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How much water there is and where it sits
TBW, ICW and ECW are volumes in litres. ECW/TBW turns those volumes into information about their relative distribution.
Total body water (TBW) is the sum of intracellular water (ICW) and extracellular water (ECW). ICW is water inside cells, while ECW includes fluid between cells and water in blood plasma. These are connected parts of one model, not three independent measurements to be added together again.
Absolute water amount is strongly related to body size and the amount of fat-free tissue. Distribution answers a different question: how much of the total is inside cells and how much is outside. Two people can have different TBW in litres and the same ECW/TBW; the same amount of TBW can also be made up of a different ICW–ECW split.
- TBW = ICW + ECW.
- Litres describe absolute amount; ECW/TBW describes relative distribution.
- Higher TBW alone does not mean better or worse hydration.
- Read short-term changes cautiously because water also affects estimates of fat-free and muscle mass.
How much water there is
How water is distributed
ECW/TBW
