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Zhao Y, Gong JX, Ji YT, Zhao XY, He L, Cai SZ, Yan XM. Cross-sectional study of characteristics of body composition of 24,845 children and adolescents aged 3-17 years in Suzhou. BMC Pediatr 2023; 23:358. [PMID: 37442965 PMCID: PMC10339479 DOI: 10.1186/s12887-023-04134-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 06/16/2023] [Indexed: 07/15/2023] Open
Abstract
BACKGROUND We aimed to analyze the characteristics of the body composition of children and adolescents aged 3-17 in Suzhou, China. METHODS A cross-sectional study between January 2020 and June 2022 using bioelectrical impedance was conducted to determine the fat mass (FM), fat-free mass (FFM), skeletal muscle mass, and protein and mineral contents of 24,845 children aged 3-17 who attended the Department of Child and Adolescent Healthcare, Children's Hospital of Soochow University, China. Measurement data was presented in tables as mean ± SD, and groups were compared using the independent samples t-test. RESULTS FM and fat-free mass increased with age in both boys and girls. The fat-free mass of girls aged 14-15 decreased after reaching a peak, and that of boys in the same age group was higher than that of the girls (p < 0.05). There were no significant differences in FM between boys and girls younger than 9- and 10-years old. The percentage body fat (PBF) and FM index of girls increased rapidly between 11 and 15 years of age (p < 0.05), and those of boys aged 11-14 were significantly lower (p < 0.05), suggesting that the increase in body mass index (BMI) was mainly contributed by muscle mass (MM) in boys. CONCLUSIONS The body composition of children and adolescents varies according to their age and sex. A misdiagnosis of obesity made on the basis of BMI alone can be avoided if BMI is used in combination with FM index, percentage body fat, and other indexes.
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Affiliation(s)
- Yan Zhao
- Department of Pediatrics, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215003, China
| | - Jin-Xin Gong
- Department of Child and Adolescent Healthcare, Children's Hospital of Soochow University, Suzhou, 215025, Jiangsu, China
| | - Yi-Ting Ji
- Department of Child and Adolescent Healthcare, Children's Hospital of Soochow University, Suzhou, 215025, Jiangsu, China
| | - Xiao-Yun Zhao
- Department of Neonatology, Children's Hospital of Soochow University, Suzhou, 215025, Jiangsu, China
| | - Lu He
- Department of Child and Adolescent Healthcare, Children's Hospital of Soochow University, Suzhou, 215025, Jiangsu, China
| | - Shi-Zhong Cai
- Department of Child and Adolescent Healthcare, Children's Hospital of Soochow University, Suzhou, 215025, Jiangsu, China.
| | - Xiang-Ming Yan
- Department of Urology, Children's Hospital of Soochow University, Suzhou, 215025, Jiangsu, China.
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Kojic T, Simić M, Vučinić-Vasić M, Stojanović GM. Sensing system based on knitted electrodes for fruit quality evaluation. J FOOD ENG 2023. [DOI: 10.1016/j.jfoodeng.2023.111544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2023]
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Showkat I, Khanday FA, Beigh MR. A review of bio-impedance devices. Med Biol Eng Comput 2023; 61:927-950. [PMID: 36637716 DOI: 10.1007/s11517-022-02763-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 12/27/2022] [Indexed: 01/14/2023]
Abstract
Bio-impedance measurement analysis primarily refers to a safe and a non-invasive technique to analyze the electrical changes in living tissues on the application of low-value alternating current. It finds applications both in the biomedical and the agricultural fields. This paper concisely reviews the origin and measurement approaches for concepts and fundamentals of bio-impedance followed by a critical review on bio-impedance portable devices with main emphasis on the embedded system approach which is in demand due to its miniature size and present lifestyle preference of monitoring health in real time. The paper also provides a comprehensive review of various bio-impedance circuits with emphasis on the measurement and calibration techniques.
