in the analyses. We used a full experimental setting with a cross-over design on two consecutive days. On both days, all participants underwent a baseline BIA in the fasting state (t). Directly thereafter, participants either consumed 1000 ml of tap water (intervention-condition) or waited for the second BIA measurement 20 min (t) after baseline (control-condition), and vice versa the subsequent day. Two further BIA measurements took place at 40 (t) and 60 min (t) after baseline.After water consumption, we found increases in derived fat mass (FM) and phase angle at t to t, decreases at t and subsequent increases at t and t in extracellular water (ECW) and total body water (TBW). In contrast, skeletal muscle mass (SMM) and ECW/TBW remained rather stable. In the control-condition, most parameters remained constant.Our study provided insight into the changes of impedance raw data and derived body compartments after water consumption among young, healthy and normal weight women. Although the considerable increase of FM in combination with a rather stable course of SMM, as found in our experiment after the consumption of water, could be a potential hint for water loading, further investigation considering the limitations of the present study as for instance the different metabolisms of patients with AN vs. healthy women is required, before transferability to the clinical setting will be given.
神经性厌食症(AN)是一种严重的精神障碍,AN患者的特征是体重低且害怕体重增加。将体重恢复到正常范围是一个主要治疗目标,这对患者来说可能是一个具有挑战性的过程。因此,作为AN的一种精神病理症状,在临床常规中经常观察到诸如称重前饮水等体重操纵行为。生物电阻抗分析(BIA)是在重新喂养过程中常规可视化身体成分变化的有用工具。在此,我们针对的问题是,BIA是否有可能在作为AN患者临床前模型的健康、年轻且体重正常的女性中检测到饮水行为。
61名女性(平均±标准差,22.2±2.2岁,20.4±1.0kg/m)纳入分析。我们采用了完整的实验设置,连续两天采用交叉设计。在这两天,所有参与者在禁食状态下(t)进行基线BIA测量。此后,参与者要么饮用1000毫升自来水(干预组),要么在基线测量后20分钟等待第二次BIA测量(对照组),第二天反之亦然。在基线测量后的40分钟(t)和60分钟(t)进行另外两次BIA测量。
饮水后,我们发现从t到t时,推导的脂肪量(FM)和相位角增加,在t时减少,随后在t和t时细胞外水(ECW)和总体水(TBW)增加。相比之下,骨骼肌质量(SMM)和ECW/TBW保持相当稳定。在对照组中,大多数参数保持不变。
我们的研究深入了解了年轻、健康且体重正常的女性饮水后阻抗原始数据和推导身体成分的变化。尽管在我们饮水后的实验中发现FM显著增加,同时SMM过程相当稳定,这可能是饮水行为的一个潜在线索,但在将其应用于临床之前,考虑到本研究的局限性,如AN患者与健康女性的不同代谢情况,还需要进一步研究。