Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy

Journal article


Ward, L., Dylke, E., Phty, M., Czerniec, S., Isenring, E. and Kilbreath, S.. (2011). Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy. Lymphatic Research and Biology. 9(1), pp. 43 - 46. https://doi.org/10.1089/lrb.2010.0024
AuthorsWard, L., Dylke, E., Phty, M., Czerniec, S., Isenring, E. and Kilbreath, S.
Abstract

Background: Secondary unilateral lymphedema in the leg may occur as a consequence of pelvic surgery and/or radiation therapy, which causes damage to the pelvic lymphatic system. To date, assessment has been typically by manual measurement of the volume excess of the affected leg compared to the contralateral leg. In contrast, the assessment of unilateral arm lymphedema is readily accomplished by the use of bioelectrical impedance spectroscopy (BIS) as an increased inter-arm impedance ratio due to the presence of excess lymph in the affected arm relative to that of the unaffected arm. The presence of lymphedema is defined by a value of this ratio greater than the mean ratio plus three standard deviations (SD) observed in a comparable healthy population. The aim of the present study was to determine the equivalent reference range of the impedance ratio for the legs. This would allow a cut-off value to be established as a criterion for the detection and assessment of lower limb lymphedema. Methods: The impedances of the legs of 172 healthy females and 150 healthy males, measured by BIS, were extracted from an accumulated database of impedance data. These data were used to determine the normal distribution of inter-leg impedance ratios and the reference range and threshold value (mean + 3 SD). Results: The presence of lymphedema is indicated when the impedance ratio exceeds 1.167 in males and 1.136 in females. Unlike in the arms, the effect of limb dominance in the legs is minimal and it is suggested that no correction for limb dominance is warranted. Conclusions: The impedance ratio thresholds for lymphedema of the legs have been established, opening the way for BIS to become established clinically for the early detection and assessment of lower limb lymphedema.

Year2011
JournalLymphatic Research and Biology
Journal citation9 (1), pp. 43 - 46
ISSN1539-6851
Digital Object Identifier (DOI)https://doi.org/10.1089/lrb.2010.0024
Page range43 - 46
Research GroupSchool of Allied Health
Publisher's version
File Access Level
Controlled
Permalink -

https://acuresearchbank.acu.edu.au/item/89yzq/reference-ranges-for-assessment-of-unilateral-lymphedema-in-legs-by-bioelectrical-impedance-spectroscopy

