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. 2023 Jan 24:16:281-291.
doi: 10.2147/IJGM.S393484. eCollection 2023.

Body Composition in Outpatient Children with Cerebral Palsy: A Case-Control Study

Lawia Szkoda  1 , Andrzej Szopa  1 , Ilona Kwiecień-Czerwieniec  2 , Andrzej Siwiec  2 , Małgorzata Domagalska-Szopa  3
Affiliations

Body Composition in Outpatient Children with Cerebral Palsy: A Case-Control Study

Lawia Szkoda et al. Int J Gen Med. .

Abstract

Purpose: The purpose of this study was to identify quantitative (BMI z-score and BMI percentile) and qualitative (BC) differences between high functioning outpatient children with CP (GMFCS levels I/II) vs TD children, using BIA. We hypothesized that: 1) BMI z-score and BMI percentile will be lower in children with CP compared with their TD peers; and 2) body components (BC) directly associated with muscle mass (including fat free mass (FFM%) and skeletal muscle mass (SMM) and predicted muscle mass (PMM)) in children with CP will be lower than in their TD peers.

Patients and methods: Ninety children with CP (GMFCS levels I/II) aged 8-16 years were enrolled in this study. Due to the fact that there is lack of normative values of particular body components in the pediatric population, ninety typically developing (TD) peers were used as references. The examination consisted of two parts: 1) the height measurement and 2) body composition assessments, both using the bioelectric impedance analysis (BIA).

Results: Average values for height, weight, BMI z-score, and BMI percentile in children with CP were significantly statistically lower than in the reference group. BC's directly associated with muscle mass (including FFM%, SMM, and PMM) in children with CP were lower than those in their TD peers.

Conclusion: Altered body compositions were evident in children with CP.

Keywords: bioelectric impedance analysis; body composition; cerebral palsy.

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Conflict of interest statement

The authors declare that they have no competing interests in this work.

Figures

Figure 1
Figure 1
Sex-specific BMI percentiles in both groups: thinness (<10c); normal (25–75c); overweight and obese (>75c).
Figure 2
Figure 2
Regression line for a variable BONEM in a group division.
See this image and copyright information in PMC

References

    1. Snik DAC, de Roos NM. Criterion validity of assessment methods to estimate body composition in children with cerebral palsy: a systematic review. Ann Phys Rehabil Med. 2021;64(3):101271. doi:10.1016/j.rehab.2019.05.003 - DOI - PubMed
    1. García Contreras AA, Vásquez Garibay EM, Sánchez Ramírez CA, Fafutis Morris M, Delgado Rizo V. Factors associated with the stool characteristics of children with cerebral palsy and chronic constipation. Rev Esp Enferm Dig. 2020;112(1):41–46. doi:10.17235/reed.2019.6313/2019 - DOI - PubMed
    1. Baxter P, Rosenbloom L. CP or not CP? Dev Med Child Neurol. 2005;47(8):507. doi:10.1017/S001216220500099X - DOI - PubMed
    1. De Graaf-Peters VB, Hadders-Algra M. Ontogeny of the human central nervous system: what is happening when? Early Hum Dev. 2006;82(4):257–266. doi:10.1016/j.earlhumdev.2005.10.013 - DOI - PubMed
    1. Kalyani RR, Corriere M, Ferrucci L. Age-related and disease-related muscle loss: the effect of diabetes, obesity, and other diseases. Lancet Diabetes Endocrinol. 2014;2(10):819–829. doi:10.1016/S2213-8587(14)70034-8 - DOI - PMC - PubMed