Abstract
Objectives: To study the potential of the bioimpedance method for nutritional status assessment in children with cerebral palsy.Material and methods. There were examined 89 children with cerebral palsy (average age: 10,24 years±3,6 years). Such anthropometric indicators as body height (cm), body weight (kg) and body mass index (BMI, kg/m2) were investigated. The scientists formed two comparison groups: Group 1: 40 children without malnutrition (z-score BMI over 1), Group 2: 49 children with malnutrition (z-score BMI is 1,1 and less). The body composition was evaluated by bioimpedancemetry in both groups of comparison.Results. The scientist found significant differences in body composition in terms of fat mass between boys and girls with cerebral palsy, both with malnutrition and without nutritional deficiency. They determined that children with cerebral palsy without malnutrition demonstrate various changes in the parameters of the body composition comparable to those in patients with trophic deficiency, even before the anthropometry indicators change. According to the parameters of lean mass, active cell mass in the group of children without malnutrition, the results of 40% of boys and girls were below the normative values, which indicated an altered tissue composition of the body and existing deficiency of the protein component.Conclusion. The scientists determined unidirectional changes in the body component composition in children with cerebral palsy and malnutrition and in children without trophic deficiency. The assessment of the body by bioimpedance measurement can serve as an effective tool for the diagnosis of nutritional disorders in children with cerebral palsy.
Highlights
According to the parameters of lean mass, active cell mass in the group of children without malnutrition, the results of 40% of boys and girls were below the normative values, which indicated an altered tissue composition of the body and existing deficiency of the protein component
Гендерные различия параметров компонентного состава тела в группе детей с детским церебральным параличом и недостаточностью питания, % Table 3
Conflict of interest: The authors of this article confirmed the lack of conflict of interest and financial support, which should be reported
Summary
Определить возможности метода биоимпедансометрии в оценке нутритивного статуса у детей с детским церебральным параличом. Обнаружены статистически значимые различия компонентного состава тела по параметру жировой массы между мальчиками и девочками с детским церебральным параличом как имеющих недостаточность питания, так и без нутритивного дефицита. Активной клеточной массы в группе детей без недостаточности питания установлено, что около 40% мальчиков и девочек имели результаты ниже нормы по данным показателям, что свидетельствует об измененном в тканевом составе тела и имеющемся дефиците белкового компонента. Определены однонаправленные изменения компонентного состава тела у детей с детским церебральным параличом и недостаточностью питания и у детей без трофического дефицита. Оценка компонентного состава тела методом биоипедансметрии может служить эффективным инструментом диагностики нутритивных нарушений у детей с детским церебральным параличом. Возможности метода биоимпедансометрии для оценки нутритивного статуса у детей с детским церебральным параличом.
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