Nutritional Survey of Children and Adolescents with Myelomeningocele (MMC): Overweight Associated with Reduced Energy Intake

Fiore, Piera Filomena; Picco, Paolo; Castagnola, Elio; Palmieri, Antonella; Levato, Laura; Gremmo, M.; Tramalloni, Roberto; Cama, Armando

doi:10.1055/s-2008-1071250

Cited by 17 publications

(8 citation statements)

References 4 publications

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“…Among patients with myelomeningocele, 43% were overweight/obese, which is consistent with what other authors, such as Fiore et al 17 and Littlewood et al, 6 have reported. This percentage is higher than the average 31% prevalence observed in different Argentine age groups according to the National Survey on Nutrition and Health (Encuesta Nacional de Nutrición and Salud, ENNyS), 18 but similar to what has been found by other national studies carried out in male and female adolescents.…”

Section: Discussionsupporting

confidence: 90%

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Body composition and energy expenditure in a population of children and adolescents with myelomeningocele

Caminiti

Sauré

Weglinski

et al. 2018

Arch Argent Pediatr

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Introduction.Myelomeningocele is a congenital defect that occurs when the neural tube fails to close completely. It causes body composition alterations and a high prevalence of obesity. It is difficult to detect the most adequate indicator for a nutritional diagnosis due to the impossibility of recording accurate anthropometric measurements. Objective. To describe body composition, resting energy expenditure and metabolic disorders in a population of patients with myelomeningocele managed at "Hospital Garrahan" by comparing obese patients with myelomeningocele and a control population with multifactorial obesity. Population and methods. An anthropometry, an impedance analysis, skinfold equations, arm circumference equations, indirect calorimetry, and biochemical determinations were done to all patients with myelomeningocele between June 2013 and April 2014, once the informed consent had been signed. Results. 131 patients aged 0.7-18.6 years were assessed; they were classified according to their body mass index Z-score into low weight (15%), normal weight (42%), overweight (12%), and obese (31%). A high correlation (r: 20.74) was observed between the fat mass % measured by impedance analysis versus that estimated using skinfolds. Patients with a high fat mass % had a higher body mass index Z-score than those with a normal fat mass % (1.07 versus -0.27, p: 0.0001) although both values were within normal parameters. A lower resting energy expenditure was observed among obese patients with myelomeningocele than predicted and in comparison with multifactorial obese controls. Conclusions. A high percentage of overweight/ obesity was found in the population with myelomeningocele. Skinfold equations would be more adequate to detect obesity. Obese patients with myelomeningocele had a lower resting energy expenditure than predicted and in comparison with controls. Energy indication should be customized.

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Section: Discussionsupporting

confidence: 90%

“…IR was detected in 14% (18) of patients. In relation to dyslipidemia, 13% (17) had hypertriglyceridemia and 30% (39), low HDL cholesterol levels. Table 2 shows the biochemical outcome measures.…”

Section: Resultsmentioning

confidence: 99%

Body composition and energy expenditure in a population of children and adolescents with myelomeningocele

Caminiti

Sauré

Weglinski

et al. 2018

Arch Argent Pediatr

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“…Todos aceptaron participar. La edad media fue de 8,1 años (0, [7][8][9][10][11][12][13][14][15][16][17][18]6 20,5 ± 8,9, respectivamente). También se encontró alta correlación (r 2 0,81) entre MM absoluta por impedanciometría y la calculada con perímetro braquial y pliegues cutáneos (20,1 ± 11,5 vs. 17,2 ± 4,9, respectivamente).…”

Section: Resultsunclassified

Composición corporal y gasto energético en población de niños y adolescentes con mielomeningocele

2018

Arch Argent Pediatr

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“…Investigators (4)(5)(6)(7)(8)(9) have demonstrated that from 40% to 50% of lean body mass is missing in this group with severe paralysis. The loss of lean body mass also helps explain why children with myelomeningocele and significant paralysis become overweight or obese despite low calorie intake (33)(34)(35).…”

Section: Discussionmentioning

confidence: 99%

Obesity and Myelomeningocele: Anthropometric Measures

Shurtleff

Walker

Duguay

et al. 2010

The Journal of Spinal Cord Medicine

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Objective: To evaluate the appropriate use of arm span measurements as a substitute for height/linear length to evaluate obesity in people with myelomeningocele by comparing calculated body mass indices (BMIs) with recently published BMI graphs by the Centers for Disease Control and Prevention (CDC) and National Center for Health Statistics standards (NCHS) published in 2000. Study Design: Retrospective analysis of collected data on patients seen in the University of Washington Birth Defects Clinic from July 1, 1965, through June 1, 2008. Observations included degree of paralysis, presence of scoliosis, height (linear length), weight, and arm span. We compared published CDC/NCHS BMIs with our data using both height and arm span in place of height/linear length. There were 14,701 measures collected during 4,968 visits from 709 patients. Mean values were calculated using age, gender, and lesion level as independent variables. Results: Comparison of BMI means of patients with myelomeningocele suggests that our observations using arm span and height are comparable with the CDC/NCHS BMI means using height for the 2 least paralyzed groups but not for those groups with paralysis from high-level lesions that are more likely to exhibit lower extremity deformities or scoliosis. Conclusions: Published CDC/NCHS graphs, with their percentiles, are appropriate for estimating normal growth by BMI for children born with myelomeningocele when arm span is substituted for length if severe body differences due to high-level paralysis are taken into consideration.

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Nutritional Survey of Children and Adolescents with Myelomeningocele (MMC): Overweight Associated with Reduced Energy Intake

Cited by 17 publications

References 4 publications

Body composition and energy expenditure in a population of children and adolescents with myelomeningocele

Body composition and energy expenditure in a population of children and adolescents with myelomeningocele

Composición corporal y gasto energético en población de niños y adolescentes con mielomeningocele

Obesity and Myelomeningocele: Anthropometric Measures

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