Potentials of bioimpedance method for nutritional status assessment in children with cerebral palsy
https://doi.org/10.21508/1027-4065-2021-66-3-40-45
Abstract
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.
About the Authors
O. V. Perfilova
Tyumen State Medical University; Tyumen Regional Clinical Hospital No.1
Russian Federation
Russian Federation
Tyumen
E. B. Khramova
Tyumen State Medical University
Russian Federation
Russian Federation
Tyumen
A. V. Shaitarova
Tyumen State Medical University
Russian Federation
Russian Federation
Tyumen
References
1. Castelli E., Fazzi E. Recommendations for the rehabilitation of children with cerebral palsy. Eur J Phys Rehabil Med 2016; 52(5):691–703.
2. Novak I., Morgan C., Adde L., Blackman J, Boy N.R., Brunstrom-Hernandez J. et al. Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy. Advances in Diagnosis and Treatment. JAMA Pediatr 2017; 71(9):897–907. DOI: 10.1001/jamapediatrics.2017.1689
3. Aydin K. Turkish Cerebral Palsy Study Group. A multicenter cross-sectional study to evaluate the clinical characteristics and nutritional status of children with cerebral palsy. Clin Nutr ESPEN 2018; 26:27–34. DOI: 10.1016/j.clnesp.2018.05.002.
4. Sullivan P.B. Nutrition and growth in children with cerebral palsy: setting the scene. Eur J ClinNutr 2013; 67(2): 3–4. DOI: 10.1038/ejcn.2013.222
5. Pérez Moreno J., de la Mata Navazo S., López-Herce Arteta E., Tolín Hernani M., González Martínez F., González Sánchez M.I. et al. Influence of nutritional status on clinical outcomes in hospitalised children. An Pediatr (Barc) 2019; 5: S1695-4033(19)30065-7. DOI: 10.1016/j.anpedi.2019.01.014
6. Boel L., Pernet K., Toussaint M., Ides K., Leemans G., Haan J. et al. Respiratory morbidity in children with cerebral palsy: an overview. Dev Med Child Neurol 2019; 61(6): 646–653. DOI: 10.1111/dmcn.14060
7. Lopes P.A., Amancio O.M., Araújo R.F., Vitalle M.S., Braga J.A. Food pattern and nutritional status of children with cerebral palsy. Rev Paul Pediatr 2013; 31(3): 344–3449. DOI: 10.1590/S0103-05822013000300011
8. Benfer K.A., Weir K.A., Bell K.L., Nahar B., Ware R.S. et al. Oropharyngeal dysphagia in children with cerebral palsy: comparisons between a high- and low-resource country. Disabil Rehabil 2017; 39(23): 2404–2412. DOI: 10.1080/09638288.2016.1229363.
9. Romano C., van Wynckel M., Hulst J., Broekaert I., Bronsky J., Dall’Oglio L. et al. European Society for Paediatric Gastroenterology, Hepatology and Nutrition guidelines for the evaluation and treatment of gastrointestinal and nutritional complications in children with neurological impairment. J Pediatr Gastroenterol Nutr 2017; 65: 242–264. DOI: 10.1097/MPG.0000000000001646
10. Snik D.A.C., Jongerius P.H., Roos N.M., Verschuren O. Nutritional care: The ‘poorchild’ of clinical care in children with cerebral palsy. J Pediatr Rehabil Med 2019; 12(2): 133–138. DOI: 10.3233/PRM-180537
11. Oftedal S., Davies S.W.P, Boyd N.R., Stevenson D.R., Ware S.R., Keawutan P. et al. Body composition, diet, and physical activity: a longitudinal cohort study in preschoolers with cerebral palsy. Am J Clin Nutr 2017; 105(2): 369–378. DOI: 10.3945/ajcn.116.137810
12. Snik D.A.C., de Roos N.M. Criterion validity of assessment methods to estimate body composition in children with cerebral palsy: A systematic review. Ann Phys Rehabil Med 2019; 31: S1877–0657(19)30069-7
13. Sullivan P. Measurement of body composition should become routine in nutritional assessment of children with cerebral palsy. Dev Med Child Neurol 2015; 57(9): 793–4. DOI: 10.1111/dmcn.12751.
14. Finbråten A.K., Martins C., Andersen G.L., Skranes J., Brannsether B., Júlíusson P.B. et al. Assessment of body composition in children with cerebral palsy: a cross-sectional study in Norway. Dev Med Child Neurol 2015; 57(9): 858– 64. DOI: 10.1111/dmcn.12752.
15. Haapala H., Peterson M.D., Daunter A., Hurvitz E.A. Agreement between Actual Height and Estimated Height Using Segmental Limb Lengths for Individuals with Cerebral Palsy. Am J Phys Med Rehabil 2015; 94(7): 539–46. DOI: 10.1097/PHM.0000000000000205
16. Brooks J., Day S., Shavelle R., Strauss D. Low weight, morbidity, and mortality in children with cerebral palsy: new clinical growth charts. Pediatrics 2011; 128: 299–307. DOI: 10.1097/PHM.0000000000000205
17. WHO child growth standards: length/height-for-age, weightfor-age, weight-for-length, weight-for height and body mass index-for-age: methods and development France: WHO, 2006; 312. Availableat:https://www.who.int/childgrowth/standards/technical_report/en/. The link is active on 17.06.2020
Review
For citations:
Perfilova O.V., Khramova E.B., Shaitarova A.V. Potentials of bioimpedance method for nutritional status assessment in children with cerebral palsy. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2021;66(3):40-45. (In Russ.) https://doi.org/10.21508/1027-4065-2021-66-3-40-45
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