Validation of a modified three-day weighed food record for measuring energy intake in preschool-aged children with cerebral palsy

Walker, Jacqueline L., Bell, Kristie L., Boyd, Roslyn N. and Davies, Peter S. W. (2013) Validation of a modified three-day weighed food record for measuring energy intake in preschool-aged children with cerebral palsy. Clinical Nutrition, 32 3: 426-431. doi:10.1016/j.clnu.2012.09.005


Author Walker, Jacqueline L.
Bell, Kristie L.
Boyd, Roslyn N.
Davies, Peter S. W.
Title Validation of a modified three-day weighed food record for measuring energy intake in preschool-aged children with cerebral palsy
Journal name Clinical Nutrition   Check publisher's open access policy
ISSN 0261-5614
1532-1983
Publication date 2013-06
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.clnu.2012.09.005
Open Access Status
Volume 32
Issue 3
Start page 426
End page 431
Total pages 6
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2013
Language eng
Formatted abstract
Background & aims Accurate energy intake (EI) determination in children with cerebral palsy (CP) is critical for nutritional management, however no valid measures exist. We aimed to validate a modified three-day weighed food record for measuring EI in preschool-aged children with CP.

Methods Thirty-one children with CP (61% male) of all functional abilities and 15 typically developing children (TDC) (63% male), median age 3.79 years participated. A three-day weighed food record was validated by comparing reported EI to measured total energy expenditure (TEE) via doubly labelled water, assuming a state of weight balance.

Results Children with moderate–severe CP showed no difference between EI and TEE. Values for EI were less than TEE in children with mild CP and TDC (p < 0.01, limits of agreement −2559 to 845 kJ and −2524 to 350 kJ respectively). The mean difference between EI and TEE as a percentage of measured TEE was 14.8% (mild CP), 4.3% (moderate–severe CP) and 16.8% (TDC), all less than data detailing typical within-subject variability in day-to-day EI.

Conclusions In contrast to previous literature, results demonstrated that a modified three-day weighed food record accurately measured EI in preschool-aged children with CP. This record can be used in clinical practice and future research to accurately determine EI in this population.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 27 September 2012 Copyright. 2012 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
 
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Created: Sat, 24 Nov 2012, 12:50:57 EST by Matthew Lamb on behalf of Paediatrics & Child Health - RBWH