Prediction of stature from knee height for black and white adults and children with application to mobility-impaired or handicapped persons

Chumlea, W. C.; Guo, Shutao; Steinbaugh, Maria L

doi:10.1016/0002-8223(94)92540-2

Cited by 273 publications

(239 citation statements)

References 8 publications

Supporting

Mentioning

188

Contrasting

Unclassified

Order By: Relevance

“…Equations are available to calculate height from ulnar length, knee height and tibial length in some age groups. [3][4][5][6] Weight should be obtained on a digital scale, and weight of clothing and undergarments should be considered. Wheelchair scales or weighing a child along with a parent and subtracting parental weights provide a reliable weight if a child cannot stand on a scale.…”

Section: Is the Child Growing Properly?mentioning

confidence: 99%

Nutritional management of children with cerebral palsy: a practical guide

et al. 2013

View full text Add to dashboard Cite

Section: Is the Child Growing Properly?mentioning

confidence: 99%

Nutritional management of children with cerebral palsy: a practical guide

et al. 2013

View full text Add to dashboard Cite

“…2) Estimated height: method used for patients unable to keep an orthostatic position for direct measurement of height. We used the knee value and applied it to specific mathematical formulas (4,20) . 3) Weight: measured by the difference between weight of the caregivers and the total weight of the children in the laps of those responsible (because of patients' inability to stand).…”

Section: Methodsmentioning

confidence: 99%

Comparative study on gastrostomy and orally nutrition of children and adolescents with tetraparesis cerebral palsy

Caselli

Lomazi

Montenegro

et al. 2017

Arq. Gastroenterol.

View full text Add to dashboard Cite

-Background -Gastrostomy tube feeding (GTF) is indicated for children with feeding difficulties due to tetraspastic cerebral palsy, although there are no definitive conclusions about the benefits of GTF. Objective -To compare nutritional status and diet of pediatric patients with tetraparesis cerebral palsy who are fed by GTF with those fed orally (PO). Methods -A transversal and descriptive study on 54 patients with spastic tetraparesis was held. The referred parameters were: weight, knee height and estimated height, cutaneous folds and circumferences. The Frisancho reference was used to compare the skin folds and body circumferences. The Brooks et al. curve was adopted as a reference for weight, height, and BMI. Food inquiry was performed using the Habitual Dietary Recall method. The total energetic value (TEV) of macronutrients and fibers was performed by Avanutri ® version 4.0, a nutrition software program. The differences of nutritional parameters between the GTF and the PO groups were calculated by chi-squared and Fisher's exact tests, and the comparison between the groups for variable numbers was performed using the Mann-Whitney test. The significance level adopted was 5%. Results -The PO group presented more individuals in the malnourished range (24.14%) and high levels of adipose and thin mass depletion. The ingestion of lipids was larger in the GTF group, even though the proteins and fibers were higher in the PO group. The comparison between the diets in the GTF group indicated that the mixed diet (industrialized and artisanal) supplied a greater contribution of proteins and fibers. Conclusion -Comparing the groups, the tetraparesis cerebral palsy patients fed orally have a greater impairment of their nutritional status, even though they have higher intakes of protein and fiber than those patients fed by gastrostomy, demonstrating a consistent argument for the use of gastrostomy.

show abstract

“…Alternative measures of linear growth were obtained, including upper arm length, tibial length, and sitting knee height. For the analyses, knee height was converted to an estimate of standing height, 26,27 which in turn was expressed as an age-and gender-normalized height z score. 28 Body fat was assessed with measures of calf, triceps, and subscapular skinfolds on the child's right side.…”

Section: Anthropometric Assessmentmentioning

confidence: 99%

Bone Density and Metabolism in Children and Adolescents With Moderate to Severe Cerebral Palsy

Lark²,

et al. 2002

View full text Add to dashboard Cite

ABSTRACT. Objectives. Diminished bone density and a propensity to fracture with minimal trauma are common in children and adolescents with moderate to severe cerebral palsy (CP). The purpose of this study was to provide a detailed evaluation of bone mineral density (BMD) and metabolism in this population and to assess the relationship of these measures to multiple other clinical, growth, and nutrition variables.Methods. The study group consisted of 117 subjects ages 2 to 19 years (mean: 9.7 years) with moderate to severe CP as defined by the Gross Motor Functional Classification scale. Population-based sampling was used to recruit 62 of the participants, which allows for estimations of prevalence. The remaining 55 subjects were a convenience sampling from both hospital-and school-based sources. The evaluation included measures of BMD, a detailed anthropometric assessment of growth and nutritional status, medical and surgical history, the Child Health Status Questionnaire, and multiple serum analyses. BMD was measured in the distal femur, a site specifically developed for use in this contracted population, and the lumbar spine. BMD measures were converted to age and gender normalized z scores based on our own previously published control series (n > 250).Results. Osteopenia (BMD z score <؊2.0) was found in the femur of 77% of the population-based cohort and in 97% of all study participants who were unable to stand and were older than 9 years. BMD was not as low in the lumbar spine (population-based cohort mean ؎ standard error z score: ؊1.8 ؎ 0.1) as in the distal femur (mean z score: ؊3.1 ؎ 0.2). Fractures had occurred in 26% of the children who were older than 10 years. Multiple clinical and nutritional variables correlated with BMD z scores, but interpretation of these findings is complicated by covariance among variables. In stepwise regression analyses, it was found that severity of neurologic impairment as graded by Gross Motor Functional Classification level, increasing difficulty feeding the child, use of anticonvulsants, and lower triceps skinfold z scores (in decreasing order of importance) all independently contribute to lower BMD z scores in the femur.Conclusions. Low BMD is prevalent in children with moderate to severe CP and is associated with significant fracture risk. The underlying pathophysiology is complex, with multiple factors contributing to the problem and significant variation between different regions of the skeleton. Pediatrics 2002;110(1). URL: http://www. pediatrics.org/cgi/content/full/110/1/e5; cerebral palsy, bone mineral density, osteoporosis, pediatrics, bone metabolism, growth, nutrition, osteopenia.

show abstract

Prediction of stature from knee height for black and white adults and children with application to mobility-impaired or handicapped persons

Cited by 273 publications

References 8 publications

Nutritional management of children with cerebral palsy: a practical guide

Nutritional management of children with cerebral palsy: a practical guide

Comparative study on gastrostomy and orally nutrition of children and adolescents with tetraparesis cerebral palsy

Bone Density and Metabolism in Children and Adolescents With Moderate to Severe Cerebral Palsy

Contact Info

Product

Resources

About