scholarly journals Evaluation of anthropometric parameters and body composition in children with cerebral palsy

2019 ◽  
Vol 64 (5) ◽  
pp. 204-208
Author(s):  
R. F. Rakhmaeva ◽  
A. A. Kamalova ◽  
V. A. Ayupova
Keyword(s):  
Body Composition ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Bioelectrical Impedance ◽  
Physical Development ◽  
Lean Body Weight ◽  
Anthropometric Parameters ◽  
Energy Deficiency ◽  
Protein Energy ◽  
Children With Cerebral Palsy

Children with cerebral palsy (CP) often develop nutritional disorders, their incidence reaches 80% (according to the literature data).Purpose. To analyze the frequency of nutritional disorders and features of nutritional status in children with CP.Characteristics of children and research methods. We studied the anthropometric indicators (weight, height, body mass index, triceps and subscapular skin fold thickness), physical development characteristics depending on the motor abilities of the child according to the Gross Motor Function Classification System scale and body composition by bioelectrical impedance.Results. Nutritional status disorders were detected in 88.8% of patients, while the diagnostic was based on a reduced physical development in 55.5% of patients. 22.2% of patients had protein-energy deficiency of the first degree, 15.5% of patients had protein-energy deficiency of the second degree, 6.7% of patients had protein-energy deficiency of the third degree, 11.1% of patients suffered from overweight. Besides, nutritional disorders were diagnosed in 33.3% of patients with normal physical development, but with altered body composition, namely, with the imbalance of fat and lean body weight, the isolated increase of the percentage of fat mass, the decrease of active cellular and musculoskeletal weight. These patients also require nutritional correction.Conclusion. These data confirm the dependence of physical development and body composition on the patient’s motor activity and demonstrate the need for complex comprehensive study of nutritional status in children with CP.

scholarly journals DISORDERS OF THE NUTRITIONAL STATUS AND THEIR CORRECTION IN CEREBRAL PALSY CHILDREN

2019 ◽  
Vol 22 (1) ◽  
pp. 23-27
Author(s):  
L. A. Pak ◽  
S. G. Makarova ◽  
T. R. Chumbadze ◽  
A. P. Fisenko
Keyword(s):  
Body Composition ◽  
Body Weight ◽  
Cerebral Palsy ◽  
Chemical Composition ◽  
Nutritional Status ◽  
Composition Analysis ◽  
Bioimpedance Analysis ◽  
Z Score ◽  
Energy Deficiency ◽  
Protein Energy

The authors present the results of their own clinical study of the nutritional status of cerebral palsy (CP) children. The chemical composition of the diet of the observed patients and the body composition of patients were analyzed with bioimpedance analysis. The results of the dynamic control of the analyzed indices after the nutritive correction are presented. Aim of the study. To study the nutritional status of CP patients and evaluation of its dynamic changes with the help of bioimpendancemetry after carrying out remedial measures. Material and methods. We observed 27 CP children aged from 5 to 11 years, who were diagnosed with a protein-energy deficiency. Examination of patients included physical examination, the assessment of anthropometric indices using the “WHO Anthro+” and a body composition analysis using bioimpendancemetry. Evaluation of the actual nutrition included the study of the diet, the calculation of the chemical composition of the diet, the state of appetite and the nature of the feces. All studies were conducted in CP children twice: at the time of admission to the hospital and in the following-up period after the correction of the diet and the appointment of treatment with metabolic and vitamin preparations for 2 months. Results and conclusion. The protein-energy deficiency in CP children being associated with a disorder of the diet, decreased appetite, lack of basic macronutrients, needs the nutritive correction, including the introduction of the supplemental nutrition in their diet. The study showed that against the background of the basic drug therapy and nutritional correction there is a positive dynamics in the form of increasing Z-score body weight, Z-score ratio of body weight to age, normalization of appetite, which correlates with the normalization of the main study using bioimpedance analysis of body composition.

scholarly journals Nutritional status of children with infantile cerebral palsy

2021 ◽  
Vol 1 (1) ◽  
pp. 82-88
Author(s):  
Z. F. Mavlyanova
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Group Versus ◽  
Physical Development ◽  
Control Group ◽  
Spastic Diplegia ◽  
Fatty Tissue ◽  
Healthy Children ◽  
Anthropometric Parameters ◽  
Rate Of Increase

