Validation of anthropometric and bioelectrical impedance analysis (BIA) equations to predict total body water in a group of Cameroonian preschool children using deuterium dilution method

BACKGROUND: Little information is available on the validity of anthropometry or impedance-based equations for prediction of total body water (TBW) in African children. This study was designed to validate and develop equations to predict total body water in Cameroonian children. METHODS: TBW was measured by deuterium dilution in 102 children between 24 and 60 months of age and compared with the ones predicted by 5 anthropometric and 7 BIA equations. Multiple linear regression analysis was used to develop prediction equations for TBW from anthropometric parameters. RESULTS: Unacceptable discrepancies in the estimates of TBW at individual level were noted with all the equations tested. The following new anthropometry and BIA equations for the estimation of TBW were respectively developed: TBW = 6.488 + 0.434 × sex−0.039 × age + 0.670 × weight−0.081 × MUAC (cm)−0.372 × BMI (adjustedR2= 0.71,RMSE = 3.6), and TBW =−6.206 + 0.0037 × height2/Z−0.041 × age + 0.265 × weight + 0.1214 × height (adjustedR2=0.68, RMSE = 1.4). The cross-validation procedures revealed that the predicted values of TBW compared with measured values are accurate at a group level. CONCLUSION: The current published anthropometric and BIA equations are invalid for the estimation of TBW in Cameroonian preschool children. The newly developed anthropometry or BIA prediction equations are valid for use in Cameroonian children aged 24­60 months

Efeito do extrato aquoso de cabelo de milho (Zea mays L. ) sobre a excreção renal de água e eletrólitos e pressão arterial em ratos Wistar anestesiados / Effect of aqueous extract of corn silks (Zea mays L. ) on the renal excretion of water and electrolytes and arterial pressure in anesthetized Wistar rats

O milho (Zea mays L.) possui nos estigmas (cabelo de milho) substâncias que o tornam diurético, podendo ser importante no controle da hipertensão. No presente estudo, foi investigado o efeito do extrato aquoso (EA) do cabelo de milho sobre o fluxo renal de água (V) e eletrólitos e a pressão arterial (PA) em ratos Wistar anestesiados. Foram realizados 3 grupos: I) Controle - administração intragástrica (AI) de 1mL de água destilada; II) AI de 1 mL de EA de cabelo de milho a 20 por cento e III) AI de 1 mL de solução contendo furosemida. Canulou-se a artéria carótida esquerda para mensuração da PA, de 10 em 10 minutos, e a bexiga urinária, para mensuração de V de 30 em 30 minutos e da carga excretada dos íons sódio (Qe (Na+)) e potássio (Qe (K+)). Protocolo experimental: quatro períodos de 30 minutos cada: basal (avaliação dos parâmetros basais) e experimentais (Ex) 1, 2 e 3 (30, 60 e 90 minutos após a AI, respectivamente). O Grupo I não apresentou alterações significativas entre os períodos nos parâmetros analisados (p>0,05). O Grupo II apresentou aumento significativo (p<0,05) em V, em Qe (Na+) e em Qe (K+) nos períodos Ex2 e Ex3, com redução significativa na PA (p<0,05) em Ex2 e Ex3. Conforme esperado, o Grupo III apresentou aumento significativo em V nos períodos Ex2 (p<0,05) e Ex3 (p<0,001), aumento em Qe (Na+) em Ex1 (p<0,05), Ex2 (p<0,001) e Ex3 (p<0,001) e aumento em Qe (K+) em Ex2 (p<0,05) e Ex3 (p<0,001), com redução significativa na PA (p<0,05) em Ex2 e Ex3. Os dados mostram que o EA do cabelo de milho possui efeito diurético, porém não age como um diurético "de alça", uma vez que não levou à expoliação de potássio e nem a uma excreção tão acentuada de sódio quanto à furosemida.

The corn (Z. mays) has in its stigmas (corn silks) substances that make it diuretic, which may be important in hypertension control. In this study, the effect of aqueous extract (AE) of corn silks on the renal flow of water (V) and electrolytes and arterial pressure (AP) was investigated in anesthetized Wistar rats. Three groups were tested: I) Control - intragastric administration (IA) of 1mL of distilled water, II) IA of 1 mL of AE of corn silks at 20 percent and III) IA of 1 mL of a solution containing furosemide. Cannulation was performed in the left carotid artery to measure AP, at every 10 minutes, and in the urinary bladder to measure V, at every 30 minutes, and the excreted load of ions sodium (Qe (Na+)) and potassium (Qe (K+)). Experimental protocol: four periods of 30 minutes each: basal (evaluation of basal parameters) and experimental (Ex) 1, 2 and 3 (30, 60 and 90 minutes after IA, respectively). Group I had no significant differences between periods for the analyzed parameters (p>0.05). Group II presented a significant increase (p<0.05) in V, Qe (Na+) and Qe (K+) in periods Ex2 and Ex3, with significant reduction in AP (p<0.05) in Ex2 and Ex3. As expected, Group III had a significant increase in V in periods Ex2 (p<0.05) and Ex3 (p<0.001), an increase in Qe (Na+) in Ex1 (p<0.05), Ex2 (p<0.001) and Ex3 (p<0.001) and an increase in Qe (K+) in Ex2 (p<0.05) and Ex3 (p<0.001), with an important reduction in AP (p<0.05) in Ex2 and Ex3. These data show that AE of corn silks has a diuretic effect but does not act as a loop diuretic since it did not lead to potassium loss or marked sodium loss, compared to furosemide.

Total body water measurements by deuterium dilution in adult Indian males and females.

Total Body Water (TBW) was measured in a group of 20 healthy adult Indian men and 10 women by the deuterated water dilution technique and their body composition was determined by applying a hydration factor of 0.7194 for fat free mass (FFM). The TBW in the male subjects whose mean body weight was 49.8 +/- 6.7 kg, was 60.6 +/- 3.2% of body weight (range 55.8%-65.4%), from which a FFM of 41.9 +/- 6.1 kg (range 31.8 kg-51.3 kg) was obtained. Total body water in the group of 10 female subjects whose mean body weight was 42.7 +/- 4.9 kg, was 57.0 +/- 4.5% of body weight (range 52.5%-64.2%) from which a FFM of 34.0 +/- 5.1 kg (range 28.4 kg-39.4 kg) was obtained.