Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy.
Identifieur interne : 002315 ( PubMed/Checkpoint ); précédent : 002314; suivant : 002316Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy.
Auteurs : L C Ward [Australie] ; E. Dylke ; S. Czerniec ; E. Isenring ; S L KilbreathSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- physiopathologie : Jambe.
- Adolescent, Adulte, Adulte d'âge moyen, Femelle, Humains, Impédance électrique, Jeune adulte, Mâle, Spectroscopie diélectrique, Sujet âgé, Sujet âgé de 80 ans ou plus, Valeurs de référence, Études transversales.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Lymphedema.
- physiopathology : Leg.
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Dielectric Spectroscopy, Electric Impedance, Female, Humans, Male, Middle Aged, Reference Values, Young Adult.
Abstract
Secondary unilateral lymphedema in the leg may occur as a consequence of pelvic surgery and/or radiation therapy, which causes damage to the pelvic lymphatic system. To date, assessment has been typically by manual measurement of the volume excess of the affected leg compared to the contralateral leg. In contrast, the assessment of unilateral arm lymphedema is readily accomplished by the use of bioelectrical impedance spectroscopy (BIS) as an increased inter-arm impedance ratio due to the presence of excess lymph in the affected arm relative to that of the unaffected arm. The presence of lymphedema is defined by a value of this ratio greater than the mean ratio plus three standard deviations (SD) observed in a comparable healthy population. The aim of the present study was to determine the equivalent reference range of the impedance ratio for the legs. This would allow a cut-off value to be established as a criterion for the detection and assessment of lower limb lymphedema.
DOI: 10.1089/lrb.2010.0024
PubMed: 21417766
Affiliations:
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Czerniec</name></author><author><name sortKey="Isenring, E" sort="Isenring, E" uniqKey="Isenring E" first="E" last="Isenring">E. Isenring</name></author><author><name sortKey="Kilbreath, S L" sort="Kilbreath, S L" uniqKey="Kilbreath S" first="S L" last="Kilbreath">S L Kilbreath</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21417766</idno><idno type="pmid">21417766</idno><idno type="doi">10.1089/lrb.2010.0024</idno><idno type="wicri:Area/PubMed/Corpus">002705</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002705</idno><idno type="wicri:Area/PubMed/Curation">002705</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002705</idno><idno type="wicri:Area/PubMed/Checkpoint">002705</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002705</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy.</title><author><name sortKey="Ward, L C" sort="Ward, L C" uniqKey="Ward L" first="L C" last="Ward">L C Ward</name><affiliation wicri:level="1"><nlm:affiliation>School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, Brisbane, Australia. l.ward@uq.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, Brisbane</wicri:regionArea><wicri:noRegion>Brisbane</wicri:noRegion></affiliation></author><author><name sortKey="Dylke, E" sort="Dylke, E" uniqKey="Dylke E" first="E" last="Dylke">E. Dylke</name></author><author><name sortKey="Czerniec, S" sort="Czerniec, S" uniqKey="Czerniec S" first="S" last="Czerniec">S. Czerniec</name></author><author><name sortKey="Isenring, E" sort="Isenring, E" uniqKey="Isenring E" first="E" last="Isenring">E. Isenring</name></author><author><name sortKey="Kilbreath, S L" sort="Kilbreath, S L" uniqKey="Kilbreath S" first="S L" last="Kilbreath">S L Kilbreath</name></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Dielectric Spectroscopy</term><term>Electric Impedance</term><term>Female</term><term>Humans</term><term>Leg (physiopathology)</term><term>Lymphedema (diagnosis)</term><term>Male</term><term>Middle Aged</term><term>Reference Values</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Impédance électrique</term><term>Jambe (physiopathologie)</term><term>Jeune adulte</term><term>Lymphoedème (diagnostic)</term><term>Mâle</term><term>Spectroscopie diélectrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Valeurs de référence</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Jambe</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Leg</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cross-Sectional Studies</term><term>Dielectric Spectroscopy</term><term>Electric Impedance</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Reference Values</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Impédance électrique</term><term>Jeune adulte</term><term>Mâle</term><term>Spectroscopie diélectrique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Valeurs de référence</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Secondary unilateral lymphedema in the leg may occur as a consequence of pelvic surgery and/or radiation therapy, which causes