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Extracellular Water to Total Body Water Ratio in Viral Liver Diseases: A Study Using Bioimpedance Analysis
To investigate the relationship between extracellular water to total body water ratio (ECW/TBW) in bioimpedance analysis (BIA) and clinical parameters in hepatitis viruses related to liver diseases. ECW/TBW was compared in patients with hepatitis B virus (HBV, = 85) and hepatitis C virus (HCV, = 440...
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| Published in: | Nutrients 2018-08, Vol.10 (8), p.1072 |
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| creator | Nishikawa, Hiroki Yoh, Kazunori Enomoto, Hirayuki Ishii, Noriko Iwata, Yoshinori Nakano, Chikage Takata, Ryo Nishimura, Takashi Aizawa, Nobuhiro Sakai, Yoshiyuki Ikeda, Naoto Hasegawa, Kunihiro Takashima, Tomoyuki Iijima, Hiroko Nishiguchi, Shuhei |
| description | To investigate the relationship between extracellular water to total body water ratio (ECW/TBW) in bioimpedance analysis (BIA) and clinical parameters in hepatitis viruses related to liver diseases.
ECW/TBW was compared in patients with hepatitis B virus (HBV,
= 85) and hepatitis C virus (HCV,
= 440) related liver diseases. We also examined factors linked to mild to severe overhydrated state (ECW/TBW ≥0.4).
The median ECW/TBW in the HCV group was 0.388 (range, 0.365⁻0.433), while that in the HBV group was 0.381 (range, 0.363⁻0.425) (
< 0.0001). In all cases (
= 525), for predicting F3 or more, ECW/TBW yielded the area under the receiver operating characteristics (AUROC, 0.74912) and for predicting F4, ECW/TBW yielded the AUROC (0.75517). Multivariate analysis showed that age, prothrombin time, serum albumin, and alanine aminotransferase were significant factors linked to ECW/TBW ≥0.4. In patients with FIB-4 index |
| doi_str_mv | 10.3390/nu10081072 |
| format | article |
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ECW/TBW was compared in patients with hepatitis B virus (HBV,
= 85) and hepatitis C virus (HCV,
= 440) related liver diseases. We also examined factors linked to mild to severe overhydrated state (ECW/TBW ≥0.4).
The median ECW/TBW in the HCV group was 0.388 (range, 0.365⁻0.433), while that in the HBV group was 0.381 (range, 0.363⁻0.425) (
< 0.0001). In all cases (
= 525), for predicting F3 or more, ECW/TBW yielded the area under the receiver operating characteristics (AUROC, 0.74912) and for predicting F4, ECW/TBW yielded the AUROC (0.75517). Multivariate analysis showed that age, prothrombin time, serum albumin, and alanine aminotransferase were significant factors linked to ECW/TBW ≥0.4. In patients with FIB-4 index <2, ECW/TBW in the HCV group was significantly higher than that in the HBV group (
= 0.0188), while in patients with 2 ≤ FIB-4 index <4 and FIB-4 index ≥4, the difference in the two groups did not reach significance.
