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  •  Bioimpedance analysis in nephrology: possibilities and points of practical application

    Редактор | 2026, Literature reviews, Practical medicine part 24 №1. 2026 | 3 марта, 2026

    A.I. ALMUHAMETOVA, E.A. KUSAMATOVA, E.M. MIRZAGAYANOVA, T.N. KHALFINA, G.I. NURULLINA

     Kazan State Medical University, Kazan

    Contact details:

    Nurullina G.I. — PhD (Medicine), Associate Professor of the Department of Hospital Therapy

    Address: 49 Butlerov St., 420012 Kazan, Russian Federation, tel.: +7 (843) 290-18-20, e-mail: nurguzel@yandex.ru

    The authors review current literature on using bioimpedance analysis (BIA) for assessing body composition and various physiological parameters in nephrology patients. The article outlines the key parameters of bioimpedance measurements. BIA enables the objective assessment of hydration and nutritional status, as well as the signs of sarcopenia in patients with chronic kidney disease (CKD). The review highlights the potential of bioimpedance in determining “dry weight” during hemodialysis, detecting hidden hyperhydration, and identifying early signs of protein-energy wasting and sarcopenic obesity. The authors emphasize the role of BIA in improving prognosis, reducing complication risks, and monitoring treatment effectiveness. The method has high diagnostic and prognostic value, which makes it a promising tool for personalized management of nephrology patients.

    Key words: bioimpedance analysis, chronic kidney disease, nutritional status, dry weight assessment, hydration status.