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Affiliation(s)
- Insha Showkat
- Department of Electronics and Instrumentation Technology, University of Kashmir, Hazratbal, Srinagar, Jammu and Kashmir, India
| | - Farooq A Khanday
- Department of Electronics and Instrumentation Technology, University of Kashmir, Hazratbal, Srinagar, Jammu and Kashmir, India.
| | - M Rafiq Beigh
- Department of Electronics, Govt. Degree College Sumbal, Sumbal, J&K, India
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Localized Bioimpedance Measurements with the MAX3000x Integrated Circuit: Characterization and Demonstration. SENSORS 2021; 21:s21093013. [PMID: 33923037 PMCID: PMC8123364 DOI: 10.3390/s21093013] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2021] [Revised: 04/15/2021] [Accepted: 04/20/2021] [Indexed: 01/24/2023]
Abstract
The commercial availability of integrated circuits with bioimpedance sensing functionality is advancing the opportunity for practical wearable systems that monitor the electrical impedance properties of tissues to identify physiological features in support of health-focused applications. This technical note characterizes the performance of the MAX3000x (resistance/reactance accuracy, power modes, filtering, gains) and is available for on-board processing (electrode detection) for localized bioimpedance measurements. Measurements of discrete impedances that are representative of localized tissue bioimpedance support that this IC has a relative error of <10% for the resistance component of complex impedance measurements, but can also measure relative alterations in the 250 mΩ range. The application of the MAX3000x for monitoring localized bicep tissues during activity is presented to highlight its functionality, as well as its limitations, for multi-frequency measurements. This device is a very-small-form-factor single-chip solution for measuring multi-frequency bioimpedance with significant on-board processing with potential for wearable applications.
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Ghita M, Neckebroek M, Juchem J, Copot D, Muresan CI, Ionescu CM. Bioimpedance Sensor and Methodology for Acute Pain Monitoring. SENSORS (BASEL, SWITZERLAND) 2020; 20:E6765. [PMID: 33256120 PMCID: PMC7729453 DOI: 10.3390/s20236765] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 11/21/2020] [Accepted: 11/23/2020] [Indexed: 12/13/2022]
Abstract
The paper aims to revive the interest in bioimpedance analysis for pain studies in communicating and non-communicating (anesthetized) individuals for monitoring purpose. The plea for exploitation of full potential offered by the complex (bio)impedance measurement is emphasized through theoretical and experimental analysis. A non-invasive, low-cost reliable sensor to measure skin impedance is designed with off-the-shelf components. This is a second generation prototype for pain detection, quantification, and modeling, with the objective to be used in fully anesthetized patients undergoing surgery. The 2D and 3D time-frequency, multi-frequency evaluation of impedance data is based on broadly available signal processing tools. Furthermore, fractional-order impedance models are implied to provide an indication of change in tissue dynamics correlated with absence/presence of nociceptor stimulation. The unique features of the proposed sensor enhancements are described and illustrated here based on mechanical and thermal tests and further reinforced with previous studies from our first generation prototype.
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Affiliation(s)
- Mihaela Ghita
- Research Group of Dynamical Systems and Control, Ghent University, Tech Lane Science Park 125, 9052 Ghent, Belgium; (J.J.); (D.C.); (C.M.I.)
- EEDT—Core Lab on Decision and Control, Flanders Make Consortium, Tech Lane Science Park 131, 9052 Ghent, Belgium
| | - Martine Neckebroek
- Department of Anesthesia, Ghent University Hospital, C. Heymanslaan 10, 9000 Gent, Belgium;
| | - Jasper Juchem
- Research Group of Dynamical Systems and Control, Ghent University, Tech Lane Science Park 125, 9052 Ghent, Belgium; (J.J.); (D.C.); (C.M.I.)
- EEDT—Core Lab on Decision and Control, Flanders Make Consortium, Tech Lane Science Park 131, 9052 Ghent, Belgium
| | - Dana Copot
- Research Group of Dynamical Systems and Control, Ghent University, Tech Lane Science Park 125, 9052 Ghent, Belgium; (J.J.); (D.C.); (C.M.I.)
