Body composition in children with spastic quadriplegic cerebral palsy

J Pediatr. 1995 May;126(5 Pt 1):833-9. doi: 10.1016/s0022-3476(95)70424-8.

Abstract

Objective: To determine the pattern of body composition and nutritional status in a group of prepubertal children with spastic quadriplegic cerebral palsy (SQCP) compared with healthy control children.

Study design: Subjects were enrolled for this cross-sectional study from two tertiary care settings. One hundred thirty-six subjects with SQCP, 2 to 12 years of age, were evaluated by anthropometric measures, or by anthropometric and total body water (TBW) measures (n = 28), with 39 control subjects.

Results: Body composition and nutritional status indicators were significantly reduced in children with SQCP. Accretion of fat-free mass with age was smaller for children with SQCP. Calculation of body fat from two skin folds correlated best with measures of fat mass from TBW.

Conclusion: Malnutrition is common in children with SQCP. Clinically available, serial anthropometric measures enable the clinician to identify malnourished children with SQCP.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Age Factors
  • Anthropometry
  • Body Composition*
  • Body Water
  • Case-Control Studies
  • Cerebral Palsy / complications
  • Cerebral Palsy / physiopathology*
  • Child
  • Child Nutrition Disorders / etiology
  • Child Nutrition Disorders / physiopathology*
  • Child Nutrition Disorders / therapy
  • Child, Preschool
  • Cross-Sectional Studies
  • Enteral Nutrition
  • Female
  • Humans
  • Male
  • Nutritional Status*
  • Quadriplegia / complications
  • Quadriplegia / physiopathology*
  • Regression Analysis
  • Skinfold Thickness
  • Spasm