Physical growth from birth to 16 years and longitudinal outcome of the study during the same age period

Karlberg, P; Taranger, J; Engström, Ingemar; Karlberg, Jpe; Landström, T; Lichtenstein, H.; Lindström, Britta; Svennberg‐Redegren, I.

doi:10.1111/j.1651-2227.1976.tb14761.x

Cited by 256 publications

(156 citation statements)

References 20 publications

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“…Standard deviation scores (SDS) for height were calculated, using a Swedish reference according to the formula (actual heightÀmean height for age and sex)/ standard deviation of height for age and sex. 18 The sitting height to standing height ratio SDS was calculated using the reference of Gerver et al 19 …”

Section: Methodsmentioning

confidence: 99%

Pulmonary function after autologous bone marrow transplantation in children: a long-term prospective study

Frisk

Arvidson

Bratteby

et al. 2003

Bone Marrow Transplant

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Summary:We performed serial pulmonary function tests (PFTs) consisting of spirometry and diffusing capacity in 26 children after BMT. The median follow-up was 10 years. The influence of total body irradiation (TBI) on long-term pulmonary function was of particular interest. In the 20 children who had received TBI, after an initial decrease the PFTs showed recovery, but the mean lung volumes were still significantly decreased 5 years after BMT at 10% below baseline. The proportions of children with restrictive impairment 5 and 10 years after BMT were 20 and 21%, respectively. Only one child was diagnosed with obstructive impairment. The proportions of children with isolated diffusing impairment at 5 and 10 years were 7/20 (35%) and 7/13 (54%), respectively. Six children had received chemotherapy only and showed isolated diffusing impairment as the only long-term sequela in 4/5 and 1/3 at 5 and 10 years. Our main finding was that there was little change in PFTs 1-10 years after BMT. TBI was associated with persistently decreased lung volumes in a proportion of patients, whereas chemotherapy also might have been of importance for the development of impaired gas exchange.

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Section: Methodsmentioning

confidence: 99%

Pulmonary function after autologous bone marrow transplantation in children: a long-term prospective study

Frisk

Arvidson

Bratteby

et al. 2003

Bone Marrow Transplant

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“…of height for age and sex. 18 Body mass index was calculated as body mass in kilograms divided by the height in meters squared (kg/m 2 ). Dual energy X-ray Absorptiometry (DXA, Lunar Radiation, Madison, WI, USA) was used to measure body fat mass and areal BMD of the total body, lumbar spine, total hip (left side reported here), and femoral neck (left side reported here).…”

Section: Study Protocolmentioning

confidence: 99%

Decreased bone mineral density in young adults treated with SCT in childhood: the role of 25-hydroxyvitamin D

Frisk

Arvidson

Ljunggren

et al. 2011

Bone Marrow Transplant

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We measured bone mineral density (BMD) with dualenergy X-ray absorptiometry in the total body, at the lumbar spine, at the femoral neck and in the total hip, in 18 young adults with a median of 18.2 years after SCT. Fifteen patients had undergone auto-SCT and all patients had received TBI. The patients had significantly lower BMD in the total body, at the femoral neck, and in the total hip compared with age-and sex-matched controls. Six of 18 patients (33%) had low bone mass (z-score oÀ1) at one or more measurement sites, as opposed to two of the controls (11%, P ¼ 0.29). We found no significant influence of growth hormone levels or of untreated hypogonadism on BMD variables. Levels of 25-hydroxy (25(OH)) vitamin D were lower among the patients (35.2 vs 48.8 nmol/L, P ¼ 0.044) and were significantly correlated with total body BMD in the patient group (r ¼ 0.55, P ¼ 0.021). All six patients with low bone mass had hypovitaminosis D (p37 nmol/L as opposed to 4 of the 11 (36%) patients without low bone mass (P ¼ 0.035). In conclusion, we found decreased BMD in SCT survivors, which may in part be caused by 25(OH) vitamin D deficiency.

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“…The mean mid-arm muscle area of our healthy control subjects was 130% of the reference standard (Figure 2), which suggests that that particular reference may no longer be valid. For lack of more current population-based anthropometric data we used 25 y old North-American (Frisancho, 1974) and Scandinavian (Karlberg et al, 1976) references. The anthropometric`normal limits' may have changed during this time period.…”

Section: Discussionmentioning

confidence: 99%

“…The anthropometric measurements are presented as means of the percentages of the age-speci®c standards with 95% con®dence intervals (Sorva et al, 1984;Frisancho, 1974;Karlberg et al, 1976). With both the anthropometric and ultrasonographic measurements the paired Student's t-test was used to compare the mean values for the patients and the controls.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of muscle protein mass in children with solid tumors by muscle thickness measurement with ultrasonography, as compared with anthropometric methods and visceral protein concentrations

Taskinen

Saarinen-Pihkala

1998

Eur J Clin Nutr

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Objective: To compare the merits of regional ultrasonography, anthropometry, and measurement of visceral protein concentrations for determining muscle protein mass and nutritional status. Design: Prospective follow-up study. Subjects: Nineteen children (median age 4.7 y, range, 1.4 ±14.1 y) with malignant solid tumors were examined at diagnosis, monthly during preoperative chemotherapy, and 1±2 months after operation; 19 healthy age-and sex-matched children served as controls. Interventions: We measured the thickness of the quadriceps muscle by ultrasonography (muscle index), and body weight, mid-arm circumference, triceps skinfold thickness, and serum concentrations of albumin, prealbumin, and transferrin. Results: At diagnosis, the muscle index was smaller in the patients (mean 5.6 cm 2 am 2 , 95% CI 4.5 ± 6.7 cm 2 am 2 ) than in the controls (8.5 cm 2 am 2 , 95% CI 7.7±9.3 cm 2 am 2 ) (P 0.0007), whereas the anthropometric measurements did not differ. The sensitivity, speci®city, and predictive value of anthropometry and measurements of visceral proteins were poor in detecting reduced muscle protein reserves when compared with the muscle index as the baseline standard. During the anticancer therapy the mean concentrations of serum albumin and prealbumin increased. Conclusions: In children with cancer, nutritional status should be assessed with methods more sensitive than anthropometry and visceral protein concentration measurements. We advocate regional ultrasonography for the evaluation of nutrition in these patients. Sponsorship: This work was supported by the Foundation for Pediatric Research, Helsinki, Finland.

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Physical growth from birth to 16 years and longitudinal outcome of the study during the same age period

Cited by 256 publications

References 20 publications

Pulmonary function after autologous bone marrow transplantation in children: a long-term prospective study

Pulmonary function after autologous bone marrow transplantation in children: a long-term prospective study

Decreased bone mineral density in young adults treated with SCT in childhood: the role of 25-hydroxyvitamin D

Evaluation of muscle protein mass in children with solid tumors by muscle thickness measurement with ultrasonography, as compared with anthropometric methods and visceral protein concentrations

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