Nutrición Hospitalaria 01696 / http://dx.doi.org/10.20960/nh.1696
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Trabajo Original

Energy expenditure is associated with age, anthropometric indicators and body composition in children with spastic cerebral palsy


Jorge Abraham García Iñiguez, Edgar Manuel Vásquez-Garibay, Andrea Anaís García Contreras, Enrique Romero-Velarde, Rogelio Troyo Sanromán, Juan Hernández Rocha, Alejandro Rea Rosas, Silvia Monserrat Rodríguez León, Elvira Uribe Martínez

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Introduction: proper estimation of energy requirements in children with cerebral palsy (CP) is essential in ensuring that their energy needs are optimally met.Objective: therefore, the purpose of this study was to demonstrate that resting energy expenditure (REE) and total energy expenditure (TEE) are associated with age, anthropometric indicators and body composition in children with spastic cerebral palsy.Methods: a cross-sectional study included 79 participants with spastic CP from 24 months to 16 years nine months. Weight and height (estimated by lower leg length) were obtained; body composition and energy expenditure were estimated by bioelectrical impedance analysis. ANOVA, post hoc tests, the Pearson correlation and determination coefficients (R2) were performed.Results: significant gradual increases according to age in REE and TEE (both in kcal/d) were observed. There were highly significant positive correlations between REE and TEE (kcal/d, kcal/cm/d) with fat-free mass (FFM) and fat mass (FM), but negative correlations between REE (kcal/ kg/d) with body composition and energy indicators. FFM and total body water, and to a lesser extent FM, explained a high percentage of the direct variability of REE and TEE in kcal/d and the inverse in kcal/kg/d.Conclusions: as age increased, energy expenditure also increased. The estimated energy expenditure in kcal/cm/d did not differ with age and sex. The estimated energy expenditure, based on height, would be a practical and reliable method for estimating energy expenditure and ensuring adequate nutritional status.

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Zheng, Qingru, Li, Feng, Tang, Wenqi, Huang, Xiaoli, Cao, Shuaijun, Ping, Feng, Li, Yingchuan, Zhang, Zuoyan, Huang, Weifeng (2024) Bioelectrical Impedance Analysis to Assess Energy Expenditure in Critically Ill Patients: A Cross-Sectional Study. American Journal of Critical Care
Foster, Byron Alexander, Lane, Jennifer E., Massey, Elizabeth, Noelck, Michelle, Green, Sarah, Austin, Jared P. (2020) The Impact of Malnutrition on Hospitalized Children With Cerebral Palsy. Hospital Pediatrics
Moore, Robyn, Dada, Shakila, Emmambux, Mohammad Naushad, Samuels, Alecia (2021) Food and nutrition security in persons with disabilities. A scoping review. Global Food Security
Szkoda, Lawia, Szopa, Andrzej, Kwiecień-Czerwieniec, Ilona, Siwiec, Andrzej, Domagalska-Szopa, Małgorzata (2023) Body Composition in Outpatient Children with Cerebral Palsy: A Case-Control Study. International Journal of General Medicine
Civan, Hasret Ayyildiz, Bektas, Gonca, Dogan, Ali Evrim, Ozdener, Fatih (2021) Percutaneous Endoscopic Gastrostomy Feeding in Children with Cerebral Palsy. Neuropediatrics
Costa, Alicia, Martin, Alberto, Arreola, Viridiana, Riera, Stephanie A., Pizarro, Ana, Carol, Cristina, Serras, Laia, Clavé, Pere (2021) Assessment of Swallowing Disorders, Nutritional and Hydration Status, and Oral Hygiene in Students with Severe Neurological Disabilities Including Cerebral Palsy. Nutrients
Zenitani, Masahiro, Hosoda, Hiroshi, Nose, Satoko, Kangawa, Kenji, Kawahara, Hisayoshi, Oue, Takaharu (2021) Importance of plasma ghrelin levels with special reference to nutritional metabolism and energy expenditure in pediatric patients with severe motor and intellectual disabilities. Clinical Nutrition ESPEN
Chen, Brian Po-Jung, Wang, Kemble K., Novacheck, Tom F. (2019) Selective Dorsal Rhizotomy for the Treatment of Gait Dysfunction in Cerebral Palsy. JBJS Reviews
Fogarasi, Andras, Fazzi, Elisa, Smorenburg, Ana R. P., Mazurkiewicz-Beldzinska, Maria, Dinopoulos, Argirios, Pobiecka, Alena, Schröder-van den Nieuwendijk, Dea, Kraus, Josef, Tekgül, Hasan, Kraus, Josef, Dinopoulos, Argirios, Koutsaki, Maria, Fogarasi, Andras, Baranello, Giovanni, Bertoli, Simona, Caramaschi, Elisa, Cordelli, Duccio Maria, De Amicis, Ramona, Fazzi, Elisa, Forchielli, Maria Luisa, Guerra, Azzurra, Lividini, Althea, Marchiò, Maddalena, Rossi, Andrea, Nieuwendijk, Dea Schröder-van den, Fliciński, Jędrzej, Gurda, Barbara, Lemska, Anna, Matheisel, Agnieszka, Mazurkiewicz-Beldzinska, Maria, Niwinska, Zuzanna, Pawłowicz, Małgorzata, Sawicka, Agnieszka, Steinborn, Barbara, Szmuda, Marta, Winczewska-Wiktor, Anna, Zawadzka, Marta, Pobiecka, Alena, Arhan, Ebru, Aydin, Kursad, Bayram, Erhan, Carman, Kursat Bora, Edem, Pinar, Ertem, Deniz, Goktas, Özben Akıncı, Gungor, Serdal, Haliloglu, Goknur, Kansu, Aydan, Kömür, Mustafa, Mutlu, Akmer, Kırsaçlıoğlu, Ceyda Tuna, Okuyaz, Çetin, Özgör, Bilge, Ozturk, Yesim, Sager, Safiye Gunes, Sarıgeçili, Esra, Selimoglu, Mukadder Ayse, Serin, Hepsen Mine Öztürk, Teber, Serap Tıraş, Tekgül, Hasan, Thomas, Gülten, Turkdogan, Dilsad, Volkan, Burcu, Yarar, Coşkun, Yilmaz, Sanem Keskin (2022) The PURPLE N study: objective and perceived nutritional status in children and adolescents with cerebral palsy. Disability and Rehabilitation
Szkoda, Lawia, Szopa, Andrzej, Siwiec, Andrzej, Kwiecień-Czerwieniec, Ilona, Domagalska-Szopa, Małgorzata (2022) Body Composition and Spasticity in Children with Unilateral Cerebral Palsy—A Case–Control Study. Children
Więch, Paweł, Ćwirlej-Sozańska, Agnieszka, Wiśniowska-Szurlej, Agnieszka, Kilian, Justyna, Lenart-Domka, Ewa, Bejer, Agnieszka, Domka-Jopek, Elżbieta, Sozański, Bernard, Korczowski, Bartosz (2020) The Relationship between Body Composition and Muscle Tone in Children with Cerebral Palsy: A Case-Control Study. Nutrients
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