Purpose of the study. Reveal the typical disorders of nutritional status and identify characteristic disorders of the physical development of patients with cerebral palsy.Materials and methods. The features of the nutritional status of 128 children with various forms of cerebral palsy and 20 healthy children aged 3 to 14 years were studied. Physical development was assessed using standard public anthropometric parameters: weight, height, measurement of the circumference of the upper and lower extremities, determination of the thickness of the skin-fat fold using an electronic caliper according to the Durnin-Womersly method, as well as the calculated indices of Rohrer, Pigne, Vervac.Results. In children with cerebral palsy in compare with healthy children a decrease in the rate of increase in muscle mass, the absence of significant changes in the severity of subcutaneous fatty tissue and various variants of disharmonious types of development with characteristic anthropometric features were determined (85.9% in the main group versus 5% in the control group; Р <0.001). The most prominent disorders of the nutritional status were observed in patients with double hemiplegia and hyperkinetic form of cerebral palsy and were significant in relation to patients with hemiparetic, atonic-astatic forms and spastic diplegia (P <0.05–0.001)

Prevalence of Malnutrition Assessed by Bioimpedance Analysis and Anthropometry in Children on Peritoneal Dialysis

2001 ◽  
Vol 21 (2) ◽  
pp. 172-179 ◽  
Author(s):  
Alberto Edefonti ◽  
Marina Picca ◽  
Beatrice Damiani ◽  
Rosanna Garavaglia ◽  
Silvana Loi ◽  
...  
Keyword(s):  
Body Composition ◽  
Peritoneal Dialysis ◽  
Nutritional Status ◽  
Bioelectrical Impedance ◽  
Anthropometric Parameters ◽  
Anthropometric Indices ◽  
Muscle Area ◽  
Anthropometric Measures ◽  
Score System

Objective To evaluate the sensitivity of anthropometry and bioelectrical impedance analysis (BIA) in detecting alterations in body composition of children treated with peritoneal dialysis (PD), and to determine the prevalence of malnutrition in this population, in short- and long-term PD duration, using anthropometric and BIA-derived indices. Patients Eighteen children treated with automated PD (11 males, 7 females; mean age 8.7 ± 4.7 years). Design Eighteen patients were studied using anthropometry and BIA at the start (t0) and after 6 months (t1) of PD, 15 of these patients at 12 months (t2), and 8 at 24 months (t3) of PD. Midarm muscle circumference (MAMC), arm muscle area (AMA), and arm fat area (AFA) were calculated from anthropometric measures according to Frisancho (FrisanchoAR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr 1981; 34:2540–5.). The bioelectrical measures of resistance (R) and reactance (Xc) were obtained directly from the impedance signal; phase angle (PA) and distance (D) were calculated using mathematical formulas. Nutritional status was assessed by anthropometric measurements and BIA-derived indices, expressed as standard deviation scores (SDS), and by a score system based on BIA and anthropometric parameters. The percentage of children with values of anthropometric and BIA-derived indices below the 3rd percentile or between the 3rd and 25th percentiles, and the percentage of children with scores of 7 – 12 and 4 – 6 were calculated in order to detect patients with severe or moderate derangement of nutritional status. Results The mean SDS values of Xc, PA, and D significantly improved ( p = 0.05, p = 0.001, p = 0.02) during the first 6 months of PD and remained almost stable during the following months. The SDS values of the anthropometric indices were less compromised than those of the BIA-derived indices, particularly at the start of dialysis. By 6 months, the percentages of children with values of BIA and anthropometric indices below the 3rd percentile had decreased. The percentages of patients with moderate and severe derangement of BIA and anthropometric indices remained substantially unchanged after 12 months. However, at 24 months, the percentage of patients with moderate derangement of BIA indices increased. All these findings were confirmed by the nutritional score system. Conclusion BIA is more sensitive than anthropometry in detecting alterations in body composition of children on PD. The prevalence of malnutrition, high at the commencement of PD, decreases during the first year of treatment but not over the long term.

scholarly journals Potentials of bioimpedance method for nutritional status assessment in children with cerebral palsy

2021 ◽  
Vol 66 (3) ◽  
pp. 40-45
Author(s):  
O. V. Perfilova ◽  
E. B. Khramova ◽  
A. V. Shaitarova
Keyword(s):  
Body Composition ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Cell Mass ◽  
Body Height ◽  
The Body ◽  
Normative Values ◽  
Z Score ◽  
Children With Cerebral Palsy ◽  
Status Assessment

