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Direct Current Bioelectric Impedance Methods: Unlike A.C. bioelectric impedance , the electric current produced by D.C. bioelectric impedance methods specifically passes through the interstitial fluid compartment 23 (see image below). The interstitial fluid compartment represents approximately 16% of the body’s total water.24-26 Interstitial fluid is extra cellular water and solutes surrounding cells, but outside of the bloodstream and lymphatic system. Interstitial fluid forms the microscopic interface between cells and capillaries. Interstitial fluid differs from whole blood by the absence of red blood cells, and it differs from blood plasma in that there are far fewer proteins. Any substance passing between cells and the bloodstream must traverse the interstitial space. These substances include oxygen, carbon dioxide, glucose, as well as thousands of other compounds.27,28 The interstitial fluid’s role as a metabolic conduit and its proximity to the collective intracellular space of nearby cells suggests that the chemical composition of the interstitial fluid may reflect the physiology (or pathophysiology) of nearby cells.29-31 Since D.C. electric current primarily passes through the interstitial fluid, it has been proposed that an abnormality in the chemical composition of the interstitial fluid could be detected with an adequately sensitive D.C. BIM device.
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