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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Body composition in children with bronchopulmonary dysplasia predicted from bioelectric impedance and anthropometric
1EA3925, Pediatric Gastroenterology, Hepatology and Nutrition Unit, Jeanne de Flandre Hospital, Faculty of Medicine Lille, France.
Insights
Body composition assessment in children with bronchopulmonary dysplasia (BPD) is crucial for nutritional support. Both anthropometry and bio-impedancemetry showed limitations in precisely evaluating fat-mass and fat-free mass compared to DXA.
Area of Science:
- Pediatric Nutrition
- Body Composition Analysis
- Respiratory Medicine
Background:
- Children with bronchopulmonary dysplasia (BPD) frequently experience malnutrition and growth failure.
- Accurate body composition assessment is vital for effective nutritional support in these children.
Purpose of the Study:
- To compare the accuracy of bio-impedancemetry and anthropometry with dual-X-ray absorptiometry (DXA) for evaluating fat-mass (FM) and fat-free mass (FFM) in children with BPD.
Main Methods:
- Seventy-one children aged 4-8 years with BPD were included.
- Body composition (FM and FFM) was measured using anthropometry and bio-impedancemetry.
- Measurements were compared against DXA using the Bland-Altman method.
Main Results:
- Both anthropometry and bio-impedancemetry demonstrated reasonable agreement with DXA for FM and FFM assessment.
- Anthropometry tended to slightly underestimate FM and FFM.
- Bio-impedancemetry showed a tendency to overestimate FM and underestimate FFM.
Conclusions:
- Neither anthropometry nor bio-impedancemetry can be reliably used for precise body composition evaluation in children with BPD aged 4-8 years.
- Further research may be needed to refine these methods for pediatric BPD populations.
Unlabelled:
Since children with bronchopulmonary dysplasia often suffer from malnutrition and growth failure, evaluation of body composition is a very important tool to nutritional support. The aim of this study was to compare assessment of fat-mass (FM) and fat-free mass (FFM), evaluated by bio-impedancemetry and anthropometry compared to dual-X-ray-absorptiometry (DXA) in children with bronchopulmonary dysplasia.
Patients:
Seventy-one children, aged 4-8 years, with bronchopulmonary dysplasia were enrolled.
Methods:
FM and FFM measured using anthropometry and bio-impedancemetry were compared to FM and FFM obtained by DXA using the Bland-Altman method.
Results:
Both bio-impedancemetry and anthropometry gave good agreement with DXA to evaluate FM and FFM. Anthropometry method, in general, slightly under-estimated FM (mean difference: -0.02 kg, standard deviation: 0.99) and FFM (mean difference: -0.70 kg+/-1.72). Bio-impedancemetry method overestimated FM (mean difference: 0.34 kg+/-2.06) and underestimated FFM (mean difference: -1.24 kg+/-3.32).
Conclusion:
In children with bronchopulmonary dysplasia aged, 4-8 years, both anthropometry and bio-impedancemetry cannot be used to precisely evaluate body composition.
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