Reduced body protein in children with spastic quadriplegic cerebral palsy
BACKGROUND: No studies have directly measured body protein or validated skinfold-thickness anthropometry and dual-energy X-ray absorptiometry (DXA) to assess body protein in children with spastic quadriplegic cerebral palsy (SQCP). OBJECTIVE: We aimed to measure and evaluate body protein and to dete...
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| Veröffentlicht in: | The American journal of clinical nutrition 2006-03, Vol.83 (3), p.613-618 |
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| creator | Arrowsmith, Fiona E Allen, Jane R Gaskin, Kevin J Gruca, Margie A Clarke, Samantha L Briody, Julie N Howman-Giles, Robert B Somerville, Helen O'Loughlin, Edward V |
| description | BACKGROUND: No studies have directly measured body protein or validated skinfold-thickness anthropometry and dual-energy X-ray absorptiometry (DXA) to assess body protein in children with spastic quadriplegic cerebral palsy (SQCP). OBJECTIVE: We aimed to measure and evaluate body protein and to determine whether skinfold-thickness anthropometry and DXA can predict body protein in children with SQCP. DESIGN: This was a cross-sectional study of 59 children (22 girls, 37 boys) aged 3.9-19.5 y with SQCP. The children underwent measurements of anthropometric indexes, lean tissue mass by DXA (LTM[subscript DXA]), and total body protein by neutron activation analysis (TBP[subscript NAA]). In addition, TBP was estimated from both skinfold-thickness anthropometry (TBP[subscript SKIN]) and DXA (TBP[subscript DXA]). The agreement of TBP[subscript SKIN] and TBP[subscript DXA] was tested against TBP[subscript NAA] by using Bland and Altman plot analysis. RESULTS: Height and weight SD scores (x ± SD: -3.1 ± 1.6 and -4.8 ± 5.3, respectively) were significantly lower than reference data in the children with SQCP (P < 0.001). TBP[subscript NAA] for age and height was low in the children with SQCP (P < 0.001): 56.1 ± 17.3% and 81.5 ± 15.7%, respectively, of the values predicted from control data. TBP[subscript SKIN] and TBP[subscript DXA] were both highly correlated with TBP[subscript NAA]: r = 0.90, P < 0.001, and r = 0.91, P < 0.001, respectively. Despite these significant correlations, agreement analyses showed wide variation of up to 33.3% of the mean for both methods. CONCLUSIONS: Body protein in children with SQCP is significantly reduced for age and height. Skinfold anthropometry and DXA show wide variation in estimation of body protein compared with NAA in this group of children. |
| doi_str_mv | 10.1093/ajcn.83.3.613 |
| format | Article |
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OBJECTIVE: We aimed to measure and evaluate body protein and to determine whether skinfold-thickness anthropometry and DXA can predict body protein in children with SQCP. DESIGN: This was a cross-sectional study of 59 children (22 girls, 37 boys) aged 3.9-19.5 y with SQCP. The children underwent measurements of anthropometric indexes, lean tissue mass by DXA (LTM[subscript DXA]), and total body protein by neutron activation analysis (TBP[subscript NAA]). In addition, TBP was estimated from both skinfold-thickness anthropometry (TBP[subscript SKIN]) and DXA (TBP[subscript DXA]). The agreement of TBP[subscript SKIN] and TBP[subscript DXA] was tested against TBP[subscript NAA] by using Bland and Altman plot analysis. RESULTS: Height and weight SD scores (x ± SD: -3.1 ± 1.6 and -4.8 ± 5.3, respectively) were significantly lower than reference data in the children with SQCP (P < 0.001). TBP[subscript NAA] for age and height was low in the children with SQCP (P < 0.001): 56.1 ± 17.3% and 81.5 ± 15.7%, respectively, of the values predicted from control data. TBP[subscript SKIN] and TBP[subscript DXA] were both highly correlated with TBP[subscript NAA]: r = 0.90, P < 0.001, and r = 0.91, P < 0.001, respectively. Despite these significant correlations, agreement analyses showed wide variation of up to 33.3% of the mean for both methods. CONCLUSIONS: Body protein in children with SQCP is significantly reduced for age and height. Skinfold anthropometry and DXA show wide variation in estimation of body protein compared with NAA in this group of children.