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).

Techniques For Assessment Of Body Composition In Health

2018 ◽  
Author(s):  
Carla M Prado ◽  
Camila LP Oliveira ◽  
M Cristina Gonzalez ◽  
Steven B Heymsfield
Keyword(s):  
Body Composition ◽  
Nutritional Status ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Dual Energy ◽  
Composition Analysis ◽  
Body Composition Assessment ◽  
Air Displacement Plethysmography ◽  
X Ray

Body composition assessment is an important tool in both clinical and research settings able to characterize the nutritional status of individuals in various physiologic and pathologic conditions. Health care professionals can use the information acquired by body composition analysis for the prevention and treatment of diseases, ultimately improving health status. Here we describe commonly used techniques to assess body composition in healthy individuals, including dual-energy x-ray absorptiometry, bioelectrical impedance analysis, air displacement plethysmography, and ultrasonography. Understanding the key underlying concept(s) of each assessment method, as well as its advantages and limitations, facilitates selection of the method of choice and the method of the compartment of interest. This review contains 5 figures, 3 tables and 52 references Key words: air displacement plethysmography, bioelectrical impedance analysis, body composition, disease, dual-energy x-ray absorptiometry, health, muscle mass, nutritional status, obesity, sarcopenia, ultrasound fat mass

scholarly journals Role of Body Bioelectrical Impedance Analysis in the Assessment of the Nutritional Status of Patients with Inflammatory Bowel Disease and Metabolic Syndrome

2012 ◽  
Vol 66 (3) ◽  
pp. 125-127
Author(s):  
Edgars Bodnieks ◽  
Aldis Puķītis ◽  
Juris Pokrotnieks
Keyword(s):  
Metabolic Syndrome ◽  
Inflammatory Bowel Disease ◽  
Body Composition ◽  
Nutritional Status ◽  
Body Mass ◽  
Bowel Disease ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Inflammatory Bowel

Abstract Nutrition has an important role in the management of inflammatory bowel disease (IBD) and metabolic syndrome (MS). The goal of this study was to assess the nutritive status of patients treated with IBD and metabolic syndrome in the Gastroenterology Centre, Pauls Stradiòð Clinical University Hospital. Body bioelectrical impedance analysis (BIA) using GENIUS 220 PLUS (Jawon Medical) was used to determine Body Mass Index (BMI) kg/m², Metabolic Body Fat (MBF) kg, Soft Lean Mass (SLM) kg, Total Body Water (TBW) kg, body composition, metabolic type, Basal Metabolic Rate (BMR) kcal, and total Energy Expenditure (TEE) kcal in patients with IBD and metabolic syndrome and in a similarly aged control group. The obtained data showed that BMI was not correlated with MBF, BTW and Lean Body Mass (LBM). Patients with Crohn’s disease (CD) had normal value of BMI (M 24.3 kg/m²; F 20.2kg/m²), but we found variety-specific differences in body composition that confirmed deficiency or increase of specific body parameters. The performed prospective study confirmed the importance of the more precise nutritional status analysis, as it was clinically useful for the nutritional management of IBD. Patients with CD had expressed nutrient deficiency, sarcopenia, and reduced amount of proteins and minerals. For patients with MS, sarcopenia was present despite obesity.

scholarly journals Bioelectrical Impedance Analysis to Increase the Sensitivity of Screening Methods for Diagnosing Cancer Cachexia in Patients with Colorectal Cancer

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
J. Szefel ◽  
W. J. Kruszewski ◽  
M. Szajewski ◽  
M. Ciesielski ◽  
A. Danielak
Keyword(s):  
Colorectal Cancer ◽  
Body Composition ◽  
Nutritional Status ◽  
Bioelectrical Impedance Analysis ◽  
Cancer Cachexia ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Stage I ◽  
Screening Methods ◽  
Nrs 2002

Background. Currently used methods for detecting and monitoring cancer cachexia (CC) are not sensitive enough. In this field, there is a need to implement new instruments into clinical practice. Objective. Determining the usefulness of bioelectrical impedance analysis (BIA) for detecting and monitoring CC in patients with colorectal cancer (CRC). Methods. 158 people were invited to the study (70 from CRC and 88 controls). Their body composition was determined using BIA, and their nutritional status was determined according to NRS 2002, SGA, and BMI criteria. For statistical data analysis, Student’s t-test, Mann–Whitney U test, and AUC ROC were used. Results. Men with CRC stage I had higher values of FMI, SMMI, and ECW/TBW (p<0.05) than in stages II–IV, and women with CRC stage I had higher values of FMI, FFMI, and FM/FFM than in the group of stages II–IV (p<0.05). The ability of FFMI to detect malnutrition relative to SGA was low (sensitivity: women 40%, men 40% and specificity: women 74%, men 70%). Conclusions. SGA and NRS 2002 scales are dynamic and consider changes in nutritional status over time, while BIA is static and does not consider these changes. Therefore, BIA is not a good tool for screening nutritional status. BIA successfully identifies differences in body composition depending on cancer stage and advancement of CC. Therefore, after the diagnosis CRC, just to monitor the disease advancement and state of CC, it is worth comparing the results of periodically repeated BIA.

536 Use of Bioelectrical Impedance Analysis for Assessment of Nutritional Status: A Systematic Review

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S116-S116
Author(s):  
Justin Dang ◽  
Matthew E Lin ◽  
Samantha Huang ◽  
Ian F Hulsebos ◽  
Haig A Yenikomshian ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Composition ◽  
Critical Care ◽  
Nutritional Status ◽  
Critically Ill ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Critically Ill Adults ◽  
Ill Adults

Abstract Introduction Nutritional support is an essential component of caring for burn patients. Burns can induce a hypermetabolic state greater than twice the normal metabolic rate which can lead to higher rates of lean tissue mass breakdown. Despite its importance, there is no clear gold standard for monitoring nutritional status in the burn and critical care population. Many current methods of assessing body composition can be costly, labor-intensive, and inaccurate. Bioelectrical impedance analysis (BIA) is a promising new technology for assessing body composition that functions by sending a low-voltage current through the body and measuring the impedance to that current. Parameters derived from BIA have been demonstrated to reflect cellular health and correlate with nutritional status. The use of BIA to assess nutritional status in the critical care and burn population has not been well investigated. Thus, we have conducted a systematic review of the use of BIA to assess nutritional status in critically ill adults. Methods A search was conducted on Pubmed and Google Scholar in accordance with PRISMA guidelines between June 2020-August 2020 utilizing the keywords: bioelectrical impedance analysis, critical care, critical, nutrition, body composition, lean body mass, phase angle, water, fluid. Inclusion criteria were articles investigating the relationship between BIA and nutritional status in critically ill adults. Reviews, non-English articles, and studies involving pediatric patients were excluded. Results Our final study included 14 articles. BIA measured muscle mass was compared to a CT scan in two studies, with both reporting a statistically significant correlation. One article compared the ability of BIA and ultrasound to assess muscle mass, and this relationship was statistically significant. BIA derived phase angle was compared to NUTRIC and Subjective Global Assessment scores in four articles with all four reporting significant correlations. BIA was also compared to biochemical markers of nutrition such as albumin and two of three articles found significant correlations. One article compared BIA with gas exchange measured by indirect calorimetry and found that BIA could accurately assess body cell mass. No articles were found comparing BIA with other common nutritional markers such as prealbumin or nitrogen balance. Conclusions BIA shows promise as a method of assessing body composition and nutritional status in the critically ill patient population.

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