British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 14, Issue.: 12
Height and Body Mass Index Estimated by Alternative Measures in Children with Spastic Quadriplegic Cerebral Palsy and Moderate/Severe Malnutrition
Andrea A. García-Contreras1, Edgar M. Vásquez-Garibay1,2*, Enrique Romero-Velarde1,2, Rogelio Troyo- Sanromán1, Imelda E. Sandoval-Montes1 and Daniel Illescas Zárate1 1Instituto de Nutrición Humana, Universidad de Guadalajara, Mexico. 2Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Guadalajara, Mexico.
Andrea A. García-Contreras1, Edgar M. Vásquez-Garibay1,2*, Enrique Romero-Velarde1,2, Rogelio Troyo- Sanromán1, Imelda E. Sandoval-Montes1 and Daniel Illescas Zárate1
1Instituto de Nutrición Humana, Universidad de Guadalajara, Mexico.
2Hospital Civil de Guadalajara Dr. Juan I. Menchaca, Guadalajara, Mexico.
(1) Toru Watanabe, Department of Pediatrics, Niigata City General Hospital, Japan.
(1) Mra Aye, Melaka Manipal Medical College, Malaysia.
(2) C. Sunil Pal Singh, Kamineni academy of medical sciences & research Centre, India.
(3) Hank White, PT, Shriners Hospitals for Children, Lexington, KY, USA.
(4) Reidun Stenberg, Orebro University, University Health Care, Sweden.
Complete Peer review History: http://sciencedomain.org/review-history/14044
Objective: To demonstrate that alternative measures are reliable predictors of height in children with spastic quadriplegic cerebral palsy (CP) and moderate/severe malnutrition and in healthy children.
Methods: In an intervention study, thirteen patients with CP (10 females and 3 males, with an average age of 9 y 11 m±2 y 3 m) with Gross Motor Function Classification System level V and moderate/severe malnutrition were included. They were compared with 57 healthy participants (31 females and 26 males with an average age of 8 y 7 m±10 m). Weight, height and alternative measures to height were obtained. ANOVA, Student’s t test, the Mann-Whitney U test, the Wilcoxon test, and the Pearson correlation were used.
Results: Significant differences were observed in weight, height and alternative measures between children with CP and healthy children (p < 0.001). In healthy children, knee height (KH) and lower-leg length (LLL) were similar to standing height. The correlation coefficients between height and alternative measures as well as correlations between the heights estimated by alternative measures were higher in children with CP than in healthy children.
Conclusion: KH was the most appropriate measurement to estimate height in children with spastic quadriplegic CP and in healthy children. In the absence of a segmometer, height can be estimated by LLL in children with spastic quadriplegic CP and healthy children. The anthropometric indexes height/age and BMI were more appropriately obtained by the height estimated by KH or LLL.
Cerebral palsy; alternative measurements to height; lower-leg length; upper-arm length; knee height.
DOI : 10.9734/BJMMR/2016/25458Review History Comments