ArticlePediatric nephrology (Berlin, Germany)2013
Hydration measurement by bioimpedance spectroscopy and blood pressure management in children on hemodialysis.
Article in Pediatric nephrology (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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33 citing papers in PubMed, 61 citations in OpenAlex.
- Lung ultrasound: a complementary dynamic method to estimate target weight in pediatric hemodialysis.Pediatric nephrology (Berlin, Germany) · 2026Article
- Bioelectrical Impedance in Pediatric Dialysis: Clinical Applications, Limitations, and Opportunities.Hemodialysis international. International Symposium on Home Hemodialysis · 2026Review
- Interdialytic weight gain, carotid intima media thickness, and cardiovascular profile in children undergoing chronic hemodialysis: a multicenter study.BMC nephrology · 2026Article
- Unmasking fluid overload in children on peritoneal dialysis: a multimodal diagnostic approach.Pediatric nephrology (Berlin, Germany) · 2025Article
- The value of bioimpedance analysis in the assessment of hydration and nutritional status in children on chronic peritoneal dialysis.Renal failure · 2024Article
- Assessment of volume status of pediatric hemodialysis patients.Pediatric nephrology (Berlin, Germany) · 2024Article
- Bioimpedance analysis in children on peritoneal dialysis: to fill or not to fill?Pediatric nephrology (Berlin, Germany) · 2024Article
- Sodium handling in pediatric patients on maintenance dialysis.Pediatric nephrology (Berlin, Germany) · 2023Review
- Assessment of fluid removal using ultrasound, bioimpedance and anthropometry in pediatric dialysis: a pilot study.BMC nephrology · 2023Article
- Fluid balance assessment in pediatric hemodialysis patients by using whole-body bioimpedance spectroscopy (WB-BIS).Pediatric nephrology (Berlin, Germany) · 2022Article
- Longitudinal Assessment of Body Composition and Its Association With Survival Among Participants of the ACTIVE/ADIPOSE Study.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2022Article
- Bedside sonographic assessments for predicting predialysis fluid overload in children with end-stage kidney disease.European journal of pediatrics · 2021Article
- Evaluation of Hypervolemia in Children.Journal of pediatric intensive care · 2021Review
- Nutritional Assessment and Management in Paediatric Chronic Kidney Disease.Journal of nutrition and metabolism · 2021Review
- Clinical Relevance of Fluid Volume Status Assessment by Bioimpedance Spectroscopy in Children Receiving Maintenance Hemodialysis or Peritoneal Dialysis.Journal of clinical medicine · 2020Article
- Total body water by BIA in children and young adults with normal and excessive weight.PloS one · 2020Article
- Is N-terminal pro-brain natriuretic peptide a reliable marker for body fluid status in children with chronic kidney disease?Archives of medical science : AMS · 2020Article
- Assessment and management of fluid overload in children on dialysis.Pediatric nephrology (Berlin, Germany) · 2019Review
- Interdialytic weight gain and vasculopathy in children on hemodialysis: a single center study.Pediatric nephrology (Berlin, Germany) · 2018Article
- Validating the use of bioimpedance spectroscopy for assessment of fluid status in children.Pediatric nephrology (Berlin, Germany) · 2018Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension is frequent in chronic hemodialyzed patients and usually treated by reducing extracellular fluid. Probing dry weight only based on a clinical evaluation may be hazardous, especially in case of volume independent hypertension.
methodsWe performed a 1-year retrospective study in three pediatric centers to define the relation between blood pressure (BP) and hydration status, assessed by whole-body bioimpedance spectroscopy (BIS). We analyzed 463 concomitant measurements of BP, relative overhydration (rel.OH), and plasma sodium (Napl) in 23 children (mean age 13.9 ± 5.1 years).
resultsPre-dialytic under-hydration (rel.OH < -7%) was present in 5.4% of the sessions, out of which 24% showed hypertension. Normohydration (rel.OH -7 - +7%) was observed in 62.4% of the sessions, 45.3% of them revealed hypertension. Moderate OH (rel.OH +7 - +15%) was present in 21% of the sessions, 47.4% of them showed normal BP. In 11.2% of the sessions, severe overhydration (rel.OH > +15%) was assessed, however, the majority (73%) showed normal BP. Patient-specific Napl setpoint could not be described. Mean dialysate sodium concentration was higher than mean Napl.
conclusionsHypertension is not always related to overhydration. Therefore, BIS should restrict the practice of "probing dry weight" in hypertensive children. Moreover, sodium dialytic balance needs to be considered to improve BP management.
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