Hostname: page-component-7479d7b7d-68ccn Total loading time: 0 Render date: 2024-07-08T09:58:58.177Z Has data issue: false hasContentIssue false

Identification of malnutrition in children with cerebral palsy: poor performance of weight-for-height centiles

Published online by Cambridge University Press:  01 March 2000

Lisa J Samson-Fang
Affiliation:
Department of Pediatrics, University of Utah, Utah, USA.
Richard D Stevenson
Affiliation:
Department of Pediatrics, University of Virginia, Virginia, USA.
Get access

Abstract

This study aims to evaluate the use of the United States National Center for Health Statistics (NCHS) weight-for-height centiles (WHC) in screening children with cerebral palsy (CP) for depleted body fat and to identify an alternate screening method. Growth data from 276 children aged from 3 to 12 years with CP were analyzed retrospectively. Height or a proxy for height, mid-upper arm circumference, weight, and skinfold thicknesses were recorded. Mid-upper arm fat area was calculated for each participant. The sensitivities and specificities of WHC and a number of alternative anthropometric screening methods for identifying participants with severely depleted fat stores were determined. WHC <10th centile failed to identify 45% of children with severely depleted fat stores. Triceps skinfold thickness <10th centile identified 96% of malnourished children. WHC standards lack adequate sensitivity for identification of severely depleted fat stores in children with CP. Use of triceps skinfold thickness, using cut-off value of <10th centile for age and sex, is recommended to screen for suboptimal fat stores in children with CP.

Type
Original Articles
Copyright
© 2000 Mac Keith Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)