Energy requirements in preschool-age children with cerebral palsy

Walker, Jacqueline L., Bell, Kristie L., Boyd, Roslyn N. and Davies, Peter S. W. (2012) Energy requirements in preschool-age children with cerebral palsy. American Journal of Clinical Nutrition, 96 6: 1309-1315. doi:10.3945/ajcn.112.043430


Author Walker, Jacqueline L.
Bell, Kristie L.
Boyd, Roslyn N.
Davies, Peter S. W.
Title Energy requirements in preschool-age children with cerebral palsy
Journal name American Journal of Clinical Nutrition   Check publisher's open access policy
ISSN 0002-9165
1938-3207
Publication date 2012-12-01
Sub-type Article (original research)
DOI 10.3945/ajcn.112.043430
Volume 96
Issue 6
Start page 1309
End page 1315
Total pages 7
Place of publication Bethesda, MD United States
Publisher American Society for Nutrition
Collection year 2013
Language eng
Formatted abstract
Background:
There is a paucity of data concerning the energy requirements (ERs) of preschool-age children with cerebral palsy (CP), the knowledge of which is essential for early nutritional management.

Objective:
We aimed to determine the ERs for preschool-age children with CP in relation to functional ability, motor type, and distribution and compared with typically developing children (TDC) and published estimation equations.

Design:
Thirty-two children with CP (63% male) of all functional abilities, motor types, and distributions and 16 TDC (63% male) aged 2.9–4.4 y participated in this study. The doubly labeled water method was used to determine ERs. Statistical analyses were conducted by 1-factor ANOVA and post hoc Tukey honestly significant difference tests, independent and paired t tests, Bland and Altman analyses, correlations, and multivariable regressions.

Results:
As a population, children with CP had significantly lower ERs than did TDC (P < 0.05). No significant difference in ERs was found between ambulant children and TDC. Marginally ambulant and nonambulant children had ERs that were ∼18% lower than those of ambulant children and 31% lower than those of TDC. A trend toward lower ERs with greater numbers of limbs involved was observed. The influence of motor type could not be determined statistically. Published equations substantially underestimated ERs in the nonambulant children by ∼22%.

Conclusions:
In preschool-age children with CP, ERs decreased as ambulatory status declined and more limbs were involved. The greatest predictor of ERs was fat-free mass, then ambulatory status. Future research should build on the information presented to expand the knowledge base regarding ERs in children with CP.
Keyword Measuring Body-Composition
Doubly Labeled Water
Gross Motor Function
Physical activity
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
School of Medicine Publications
 
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