Uhlalutyo lwe-Bioelectrical Impedance Application | El Paso, Tx.

Uhlalutyo lwe-Bio-Electrical Impedance Analysis

Izixhobo ze-InBody zisebenzisa indlela ebizwa ngokuba yi-Bio-Electrical Impedance Analysis (BIA) ukulinganisa ukubunjwa komzimba. Oku kwahlula ubunzima bakho kumacandelo ahlukeneyo, umzekelo, ubunzima bomzimba obubuthakathaka kunye nobunzima bomzimba basetyenziselwa ukuhlolwa kwempilo kunye nesondlo.

InBody Technology

Conteistance Concept

• Umzekeliso wendlela oku kusebenza ngayo:
• Cinga iimoto ezithuthi
• Imoto yakho yi-voltage-current
• Umgwaqo omkhulu ngumzimba womzimba
• Ukuba akukho enye iimoto ezazingqongileyo, ungaziqhawula
• Ukuba umzimba womntu wawunamanzi kwaye akukho nto enye, bekungekho nxu lumano.
• Kodwa amanzi akuyena kuphela umbandela
• Awuyena yedwa imoto kwindlela yokuhamba
• Uninzi lwezithuthi luya kwi-freeway, ixesha elide lithatha lona. Oku kunzima.
• Ezinye izinto:
• amafutha
• isihlunu
• ithambo
• izimbiwa
• Yenza ukuchasana nokuhamba ngoku kuhamba emzimbeni
• Kuvavanyo lweBIA, amanzi amaninzi emzimbeni afana nokumelana nokuncipha
• I-muscle emzimbeni iqukethe amanzi
• Xa unesisipha esingakumbi, uninzi lomzimba wamanzi
• Amaninzi emzimbeni wamanzi, ngaphantsi koxhatshazo okwangoku

Kuzisa

• Ukunyanzelwa kwemali yintsikelelo yevector yokuxhatshazwa
• Impendulo yindlela yokusebenzisa i-BIA izixhobo ezisetyenziselwa ukucacisa ukubunjwa komzimba
• I-BIA isebenzisa imodeli ye-cylinder yobudlelwane phakathi kwempedance kunye nomzimba

• Impumelelo ibalwa ngokusebenzisa iifomula ezimbini:
• Umthamo wesilinda (uMqulu = Ubude x Indawo)
• Ukunyanzelwa kwempembelelo kulandelelana ngokuthe ngqo kummandla wecala kunye nomda ngokuthe ngqo ngokulingana nobude.
• Ukwazi i-impedance kunye nobude be-cylinder, umlinganiselo ungenziwa yombhalo wamanzi umzimba wonke.
• Emzimbeni, ifomula efanayo iyasebenza, apho ubude bubude.
• Ukubalwa komthamo womzimba wonke umzimba ungenziwa ngokwazi impedance kunye nokuphakama.
• Yingakho kuyimfuneko ukuba ube nokuphakama okuchanekileyo.

I-BIA Technology iye yaguqulwa nge-InBody

Imedance yokulinganisa kunye ne-electrode idala ukumelana noqhagamshelwano.

I-InBody ilandele oku ngokubeka ngokucacileyo i-electrodes ukulinganisa ngokuchanekileyo.

• I-InBody ibonelela ngemilinganiselo ezimeleyo yeesilinda zomzimba ezi-5:
• Ikholo lasekhohlo
• Ngesandla Sokunene
• Umlenze wesobunxele
• Umlenze oNene
• ITorso

I-InBody isebenzisa ii-currents ezininzi kunye neefom.

Akukho qi kelelo lusetyenziswe ukubala ukubunjwa komzimba.

Imilinganiselo ye-InBody ye-impedance ngokuzimeleyo, ngoko ke iziphumo azichaphazeli ngobudala, ubuhlanga, okanye ngesini.

Ulwahlulo oluPhezulu lwamaxesha amaninzi Uhlalutyo lwe-Impedance of Bioelectrical Impedance Analysis

• Iimpawu ze-BIA zendabuko zijonga umzimba njenge-cylinder enye kwaye isebenzise imiphefumlo emzimbeni wonke ukugqiba amanzi emzimbeni.
• Le ndlela inesiphako samanani:
• It assumes the distribution of lean body mass and body fat are constant.
• Ubume kunye nobude beengalo, imilenze, kunye nomzimba ziyahluka ukuze umzimba ungabonakali njengenye nje, kodwa iindawo ezihlanu ezahlukeneyo.
• Ukuxhaswa kwemali kusekelwe kwindawo yobude kunye nendawo ehamba phambili, ukubalwa kwe-TBW akuchanekanga kuba ngalinye licandelo linamacala ahlukeneyo kunye nesigaba esinqamlekileyo.