ECW/TBW can be different according to hepatitis viruses. Overhydrated status can easily occur in the HCV group even in the non-LC status compared with the HBV group.</description><identifier>ISSN: 2072-6643</identifier><identifier>EISSN: 2072-6643</identifier><identifier>DOI: 10.3390/nu10081072</identifier><identifier>PMID: 30103528</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Alanine ; Alanine transaminase ; bioimpedance analysis ; Biomarkers - blood ; Body Composition ; Body water ; Body Water - metabolism ; Electric Impedance ; extracellular water ; Female ; Fluid Shifts ; Hepatitis ; Hepatitis B ; Hepatitis B - blood ; Hepatitis B - physiopathology ; Hepatitis B - virology ; hepatitis B virus ; Hepatitis C ; Hepatitis C - blood ; Hepatitis C - physiopathology ; Hepatitis C - virology ; hepatitis C virus ; Humans ; Liver ; Liver diseases ; Male ; Middle Aged ; Multivariate analysis ; Patients ; Prothrombin ; Retrospective Studies ; Serum albumin ; total body water ; Viruses ; Water-Electrolyte Balance ; Water-Electrolyte Imbalance - blood ; Water-Electrolyte Imbalance - physiopathology ; Water-Electrolyte Imbalance - virology ; Young Adult</subject><ispartof>Nutrients, 2018-08, Vol.10 (8), p.1072</ispartof><rights>2018. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 by the authors. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-5df44e644c5f46eb3148fbaea09d1369ee3a1b0741372ae37f908b6daa00da593</citedby><cites>FETCH-LOGICAL-c538t-5df44e644c5f46eb3148fbaea09d1369ee3a1b0741372ae37f908b6daa00da593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2108594984/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2108594984?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30103528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nishikawa, Hiroki</creatorcontrib><creatorcontrib>Yoh, Kazunori</creatorcontrib><creatorcontrib>Enomoto, Hirayuki</creatorcontrib><creatorcontrib>Ishii, Noriko</creatorcontrib><creatorcontrib>Iwata, Yoshinori</creatorcontrib><creatorcontrib>Nakano, Chikage</creatorcontrib><creatorcontrib>Takata, Ryo</creatorcontrib><creatorcontrib>Nishimura, Takashi</creatorcontrib><creatorcontrib>Aizawa, Nobuhiro</creatorcontrib><creatorcontrib>Sakai, Yoshiyuki</creatorcontrib><creatorcontrib>Ikeda, Naoto</creatorcontrib><creatorcontrib>Hasegawa, Kunihiro</creatorcontrib><creatorcontrib>Takashima, Tomoyuki</creatorcontrib><creatorcontrib>Iijima, Hiroko</creatorcontrib><creatorcontrib>Nishiguchi, Shuhei</creatorcontrib><title>Extracellular Water to Total Body Water Ratio in Viral Liver Diseases: A Study Using Bioimpedance Analysis</title><title>Nutrients</title><addtitle>Nutrients</addtitle><description>To investigate the relationship between extracellular water to total body water ratio (ECW/TBW) in bioimpedance analysis (BIA) and clinical parameters in hepatitis viruses related to liver diseases.
ECW/TBW was compared in patients with hepatitis B virus (HBV,
= 85) and hepatitis C virus (HCV,
= 440) related liver diseases. We also examined factors linked to mild to severe overhydrated state (ECW/TBW ≥0.4).
The median ECW/TBW in the HCV group was 0.388 (range, 0.365⁻0.433), while that in the HBV group was 0.381 (range, 0.363⁻0.425) (
< 0.0001). In all cases (
= 525), for predicting F3 or more, ECW/TBW yielded the area under the receiver operating characteristics (AUROC, 0.74912) and for predicting F4, ECW/TBW yielded the AUROC (0.75517). Multivariate analysis showed that age, prothrombin time, serum albumin, and alanine aminotransferase were significant factors linked to ECW/TBW ≥0.4. In patients with FIB-4 index <2, ECW/TBW in the HCV group was significantly higher than that in the HBV group (
= 0.0188), while in patients with 2 ≤ FIB-4 index <4 and FIB-4 index ≥4, the difference in the two groups did not reach significance.