- EEDT—Core Lab on Decision and Control, Flanders Make Consortium, Tech Lane Science Park 131, 9052 Ghent, Belgium
| | - Cristina I. Muresan
- Department of Automation, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, Romania;
| | - Clara M. Ionescu
- Research Group of Dynamical Systems and Control, Ghent University, Tech Lane Science Park 125, 9052 Ghent, Belgium; (J.J.); (D.C.); (C.M.I.)
- EEDT—Core Lab on Decision and Control, Flanders Make Consortium, Tech Lane Science Park 131, 9052 Ghent, Belgium
- Department of Automation, Technical University of Cluj-Napoca, Memorandumului 28, 400114 Cluj-Napoca, Romania;
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Cosoli G, Scalise L, De Leo A, Russo P, Tricarico G, Tomasini EP, Cerri G. Development of a Novel Medical Device for Mucositis and Peri-Implantitis Treatment. Bioengineering (Basel) 2020; 7:E87. [PMID: 32764313 PMCID: PMC7552606 DOI: 10.3390/bioengineering7030087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Revised: 07/14/2020] [Accepted: 08/03/2020] [Indexed: 11/24/2022] Open
Abstract
In spite of all the developments in dental implantology techniques, peri-implant diseases are frequent (prevalence up to 80% and 56% of subjects for mucositis and peri-implantitis, respectively) and there is an urgency for an effective treatment strategy. This paper presents an innovative electromedical device for the electromagnetic treatment of mucositis and peri-implantitis diseases. This device is also equipped with a measurement part for bioimpedance, which reflects the health conditions of a tissue, thus allowing clinicians to objectively detect impaired areas and to monitor the severity of the disease, evaluate the treatment efficacy, and adjust it accordingly. The design of the device was realized considering literature data, clinical evidence, numerical simulation results, and electromagnetic compatibility (EMC) pre-compliance tests, involving both clinicians and engineers, to better understand all the needs and translate them into design requirements. The reported system is being tested in more than 50 dental offices since 2019, providing efficient treatments for mucositis and peri-implantitis, with success rates of approximately 98% and 80%, respectively.
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Affiliation(s)
- Gloria Cosoli
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy; (L.S.); (E.P.T.)
| | - Lorenzo Scalise
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy; (L.S.); (E.P.T.)
| | - Alfredo De Leo
- Department of Information Engineering, Università Politecnica delle Marche, 60131 Ancona, Italy; (A.D.L.); (P.R.); (G.C.)
| | - Paola Russo
- Department of Information Engineering, Università Politecnica delle Marche, 60131 Ancona, Italy; (A.D.L.); (P.R.); (G.C.)
| | - Gerardo Tricarico
- Department of Health Sciences, Università del Piemonte Orientale, 28100 Novara, Italy;
| | - Enrico Primo Tomasini
- Department of Industrial Engineering and Mathematical Sciences, Università Politecnica delle Marche, 60131 Ancona, Italy; (L.S.); (E.P.T.)
| | - Graziano Cerri
- Department of Information Engineering, Università Politecnica delle Marche, 60131 Ancona, Italy; (A.D.L.); (P.R.); (G.C.)