Enye ingxaki enkulu ngendlela enye ye-cylinder indlela yokungabikho kwesilinganiselo se-torso.

Isohlwayo sinokuphakama okuphantsi kunye nendawo ephezulu.

Oku kuphumela kwimpedance ephantsi (10-40 ohms).

Nangona kunjalo, isiqu senziwe malunga nama-50% obunzima bomzimba womntu (LBM).

Kwimilinganiselo yomzimba wonke, i-torped impedance iyayihoywa kwaye yatshintsha i-impedance yomzimba.

Ukuba umzimba womzimba awunakulinganiswa ngokwahlukileyo ngoko impembelelo yeso sifo ingajongelwa.

Because the body torso contains more water and muscles than the limbs, 1 ohm of torso impedance and 1 ohm of limb impedance can be completely different.

Ukwahlukana kwee-1-2 ohms kungakhokelela kwimpazamo enkulu ekuzimiseni kwe-TBW.

Ezinye iifayile ze-BIA zilinganisa imilinganiselo ye-impedance yeesilinda ezimbini kwaye ziqikelele ezinye.

Ezinye izikali zeBIA zilinganisa imilenze.

Ukusebenzisa i-BIA izixhobo ezigcinwe ngesandla, kuphela kuphela iingalo.

Ezinye izixhobo zithi zilinganisa umzimba wonke xa zilinganisa ingalo enye, umlenze owodwa, kwaye iqikelele abanye.

Xa usebenzisa idivaysi ye-BIA, fumana enye ngokwenene ilinganisa i-torso kwaye iyilinganise ngokwahlukileyo.

Ngaphandle koko, uqikelelo lungakhokelela kwiziphene ezinkulu.

Izixhobo ze-InBody aziqikeleli nge-Direct Sector se-Bound Multi-frequency BIA, echaza ngokulula, oku kuthetha ukuba inxalenye nganye yomzimba ingalo ekhohlo, ingalo ekhohlo, i-torso, umlenze wokunene, umlenze wesobunxele ulinganiswa ngokwahlukileyo.

Imbali ye-Bioimpedance Technology

Kwi-1969 kwafika iHoffer kunye ne-Index Impedance

Kwi-1969, iHoffer yazama ukubonisa ukuba umzimba wonke wamanzi kunye ne-impedance ye-biological yayixhomekeke kakhulu. Oku kuthetha ukuba imilinganiselo ye-impedance ingasetyenziselwa ukugqiba amanzi emzimbeni.

Wabonisa ukubaluleka kwe-square ephakamileyo yimimandla eyayinxulumene kakhulu namanzi omzimba wonke.

Wathatha imilinganiselo yempembelelo yesahlulo esifanelekileyo somzimba. Ezi ziquka ingalo efanelekileyo, i-torso, nomlenze wesokudla.

Ulinganiso abonakalisiweyo yinkcazo ye-impedance esetyenziswe kuhlalutyo lwama-Bioelektrical namhlanje.

Kwi-1979 kufika i-RJL System kunye neMeter Impedance Meter

Kwi-1979, i-RJL Systems zazisa imitha ye-impedance kunye ne-BIA indlela.

Isixhobo esilinganiswe impedance ngokuqhagamshela kwee-electrodes ngasemva kwesokunene nangaphezulu kwenyawo lokunene. I-current current of 50kHz yayiqhutyelwe kwisiqingatha esifanelekileyo somzimba.

Ngaphambi koko, ukubunjwa komzimba kunokulinganiswa kuphela kunye nabakhonkco okanye ngaphantsi kwamanzi anzima.

Ezi zinto zazifuneka zenziwe ngabantu abanezakhono kwaye kwakungekho lula.

Iintlobo ezithile zezigulane zakwazi ukuzuza kuzo, ngokunjalo.

Nangona kunjalo, oku kwakukhawulezileyo, kubiza kubiza kwaye kuncinci. Ngaloo ndlela, abahlalutyi bamalungu omzimba, izondlo, kunye neengcali zonyango baqalisa ukusebenzisa i-BIA iteknoloji.

