Nutritional status and metabolic profile in neurologically impaired pediatric surgical patients

Gloria Pelizzo, Valeria Calcaterra, Veronica Carlini, Mario Fusillo, Matteo Manuelli, Catherine Klersy, Noemi Pasqua, Elona Luka, Riccardo Albertini, Mara De Amici, Hellas Cena

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Pages (from-to)289-300
Number of pages12
JournalJournal of Pediatric Endocrinology and Metabolism
Volume30
Issue number3
DOIs
Publication statusPublished - 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

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