Anthropometric measures: poor predictors of body fat in children with moderate to severe cerebral palsy

Kuperminc, Michelle N.; Gurka, Matthew J.; Bennis, Jacey A; Busby, Marjorie G.; Grossberg, Richard; Henderson, Richard C.; Stevenson, Richard D.

doi:10.1111/j.1469-8749.2010.03694.x

Cited by 63 publications

(78 citation statements)

References 26 publications

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“…[7][8][9] This means that specialized tools may be necessary to truly assess body fat. Underwater weighing and dual-energy x-ray absorptiometry are not feasible in most centers as regular assessment tools, but when caring for a population of children with CP, it may be reasonable to invest in skinfold calipers or bioelectric impedance monitoring.…”

Section: Is the Child Growing Properly?mentioning

confidence: 99%

Nutritional management of children with cerebral palsy: a practical guide

et al. 2013

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Section: Is the Child Growing Properly?mentioning

confidence: 99%

Nutritional management of children with cerebral palsy: a practical guide

et al. 2013

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“…Kuperminc et al (2010) found that anthropometry underestimated percentage of body fat in CCP with GMFCS 3 and 4. Low BMI was linked to increased risk of postoperative ileus and superior mesenteric artery syndrome after scoliosis correction in idiopathic scoliosis children (Smith et al 2009).…”

Section: Discussionmentioning

confidence: 91%

“…Biochemical markers, including serum albumin and total lymphocyte count, have also been recommended (Jevsevar and Karlin 1993;Braun et al 2006;Johnston 2010). However, studies have confirmed that these parameters might not be at times an optimum choice to differentiate nutritional status in CCP from a control group (Kuperminc et al 2010;Tomoum et al 2010;Omeroglu et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Serum Leptin as a Nutritional Biomarker in Children with Cerebral Palsy

Amarase

Weerasopone

Osateerakun

et al. 2016

Tohoku J. Exp. Med.

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Adequate nutrition is crucial for children with cerebral palsy (CCP). However, conventional nutritional assessments may be inadequate for defining undernourished CCP. Leptin, an adipocyte hormone controlling energy expenditure, could be a useful marker. Objectives of this cross-sectional analytic study were to explore correlations between serum leptin level and nutritional status, anthropometric measurements, and biochemical parameters in 86 CCP (aged 9 ± 2 years). Subscapular (SST) and triceps (TST) skinfold thicknesses, weight, and calculated height were obtained. Body mass index and weight-forheight (WH) Z-scores were calculated. Complete blood count and serum levels of leptin and albumin were collected. CCP were classified as undernourished if their WHZ was < −2 according to the World Health Organization criteria. Correlations between anthropometric measurements, biochemical data, and serum leptin levels were evaluated. From 86 CCP, 11 (12%) children were undernourished, and SST, hemoglobin, and hematocrit were significantly lower. Serum leptin levels of nourished and undernourished CCP were 5.4 ± 6.2 and 2.9 ± 1.6 ng/mL (p < 0.001), while the reported value from normal children was 4.9 ng/mL. Serum leptin levels demonstrated a significant correlation with SST and TST (r = 0.83 and 0.72; p < 0.001). Serum leptin was the only marker significantly correlated with WHZ (r = 0.45, p < 0.001) while adjusting for covariates. A serum leptin level of 2.2 ng/mL was the optimal cutoff point for defining adequate nutritional status (WHZ ≥ −2). The measurement of serum leptin should be included in a care scheme of CCP especially during surgical evaluation.

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“…Differences in body composition including altered muscle and bone mass makes these assessment tools unreliable indicators of nutritional stores. [8][9][10] Using them in a traditional manner in children with reduced muscle mass will inadvertently result in a child whose nutritional status 'on paper' looks healthy, but who in reality has excessive fat stores. Measurement of skinfolds is another tool the clinician can use to assess fat stores.…”

Section: Anthropometric Measurement and Interpretationmentioning

confidence: 99%

Assessment of growth and nutrition in children with cerebral palsy

Samson‐Fang

Bell

2013

Eur J Clin Nutr

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This manuscript provides an update on the assessment of growth and nutrition in children with cerebral palsy and children with similar neurodevelopmental disabilities. Topics include the assessment of linear growth using segmental measures, avoidance of commonly used tools to assess nutritional status in typically developing children that are not valid in this population of children and how to use other nutritional assessment tools that have been developed specific to this population of children.

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Anthropometric measures: poor predictors of body fat in children with moderate to severe cerebral palsy

Cited by 63 publications

References 26 publications

Nutritional management of children with cerebral palsy: a practical guide

Nutritional management of children with cerebral palsy: a practical guide

Serum Leptin as a Nutritional Biomarker in Children with Cerebral Palsy

Assessment of growth and nutrition in children with cerebral palsy

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