Kwimida ye-BIA ye-1980 evezwe kunye ...

ULukaski, uSegal kunye nabanye abaphengululi baye bakhawuleza ukuqhutyelwa kwe-BIA.

Iingxelo zabo zibonakalise ukuba i-BIA inokulungelelaniswa okuphezulu kunye neendlela eziphezulu, umzekelo, ukuCima ngaphantsi kwamanzi kunye DEXA.

Nangona kunjalo, kukho ukulinganiselwa kobugcisa kunye ne-BIA eye yafikelela ekupheleni kwe-1980s.

Umlinganiselo oqhelekileyo wukuthi i-BIA yayiza kuthathwa njengomzimba wesilinda kwaye ngoko kuphela isetyenzisiweyo se-50 kHz.

Ngophando, ama-equation ahlukeneyo aguquke (kunye nesalathisi se-impedance). Oku kuzalisekisa umda wobugcisa beBIA kwaye wakwazi ukufezekisa ngokuchanekileyo ngakumbi kwizigulane ezahlukeneyo, ubulili njl.

ULukaski kunye noKushner Ukuphuhlisa ukuBalinganiswa kweDatha yokuBumba

• Oku kwandise ukuchaneka kweziphumo.
• Ezi zilinganiso zisetyenziselwa idatha yezobugcisa:
• Ngesini kunye
• Ubudala bokubala ukwakheka komzimba womntu.

Idatha yezobukumkani ichazwa, njengoko ulwazi lufunyenwe ngumbono okanye ukuvavanya.

Ngokuqokelela idatha kwi-sampuli yoluntu (ethemba) ibonisa ukuhluka kobonke abantu, abaphandi bazame ukufumana iindlela ezingasetyenziselwa ukuqikelela iziphumo.

Ukubunjwa komzimba, abaphandi bachonga le mizila kwiimisipha kunye nobunzima bomzimba; basebenzisa le datha ukuxela ukubunjwa komzimba ngokusekelwe kwimimandla ethile (ubudala, ubulili, ubuzwe, njl.

Nangona uqikelelo olunamandla lunokukunika uqikelelo oluchanekileyo lokwakheka komzimba womsebenzisi ngokubanzi, kukho iingxaki ezibalulekileyo xa zisetyenziselwa iinjongo zonyango.

Masithi kukho idivaysi esebenzisa ukulinganisa okulinganayo ukubala i-TBW.

And there are two individuals who have same amount of lean body mass, however, one is 30 years old and the other is 40 years old.

Nangona banomlinganiselo ofanayo we-LBM, i-equation equation iza kubala ukuba bobabini baya kuba nohlobo lwe-0.8 L kwi-TBW yabo. Oku kuphela ngenxa yobudala, obungafanelekanga okanye obuchanileyo.

I-Home BIA Izixhobo Ziqala Ukubonisa

Ngenxa yobutyebi bezobuchwepheshe, ii-BIA zixhobo zajika zaba zixhobo zasekhaya endaweni yezixhobo zesibhedlele.

Emva koko abavelisi baseJapan bakhupha iindidi zeBIA zezinto ezisetyenziselwa uluntu ukuba uluntu luqhele ukusetyenziswa.

Abanye balinganisa impedance phakathi kweenyawo ezimbini ngelixa limi kwisikali. Abanye babeza kubamba i sixhobo baze balinganise impedance phakathi kwezandla.

Ke ngo-1992 uKushner ocetywayo waMatyeli aManinzi kunye noHlahlelo lwaMacandelo

• U-Kushner wathi umzimba womntu ukwenziwa kwiisilinda ezintlanu
• Ngesandla Sokunene
• Ikholo lasekhohlo
• Torso
• Umlenze oNene
• Umlenze wesobunxele

Ekubeni i-torso yakha i-50% yobunzima bomzimba, uKushner wagxininisa ukulinganisa i-impedance ye-torso ngokwahlukileyo iya kubaluleka kakhulu.

Ukulinganisa i-impedance iyonke yodwa ayanele. Nangona kunjalo, xa zonke iinxalenye ezintlanu zilinganiswa ngokwahlukileyo kwiimpawu ezahlukileyo, ngoko ke ulwahlulo phakathi kwamanzi angaphezulu kunye ne-intracellular.

