Clinical assessment underestimates fat mass and overestimates resting energy expenditure in children with neuromuscular diseases

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dc.contributor.authorBarja Y., Salesa
dc.contributor.authorPérez, R.
dc.date.accessioned2020-01-14T01:51:55Z
dc.date.available2020-01-14T01:51:55Z
dc.date.issued2016
dc.description.abstractBackground Nutritional problems are frequent among patients with neuromuscular diseases, who consequently need an adequate evaluation. Objective: to describe nutritional assessment and to estimate and measure body composition and energy requirement in children with neuromuscular diseases. Subjects and methods We performed anthropometry, skinfold measurement and bioelectric impedance analysis (BIA) for estimate and measure, respectively, fat mass (FM). Resting energy expenditure (REE) was estimated by Schofield equations and measured by indirect calorimetry (IC). We compared actual energy intake with post-assessment recommendations. Results We studied 40 patients, 13.6 ± 3.3 years old (Range: 5.8–19.3), 80% boys, diagnosed with Duchenne Muscular Dystrophy (n = 21), other dystrophies (7), Muscular Spinal Atrophy (7), myopathies (3) and others (2). According to body mass index (BMI) 22.5% were well nourished (zBMI −1 to +1), 17.5% overweight (zBMI +1 to +2), 17.5% obese (zBMI ≥ +2), and 42.5% undernourished (zBMI < −1). Estimated FM was 20.2% (3.6–46.3), lower than BIA measurement: 34.2% (9.6–60.5) p < 0.001. Estimated REE was higher than measured REE: 1325 (813–2244) vs. 1202 (900–2100) kcal/day, p = 0.002. Actual energy intake: 1452 (1033–2476) was higher than recommended: 1300 (900–1900) kcal/day, p < 0.001. Conclusion Undernutrition and overweight are prevalent in this group of children with neuromuscular diseases. Clinical assessment underestimates FM and overestimates REE.Background Nutritional problems are frequent among patients with neuromuscular diseases, who consequently need an adequate evaluation. Objective: to describe nutritional assessment and to estimate and measure body composition and energy requirement in children with neuromuscular diseases. Subjects and methods We performed anthropometry, skinfold measurement and bioelectric impedance analysis (BIA) for estimate and measure, respectively, fat mass (FM). Resting energy expenditure (REE) was estimated by Schofield equations and measured by indirect calorimetry (IC). We compared actual energy intake with post-assessment recommendations. Results We studied 40 patients, 13.6 ± 3.3 years old (Range: 5.8–19.3), 80% boys, diagnosed with Duchenne Muscular Dystrophy (n = 21), other dystrophies (7), Muscular Spinal Atrophy (7), myopathies (3) and others (2). According to body mass index (BMI) 22.5% were well nourished (zBMI −1 to +1), 17.5% overweight (zBMI +1 to +2), 17.5% obese (zBMI ≥ +2), and 42.5% undernourished (zBMI < −1). Estimated FM was 20.2% (3.6–46.3), lower than BIA measurement: 34.2% (9.6–60.5) p < 0.001. Estimated REE was higher than measured REE: 1325 (813–2244) vs. 1202 (900–2100) kcal/day, p = 0.002. Actual energy intake: 1452 (1033–2476) was higher than recommended: 1300 (900–1900) kcal/day, p < 0.001. Conclusion Undernutrition and overweight are prevalent in this group of children with neuromuscular diseases. Clinical assessment underestimates FM and overestimates REE.
dc.fuente.origenFacultad de Medicina
dc.identifier.doi10.1016/j.clnesp.2016.03.079
dc.identifier.urihttps://doi.org/10.1016/j.clnesp.2016.03.079
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/27516
dc.language.isoen
dc.nota.accesoContenido parcial
dc.revistaClinical Nutrition ESPENes_ES
dc.rightsacceso restringido
dc.subjectChildrenes_ES
dc.subjectFat masses_ES
dc.subjectMalnutritiones_ES
dc.subjectNeuromuscular diseaseses_ES
dc.subjectNutrition assessmentes_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleClinical assessment underestimates fat mass and overestimates resting energy expenditure in children with neuromuscular diseaseses_ES
dc.typeartículo
dc.volumenVol. 15
sipa.codpersvinculados64532
sipa.codpersvinculados120634
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