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Nutritional status and metabolic profile in neurologically impaired pediatric surgical patients
- Source :
- Journal of pediatric endocrinologymetabolism : JPEM. 30(3)
- Publication Year :
- 2016
-
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, high-density lipoprotein (HDL)-cholesterol level 95th percentile; whilebody mass index – standard deviation score (BMI-SDS) 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.
- Subjects :
- Adult
Male
medicine.medical_specialty
Pediatrics
Percentile
Adolescent
Endocrinology, Diabetes and Metabolism
Nutritional Status
030209 endocrinology & metabolism
Body Mass Index
03 medical and health sciences
Young Adult
0302 clinical medicine
Endocrinology
Insulin resistance
Risk Factors
Pediatric surgery
medicine
Humans
Mass index
Child
Metabolic Syndrome
Anthropometry
business.industry
medicine.disease
Prognosis
Malnutrition
Case-Control Studies
Child, Preschool
Pediatrics, Perinatology and Child Health
Body Composition
Metabolome
Female
Metabolic syndrome
Insulin Resistance
Nervous System Diseases
business
Energy Intake
Body mass index
030217 neurology & neurosurgery
Biomarkers
Follow-Up Studies
Subjects
Details
- ISSN :
- 21910251
- Volume :
- 30
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric endocrinologymetabolism : JPEM
- Accession number :
- edsair.doi.dedup.....c73d92ef487f29136bf0ff67ecd0fe6a