Kwi-1996 uDkt Cha Udala i-InBody Composition Analyzer

Kwi-1996, uDkt. Kichul Cha, owaziwa yi-bioengineer evela kwiHarvard Medical School, uvelisa inkqubo yokuqala ye-8-electrode kunye nohlalutyo olulodwa ngqo, okuyiyo imida ye-impedance yeesilinda ezinhlanu zomzimba kumaxesha amaninzi.

Oku kuvumela ukuhlolisiswa okuhlukeneyo kwe-torso impedance.

Ngalobu bugcisa bube neziphumo ezichanekileyo, ngaphandle kokusebenzisa i-data empirical, bakwazi ukuveliswa.

Abahlaziyi bomzimba be-InBody baqulunqa izixhobo zonyango ezichanekileyo. Imilinganiselo yokunyuka kwamanzi kuyo yonke iisilinda zomzimba inokufumaneka kwi I-Sheet Result Sheet.

Iimveliso ezininzi ze-BIA namhlanje zibonelela ubunzima besisundu kwicandelo ngalinye lomzimba.

Nangona kunjalo, ungabona imilinganiselo ye-impedance yazo zonke iinxalenye zantlanu zomzimba kunye nokusetyenziswa kweefom.

I-InBody Spotlight - uRachel Cosgrove yeZiphumo zoBugcisa

Imbali Yomzimba Yomzimba

• Uhlalutyo lomzimba luzibophelela kwiinkalo ezininzi kuye kuxhomekeke kwiimfuno ezithile zezigulane zakho.
• I-Two-Model Exercise Model: Iimodeli zombini zecandelo lihlula umzimba kwi-Mass-Free Mass kunye ne-Mass Mass.
• Lo mzekelo olula uyakunceda xa uvavanya isiseko sondlo, ukufaneleka, kunye nokulawulwa kwezilingo zezigulane.
• I-Model-Mass Examples Model: Imodeli yamagumbi amathathu ahlula umzimba:
• UMzimba woLuntu lweMandla
• IMisellular Mass
• IMat Mass
• Lo mzekelo uvame ukusetyenziswa ekuxhaseni ukuphuculwa kwezondlo kunye nokutshintshwa kweengxaki ezinxulumene nokuguga.
• Appropriate for full range of patients.

I-One-Comparti Water Model Iimodeli zamanzi zamagumbi enye kwi-Total Body Water (TBW).

I-Total Body Water iyisisombululo samanzi ase-Intracellular kunye ne-Extracellular Water kwaye iqulethwe ngokupheleleyo kwi-Mass-Free Free.

Ngokuqhelekileyo, malunga ne-73% ye-Mass Mass Free-Water.

Lo mzekelo ulungele ukuhlola isimo esisisiseko se-hydration.

• Two-Igumbi leManzi Imodeli yamanzi yamagumbi amabini ahlula:
• Iyonke yamanzi emzimbeni
• Amanzi aseTracellular kunye
• Amanzi angaphezulu

Esi sibonelelo sisetyenziselwa ukuhlola ibhalansi yamanzi ehambelana nokunyangwa kweemeko kwisimo seklinikhi.

• IsiXesha seMigangatho emihlanu sihlula umzimba:
• Tissue
• Amanzi aseTracellular
• Amanzi angaphezulu
• Iithambo zeThambo
• IMat Mass

Isicelo seModeli yokuSingisa

Xa iliso:

• Igumbi
• Ukuxhatshazwa kweMas
• UMzimba woLuntu lweMandla
• Amanzi Amanzi
• Amanzi aseTracellular
• Chuhlobo
• ukuxhathisa
• UkuShatshazwa kweNgqungquthela
• IsiNgesi seSigaba

