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September 5, 2026ObesitiesOpen Access

Fluid Distribution Index and Bioelectrical Impedance Analysis in Adolescents and Adults: Reference Values in People Residing in Mexico

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Authors

CHCarlos Abraham Herrera-AmanteCRCésar Octavio Ramos-GarcíaRYRodrigo Yañéz‐Sepúlveda

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Overview

Observational study reveals distinct bioelectrical impedance vectors and fluid distribution indices in Mexican residents, highlighting the need for population-specific clinical reference norms.

Key Points

  • To establish sex- and age-specific reference values for bioelectrical impedance vector analysis, phase angle, and extracellular-to-total body water ratios in adolescents and adults residing in Mexico.
  • Cross-sectional observational study analyzing 5,271 participants (3,455 women, 1,816 men; mean age 23.3 ± 6.6 years) assessed between 2017 and 2023 in Guadalajara, Mexico.
  • Bioelectrical variables were evaluated using an InBody 720 multifrequency segmental analyzer to calculate phase angle (PhA), tolerance ellipses (50th, 75th, 95th percentiles), and extracellular-to-total body water (ECW/TBW) ratios.
  • Mean vector differences by sex were evaluated using Hotelling's T2 test and the Mahalanobis distance (D).
  • PhA was significantly higher in men (6.39 ± 0.57°) than in women (5.37 ± 0.56°; Cohen's d = 1.81; p < 0.001), with distinct mean impedance vectors identified between sexes (Hotelling's T2, p < 0.001; D = 2.42).
  • The ECW/TBW ratio was higher in women (0.378 ± 0.006) than in men (0.371 ± 0.006; Cohen's d = 1.13), with 29.8% of women falling in the high-normal band compared to 5.0% of men (p < 0.001).
  • PhA correlated inversely with ECW/TBW in women (r = −0.85, p < 0.001) and men (r = −0.86, p < 0.001), increased across BMI categories (p < 0.001), and demonstrated centroid displacement compared to previous European and North American references.

Cite This Study

Herrera-Amante et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4726b95aff0620ec341https://doi.org/10.3390/obesities6050063
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