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Titre : | Differences in Body Composition According to Gross Motor Function in Children With Cerebral Palsy (2017) |
Auteurs : | Ki Hyuk Sung ; Chin Youb Chung ; Kyoung Min Lee |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/11, 2017) |
Article en page(s) : | p. 2295-2300 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Composition corporelle ; Densite osseuse ; Paralysie cérébrale ; Rééducation et réadaptation |
Mots-clés: | Body composition ; Bone density ; Cerebral Palsy ; Electric impedance ; Impédance électrique ; Muscles |
Résumé : |
Objective To assess differences in body composition according to gross motor function in children with cerebral palsy (CP) compared with healthy controls. Design Retrospective case-control study. Setting Tertiary referral center for CP. Participants Participants (N=146) comprised consecutive patients with CP (n=100; mean age, 11.5+4.2y) who were admitted for orthopedic surgery between May 2014 and March 2016 and typically developing children (TDC, n=46; control group). Interventions Not applicable. Main Outcome Measures Bioelectrical impedance analysis (BIA) was used to assess body composition, including body fat, soft lean mass (SLM), fat-free mass (FFM), skeletal muscle mass (SMM), body cell mass (BCM), bone mineral content (BMC), and basal metabolic rate. Body composition measures were compared according to Gross Motor Function Classification System (GMFCS) level, as well as between children with CP and TDC. Results Children with CP with GMFCS levels IV and V had a lower height, weight, and body mass index than those with GMFCS levels I to III. Children with CP with GMFCS levels IV and V had a significantly lower SLM, SLM index, FFM, FFM index, SMM, SMM index, BCM, BCM index, BMC, and BMC index than those with GMFCS levels I to III and TDC. GMFCS level significantly affected SLM and BMC. Conclusions Body composition analysis using BIA showed that nonambulatory children with CP had significantly lower FFM, SLM, SMM, BCM, and BMC than ambulatory children with CP and TDC. However, further study is required to allow the use of BIA as a valid nutritional assessment tool in patients with CP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999317302678 |