Energy and nutrient intakes of children with spastic quadriplegia

Fried, M.; Pencharz, Paul B.

doi:10.1016/s0022-3476(05)83052-5

Cited by 28 publications

(9 citation statements)

References 6 publications

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“…One technique that can provide accurate group estimates is to use the measurement of energy intake from gastrostomy fed patients 15. If such patients are growing well, their energy intake will represent their energy requirement and so can be used to estimate energy requirement.…”

Section: Discussionmentioning

confidence: 99%

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Adequacy of clinical formulae for estimation of energy requirements in children with cystic fibrosis

Reilly

Wilkinson

et al. 1999

Archives of Disease in Childhood

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Background-Two clinical formulae (CF conference formula and estimation based on 120% of average requirement for energy) have been recommended for the estimation of energy requirements in cystic fibrosis but their accuracy is unknown. Aim-To compare the accuracy of estimates of energy requirement derived from the two formulae. Methods-Energy requirement, defined as total daily energy expenditure, was measured using the doubly labelled water method in 15 patients (six girls, nine boys; mean (SD) age, 10.0 (2.4) years) who were well and clinically stable. The accuracy of the formulae was assessed using calculation of biases and limits of agreement relative to measured energy requirement. Results-Estimates from the CF conference formula were lower than measured values (mean paired diVerence, 0.52 MJ/ day; 95% confidence interval (CI), −1.10 to 0.10), but this bias was not significant, and was smaller than that from the alternative formula (mean paired diVerence, 0.77 MJ/day; 95% CI, −0.20 to 1.74). Limits of agreement relative to measured total daily energy expenditure were narrower for the CF conference formula (−2.72 to 1.68 MJ/ day) than for that based on 120% of estimated average requirement (−2.75 to 4.29 MJ/day), but with both formulae errors in estimation at the individual level were large. Conclusions-The CF conference formula oVers improved prediction of energy requirements, but the accuracy of both formulae at the individual level is not sufficiently good for clinical purposes. (Arch Dis Child 1999;81:120-124)

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Section: Discussionmentioning

confidence: 99%

“…In other chronic diseases of childhood, disease specific formulae have been established,14 15 and their use has potential clinical advantages 16. A CF specific formula for clinical estimation of energy requirements has now been available for some years (the CF conference formula),17 but it has not been tested formally and is not widely used.…”

mentioning

confidence: 99%

Adequacy of clinical formulae for estimation of energy requirements in children with cystic fibrosis

Reilly

Wilkinson

et al. 1999

Archives of Disease in Childhood

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“…Although a complete discussion of nutrition is beyond the scope of this paper, important nutritional issues, such as weight gain (either insufficient [6] or excessive [7]), fat stores, a special diet in cases of metabolic disorders, the 'nutriceutical' role of high doses of vitamins (8), feeding problems (including difficult deglutition) (9), gastroesophageal reflux (10), possible aspiration (11), and constipation (12) should be addressed by the physician on a regular basis.…”

Section: Nutritionmentioning

confidence: 99%

The child with multiple impairments

2000

Paediatrics &Amp; Child Health

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“…Dahl and Gebre-Medhin [1993] reported that none of their sample of 30 children with CP had energy intakes at or above 100% of the RDA, and two thirds took in less than 10th percentile of the age-appropriate amount of food. Fried and Pencharz [1991] examined the energy intake of a group of children and adolescents with severe CP who were growing well on gastrostomy feeding exclusively. They demonstrated that energy intake was not excessive and was lower than the RDA expressed for age and gender.…”

Section: Dietary Intake and Feeding Problemsmentioning

confidence: 99%