Restricted files

Publisher's version

  • 82
    total views
  • 0
    total downloads
  • 3
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Estimation of Arm Adipose Tissue Quotient Using Segmental Bioimpedance Spectroscopy
Ruben Buendia, T. Essex, Sharon Kilbreath, Sharon Czerniec, Elizabeth Dylke and Leigh C. Ward. (2018). Estimation of Arm Adipose Tissue Quotient Using Segmental Bioimpedance Spectroscopy. Lymphatic Research and Biology. 16(4), pp. 377-384. https://doi.org/10.1089/lrb.2017.0050
Does lymphedema severity affect quality of life? Simple question. Challenging answers
Teresa S. Lee, Carol M. Morris, Sharon Czerniec and Andrea J. Mangion. (2018). Does lymphedema severity affect quality of life? Simple question. Challenging answers. Lymphatic Research and Biology. 16(1), pp. 85-91. https://doi.org/10.1089/lrb.2016.0049
A patient-based self-examination survey for staging the severity of lymphoedema
Morris, Carol M., Lee, Teresa S., Czerniec, Sharon A. and Mangion, Andrea J.. (2017). A patient-based self-examination survey for staging the severity of lymphoedema. Journal of Lymphoedema. 12(1), pp. 10 - 15.
Breast Cancer-Related Arm Lymphedema: Fluctuation over Six Months and the Effect of the Weather
Czerniec, Sharon Anne, Ward, Leigh and Kilbreath, Sharon. (2016). Breast Cancer-Related Arm Lymphedema: Fluctuation over Six Months and the Effect of the Weather. Lymphatic Research and Biology. 14(3), pp. 148 - 155. https://doi.org/10.1089/lrb.2015.0030
Assessment of segmental arm soft tissue composition in breast cancer-related lymphedema : A pilot study using dual energy X-ray absorptiometry and bioimpedance spectroscopy
Czerniec, Sharon Anne, Ward, Leigh, Meerkin, Jarrod and Kilbreath, Sharon. (2015). Assessment of segmental arm soft tissue composition in breast cancer-related lymphedema : A pilot study using dual energy X-ray absorptiometry and bioimpedance spectroscopy. Lymphatic Research and Biology. 13(1), pp. 33 - 39. https://doi.org/10.1089/lrb.2014.0033
Assessment of breast cancer-related lymphedema : A comparison of moisture meter and spot bioimpedance measurement
Czerniec, Sharon Anne, Ward, Leigh and Kilbreath, Sharon. (2015). Assessment of breast cancer-related lymphedema : A comparison of moisture meter and spot bioimpedance measurement. Lymphatic Research and Biology. 13(1), pp. 10 - 19. https://doi.org/10.1089/lrb.2014.0032
Mindfulness-based Cognitive Therapy for the Treatment of Headache Pain
Day, Melissa, Thorn, Beverly, Ward, L, Rubin, Nancy, Hickman, Steven, Scogin, Forrest and Kilgo, Gary. (2014). Mindfulness-based Cognitive Therapy for the Treatment of Headache Pain. Clinical Journal of Pain. 30(2), pp. 152 - 161. https://doi.org/10.1097/AJP.0b013e318287a1dc
Estimation of limb adiposity by bioimpedance spectroscopy in lymphoedema
Ward, Leigh, Essex, T., Gaw, R., Czerniec, Sharon, Dylke, Elizabeth, Abell, B. and Kilbreath, Sharon. (2013). Estimation of limb adiposity by bioimpedance spectroscopy in lymphoedema. Journal of Physics: Conference Series. 434(1), pp. 1 - 4. https://doi.org/10.1088/1742-6596/434/1/012062
Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy
Ward, Leigh, Winall, Ann, Isenring, Elizabeth, Hills, Andrew, Czerniec, Sharon, Dylke, Elizabeth and Kilbreath, Sharon. (2011). Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy. International Journal of Gynecological Cancer. 21(2), pp. 409 - 418. https://doi.org/10.1097/IGC.0b013e31820866e1
Confirmation of the reference impedance ratios used for assessment of breast cancer-related lymphedema by bioelectrical impedance spectroscopy
Ward, Leigh, Dylke, Elizabeth, Czerniec, Sharon Anne, Isenring, Elisabeth and Kilbreath, Sharon. (2011). Confirmation of the reference impedance ratios used for assessment of breast cancer-related lymphedema by bioelectrical impedance spectroscopy. Lymphatic Research and Biology. 9(1), pp. 47 - 51. https://doi.org/10.1089/lrb.2010.0014
Reliability and concurrent validity of the perometer for measuring hand volume in women with and without lymphedema
Lee, Mi-Joung, Boland, Robert, Czerniec, Sharon Anne and Kilbreath, Sharon. (2011). Reliability and concurrent validity of the perometer for measuring hand volume in women with and without lymphedema. Lymphatic Research and Biology. 9(1), pp. 13 - 18. https://doi.org/10.1089/lrb.2010.0021
Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy
Ward, Leigh, Dylke, Elizabeth, Czerniec, Sharon Anne, Isenring, Elisabeth and Kilbreath, Sharon. (2011). Reference ranges for assessment of unilateral lymphedema in legs by bioelectrical impedance spectroscopy. Lymphatic Research and Biology. 9(1), pp. 43 - 46. https://doi.org/10.1089/lrb.2010.0024
Confirmation of the reference impedance ratios used for assessment of breast cancer-related lymphedema by bioelectrical impedance spectroscopy
Ward, Leigh, Dylke, Elizabeth, Czerniec, Sharon, Isenring, Elisabeth and Kilbreath, Sharon. (2011). Confirmation of the reference impedance ratios used for assessment of breast cancer-related lymphedema by bioelectrical impedance spectroscopy. Lymphatic Research and Biology. 9(1), pp. 47 - 51. https://doi.org/10.1089/lrb.2010.0014
Segmental measurement of breast cancer-related arm lymphoedema using perometry and bioimpedance spectroscopy
Czerniec, Sharon Anne, Ward, Leigh, Lee, Mi-Joung, Refshauge, Kathryn, Beith, Jane and Kilbreath, Sharon. (2011). Segmental measurement of breast cancer-related arm lymphoedema using perometry and bioimpedance spectroscopy. Supportive Care in Cancer. 19(5), pp. 703 - 710. https://doi.org/10.1007/s00520-010-0896-8
Segmental measurement of breast cancer-related arm lymphoedema using perometry and bioimpedance spectroscopy
Czerniec, Sharon, Ward, Leigh, Lee, Mi-Joung, Refshauge, Kathryn, Beith, Jane and Kilbreath, Sharon. (2011). Segmental measurement of breast cancer-related arm lymphoedema using perometry and bioimpedance spectroscopy. Supportive Care in Cancer. 19(5), pp. 703 - 710. https://doi.org/10.1007/s00520-010-0896-8
Reliability and concurrent validity of the perometer for measuring hand volume in women with and without lymphedema
Lee, Mi-Joung, Boland, Robert, Czerniec, Sharon and Kilbreath, Sharon. (2011). Reliability and concurrent validity of the perometer for measuring hand volume in women with and without lymphedema. Lymphatic Research and Biology. 9(1), pp. 13 - 18. https://doi.org/10.1089/lrb.2010.0021
Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy
Ward, Leigh, Winall, Ann, Isenring, Elisabeth, Hills, Andrew, Czerniec, Sharon Anne, Dylke, Elizabeth and Kilbreath, Sharon. (2011). Assessment of bilateral limb lymphedema by bioelectrical impedance spectroscopy. International Journal of Gynecological Cancer. 21(2), pp. 409 - 418. https://doi.org/10.1097/IGC.0b013e31820866e1
Masculinities, diet and senior Punjabi Sikh immigrant men : Food for Western thought?
Oliffe, J, Grewal, S, Bottorff, Joan, Dhesi, J, Bindy, H, Kang, K, Ward, A and Hislop, T. (2010). Masculinities, diet and senior Punjabi Sikh immigrant men : Food for Western thought? Sociology of Health and Illness: A journal of medical sociology. 32(5), pp. 761 - 776. https://doi.org/10.1111/j.1467-9566.2010.01252.x