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.1093/ajcn.83.3.613</identifier><identifier>PMID: 16522908</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Absorptiometry, Photon - methods ; Adolescent ; Adult ; anthropometric measurements ; Biological and medical sciences ; Birth defects ; Body Composition ; body protein ; Brain damage ; Case-Control Studies ; cerebral palsy ; Cerebral Palsy - metabolism ; Cerebral Palsy - physiopathology ; Child ; Child, Preschool ; children ; Children & youth ; Cross-Sectional Studies ; dual-energy X-ray absorptiometry ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; lean body mass ; Male ; Medical research ; Muscle, Skeletal - metabolism ; neutron activation analysis ; Neutron Activation Analysis - methods ; nitrogen balance ; patients ; Proteins ; Proteins - metabolism ; Quadriplegia - metabolism ; Quadriplegia - physiopathology ; Skinfold Thickness ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; wasting syndrome</subject><ispartof>The American journal of clinical nutrition, 2006-03, Vol.83 (3), p.613-618</ispartof><rights>2006 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Mar 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-b52951806d99c79e4127482f231ada10251d9b0e7c74ed3fb96c178435aa898b3</citedby><cites>FETCH-LOGICAL-c442t-b52951806d99c79e4127482f231ada10251d9b0e7c74ed3fb96c178435aa898b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17645953$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16522908$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arrowsmith, Fiona E</creatorcontrib><creatorcontrib>Allen, Jane R</creatorcontrib><creatorcontrib>Gaskin, Kevin J</creatorcontrib><creatorcontrib>Gruca, Margie A</creatorcontrib><creatorcontrib>Clarke, Samantha L</creatorcontrib><creatorcontrib>Briody, Julie N</creatorcontrib><creatorcontrib>Howman-Giles, Robert B</creatorcontrib><creatorcontrib>Somerville, Helen</creatorcontrib><creatorcontrib>O'Loughlin, Edward V</creatorcontrib><title>Reduced body protein in children with spastic quadriplegic cerebral palsy</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>BACKGROUND: No studies have directly measured body protein or validated skinfold-thickness anthropometry and dual-energy X-ray absorptiometry (DXA) to assess body protein in children with spastic quadriplegic cerebral palsy (SQCP). OBJECTIVE: We aimed to measure and evaluate body protein and to determine whether skinfold-thickness anthropometry and DXA can predict body protein in children with SQCP. DESIGN: This was a cross-sectional study of 59 children (22 girls, 37 boys) aged 3.9-19.5 y with SQCP. The children underwent measurements of anthropometric indexes, lean tissue mass by DXA (LTM[subscript DXA]), and total body protein by neutron activation analysis (TBP[subscript NAA]). In addition, TBP was estimated from both skinfold-thickness anthropometry (TBP[subscript SKIN]) and DXA (TBP[subscript DXA]). The agreement of TBP[subscript SKIN] and TBP[subscript DXA] was tested against TBP[subscript NAA] by using Bland and Altman plot analysis. RESULTS: Height and weight SD scores (x ± SD: -3.1 ± 1.6 and -4.8 ± 5.3, respectively) were significantly lower than reference data in the children with SQCP (P < 0.001). TBP[subscript NAA] for age and height was low in the children with SQCP (P < 0.001): 56.1 ± 17.3% and 81.5 ± 15.7%, respectively, of the values predicted from control data. TBP[subscript SKIN] and TBP[subscript DXA] were both highly correlated with TBP[subscript NAA]: r = 0.90, P < 0.001, and r = 0.91, P < 0.001, respectively. Despite these significant correlations, agreement analyses showed wide variation of up to 33.3% of the mean for both methods. CONCLUSIONS: Body protein in children with SQCP is significantly reduced for age and height. Skinfold anthropometry and DXA show wide variation in estimation of body protein compared with NAA in this group of children.