Height and weight fail to detect early signs of malnutrition in children with cystic fibrosis

Stapleton, Denise, Kerr, Deborah, Gurrin, Lyle, Sherriff, Jill and Sly, Peter (2001) Height and weight fail to detect early signs of malnutrition in children with cystic fibrosis. Journal of Pediatric Gastroenterology and Nutrition, 33 3: 319-325. doi:10.1097/00005176-200109000-00017


Author Stapleton, Denise
Kerr, Deborah
Gurrin, Lyle
Sherriff, Jill
Sly, Peter
Title Height and weight fail to detect early signs of malnutrition in children with cystic fibrosis
Journal name Journal of Pediatric Gastroenterology and Nutrition   Check publisher's open access policy
ISSN 0277-2116
1536-4801
Publication date 2001-09-01
Sub-type Article (original research)
DOI 10.1097/00005176-200109000-00017
Open Access Status Not Open Access
Volume 33
Issue 3
Start page 319
End page 325
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
Background:
Many children with cystic fibrosis grow poorly and are malnourished. This study was undertaken to determine whether extensive anthropometry could detect early signs of malnutrition in prepubertal children with cystic fibrosis to prevent deficits in height and weight.

Methods:
Height, weight, six skin folds (triceps, subscapular, supraspinale, abdominal, front thigh, and medial calf) and five girths (arm relaxed, forearm, chest, thigh, and calf) were measured in a cross-sectional study of children aged 6 to 11 years with cystic fibrosis.

Results:
The children with cystic fibrosis were shorter and lighter for their age and gender than those in the reference groups. The mean weight and height z scores for the girls with cystic fibrosis were lower than those for the boys, significantly so for z weight (P < 0.05). Although, the mean percent ideal body weight value of 98.6% suggested that the children with cystic fibrosis were adequately nourished, most of the measures of muscularity and adiposity of the children with cystic fibrosis were significantly lower than those of the reference group (P < 0.05). The z scores of the anthropometric measures revealed that the deficit in muscularity of the children with cystic fibrosis was relatively much greater than the deficit in adiposity.

Conclusions:
The percent ideal body weight index does not seem to be an adequate measure of nutritional status in children with cystic fibrosis. Anthropometric assessments should include skin-fold and circumference measurements of numerous sites on the upper and lower body, the trunk, and the limbs to detect deterioration in nutritional status early. Early detection of deficits in nutritional status may result in the adverse effects of malnutrition on height and weight, and possibly clinical status, being prevented.
Keyword Anthropometry
Body composition
Height
Weight
Malnutrition
Cystic fibrosis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 21 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 23 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 17 Nov 2010, 21:52:15 EST