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The nutritional status of children with cystic fibrosis

Published online by Cambridge University Press:  08 March 2007

Alexia J. Murphy ,
Helen M. Buntain ,
Claire E. Wainwright  and
Peter S. W. Davies
Alexia J. Murphy*
Affiliation:
Children's Nutrition Research Centre, Discipline of Paediatrics and Child Health, University of Queensland, Royal Children's Hospital, Brisbane, Queensland 4029, Australia
Helen M. Buntain
Affiliation:
Department of Respiratory Medicine, Royal Children's Hospital, Brisbane, Australia
Claire E. Wainwright
Affiliation:
Department of Respiratory Medicine, Royal Children's Hospital, Brisbane, Australia
Peter S. W. Davies
Affiliation:
Children's Nutrition Research Centre, Discipline of Paediatrics and Child Health, University of Queensland, Royal Children's Hospital, Brisbane, Queensland 4029, Australia
*
*corresponding author: fax +61 7 36361981, email [email protected]
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Abstract

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The importance of nutritional intervention for children with cystic fibrosis (CF) is well recognised. It would be expected that the increase in knowledge over the past decade would be reflected in improvements in nutritional status for the CF paediatric population. The aim of the present paper was to evaluate the nutritional status of children with CF, cross-sectionally and longitudinally. Body cell mass adjusted for gender and size (BCM/Htp) was measured in sixty-four children with CF to represent nutritional status and expressed as a Z-score. The cross-sectional results showed a mean BCM/Htp Z-score of 0·54 (sd 1·21), with males having a slightly higher Z-score than females but with a larger variation. At the initial measurement, only one female and one male were considered sub-optimally nourished. The longitudinal analysis after 2 years showed that the mean population had a significantly decreased BCM/Htp Z-score; however, when each gender was analysed separately, this decrease was significant only in the males. At the final measurement, only two females and three males were considered sub-optimally nourished. It is evident from our results that children with CF are well nourished, with only a small percentage considered malnourished. It appears that nutritional status decreases with age, with this decline being more evident in males. These results signify that although children with CF are better nourished with current treatment support, intervention needs to continue throughout a CF patient's life to counteract the changes that occur with age.

Keywords

Cystic fibrosisNutritional statusBody cell mass
Type
Research Article
Information
British Journal of Nutrition , Volume 95 , Issue 2 , February 2006 , pp. 321 - 324
Copyright
Copyright © The Nutrition Society 2006

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