</description><subject>Absorptiometry, Photon - methods</subject><subject>Adolescent</subject><subject>Adult</subject><subject>anthropometric measurements</subject><subject>Biological and medical sciences</subject><subject>Birth defects</subject><subject>Body Composition</subject><subject>body protein</subject><subject>Brain damage</subject><subject>Case-Control Studies</subject><subject>cerebral palsy</subject><subject>Cerebral Palsy - metabolism</subject><subject>Cerebral Palsy - physiopathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Children & youth</subject><subject>Cross-Sectional Studies</subject><subject>dual-energy X-ray absorptiometry</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>lean body mass</subject><subject>Male</subject><subject>Medical research</subject><subject>Muscle, Skeletal - metabolism</subject><subject>neutron activation analysis</subject><subject>Neutron Activation Analysis - methods</subject><subject>nitrogen balance</subject><subject>patients</subject><subject>Proteins</subject><subject>Proteins - metabolism</subject><subject>Quadriplegia - metabolism</subject><subject>Quadriplegia - physiopathology</subject><subject>Skinfold Thickness</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>wasting syndrome</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0U1r3DAQBmBRWpJtmmOvqSm0N29n9K1jWPoRCBSa5CxkSU68eG1Hsin776tlFwK5FASDxMMwo5eQjwhrBMO-ua0f1pqt2Voie0NWaJiuGQX1lqwAgNYGpTgn73PeAiDlWp6R8_JEqQG9Ijd_Ylh8DFUzhn01pXGO3VCV45-6PqQ4VH-7-anKk8tz56vnxYXUTX18LBcfU2yS66vJ9Xn_gbxrS42Xp3pBHn58v9_8qm9__7zZXN_WnnM6142gRqAGGYzxykSOVHFNW8rQBYdABQbTQFRe8RhY2xjpUWnOhHPa6IZdkK_HvmXY5yXm2e667GPfuyGOS7ZSKSoM1_-FqFCC5qLAz6_gdlzSUJawZSrDpABaUH1EPo05p9jaKXU7l_YWwR6SsIckrGaW2ZJE8Venpkuzi-FFn76-gC8n4LJ3fZvc4Lv84pTkwohDo09H17rRusdUzMMdBWSAIEEJYP8Aq-CY7A</recordid><startdate>20060301</startdate><enddate>20060301</enddate><creator>Arrowsmith, Fiona E</creator><creator>Allen, Jane R</creator><creator>Gaskin, Kevin J</creator><creator>Gruca, Margie A</creator><creator>Clarke, Samantha L</creator><creator>Briody, Julie N</creator><creator>Howman-Giles, Robert B</creator><creator>Somerville, Helen</creator><creator>O'Loughlin, Edward V</creator><general>American Society for Clinical Nutrition</general><general>American Society for Clinical Nutrition, Inc</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20060301</creationdate><title>Reduced body protein in children with spastic quadriplegic cerebral palsy</title><author>Arrowsmith, Fiona E ; Allen, Jane R ; Gaskin, Kevin J ; Gruca, Margie A ; Clarke, Samantha L ; Briody, Julie N ; Howman-Giles, Robert B ; Somerville, Helen ; O'Loughlin, Edward V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-b52951806d99c79e4127482f231ada10251d9b0e7c74ed3fb96c178435aa898b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Absorptiometry, Photon - methods</topic><topic>Adolescent</topic><topic>Adult</topic><topic>anthropometric measurements</topic><topic>Biological and medical sciences</topic><topic>Birth defects</topic><topic>Body Composition</topic><topic>body protein</topic><topic>Brain damage</topic><topic>Case-Control Studies</topic><topic>cerebral palsy</topic><topic>Cerebral Palsy - metabolism</topic><topic>Cerebral Palsy - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Children & youth</topic><topic>Cross-Sectional Studies</topic><topic>dual-energy X-ray absorptiometry</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>lean body mass</topic><topic>Male</topic><topic>Medical research</topic><topic>Muscle, Skeletal - metabolism</topic><topic>neutron activation analysis</topic><topic>Neutron Activation Analysis - methods</topic><topic>nitrogen balance</topic><topic>patients</topic><topic>Proteins</topic><topic>Proteins - metabolism</topic><topic>Quadriplegia - metabolism</topic><topic>Quadriplegia - physiopathology</topic><topic>Skinfold