Objectives: To study the potential of the bioimpedance method for nutritional status assessment in children with cerebral palsy.Material and methods. There were examined 89 children with cerebral palsy (average age: 10,24 years±3,6 years). Such anthropometric indicators as body height (cm), body weight (kg) and body mass index (BMI, kg/m2) were investigated. The scientists formed two comparison groups: Group 1: 40 children without malnutrition (z-score BMI over 1), Group 2: 49 children with malnutrition (z-score BMI is 1,1 and less). The body composition was evaluated by bioimpedancemetry in both groups of comparison.Results. The scientist found significant differences in body composition in terms of fat mass between boys and girls with cerebral palsy, both with malnutrition and without nutritional deficiency. They determined that children with cerebral palsy without malnutrition demonstrate various changes in the parameters of the body composition comparable to those in patients with trophic deficiency, even before the anthropometry indicators change. According to the parameters of lean mass, active cell mass in the group of children without malnutrition, the results of 40% of boys and girls were below the normative values, which indicated an altered tissue composition of the body and existing deficiency of the protein component.Conclusion. The scientists determined unidirectional changes in the body component composition in children with cerebral palsy and malnutrition and in children without trophic deficiency. The assessment of the body by bioimpedance measurement can serve as an effective tool for the diagnosis of nutritional disorders in children with cerebral palsy.

scholarly journals NUTRITIONAL SUPPORT FOR CYSTIC FIBROSIS: THE EXPERIENCE OF THE INTRODUCTION OF DOMESTIC SPECIALIZED ENTERAL NUTRITION MIXTURES

2020 ◽  
Vol 23 (1) ◽  
pp. 13-20
Author(s):  
Tatiana V. Bushueva ◽  
Tatyana E. Borovik ◽  
Elena A. Roslavtseva ◽  
Olga I. Simonova ◽  
Nina I. Burkina ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Nutritional Status ◽  
Nutritional Support ◽  
Physical Development ◽  
High Protein ◽  
Energy Deficiency ◽  
Number Of Children ◽  
Protein Energy ◽  
High Calorie

Background. Adequate nutritional support is known to help to avoid the protein-energy deficiency in patients with cystic fibrosis (CF) and to reduce the number of escalations of the bronchopulmonary process. The CF patients need for increased protein and energy in their diet so they need to use specialized high-calorie high-protein foods. Purpose. To estimate tolerance and clinical efficacy of specialized mixtures «Nutrien Standart» and «Nutrien Diabet» (dry and liquid forms) in CF patients over 1 year. Materials and methods. 87 children aged 1.2-17 years were observed at children’s clinics in Moscow, Tumen, Voronezh. In all cases, there was confirmed a diagnosis of CF and/or CA associated with diabetes mellitus (DM). All of them showed a nutritional deficiency of varying severity. 70% of children received liquid forms of products, 30% - dry mixtures prepared in isocaloric dilution. The WHO-Anthro and WHO-Anthro Plus programs were used for the determination of nutritional status. The duration of observation accounted for at least 2 months. Results. The taste of the products was rated by most (97.7%) patients as very good, only two (2.3%) patients refused to accept new products. No adverse events were noted during the observateon. 73 (83%) patients showed a positive dynamics of nutritional status. Among patients aged less than 6 years, the number of children with normal physical development significantly increased (p <0.05). Conclusion. The various forms of specialized domestic high-calorie high-protein products is effective for correcting the nutritional status of the CF patients over 1 year.

scholarly journals Dependence Of Protein-Energy Insufficiency On The Degree Of Motor Disorders In Infantile Cerebral Palsy

2020 ◽  
Vol 02 (11) ◽  
pp. 32-41
Author(s):  
Mavlyanova Zilola Farhadovna ◽  
◽  
Velilyaeva Aliye Sabrievna ◽  
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Control Group ◽  
Motor Disorders ◽  
Healthy Children ◽  
Chi Square ◽  
Feeding Difficulties ◽  
Protein Energy ◽  
Children With Cerebral Palsy ◽  
The Impact