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Abstract
OBJECTIVES Cardiopulmonary bypass-induced endothelial dysfunction has been inferred by changes in pulmonary vascular resistance, alterations in circulating biomarkers, and postoperative capillary leak. Endothelial-dependent vasomotor dysfunction of the systemic vasculature has never been quantified in this setting. The objective of the present study was to quantify acute effects of cardiopulmonary bypass on endothelial vasomotor control and attempt to correlate these effects with postoperative cytokines, tissue edema, and clinical outcomes in infants. DESIGN Single-center prospective observational cohort pilot study. SETTING Pediatric cardiac ICU at a tertiary children's hospital. PATIENTS Children less than 1 year old requiring cardiopulmonary bypass for repair of a congenital heart lesion. INTERVENTION None. MEASUREMENTS AND MAIN RESULTS Laser Doppler perfusion monitoring was coupled with local iontophoresis of acetylcholine (endothelium-dependent vasodilator) or sodium nitroprusside (endothelium-independent vasodilator) to quantify endothelial-dependent vasomotor function in the cutaneous microcirculation. Measurements were obtained preoperatively, 2-4 hours, and 24 hours after separation from cardiopulmonary bypass. Fifteen patients completed all laser Doppler perfusion monitor (Perimed, Järfälla, Sweden) measurements. Comparing prebypass with 2-4 hours postbypass responses, there was a decrease in both peak perfusion (p = 0.0006) and area under the dose-response curve (p = 0.005) following acetylcholine, but no change in responses to sodium nitroprusside. Twenty-four hours after bypass responsiveness to acetylcholine improved, but typically remained depressed from baseline. Conserved endothelial function was associated with higher urine output during the first 48 postoperative hours (R = 0.43; p = 0.008). CONCLUSIONS Cutaneous endothelial dysfunction is present in infants immediately following cardiopulmonary bypass and recovers significantly in some patients within 24 hours postoperatively. Confirmation of an association between persistent endothelial-dependent vasomotor dysfunction and decreased urine output could have important clinical implications. Ongoing research will explore the pattern of endothelial-dependent vasomotor dysfunction after cardiopulmonary bypass and its relationship with biochemical markers of inflammation and clinical outcomes.
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Sawhney MA, Conlan RS. POISED-5, a portable on-board electrochemical impedance spectroscopy biomarker analysis device. Biomed Microdevices 2019; 21:70. [PMID: 31273464 PMCID: PMC6609592 DOI: 10.1007/s10544-019-0406-9] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Point-of-care medical devices offer the potential for rapid biomarker detection and reporting of medical conditions, thereby bypassing the requirements for offline clinical laboratory facilities in many cases. Label-free electrochemical techniques are suitable for use in handheld diagnostic devices due the inherent electronic detection modality and low requirement for processing reagents. While electrochemical impedance sensing is widely used in tissue analysis such as body composition measurement, its use in point-of-care patient testing is yet to be widely adopted. Here we have considered a number of issues currently limiting the translation of electrochemical impedance sensing into clinical biosensor devices. Specifically, we have addressed the current requirement for these sensors to be connected to an external processor by applying a minimum number of frequencies required for optimized biomarker detection, and subsequently delivering analytics within the measurement device. The POISED-5 device was evaluated using a sensor for the ovarian cancer biomarker cancer antigen 125 (CA125), demonstrating performance comparable to standard laboratory equipment, with direct interpretation of response signal amplitude substituting traditional impedance component calculation and model fitting.
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Affiliation(s)
- M. Anne Sawhney
- Swansea University Medical School, Singleton Park, Swansea, SA2 8PP UK
- Centre for NanoHealth, Swansea University, Singleton Park, Swansea, SA2 8PP UK
| | - R. S. Conlan
- Swansea University Medical School, Singleton Park, Swansea, SA2 8PP UK
- Centre for NanoHealth, Swansea University, Singleton Park, Swansea, SA2 8PP UK
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Ivanisevic N, Rodriguez S, Rusu A. Impedance Spectroscopy Based on Linear System Identification. IEEE TRANSACTIONS ON BIOMEDICAL CIRCUITS AND SYSTEMS 2019; 13:396-402. [PMID: 30794518 DOI: 10.1109/tbcas.2019.2900584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Impedance spectroscopy is a commonly used measurement technique for electrical characterization of a sample under test over a wide frequency range. Most measurement methods employ a sine wave excitation generator, which implies a point-by-point frequency sweep and a complex readout architecture. This paper presents a fast, wideband, measurement method for impedance spectroscopy based on linear system identification. The main advantage of the proposed method is the low hardware complexity, which consists of a three-level pulse waveform, an inverting voltage amplifier, and a general purpose analog-to-digital converter (ADC). A proof-of-concept prototype, which is implemented with off-the-shelf components, achieves an estimation fit of approximately 96%. The prototype operation is validated electrically using known RC component values and tested in real application conditions.