    REFERENCES

    1. Drapkina O.M., Maksimova O.A., Sheptulina A.F., Dzhioyeva O.N. Bioimpedance analysis of body composition: what is important for a therapist to know? Profilakticheskaya meditsina, 2022, no. 25 (10), pp. 91–96 (in Russ.).
    2. Prikaz MZ RF ot 15.11.2012 no. 920n «Ob utverzhdenii Poryadka okazaniya meditsinskoy pomoshchi naseleniyu po profilyu «Diyetologiya»» [Order of the Ministry of Health of the Russian Federation of November 15, 2012 No. 920n «On approval of the Procedure for the provision of medical care to the population in the profile of «Dietetics»»]. Moscow, 2012.
    3. Guo Y., Zhang M., Ye T., Wang Z., Yao Y. Application of bioelectrical impedance analysis in nutritional management of patients with chronic kidney disease. Nutrients, 2023, vol. 15 (18), p. 3941. DOI: 10.3390/nu15183941
    4. Khin E.E., Elmaghrabi A.Y., Alvarado L.A., Modem V., Quigley R. Fluid balance assessment in pediatric hemodialysis patients by using whole-body bioimpedance spectroscopy (WB-BIS). Pediatric Nephrology, 2022, vol. 37 (10), pp. 2449–2456. DOI: 10.1007/s00467-022-05469-6
    5. Wang Y., Hu Y., Zhang M., Jin H., Wen Y., Tang R. et al. Bioelectrical impedance analysis-derived phase angle predicts sarcopenia in patients on maintenance hemodialysis. Nutrition in Clinical Practice, 2023, vol. 38 (6), pp. 881–888. DOI: 10.1002/ncp.10967
    6. Gurevich K.Ya., Rakhmatullina L.N. Bioimpedancemetry in nephrology: possibilities and limitations. Nefrologicheskiy ekspertnyy sovet, 2023 (in Russ.).
    7. Piccoli A., Pillon L., Versino E. et al. Bioelectrical impedance vector analysis (BIVA) for clinical assessment of body composition. Kidney International, 2018, vol. 93 (1), pp. 75–84. DOI: 10.1016/j.kint.2017.07.029
    8. Chen Y., Chen H., Han Y. et al. Lower phase angle as a marker for poor prognosis in patients with chronic kidney disease: a cohort study. Frontiers in Nephrology, 2025, p. 1478367. DOI: 10.3389/fneph.2025.1478367
    9. Fouque D., Kalantar-Zadeh K., Kopple J. et al. A proposed nomenclature and diagnostic criteria for protein-energy wasting in acute and chronic kidney disease. Kidney International, 2008, vol. 74 (3), pp. 393–398. DOI: 10.1038/sj.ki.5002585
    10. Norman K., Stobäus N., Pirlich M. et al. Bioelectrical phase angle and impedance vector analysis-clinical relevance and applicability of impedance parameters. Clinical Nutrition, 2012, vol. 31 (6), pp. 854–861. DOI: 10.1016/j.clnu.2012.05.008
    11. Gurevich K.Ya., Rakhmatullina L.N. Bioimpedance analysis in assessing the nutritional status of patients with CKD. Rossiyskiy zhurnal nefrologii, 2023, vol. 28, no. 6, pp. 45–51 (in Russ.).
    12. Lee S.Y., Park J.H. Phase angle as a predictor of mortality in hemodialysis patients: a meta-analysis. Clinical Nutrition, 2020, vol. 39 (9), pp. 2762–2770. DOI: 10.1016/j.clnu.2019.07.016
    13. Gupta A., Sharma S., Gupta R. et al. Use of bioimpedance techniques in patients with chronic kidney disease. J. American Society of Nephrology, 2022, vol. 33 (11), pp. 2477–2486. DOI: 10.1681/ASN.2022030334
    14. Piccoli A., Pillon L., Versino E. et al. Bioimpedance-guided monitoring of volume status in patients with chronic kidney disease: a systematic review and meta-analysis. Nephrology Dialysis Transplantation, 2021, vol. 36 (11), pp. 1903–1914. DOI: 10.1093/ndt/gfab129
    15. Munoz-Perez E. et al. Combined assessment of nutritional status in patients with peritoneal dialysis using bioelectrical impedance vectors and malnutrition inflammation score. Nutricion Hospitalaria, 2017, vol. 34 (5), pp. 1125–1132. DOI: 10.20960/nh.1135
    16. Gasanov M.Z., Batyushin M.M., Terent′yev V.P., Khatlamadzhiyan V.V., Kuznetsova Yu.V., Ryabokoneva T.Yu. The impact of chronic kidney disease on muscle metabolism in patients on hemodialysis. Yuzhno-Rossiyskiy zhurnal terapevticheskoy praktiki, 2022, no. 3 (1), pp. 83–88 (in Russ.). DOI: 10.21886/2712-8156-2022-3-1-83-88
    17. Han B.G., Lee J.Y., Kim J.S. et al. Clinical significance of phase angle in non-dialysis CKD stage 5 and peritoneal dialysis patients. Nutrients, 2018, vol. 10 (9), p. 1331. DOI: 10.3390/nu10091331
    18. Rakhmatullina L.N., Gurevich K.Ya. Use of a bioimpedance body composition monitor (BCM) in clinical practice in dialysis patients. Zhurnal nefrologii i dializa, 2023, vol. 26, no. 3, pp. 45–52 (in Russ.).
    19. Gurevich K.Ya., Rakhmatullina L.N. Features of the application and possibilities of bioimpedance analysis in nephrology. PM-arkhiv, 2023 (in Russ.).
    20. Saitoh M., Ogawa M., Kondo H. et al. Bioelectrical impedance analysis-derived phase angle as a determinant of protein-energy wasting and frailty in maintenance hemodialysis patients: retrospective cohort study. BMC Nephrology, 2020, vol. 21, pp. 438. DOI: 10.1186/s12882-020-02102-2
    21. Wang Y., Chen Y., Zhang M. et al. Phase angle as a useful predicting indicator for protein-energy wasting and cardiovascular risk among maintenance hemodialysis patients. Scientific Reports, 2024, vol. 14 (1), p. 78957. DOI: 10.1038/s41598-024-78957-4
    22. Bae E., Lee T.W., Bae W., Kim S., Choi J., Jang H.N. et al. Impact of phase angle and sarcopenia estimated by bioimpedance analysis on clinical prognosis in patients undergoing hemodialysis: A retrospective study. Medicine (Baltimore), 2022, vol. 101 (50), p. e29375. DOI: 10.1097/MD.0000000000029375
    23. Oliveira C.M., Kubrusly M., Mota R.S. et al. The phase angle and mass body cell as markers of nutritional status in hemodialysis patients. J. Renal Nutrition, 2010, vol. 20 (5), pp. 314–320. DOI: 10.1053/j.jrn.2010.01.008
    24. Rimsevicius L., Gincaite A., Vicka V. et al. Malnutrition assessment in hemodialysis patients: role of bioelectrical impedance analysis phase angle. J. Renal Nutrition, 2016, vol. 26 (6), pp. 391–395. DOI: 10.1053/j.jrn.2016.05.004
    25. Rinaldi S., Gilliland J., O’Connor C. et al. Is phase angle an appropriate indicator of malnutrition in different disease states? A systematic review. Clinical Nutrition ESPEN, 2019, vol. 29, pp. 1–14. DOI: 10.1016/j.clnesp.2018.10.010
    26. Tan R.S., Dhua L., Liu Y. et al. Bioelectrical impedance analysis-derived phase angle predicts protein-energy wasting in maintenance hemodialysis patients. J. Renal Nutrition., 2019, vol. 29 (4), pp. 295–301. DOI: 10.1053/j.jrn.2018.09.001
    27. Luo Y., Huang H., Wang Q. et al. An exploratory study on a new method for nutritional status assessment in patients with chronic kidney disease. Nutrients, 2023, vol. 15 (11), p. 2640. DOI: 10.3390/nu15112640
    28. Gurevich K.Ya., Rakhmatullina L.N. Diagnosis of obesity in patients on hemodialysis: bioimpedancemetry and caliperometry. Zhurnal nefrologii i dializa, 2022, vol. 25, no. 2, pp. 34–40 (in Russ.).
    29. Gurevich K.YA., Rakhmatullina L.N. Body component composition of children with chronic kidney disease according to the results of bioimpedancemetry. Acta Biomedica Scientifica, 2023, vol. 14, no. 3, pp. 123–129.
    30. Rudnev S.G., Soboleva N.P., Sterlikov S.A. et al. Bioimpedansnoye issledovaniye sostava tela naseleniya Rossii [Bioimpedance study of body composition of the population of Russia]. Moscow: RIO TSNIIOIZ, 2014.

    Метки: 2026, A.I. ALMUHAMETOVA, bioimpedance analysis, Chronic kidney disease, dry weight assessment, E.A. KUSAMATOVA, E.M. MIRZAGAYANOVA, G.I. NURULLINA, hydration status, nutritional status, Practical medicine part 24 №1. 2026, T.N. KHALFINA

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