{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:39:28Z","timestamp":1772325568247,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,4,16]],"date-time":"2015-04-16T00:00:00Z","timestamp":1429142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["N01-DK-7-0005"],"award-info":[{"award-number":["N01-DK-7-0005"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["N01-DK-7-5004"],"award-info":[{"award-number":["N01-DK-7-5004"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24DK085153"],"award-info":[{"award-number":["K24DK085153"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23 DK093584"],"award-info":[{"award-number":["K23 DK093584"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2015,10]]},"abstract":"Abstract<\/jats:title>Clinical examination to determine the dry weight of patients on hemodialysis (HD<\/jats:styled-content>) has been problematic, with studies showing discordance between physician assessment and objective measures of volume status.We studied the association between predialysis bioimpedance spectroscopy (BIS<\/jats:styled-content>)\u2010based estimates of fluid overload and postdialysis hypotension in 635 patients in the U<\/jats:styled-content>nited S<\/jats:styled-content>tates R<\/jats:styled-content>enal D<\/jats:styled-content>ata S<\/jats:styled-content>ystem ACTIVE<\/jats:styled-content>\/ADIPOSE<\/jats:styled-content> (A Cohort study To Investigate the Value of Exercise\/Analyses Designed to Investigate the Paradox of Obesity and Survival in ESRD) study receiving HD<\/jats:styled-content> in 2009\u20132011. We recorded predialysis and postdialysis weight and blood pressures over 3 consecutive HD<\/jats:styled-content> sessions and performed BIS<\/jats:styled-content> before a single session. Using a previously reported method of estimating normohydration weight, we estimated postdialysis fluid overload (FO<\/jats:styled-content>post<\/jats:sub>) in liters. We used logistic regression with extracellular water\/total body water (ECW<\/jats:styled-content>\/TBW<\/jats:styled-content>) or estimated FO<\/jats:styled-content>post<\/jats:sub> as the primary predictor and 1 or more postdialysis systolic blood pressures less than 110\u2009mmHg as the dependent variable. Models were adjusted for age, sex, race, ultrafiltration rate per kilogram of body weight, end\u2010stage renal disease vintage, diabetes mellitus, heart failure, and albumin. Higher ECW<\/jats:styled-content>\/TBW<\/jats:styled-content> was associated with lower odds of postdialysis hypotension (odds ratio [OR<\/jats:styled-content>] 0.35, 95% confidence interval [CI<\/jats:styled-content>] 0.15\u20130.84 per 0.1, P\u2009=\u20090.02). Every liter of FO<\/jats:styled-content>post<\/jats:sub> was associated with lower adjusted odds of postdialysis hypotension (OR<\/jats:styled-content> 0.86, 95% CI<\/jats:styled-content> 0.79\u20130.95, P\u2009=\u20090.003). Prospective studies are needed to determine whether this application of BIS<\/jats:styled-content> could improve current clinical efforts to minimize episodes of postdialysis hypotension without leading to volume overload.<\/jats:p>","DOI":"10.1111\/hdi.12305","type":"journal-article","created":{"date-parts":[[2015,4,17]],"date-time":"2015-04-17T03:06:52Z","timestamp":1429240012000},"page":"536-542","source":"Crossref","is-referenced-by-count":14,"title":["Association of bioimpedance spectroscopy\u2010based volume estimation with postdialysis hypotension in patients receiving hemodialysis"],"prefix":"10.1111","volume":"19","author":[{"given":"Adrian P.","family":"Abreo","sequence":"first","affiliation":[{"name":"Division of Nephrology University of Cincinnati College of Medicine Cincinnati Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn M.","family":"Chertow","sequence":"additional","affiliation":[{"name":"Division of Nephrology Stanford University School of Medicine Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorien S.","family":"Dalrymple","sequence":"additional","affiliation":[{"name":"Division of Nephrology University of California Davis Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George A.","family":"Kaysen","sequence":"additional","affiliation":[{"name":"Division of Nephrology University of California Davis Davis California USA"},{"name":"Department of Biochemistry and Molecular Medicine University of California Davis Davis California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten L.","family":"Johansen","sequence":"additional","affiliation":[{"name":"Division of Nephrology University of California San Francisco California USA"},{"name":"Department of Epidemiology & Biostatistics University of California San Francisco California USA"},{"name":"Nephrology Section San Francisco VA Medical Center San Francisco 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