damage to the pelvic lymphatic system. To date, assessment has been typically by manual measurement of the volume excess of the affected leg compared to the contralateral leg. In contrast, the assessment of unilateral arm lymphedema is readily accomplished by the use of bioelectrical impedance spectroscopy (BIS) as an increased inter-arm impedance ratio due to the presence of excess lymph in the affected arm relative to that of the unaffected arm. The presence of lymphedema is defined by a value of this ratio greater than the mean ratio plus three standard deviations (SD) observed in a comparable healthy population. The aim of the present study was to determine the equivalent reference range of the impedance ratio for the legs. This would allow a cut-off value to be established as a criterion for the detection and assessment of lower limb lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21417766</PMID><DateCreated><Year>2011</Year><Month>03</Month><Day>22</Day></DateCreated><DateCompleted><Year>2011</Year><Month>08</Month><Day>11</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>1</Issue><PubDate><Year>2011</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy.</ArticleTitle><Pagination><MedlinePgn>43-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2010.0024</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Secondary unilateral lymphedema in the leg may occur as a consequence of pelvic surgery and/or radiation therapy, which causes damage to the pelvic lymphatic system. To date, assessment has been typically by manual measurement of the volume excess of the affected leg compared to the contralateral leg. In contrast, the assessment of unilateral arm lymphedema is readily accomplished by the use of bioelectrical impedance spectroscopy (BIS) as an increased inter-arm impedance ratio due to the presence of excess lymph in the affected arm relative to that of the unaffected arm. The presence of lymphedema is defined by a value of this ratio greater than the mean ratio plus three standard deviations (SD) observed in a comparable healthy population. The aim of the present study was to determine the equivalent reference range of the impedance ratio for the legs. This would allow a cut-off value to be established as a criterion for the detection and assessment of lower limb lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The impedances of the legs of 172 healthy females and 150 healthy males, measured by BIS, were extracted from an accumulated database of impedance data. These data were used to determine the normal distribution of inter-leg impedance ratios and the reference range and threshold value (mean + 3 SD).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The presence of lymphedema is indicated when the impedance ratio exceeds 1.167 in males and 1.136 in females. Unlike in the arms, the effect of limb dominance in the legs is minimal and it is suggested that no correction for limb dominance is warranted.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The impedance ratio thresholds for lymphedema of the legs have been established, opening the way for BIS to become established clinically for the early detection and assessment of lower limb lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ward</LastName><ForeName>L C</ForeName><Initials>LC</Initials><AffiliationInfo><Affiliation>School of Chemistry and Molecular Biosciences, The University of Queensland, St. Lucia, Brisbane, Australia. l.ward@uq.edu.au</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dylke</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Czerniec</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Isenring</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Kilbreath</LastName><ForeName>S L</ForeName><Initials>SL</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058266" MajorTopicYN="Y">Dielectric Spectroscopy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017097" MajorTopicYN="N">Electric Impedance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012016" MajorTopicYN="N">Reference Values</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>8</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21417766</ArticleId><ArticleId IdType="doi">10.1089/lrb.2010.0024</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Czerniec, S" sort="Czerniec, S" uniqKey="Czerniec S" first="S" last="Czerniec">S. Czerniec</name><name sortKey="Dylke, E" sort="Dylke, E" uniqKey="Dylke E" first="E" last="Dylke">E. Dylke</name><name sortKey="Isenring, E" sort="Isenring, E" uniqKey="Isenring E" first="E" last="Isenring">E. Isenring</name><name sortKey="Kilbreath, S L" sort="Kilbreath, S L" uniqKey="Kilbreath S" first="S L" last="Kilbreath">S L Kilbreath</name></noCountry><country name="Australie"><noRegion><name sortKey="Ward, L C" sort="Ward, L C" uniqKey="Ward L" first="L C" last="Ward">L C Ward</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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