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Nutrition Status Parameters and Hydration Status by Bioelectrical Impedance Vector Analysis Were Associated With Lung Function Impairment in Children and Adolescents With Cystic Fibrosis
Author(s) -
Hauschild Daniela Barbieri,
Barbosa Eliana,
Moreira Emilia Addison Machado,
Ludwig Neto Norberto,
Platt Vanessa Borges,
Piacentini Filho Eduardo,
Wazlawik Elisabeth,
Moreno Yara Maria Franco
Publication year - 2016
Publication title -
nutrition in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.725
H-Index - 71
eISSN - 1941-2452
pISSN - 0884-5336
DOI - 10.1177/0884533615627157
Subject(s) - bioelectrical impedance analysis , medicine , anthropometry , body mass index , pulmonary function testing , odds ratio , lung volumes , lung
Background: (1) To compare nutrition and hydration status between a group of children/adolescents with cystic fibrosis (CFG; n = 46; median age, 8.5 years) and a control group without cystic fibrosis (CG). (2) To examine the association of nutrition and hydration status with lung function in the CFG. Material and Methods: A cross‐sectional study. Nutrition screening, anthropometric parameters, and bioelectrical impedance analysis (BIA) were assessed. The z scores for body mass index for age, height for age, mid upper arm circumference, triceps and subscapular skinfold thickness, mid upper arm muscle area, resistance/height, and reactance/height were calculated. Bioelectrical impedance vector analysis was conducted. Forced expiratory volume in 1 second <80% was considered lung function impairment. An adjusted logistic regression was applied ( P < .05). Results: In the CFG, lung function impairment was observed in 51.1%. All anthropometric parameters were lower, and the mean z ‐resistance/height and z ‐reactance/height were higher in the CFG ( P < .05) compared with the CG. In the CFG, 43% were severely/mildly dehydrated, while none were in the CG ( P = .007). In the CFG, there was an association between high nutrition risk—via nutrition screening (odds ratio [OR], 22.28; P < .05), lower values of anthropometric parameters, higher z‐resistance/height (OR, 2.23; P < .05) and z ‐reactance/height (OR, 1.81; P < .05), and dehydration (OR, 4.94; P < .05)—and lung function impairment. Conclusions: The CFG exhibited a compromised nutrition status assessed by anthropometric and BIA parameters. Nutrition screening, anthropometric and BIA parameters, and hydration status were associated with lung function.