Growth and nutritional status in children and adolescents with cystic fibrosis
Wioleta Umławska1, Charles Susanne
1Department of Anthropology, University of Wrocław, Poland. wilota@antropo.uni.wroc.pl
Insights
Children with cystic fibrosis exhibit growth retardation and malnutrition, often with infantile body proportions. Early diagnosis and understanding mutation impact are crucial for managing their nutritional status and growth.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Genetics
Background:
- Cystic fibrosis (CF) commonly causes growth retardation, delayed puberty, and malnutrition in children.
- Assessing growth and nutritional status in pediatric CF patients is critical for timely intervention.
Purpose of the Study:
- To evaluate growth and nutritional status in children with cystic fibrosis (CF).
- To analyze body proportions and body mass index (BMI) in relation to CFTR mutation type and diagnosis age.
Main Methods:
- Collected anthropometric data from 62 pediatric CF patients in Poland.
- Expressed anthropometric parameters as standard deviations from population-specific reference means.
- Utilized two-way ANOVA to correlate CFTR mutation type with diagnosis age and body proportions.
Main Results:
- CFTR mutation type correlated significantly with height, weight, and transverse chest width.
- Growth retardation was more pronounced in children diagnosed before age 3.
- Children displayed infantile body proportions (short legs, long trunks) and nearly 40% were malnourished.
Conclusions:
- Growth patterns in pediatric CF patients are influenced by CFTR mutation type and diagnosis age.
- Infantile body proportions and malnutrition are prevalent issues in this cohort.
- Further research is needed to explore the impact of clinical practice and socioeconomic factors on CF growth.
Background:
Growth retardation, delayed puberty and malnutrition are frequently observed in children suffering from cystic fibrosis.
Aim:
The aim of this study was to estimate growth and nutritional status in children with cystic fibrosis on the basis of body proportions and body mass index.
Subjects And Methods:
Anthropometric data were collected from the medical histories of 62 patients treated in three cystic fibrosis treatment centers in Poland. Anthropometric parameters were expressed in terms of standard deviations away from age-specific and sex-specific reference means reported for the population of Poland. Two-way analysis of variance was used to determine whether the type of cystic fibrosis transmembrane conductance regulator (CFTR) mutation is correlated with age at the time of diagnosis and with body proportions.
Results:
The type of mutation was significantly correlated with height, weight and transverse chest width. Growth retardation was greater in subjects diagnosed before they were 3 years old than in subjects diagnosed later. The children had infantile body proportions. Their legs were short and their trunks were long in comparison to their height. Almost 40% of the subjects suffered from malnourishment.
Conclusion:
Further study is needed to determine how growth in children with cystic fibrosis is affected by clinical practice and socio-economic factors.
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