TY - JOUR
PY - 2018//
TI - Evidence based survey of the distribution volume of ethanol: comparison of empirically determined values with anthropometric measures
JO - Forensic science international
A1 - Maskell, Peter D.
A1 - Jones, A. Wayne
A1 - Savage, Anne
A1 - Scott-Ham, Michael
SP - 124
EP - 131
VL - 294
IS -
N2 - The Widmark equation is commonly used when blood alcohol calculations are required in forensic and legal medicine, such as in road-traffic cases and alcohol-related deaths. An important biological variable in this connection is the volume of distribution (Vd) of ethanol, which is commonly referred to as the rho-factor. Although a person's Vd can be determined empirically through controlled drinking experiments, this approach is not very practical in reality. For this reason, a number of anthropometric equations have been developed that utilize sex, age, height and weight to estimate the person's total body water (TBW) and hence Vd of ethanol. To date, there are not any studies that compare Vd derived from anthropometric data with robust values measured empirically. From the literature we compiled information about the Vd of ethanol from drinking studies with 173 Caucasian males and 63 Caucasian females from Western Europe. These empirically derived values of Vd were then compared with estimates derived from various anthropometric equations. In males the Watson, Watson and Batt regression equation involving age, height and weight gave the most accurate results (bias was 0.00L/kg) and 95% range ±0.13L/kg. The equation derived by Forrest, which took into consideration a person's body mass index (BMI), gave the best estimates of Vd for females; mean bias -0.01L/kg and range ±0.15L/kg.
Copyright © 2018 Elsevier B.V. All rights reserved.
Language: en
LA - en SN - 0379-0738 UR - http://dx.doi.org/10.1016/j.forsciint.2018.10.033 ID - ref1 ER -