Method and a device for determining the hydration and/or nutrition status of a patient

Abstract

The invention relates to the field of monitoring the hydration and/or nutrition status of a patient. According to the invention a method is provided to determine at least one of a mal-hydration component, an adipose tissue component and a lean tissue component of a patient comprising the steps of determining chemical or physical properties of the patient and deriving the at least one component on the basis of the determined chemical or physical properties of the patient and previously determined values of a mass or volume fraction of water in lean tissue and a mass or volume fraction of water in adipose tissue. The invention also relates to a device for carrying out the method according to the invention and to a computer program product to be used on such a device.

1 . A method to determine at least one of a mal-hydration component, an adipose tissue component and a lean tissue component of a patient comprising the steps of:
 determining chemical or physical properties of the patient and   deriving the at least one component on the basis of the determined chemical or physical properties and previously determined values of a mass or volume fraction of water in lean tissue and a mass or volume fraction of water in adipose tissue.   
     
     
         2 . The method according to  claim 1  characterised in that the at least one component is the mass of that component of the patient. 
     
     
         3 . The method according to  claim 1  characterised in that the at least one component is the volume of that component of the patient. 
     
     
         4 . The method according to  claim 1  characterised in that the chemical or physical properties of the patient comprise at least one of the whole body mass, the lipid mass and the total bone mineral content mass of the patient. 
     
     
         5 . The method according to  claim 1  characterised in that the chemical or physical properties of the patient comprise the volume or mass of at least one of the total water, the extracellular water and the intracellular water of the patient. 
     
     
         6 . The method according to  claim 1  characterised in that the previously determined values comprise the mass or volume fraction of the total water in lean tissue and the mass or volume fraction of the total water in adipose tissue. 
     
     
         7 . The method according to  claim 1  characterised in that the previously determined values comprise the mass or volume fraction of extracellular water in lean tissue and the mass or volume fraction of extracellular water in adipose tissue. 
     
     
         8 . The method according to  claim 1  characterised in that the previously determined values comprise the mass or volume fraction of intracellular water in lean tissue and the mass or volume fraction of intracellular water in adipose tissue. 
     
     
         9 . A device for carrying out the method according to  claim 1  comprising:
 a measurement and/or input unit ( 5 ) configured to provide values for the chemical or physical properties of the patient to be determined, 
 an evaluation unit ( 1 ) configured to derive the at least one component on the basis of the determined properties of the patient and previously determined values of a mass or volume fraction of water in lean tissue and a mass or volume fraction of water in adipose tissue and 
 
       a communication link between the measurement and/or input unit and the evaluation unit. 
     
     
         10 . The device according to  claim 9  characterised in that the evaluation unit is also configured to control the measurement and/or input unit for determining at least one of the chemical or physical properties of the patient. 
     
     
         11 . The device according to  claim 9  characterised in that the evaluation unit is a microprocessor unit which in turn comprises a microprocessor program storage unit, wherein in the microprocessor program storage unit a program for deriving the at least one component on the basis of the determined chemical or physical properties of the patient and previously determined values of a mass or volume fraction of water in lean tissue and a mass or volume fraction of water in adipose tissue is stored. 
     
     
         12 . The device according to  claim 11  characterised in that the program stored in the microprocessor storage unit also controls the measurement and/or input unit for determining at least one of the chemical or physical properties of the patient. 
     
     
         13 . The device according to  claim 9  characterised in that the measurement unit comprises a bioimpedance measurement means to determine at least one of the chemical or physical properties of the patient. 
     
     
         14 . The device according to  claim 13  characterised in that the at least one of the chemical or physical properties of the patient comprise at least one of the extracellular water volume, the intracellular water volume or the total body water volume of the patient. 
     
     
         15 . The device according to  claim 1  characterised in that the measurement unit comprises scales to determine at least one of the chemical or physical properties of the patient. 
     
     
         16 . The device according to  claim 15  characterised in that the at least one of the chemical or physical properties is the whole body mass of the patient. 
     
     
         17 . The device according to  claim 9  characterised in that it further comprises an output unit linked to the evaluation unit for outputting, preferably displaying, any data derived by the evaluation unit. 
     
     
         18 . A computer program product characterised in that it comprises a storage medium on which a microprocessor program to be stored in the microprocessor program storage unit of the device according to  claim 11  is stored.