Original researchDifferences in Body Composition According to Gross Motor Function in Children With Cerebral Palsy
Section snippets
Methods
This retrospective study was approved by the institutional review board at our hospital, which is a tertiary referral center for CP. The informed consent was waived because of the study's retrospective design.
Results
One hundred patients with CP (64.0% boys) were included in this study. Their mean age ± SD was 11.5±4.2 years. Most patients had diplegia (46 patients) based on the anatomic classification. The distribution of GMFCS levels was as follows: I, 20 patients; II, 13; III, 24; IV, 23; and V, 20. Among the 20 patients with GMFCS level V, 9 received anticonvulsants and 4 were fed via a gastrostomy tube. The control group consisted of 46 TDC with a mean age of 12.8 years. Children with CP with GMFCS
Discussion
Our body composition analysis using the BIA method showed that children with CP, especially nonambulatory children (GMFCS levels IV and V), had a lower muscle mass, BCM, and BMC than TDC, which was consistent with findings from previous studies using DXA and the isotope dilution procedure. In addition, GMFCS level was an independent factor that affected SLM and BMC. However, body composition in ambulatory children with CP was not significantly different from that of TDC.
Previous studies9, 16, 17
Conclusions
Our body composition analysis using the BIA method showed that nonambulatory children with CP had significantly lower FFM, SLM, SMM, BCM, and BMC than ambulatory children with CP and TDC. In addition, GMFCS level was a significant contributing factor to SLM and BMC. However, further study is required before the BIA method can be used as a valid nutritional assessment tool in patients with CP.
Suppliers
- a.
Kiker plus; G-Tech International Co, Ltd.
- b.
Scale-Tronix 2001 Sling Scale; Scale-Tronix, Inc.
- c.
InBody S10; InBody, Co, Ltd.
- d.
SPSS software for Windows (version 22.0); IBM Corp.
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Cited by (29)
The utility of bioelectrical impedance analysis to assess nutritional status of patients with severe motor and intellectual disabilities
2022, Clinical Nutrition ESPENCitation Excerpt :The BIA data that significantly correlated with Alb were SMI (r = 0.369), SMR (r = 0.393), ECW/TBW (r = −0.354), BCM (r = 0.334), and BCM index (r = 0.420) (Table 4). The present study was conducted in subjects with GMFCS levels IV and V. Previous studies have shown that GMFCS levels contribute to body composition, and that the results of body composition are different between ambulatory and non-ambulatory subjects [11]. Therefore, it is necessary to consider subjects’ levels of motor function when assessing body composition.
Body Fat Distribution in Children and Adolescents With Cerebral Palsy
2022, Journal of Clinical DensitometryCitation Excerpt :Also, epilepsy and musculoskeletal problems can occur (5). Until today, there are only few investigations about the body composition in children with CP (9), (11–18). One of those is a study by Whitney et al from 2018.
Anthropometric Measures Correspond with Functional Motor Outcomes in Females with Rett Syndrome
2022, Journal of PediatricsMalnutrition and nutritional deficiencies in children with cerebral palsy: a systematic review and meta-analysis
2022, Public HealthCitation Excerpt :There was a predominance of cross-sectional cohort studies (68.65%; n = 46).1,3,6–9,14–17,19,20,22–24,26,36,39–41,44–47,52–61,63,65,67–70,76–79 Regarding the methodological quality, for the studies with a cross-sectional design, it was verified that 78.26% (n = 36) of the publications1–3,6,7,9,15–17,20,22,24,26,35,36,39,40,44,46,52,54,55,58–61,63,65,67,69,74–79 clearly presented the criteria for inclusion in the sample. No study was excluded because of its methodological quality.
Criterion validity of assessment methods to estimate body composition in children with cerebral palsy: A systematic review
2021, Annals of Physical and Rehabilitation MedicineCitation Excerpt :There is some evidence that improving nutritional intake may correct anthropometric deviations: in one study, children with gross impairment who received a reliable intake of energy and nutrients via tube feeding had a higher average weight, muscle mass and fat stores than children with similar disabilities without tube feeding [9]. Other consequences of poor nutritional status include decreased bone health [11] and a limitation in daily activities [6,7,12]. Because of the diversity of impairments in these children, both over- and underweight are highly prevalent [1,5,12].
Supported by Projects for Research and Development of Police Science and Technology under the Center for Research and Development of Police Science and Technology and Korean National Police Agency, funded by the Ministry of Science, ICT and Future Planning (grant no. PA-C000001-2015-202) by Small and Medium Business Administration (grant no. S2409723), and by the National Research Foundation of Korea (grant no. 2017R1A2B4007412).
Disclosures: none.