Purpose of research. To assess the impact of the severity of motor disorders in children with cerebral palsy on nutritional status. Materials and methods of research. The study included 102 children with cerebral palsy aged 2 to 17 years, 60 boys (58.8%) and 42 girls (41.2%). The average age of the children was 7.23 ± 4.9 years. Patients were ranked by age group in accordance with the age classification of the GMFCS scale. All children underwent a comprehensive clinical and neurological examination, nutritional status assessment, and anthropometry (measurement of shoulder circumference and plicometry). During anthropometry, the control group included 30 healthy children with an average age of 7.7±4.2 years. Results. It was found that with an increase in the severity of motor disorders, the number of children with protein-energy deficiency increases from 50% at level I to 100% at level V on the GMFCS scale (the significance of differences in Pearson's Chi-square was confirmed statistically: 9.32, p = 0.002069). At the same time, a severe degree of protein-energy insufficiency was observed mainly in double hemiplegia (amounting to 40.9%). Prognostically, cerebral palsy was the most favorable type of spastic hemiparesis and spastic diplegia, with a predominance of protein-energy insufficiency of a mild degree, amounting to 45.8% and 60%, respectively. In 71.6% of cases (n=73), children with cerebral palsy were diagnosed with oral-motor dysfunction of varying severity, problems with food consumption and, as a result, a noticeable lag in anabolic processes. Statistically significant differences were found in the frequency of feeding difficulties in children with levels I and V of motor abilities (Pearson's Chi-square: 20.12, p = 0.000005).

FEATURES OF NUTRITIONAL STATUS IN CHILDREN WITH SPASTIC CEREBRAL PALSY

2021 ◽  
Vol 100 (6) ◽  
pp. 132-142
Author(s):  
N.A. Maslova ◽  
◽  
N.G. Zvonkova ◽  
T.E. Borovik ◽  
A.P. Fisenko ◽  
...  
Keyword(s):  
Body Composition ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Bioelectrical Impedance Analysis ◽  
Comparison Group ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Main Group ◽  
Spastic Cerebral Palsy ◽  
Anthropometric Indicators

Children with spastic cerebral palsy (CP) are at risk of undernutrition, which increases with the severity of movement disorders. Objective of the study: to assess and compare anthropometric indicators and body composition in children with cerebral palsy, depending on the level of impairment of gross motor function classification system (GMFCS). Materials and methods of research: 102 children were included in a prospective open-label comparative single-center non-randomized study: 58 (56.8%) boys and 44 (43.1%) girls with cerebral palsy aged 2 years to 16 years and 9 months who were undergoing rehabilitation in the National Medical Research Center of Children's Health in the period from 2019 to 2021. Anthropometric measurements (body weight, length, knee height, triceps and subscapular skinfold thicknesses) were performed on admission. Body fat percentage (%FM) was calculated by CP-modified (Gurka) equations and compared with results obtained using bioelectrical impedance analysis. A survey on the EDACS scale was performed to determine the ability to eat and drink. Results: patients were divided into 2 groups: the main group – 53 children (52%) with GMFCS levels IV–V and a comparison group – 49 children (48%) with GMFCS levels I–III. The groups did not differ statistically significantly in terms of gender (p=0.956) and age (p=0.207). The median age in the main group was 7.1 years, in the comparison group – 5.3 years. Children of the main group had statistically significantly lower growth indicators (HAZ1 –1.5 [–2.6; –0.74] and HAZ2 –0.58 [–1.59; 0.44], p=0.003), BMI (BAZ1 –2.43 [–3.67; –0.93]; BAZ2 –0.91 [–1.942; 0.28], p<0.001), higher frequency of oromotor dysfunction (42% and 4%, p< 0.001), the percentage of severe wasting (59% and 16%, p<0.001; OR 7.2 (95% CI 2.8–18.4) (p<0.001). There was no significant difference in %FM between children of main and comparison groups. Patients even with moderate and severe undernutrition according to WHO criteria had normal or excess %FM. A moderate positive correlation was found between %FM calculated using the Gurka equations and those obtained by bioelectrical impedance analysis (r=0.565, p=0.002). Conclusions: anthropometric indicators in children with CP deteriorate with an increase in the degree of neurological deficit. The use of BMI as the only marker of nutritional status is insufficient to properly diagnose of undernutrition and identify patients needed in nutritional interventions. For an adequate analysis of the nutritional status of children with CP, it is necessary to assess the body composition (measurement of the skinfold thicknesses or bioelectrical impedance analysis).

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