Thickness</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>wasting syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arrowsmith, Fiona E</creatorcontrib><creatorcontrib>Allen, Jane R</creatorcontrib><creatorcontrib>Gaskin, Kevin J</creatorcontrib><creatorcontrib>Gruca, Margie A</creatorcontrib><creatorcontrib>Clarke, Samantha L</creatorcontrib><creatorcontrib>Briody, Julie N</creatorcontrib><creatorcontrib>Howman-Giles, Robert B</creatorcontrib><creatorcontrib>Somerville, Helen</creatorcontrib><creatorcontrib>O'Loughlin, Edward V</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arrowsmith, Fiona E</au><au>Allen, Jane R</au><au>Gaskin, Kevin J</au><au>Gruca, Margie A</au><au>Clarke, Samantha L</au><au>Briody, Julie N</au><au>Howman-Giles, Robert B</au><au>Somerville, Helen</au><au>O'Loughlin, Edward V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduced body protein in children with spastic quadriplegic cerebral palsy</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2006-03-01</date><risdate>2006</risdate><volume>83</volume><issue>3</issue><spage>613</spage><epage>618</epage><pages>613-618</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>BACKGROUND: No studies have directly measured body protein or validated skinfold-thickness anthropometry and dual-energy X-ray absorptiometry (DXA) to assess body protein in children with spastic quadriplegic cerebral palsy (SQCP). OBJECTIVE: We aimed to measure and evaluate body protein and to determine whether skinfold-thickness anthropometry and DXA can predict body protein in children with SQCP. DESIGN: This was a cross-sectional study of 59 children (22 girls, 37 boys) aged 3.9-19.5 y with SQCP. The children underwent measurements of anthropometric indexes, lean tissue mass by DXA (LTM[subscript DXA]), and total body protein by neutron activation analysis (TBP[subscript NAA]). In addition, TBP was estimated from both skinfold-thickness anthropometry (TBP[subscript SKIN]) and DXA (TBP[subscript DXA]). The agreement of TBP[subscript SKIN] and TBP[subscript DXA] was tested against TBP[subscript NAA] by using Bland and Altman plot analysis. RESULTS: Height and weight SD scores (x ± SD: -3.1 ± 1.6 and -4.8 ± 5.3, respectively) were significantly lower than reference data in the children with SQCP (P < 0.001). TBP[subscript NAA] for age and height was low in the children with SQCP (P < 0.001): 56.1 ± 17.3% and 81.5 ± 15.7%, respectively, of the values predicted from control data. TBP[subscript SKIN] and TBP[subscript DXA] were both highly correlated with TBP[subscript NAA]: r = 0.90, P < 0.001, and r = 0.91, P < 0.001, respectively. Despite these significant correlations, agreement analyses showed wide variation of up to 33.3% of the mean for both methods. CONCLUSIONS: Body protein in children with SQCP is significantly reduced for age and height. Skinfold anthropometry and DXA show wide variation in estimation of body protein compared with NAA in this group of children.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>16522908</pmid><doi>10.1093/ajcn.83.3.613</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Absorptiometry, Photon - methods Adolescent Adult anthropometric measurements Biological and medical sciences Birth defects Body Composition body protein Brain damage Case-Control Studies cerebral palsy Cerebral Palsy - metabolism Cerebral Palsy - physiopathology Child Child, Preschool children Children & youth Cross-Sectional Studies dual-energy X-ray absorptiometry Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Humans lean body mass Male Medical research Muscle, Skeletal - metabolism neutron activation analysis Neutron Activation Analysis - methods nitrogen balance patients Proteins Proteins - metabolism Quadriplegia - metabolism Quadriplegia - physiopathology Skinfold Thickness Vertebrates: anatomy and physiology, studies on body, several organs or systems wasting syndrome |
| title | Reduced body protein in children with spastic quadriplegic cerebral palsy |
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