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Basal energy expenditure in children with spastic quadriplegic cerebral palsy and severe malnutrition (1035.2)
Author(s) -
VasquezGaribay Edgar,
GarcíaContreras Andrea,
RomeroVelarde Enrique,
Sandoval Montes Imelda,
IbarraGutierrez Ana,
TroyoSanroman Rogelio
Publication year - 2014
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.28.1_supplement.1035.2
Subject(s) - bioelectrical impedance analysis , cerebral palsy , medicine , anthropometry , spastic , malnutrition , resting energy expenditure , anesthesia , energy expenditure , physical therapy , body mass index
With the purpose to analyze the energy expenditure by indirect calorimetry (IC) and bioelectrical impedance analysis (BIA) in children with spastic quadriplegic cerebral palsy (CP) and severe malnutrition it was carried out and intervention study with 13 participants (10 females and three males) during the nutritional recovery period. All were fed via naso‐gastric tube or gastrostomy and received 12 kcal/cm/d the first week and 14‐16 kcal/cm/d afterwards. Anthropometric measurement, basal energy expenditure (BEE) by IC and BIA were obtained at initial, 15 and 30 days.Table 1. Comparison of basal energy expenditure by indirect calorimetry and bioelectrical impedance analysis in children with spastic quadriplegic cerebral palsy and severe malnutritionIndirect calorimetry 1 Bioelectrical impedance analysis 2N X SD N X SD Initial 13 567 3 135 10 801 3 78 15 days 13 790 4 254 10 830 4 76 30 days 13 775 5 169 10 849 5 751 Initial vs. 15 d, p = 0.002; initial vs. 30 d, p = 0.001; 15 d vs. 30 d, p=0.3182 Initial vs. 15 d and initial vs. 30 days, p = 0.001; 15 vs. 30 d, p= 0.0023 p < 0.001; 4 p =0.06; 5 p = 0.05It is probable that children with severe malnutrition would be weak enough at the initial measurement for the effort to the exhalation and that could explain the lower value of BEE with IC; that problem would be corrected at 15 days of intensive nutritional support because results were similar between IC and BIA at 15 and 30 d. Grant Funding Source : none