Abstract
Background: Malnutrition is reported in pediatric neuromotor disability and impacts the child's health. We described the nutritional and metabolic status in neurologically impaired (NI) children undergoing surgery. Methods: Anthropometry, body composition, hormonal and nutritional evaluations were performed in 44 NI subjects (13.7 ± 8.0 years). Energy needs were calculated by Krick's formula. Metabolic syndrome (MS) was defined applying the following criteria (≥ 3 defined MS): fasting blood glucose > 100 mg/dL and/or homeostasis model assessment for insulin resistance (HOMA-IR) > 97.5th percentile, trygliceride level > 95th percentile, highdensity lipoprotein (HDL)-cholesterol level < 5th percentile, systolic/diastolic pressure > 95th percentile; whilebody mass index≥ standard deviation score (BMI-SDS) < 2 and biochemical malnutrition markers (≥ 2) defined undernutrition. Results: Energy intake was not adequate in 73.8% of the patients; no correlation between energy intake and BMI was noted. Undernutrition was noted in 34.1% of patients and MS in 11.36% of subjects. Fifty percent of the patients presented with insulin resistance, which was not related to BMI, body composition or other MS components. Conclusions: Nutritional and metabolic monitoring of disabled children and young adults is recommended to prevent adverse outcomes associated with malnutrition.
Original language | English |
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Pages (from-to) | 289-300 |
Number of pages | 12 |
Journal | Journal of Pediatric Endocrinology and Metabolism |
Volume | 30 |
Issue number | 3 |
DOIs | |
Publication status | Published - Mar 1 2017 |
Keywords
- children
- disabilities
- metabolic syndrome
- nutrition
- pediatric surgery
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Endocrinology, Diabetes and Metabolism
- Endocrinology