ECW/TBW can be different according to hepatitis viruses. Overhydrated status can easily occur in the HCV group even in the non-LC status compared with the HBV group.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alanine</subject><subject>Alanine transaminase</subject><subject>bioimpedance analysis</subject><subject>Biomarkers - blood</subject><subject>Body Composition</subject><subject>Body water</subject><subject>Body Water - metabolism</subject><subject>Electric Impedance</subject><subject>extracellular water</subject><subject>Female</subject><subject>Fluid Shifts</subject><subject>Hepatitis</subject><subject>Hepatitis B</subject><subject>Hepatitis B - blood</subject><subject>Hepatitis B - physiopathology</subject><subject>Hepatitis B - virology</subject><subject>hepatitis B virus</subject><subject>Hepatitis C</subject><subject>Hepatitis C - blood</subject><subject>Hepatitis C - physiopathology</subject><subject>Hepatitis C - virology</subject><subject>hepatitis C virus</subject><subject>Humans</subject><subject>Liver</subject><subject>Liver diseases</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Patients</subject><subject>Prothrombin</subject><subject>Retrospective Studies</subject><subject>Serum albumin</subject><subject>total body water</subject><subject>Viruses</subject><subject>Water-Electrolyte Balance</subject><subject>Water-Electrolyte Imbalance - blood</subject><subject>Water-Electrolyte Imbalance - physiopathology</subject><subject>Water-Electrolyte Imbalance - virology</subject><subject>Young Adult</subject><issn>2072-6643</issn><issn>2072-6643</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdklFrFDEQgBdRbKl98QdIwBcRTieb7CbxQbjWqoUDQVt9DLO7kzPH3uaa7Bbv35vzztqalwkzHx_DzBTFcw5vhDDwdpg4gOagykfFcZnDrK6leHzvf1ScprSC3VOgavG0OBLAQVSlPi5WF7_GiC31_dRjZD9wpMjGwK7CiD07C932kPuKow_MD-y7j7my8Lc5-cEnwkTpHZuzb-OU4evkhyU788GvN9Th0BKbD9hvk0_PiicO-0Snh3hSXH-8uDr_PFt8-XR5Pl_M2krocVZ1TkqqpWwrJ2tqBJfaNUgIpuOiNkQCeQNKcqFKJKGcAd3UHSJAh5URJ8Xl3tsFXNlN9GuMWxvQ2z-JEJcW4-jbnqzjukVXCgVQydrJBjSoShnJjXTKqOx6v3dtpmZNXUtDnlb_QPqwMvifdhlubc159ugseHUQxHAzURrt2qfduHGgMCVbgtalEUaVGX35H7oKU8zDyxQHXRlptMzU6z3VxpBSJHfXDAe7uwj77yIy_OJ--3fo3_2L3xZ1r58</recordid><startdate>20180812</startdate><enddate>20180812</enddate><creator>Nishikawa, Hiroki</creator><creator>Yoh, Kazunori</creator><creator>Enomoto, Hirayuki</creator><creator>Ishii, Noriko</creator><creator>Iwata, Yoshinori</creator><creator>Nakano, Chikage</creator><creator>Takata, Ryo</creator><creator>Nishimura, Takashi</creator><creator>Aizawa, Nobuhiro</creator><creator>Sakai, Yoshiyuki</creator><creator>Ikeda, Naoto</creator><creator>Hasegawa, Kunihiro</creator><creator>Takashima, Tomoyuki</creator><creator>Iijima, Hiroko</creator><creator>Nishiguchi, Shuhei</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20180812</creationdate><title>Extracellular Water to Total Body Water Ratio in Viral Liver Diseases: A Study Using Bioimpedance Analysis</title><author>Nishikawa, Hiroki ; Yoh, Kazunori ; Enomoto, Hirayuki ; Ishii, Noriko ; Iwata, Yoshinori ; Nakano, Chikage ; Takata, Ryo ; Nishimura, Takashi ; Aizawa, Nobuhiro ; Sakai, Yoshiyuki ; Ikeda, Naoto ; Hasegawa, Kunihiro ; Takashima, Tomoyuki ; Iijima, Hiroko ; Nishiguchi, Shuhei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-5df44e644c5f46eb3148fbaea09d1369ee3a1b0741372ae37f908b6daa00da593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alanine</topic><topic>Alanine transaminase</topic><topic>bioimpedance analysis</topic><topic>Biomarkers - blood</topic><topic>Body Composition</topic><topic>Body water</topic><topic>Body Water - metabolism</topic><topic>Electric Impedance</topic><topic>extracellular water</topic><topic>Female</topic><topic>Fluid Shifts</topic><topic>Hepatitis</topic><topic>Hepatitis B</topic><topic>Hepatitis B - blood</topic><topic>Hepatitis B - physiopathology</topic><topic>Hepatitis B - virology</topic><topic>hepatitis B virus</topic><topic>Hepatitis C</topic><topic>Hepatitis C - blood</topic><topic>Hepatitis C - physiopathology</topic><topic>Hepatitis C - virology</topic><topic>hepatitis C virus</topic><topic>Humans</topic><topic>Liver</topic><topic>Liver diseases</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Patients</topic><topic>Prothrombin</topic><topic>Retrospective Studies</topic><topic>Serum albumin</topic><topic>total body water</topic><topic>Viruses</topic><topic>Water-Electrolyte Balance</topic><topic>Water-Electrolyte Imbalance - blood</topic><topic>Water-Electrolyte Imbalance - physiopathology</topic><topic>Water-Electrolyte