Guide Guide

ukutyeba

• I-United States ibide ikwazi ukubona ukukhuluphala njengempilo enzulu.
• NgoFebruwari 1985, iiNational Institutes of Health (NIH) kwiNgxelo yeNgqungquthela yokuThuthukiswa kweeNgxelo (1) yathi "Ubungqina bokuba ubukhulu bokugqithisa, okuchazwe njengokugcinwa kwamanqatha okugqithiseleyo, kunempembelelo embi kwimpilo nobunzima."
• Ubukhulu bexesha elide ludityaniswe nemingcipheko yempilo.
• Nangona iindlela ezithile ezidibanisa ukukhuluphala kweengozi zempilo aziqondi kakuhle, uphando olutshanje lujoliswe kwiijisi ezibonisa kuphela kwiisisindo eziphathekayo zibonise isithembiso.
• Le khowudi yeejeni yamahomoni edibene nokuxhatshazwa kwe-insulin kunye neenqwelo zomzimba.
• Ubhubhane obutyebileyo luqhubeka lukhula ngaphandle kwe-United States (2,3).
• Ngoku, uye waba yingxaki enkulu yempilo "kumazwe aphuhlisiwe kunye aphuhlisayo kwiNxweme yeNtshona yePacific yeNtshona YezeMpilo" (4).
• Incazelo ebalulekileyo yokutyeba kukuba "ubunzima obuninzi obunobunzima obangela ukuxinwa kwemishini okanye i-hormonal stress system, iimbumba kunye ne-muscular-skeletal system".

• Iimpawu zokuxilonga I-Mass Mass Index (BMI) ye-30 okanye ngaphezulu. okanye
• I-Mass Mass ephezulu kunama-25 ekhulwini kumadoda okanye ngaphezulu kwepesenti ze-30 kubafazi.
• Ukunciphisa Amatshini Sincoma indlela ehamba phambili kumsebenzi oqhelekileyo.
• Isinyathelo sokuqala ukunciphisa ubunzima bokunciphisa uxinzelelo lwezandla kwiinkqubo zomzimba.

1. Ukunika ukutya okunempilo.
2. Measure the Basal Metabolic Rate (BMR).
3. Ukulinganisa i-caloric yenkcitho yansuku zonke = BMR * 1.2.
4. Beka i-dietary intake = i-caloric inkcitho - i-700 calories ngosuku.
5. Qhubeka udla kuze kube ngu-BMI = 30.
6. PHAWULA: Isidlo sokuqala esidla izigulane ezigqithisileyo ziya kubonakala ziphakamileyo.
7. Ngokomzekelo, isigulane esinesisindo esingama-300 lb kunye ne-40 yepesenti zomzimba ziza kuba ne-basal rate ye-2550 calories, i-caloric yenkcitho ye-3060 calories, kunye nokutya kwe-2360 calories ngosuku.
8. Ukunciphisa iHormonal
9. Isinyathelo sesibini kukunciphisa umlinganiselo we-fat mass kwi-mass-free-mass to reduce the incidence of hormones ehlobene namafutha.
10. Qhubeka nokutya okunempilo.
11. Yongeza umsebenzi.
12. Ukulinganisa isilinganiselo sesisombululo samanzi kunye nobukhulu obungenawo amanqatha.
13. Linganisa i-caloric inkcitho = BMR * 1.2.
14. Beka i-dietary intake = i-caloric inkcitho - i-500 calories ngosuku.
15. Qhubeka ude ufikelele kwipesenteji ze-fat mass.

PHAWULA: Ukuzivocavoca kubalulekile kwi-BIA kuba ukulahlekelwa kwesisindo ekudliwayo kwedwa kubandakanya i-45 yeepesenti ezingenakunama-fat ezamahala kunye ne-55 yeepesenti ze-fat per pound. Ukuzivocavoca kunokuguqula lo mgangatho ukuya kwi-25 yeepesenti ezingenamafutha amaninzi kunye ne-75 yepesenti yeoli.

Iingxelo:

• 1. Ingxelo yeNgqungquthela ye-Consensus ye-NIH, Impembelelo yezeMpilo yobutyebi. Amanqaku angamayeza angaphakathi, 1985; 103 (6 pt 2): 1073-1077.
• 2. Mokdad AH, et al. Ukusasazeka kwesi sifo sokunyamezela e-United States, i-1991-1998. Umbhalo we-American Medical Association, 1999; 282: 1519-1522.
• 3. Blackburn GL. Ukulawula ukukhuluphala eMelika: Uhlolo lokujonga. Izifundo eziPhambili kwiMithi 2002;2(2):40-49.
• 4. I-Ofisi yeNgingqi yeNtshona Koloni yaseNtshona Koloni ye-World Health Organization, i-International Association for Study of Obesity kunye ne-International Task Force. Umbono we-Asia-Pacific: Ukuhlengahlengisa ukukhuluphala nokunyanga. Unxibelelwano lwezeMpilo e-Australia iPty. Mhlawumbi, uFebruwari 2000.