Obesity: another hazard for spina bifida children.

Hayes-Allen, M. C.; Tring, F.C.

doi:10.1136/jech.27.3.192

Cited by 21 publications

(18 citation statements)

References 12 publications

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“…The current study found an average of 35% total body fat in children with myelomeningocele, which is consistent with past research where values ranged from 21% 4 to 55%. 26 This large range of body fat values may be, at least in part, caused by differences in patient populations and measurement methodologies.…”

Section: Discussionsupporting

confidence: 92%

“…1,2 Recent reports have shown that roughly 17% of children and adolescents in the US are overweight or obese, 3 while as many as 50% to 83% of children and adolescents with spina bifida are overweight or obese. 1,4 Children with myelomeningocele, the most common and severe form of spina bifida, face a multitude of complex and interrelated issues that make obesity difficult to treat. 1, 2 As overweight and obesity may lead to significant health problems, having an accurate assessment of body composition may help direct treatment and decision making.…”

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confidence: 99%

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Fat distribution in children and adolescents with myelomeningocele

Mueske

Ryan

Speybroeck

et al. 2014

Develop Med Child Neuro

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AIM To evaluate quantitatively fat distribution in children and adolescents with myelomeningocele using dual-energy X-ray absorptiometry (DXA). METHOD Cross-sectional DXA measurements of the percentage of fat in the trunk, arms, legs, and whole body were compared between 82 children with myelomeningocele (45 males, 37 females; mean age 9y 8mo, SD 2y 7mo; 22 sacral, 13 low lumbar, 47 mid lumbar and above) and 119 comparison children (65 males, 54 females; mean age 10y 4mo, SD 2y 4mo). Differences in fat distribution between groups were evaluated using univariate and multivariate analyses. RESULTS Children with myelomeningocele had higher total body fat (34% vs 31%, p=0.02) and leg fat (42% vs 35%, p<0.001than comparison children, but no differences in trunk or arm fat after adjustment for anthropometric measures. INTERPRETATION Children with myelomeningocele have higher than normal total body and leg fat, but only children with higher level lesions have increased trunk fat, which may be caused by greater obesity in this group. Quantifying segmental fat distribution may aid in better assessment of excess weight and, potentially, the associated health risks.

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Section: Discussionsupporting

confidence: 92%

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confidence: 99%

Fat distribution in children and adolescents with myelomeningocele

Mueske

Ryan

Speybroeck

et al. 2014

Develop Med Child Neuro

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“…Although the high prevalence of overweight among children with genetically-related disabilities such as PraderWilli syndrome, 7 Down Syndrome, 8,9 congenital disabilities such as spina bifida, [10][11][12] and some types of cerebral palsy 10 is well documented, there is a need for representative data for children with other types of developmental disorders. We found that the prevalence of at-risk-for-overweight or overweight in children with certain developmental disorders was as high or higher than in children without developmental disorders.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of Overweight in Children with Developmental Disorders in the Continuous National Health and Nutrition Examination Survey (NHANES) 1999-2002

Bandini

Curtin²,

Hamad³

et al. 2005

The Journal of Pediatrics

130

107

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“…Whether these changes are a consequence of CP or chronic undernutrition remains unclear. In contrast, approximately 50% of children with M are obese (2). Nonetheless, the short stature and possible alterations in body composition in nonobese and obese children with M make assessment of nutritional status difficult.…”

mentioning

confidence: 89%

Body Composition and Energy Expenditure in Adolescents with Cerebral Palsy or Myelodysplasia

et al. 1991

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ABSTRACT. We measured body composition, resting metabolic rate (RMR), and total energy expenditure (TEE) in a group of adolescents with cerebral palsy (CP) and myelodysplasia (M) aged 13-to 20-y-old using indirect calorimetry and the doubly labeled water method. Fat-free mass (FFM), RMR, and TEE were significantly lower in both the CP and M groups than comparable measurements in a control group of normal adolescent males and females. The ratio of TEE to RMR did not differ between controls and ambulatory M and C P subjects. However, TEEIRMR was significantly lower in the nonambulatory M and C P subjects than in controls (p < 0.01). Our data indicate that energy requirements are reduced in both populations because both FFM and activity are decreased. Although energy requirements were decreased in both groups, the relationships between FFM and body weight differed. FFM and body weight were significantly correlated with RMR only in the M group. These data suggest that the type of paralysis in a handicapped population may affect resting energy expenditure. (Pediatr Res 29: 70-77,1991 World Health Organization/United Nations University stature, and body cell mass are prevalent among children with CP. Whether these changes are a consequence of CP or chronic undernutrition remains unclear. In contrast, approximately 50% of children with M are obese (2). Nonetheless, the short stature and possible alterations in body composition in nonobese and obese children with M make assessment of nutritional status difficult. The changes in body composition and physical activity associated with CP and M can be expected to affect energy requirements. Similarly, alterations in energy expenditure might affect body composition. The only reported study that measured TEE in individuals with CP used heart rate monitoring in conjunction with indirect calorimetry (3). Energy expenditure extrapolated from heart rate monitoring was measured over 24 h in f o u~ subjects and ranged from 1200 to 1850 kcal/d. No comparison5 were made with normal controls. Furthermore, in our experience, anxiety during calibration in children with CP may elevate heart rates. The altered relationship between energy expenditure and heart rate may produce an underestimation of TEE. Nc studies have measured energy expenditure in children or adoles. cents with M.In our study, we measured TBW and ECW in 13 adolescent: with CP and 16 adolescents with M. RMR and TEE werc measured in 19 of the 29 subjects by indirect calorimetry anc the doubly labeled water method.

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Obesity: another hazard for spina bifida children.

Cited by 21 publications

References 12 publications

Fat distribution in children and adolescents with myelomeningocele

Fat distribution in children and adolescents with myelomeningocele

Prevalence of Overweight in Children with Developmental Disorders in the Continuous National Health and Nutrition Examination Survey (NHANES) 1999-2002

Body Composition and Energy Expenditure in Adolescents with Cerebral Palsy or Myelodysplasia

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