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Hafid A, Benouar S, Kedir-Talha M, Attari M, Seoane F. Simultaneous Recording of ICG and ECG Using Z-RPI Device with Minimum Number of Electrodes. JOURNAL OF SENSORS 2018; 2018:1-7. [DOI: 10.1155/2018/3269534] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Impedance cardiography (ICG) is a noninvasive method for monitoring mechanical function of the heart with the use of electrical bioimpedance measurements. This paper presents the feasibility of recording an ICG signal simultaneously with electrocardiogram signal (ECG) using the same electrodes for both measurements, for a total of five electrodes rather than eight electrodes. The device used is the Z-RPI. The results present good performance and show waveforms presenting high similarity with the different signals reported using different electrodes for acquisition; the heart rate values were calculated and they present accurate evaluation between the ECG and ICG heart rates. The hemodynamics and cardiac parameter results present similitude with the physiological parameters for healthy people reported in the literature. The possibility of reducing number of electrodes used for ICG measurement is an encouraging step to enabling wearable and personal health monitoring solutions.
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Affiliation(s)
- Abdelakram Hafid
- Laboratory of Instrumentation, University of Sciences and Technology Houari Boumediene, Algiers, Algeria
| | - Sara Benouar
- Laboratory of Instrumentation, University of Sciences and Technology Houari Boumediene, Algiers, Algeria
| | - Malika Kedir-Talha
- Laboratory of Instrumentation, University of Sciences and Technology Houari Boumediene, Algiers, Algeria
| | - Mokhtar Attari
- Laboratory of Instrumentation, University of Sciences and Technology Houari Boumediene, Algiers, Algeria
| | - Fernando Seoane
- Swedish School of Textiles, University of Borås, 50190 Borås, Sweden
- The Department for Clinical Science, Intervention and Technology, Karolinska Institutet, 14186 Stockholm, Sweden
- Department Biomedical Engineering, Karolinska University Hospital, 14186 Stockholm, Sweden
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Hafid A, Benouar S, Kedir-Talha M, Abtahi F, Attari M, Seoane F. Full Impedance Cardiography Measurement Device Using Raspberry PI3 and System-on-Chip Biomedical Instrumentation Solutions. IEEE J Biomed Health Inform 2018; 22:1883-1894. [DOI: 10.1109/jbhi.2017.2783949] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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"The Smartphone's Guide to the Galaxy": In Situ Analysis in Space. BIOSENSORS-BASEL 2018; 8:bios8040096. [PMID: 30347742 PMCID: PMC6316803 DOI: 10.3390/bios8040096] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Revised: 10/05/2018] [Accepted: 10/13/2018] [Indexed: 01/02/2023]
Abstract
A human mission to Mars can be viewed as the apex of human technological achievement. However, to make this dream a reality several obstacles need to be overcome. One is devising practical ways to safeguard the crew health during the mission through the development of easy operable and compact sensors. Lately, several smartphone-based sensing devices (SBDs) with the purpose to enable the immediate sensitive detection of chemicals, proteins or pathogens in remote settings have emerged. In this critical review, the potential to piggyback these systems for in situ analysis in space has been investigated on application of a systematic keyword search whereby the most relevant articles were examined comprehensively and existing SBDs were divided into 4 relevant groups for the monitoring of crew health during space missions. Recently developed recognition elements (REs), which could offer the enhanced ability to tolerate those harsh conditions in space, have been reviewed with recommendations offered. In addition, the potential use of cell free synthetic biology to obtain long-term shelf-stable reagents was reviewed. Finally, a synopsis of the possibilities of combining novel SBD, RE and nanomaterials to create a compact sensor-platform ensuring adequate crew health monitoring has been provided.
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Freeborn TJ, Crenshaw T, Critcher S. Hook artifact correction of localized electrical bioimpedance for improved agreement between different device measurements. Biomed Phys Eng Express 2017. [DOI: 10.1088/2057-1976/aa971b] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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