Comparison of fluid and body composition measures in women with lipoedema, lymphoedema, and control participants.

bioimpedance spectroscopy body composition extracellular fluid lipoedema lymphoedema

Journal

Clinical obesity
ISSN: 1758-8111
Titre abrégé: Clin Obes
Pays: England
ID NLM: 101560587

Informations de publication

Date de publication:
28 Mar 2024
Historique:
revised: 12 03 2024
received: 19 10 2023
accepted: 16 03 2024
medline: 29 3 2024
pubmed: 29 3 2024
entrez: 28 3 2024
Statut: aheadofprint

Résumé

Lipoedema is the disproportionate accumulation of adipose tissue in the lower body, often associated with hormonal changes in women. Lipoedema is commonly misdiagnosed as lymphoedema or obesity due to similarities in appearance. The aim of this study is to compare body composition and fluid measures of women with lipoedema, lymphoedema, and matched control participants, to determine differences that may help distinguish between each condition. One hundred and eleven participants aged over 18, who presented with the complaint of leg swelling and underwent indocyanine green lymphography were included in this study. Our analysis showed that the individuals with lymphoedema had a significantly higher overall total body water (lymphoedema: 9.6 ± 4.2 L, lipoedema: 7.4 ± 2.3 L, control: 7.5 ± 1.8 L; p < .001) and extracellular fluid (lymphoedema: 4.6 ± 1.6, lipoedema: 3.4 ± 1.0 L, control: 3.5 ± 0.7 L; p < .001) in the legs when compared to individuals with lipoedema and matched control participants. Individuals with lipoedema had a significantly higher overall fat mass as a percentage of body weight when compared to individuals with lymphoedema (lymphoedema: 33.1% ± 9.5%, lipoedema: 39.4% ± 6.5%; p = .003). We are unable to distinguish between individuals with lipoedema and control participants, therefore further research needs to be conducted to help reduce misdiagnosis.

Identifiants

pubmed: 38548674
doi: 10.1111/cob.12658
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e12658

Informations de copyright

© 2024 The Authors. Clinical Obesity published by John Wiley & Sons Ltd on behalf of World Obesity Federation.

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Auteurs

Rhiannon Stellmaker (R)

Australian Lymphoedema Education Research and Treatment Program (ALERT), Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, New South Wales, Australia.

Belinda Thompson (B)

Australian Lymphoedema Education Research and Treatment Program (ALERT), Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, New South Wales, Australia.

Helen Mackie (H)

Australian Lymphoedema Education Research and Treatment Program (ALERT), Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, New South Wales, Australia.

Louise Koelmeyer (L)

Australian Lymphoedema Education Research and Treatment Program (ALERT), Faculty of Medicine, Health and Human Sciences, Macquarie University, North Ryde, New South Wales, Australia.

Classifications MeSH