Article

OBJECTIVE: To assess differences in body composition according to gross motor
function in children with cerebral palsy (CP) compared with healthy controls.
DESIGN: Retrospective case-control study. SETTING:
Tertiary referral center for
CP. PARTICIPANTS: Participants (N=146) comprised consecutive patients with CP
(n=100; mean age, 11.5+/-4.2y) who were admitted for orthopedic surgery between
May 2014 and March 2016 and typically developing children (TDC, n=46; control
group). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Bioelectrical
impedance analysis (BIA) was used to assess body composition, including body fat,
soft lean mass (SLM), fat-free mass (FFM), skeletal muscle mass (SMM), body cell
mass (BCM), bone mineral content (BMC), and basal metabolic rate. Body
composition measures were compared according to Gross Motor Function
Classification System (GMFCS) level, as well as between children with CP and TDC.
RESULTS: Children with CP with GMFCS levels IV and V had a lower height, weight,
and body mass index than those with GMFCS levels I to III. Children with CP with
GMFCS levels IV and V had a significantly lower SLM, SLM index, FFM, FFM index,
SMM, SMM index, BCM, BCM index, BMC, and BMC index than those with GMFCS levels I
to III and TDC. GMFCS level significantly affected SLM and BMC. CONCLUSIONS: Body
composition analysis using BIA showed that nonambulatory children with CP had
significantly lower FFM, SLM, SMM, BCM, and BMC than ambulatory children with CP
and TDC. However, further study is required to allow the use of BIA as a valid
nutritional assessment tool in patients with CP.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS