Total body electrical conductivity measurements in the neonate. 1991

M L Fiorotto, and W J Klish
Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston.

TOBEC measurements are based on the premise that a conductive object will interact with an electromagnetic field and result in the dissipation of a small quantity of the field's energy. TOBEC instruments provide a measure of this energy loss, which for a given conductor varies according to its size. The conductive component of the body is that part that contains water with dissolved electrolytes, i.e., essentially the FFM. Fat, by definition, is anhydrous and does not contribute to a TOBEC measurement. To interpret TOBEC readings in terms of the quantity of FFM in the body requires the use of a calibration equation that is generated by measuring the FFM of a reference population using an alternative technique and relating this to each individual's TOBEC value. Because no alternative method exists to estimate the FFM of an infant, a calibration equation is used that was generated from measurements of young miniature piglets. The body composition of infants thus derived is consistent with our general understanding of the changes in fat and FFM in human infants in early life. Whether TOBEC can be used as described in premature or older children has yet to be determined. Variations in the composition of the FFM do not seem to compromise the accuracy of the technique. TOBEC measurements are precise, rapid, noninvasive, and safe and cause the subject no discomfort. These features not only make TOBEC a useful tool for the nutritional assessment of a pediatric patient but they also may be a useful diagnostic tool for the clinician.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D009359 Neonatology A subspecialty of Pediatrics concerned with the newborn infant.
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D001823 Body Composition The relative amounts of various components in the body, such as percentage of body fat. Body Compositions,Composition, Body,Compositions, Body
D003217 Conductometry Determination of the quantity of a material present in a mixture by measurement of its effect on the electrical conductivity of the mixture. (Webster, 3d ed) Titration, Conductometric,Conductometric Titration,Conductometric Titrations,Titrations, Conductometric
D004553 Electric Conductivity The ability of a substrate to allow the passage of ELECTRONS. Electrical Conductivity,Conductivity, Electric,Conductivity, Electrical
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000273 Adipose Tissue Specialized connective tissue composed of fat cells (ADIPOCYTES). It is the site of stored FATS, usually in the form of TRIGLYCERIDES. In mammals, there are two types of adipose tissue, the WHITE FAT and the BROWN FAT. Their relative distributions vary in different species with most adipose tissue being white. Fatty Tissue,Body Fat,Fat Pad,Fat Pads,Pad, Fat,Pads, Fat,Tissue, Adipose,Tissue, Fatty
D012680 Sensitivity and Specificity Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed) Specificity,Sensitivity,Specificity and Sensitivity
D015203 Reproducibility of Results The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results. Reliability and Validity,Reliability of Result,Reproducibility Of Result,Reproducibility of Finding,Validity of Result,Validity of Results,Face Validity,Reliability (Epidemiology),Reliability of Results,Reproducibility of Findings,Test-Retest Reliability,Validity (Epidemiology),Finding Reproducibilities,Finding Reproducibility,Of Result, Reproducibility,Of Results, Reproducibility,Reliabilities, Test-Retest,Reliability, Test-Retest,Result Reliabilities,Result Reliability,Result Validities,Result Validity,Result, Reproducibility Of,Results, Reproducibility Of,Test Retest Reliability,Validity and Reliability,Validity, Face

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