Imbalance - virology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nishikawa, Hiroki</creatorcontrib><creatorcontrib>Yoh, Kazunori</creatorcontrib><creatorcontrib>Enomoto, Hirayuki</creatorcontrib><creatorcontrib>Ishii, Noriko</creatorcontrib><creatorcontrib>Iwata, Yoshinori</creatorcontrib><creatorcontrib>Nakano, Chikage</creatorcontrib><creatorcontrib>Takata, Ryo</creatorcontrib><creatorcontrib>Nishimura, Takashi</creatorcontrib><creatorcontrib>Aizawa, Nobuhiro</creatorcontrib><creatorcontrib>Sakai, Yoshiyuki</creatorcontrib><creatorcontrib>Ikeda, Naoto</creatorcontrib><creatorcontrib>Hasegawa, Kunihiro</creatorcontrib><creatorcontrib>Takashima, Tomoyuki</creatorcontrib><creatorcontrib>Iijima, Hiroko</creatorcontrib><creatorcontrib>Nishiguchi, Shuhei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Nutrients</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nishikawa, Hiroki</au><au>Yoh, Kazunori</au><au>Enomoto, Hirayuki</au><au>Ishii, Noriko</au><au>Iwata, Yoshinori</au><au>Nakano, Chikage</au><au>Takata, Ryo</au><au>Nishimura, Takashi</au><au>Aizawa, Nobuhiro</au><au>Sakai, Yoshiyuki</au><au>Ikeda, Naoto</au><au>Hasegawa, Kunihiro</au><au>Takashima, Tomoyuki</au><au>Iijima, Hiroko</au><au>Nishiguchi, Shuhei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extracellular Water to Total Body Water Ratio in Viral Liver Diseases: A Study Using Bioimpedance Analysis</atitle><jtitle>Nutrients</jtitle><addtitle>Nutrients</addtitle><date>2018-08-12</date><risdate>2018</risdate><volume>10</volume><issue>8</issue><spage>1072</spage><pages>1072-</pages><issn>2072-6643</issn><eissn>2072-6643</eissn><abstract>To investigate the relationship between extracellular water to total body water ratio (ECW/TBW) in bioimpedance analysis (BIA) and clinical parameters in hepatitis viruses related to liver diseases.
ECW/TBW was compared in patients with hepatitis B virus (HBV,
= 85) and hepatitis C virus (HCV,
= 440) related liver diseases. We also examined factors linked to mild to severe overhydrated state (ECW/TBW ≥0.4).
The median ECW/TBW in the HCV group was 0.388 (range, 0.365⁻0.433), while that in the HBV group was 0.381 (range, 0.363⁻0.425) (
< 0.0001). In all cases (
= 525), for predicting F3 or more, ECW/TBW yielded the area under the receiver operating characteristics (AUROC, 0.74912) and for predicting F4, ECW/TBW yielded the AUROC (0.75517). Multivariate analysis showed that age, prothrombin time, serum albumin, and alanine aminotransferase were significant factors linked to ECW/TBW ≥0.4. In patients with FIB-4 index <2, ECW/TBW in the HCV group was significantly higher than that in the HBV group (
= 0.0188), while in patients with 2 ≤ FIB-4 index <4 and FIB-4 index ≥4, the difference in the two groups did not reach significance.
ECW/TBW can be different according to hepatitis viruses. Overhydrated status can easily occur in the HCV group even in the non-LC status compared with the HBV group.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>30103528</pmid><doi>10.3390/nu10081072</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Nutrients, 2018-08, Vol.10 (8), p.1072 |
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| source | Publicly Available Content Database; PubMed Central |
| subjects | Adult Aged Aged, 80 and over Alanine Alanine transaminase bioimpedance analysis Biomarkers - blood Body Composition Body water Body Water - metabolism Electric Impedance extracellular water Female Fluid Shifts Hepatitis Hepatitis B Hepatitis B - blood Hepatitis B - physiopathology Hepatitis B - virology hepatitis B virus Hepatitis C Hepatitis C - blood Hepatitis C - physiopathology Hepatitis C - virology hepatitis C virus Humans Liver Liver diseases Male Middle Aged Multivariate analysis Patients Prothrombin Retrospective Studies Serum albumin total body water Viruses Water-Electrolyte Balance Water-Electrolyte Imbalance - blood Water-Electrolyte Imbalance - physiopathology Water-Electrolyte Imbalance - virology Young Adult |
| title | Extracellular Water to Total Body Water Ratio in Viral Liver Diseases: A Study Using Bioimpedance Analysis |
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