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Energy expenditure is associated with age, anthropometric indicators and body composition in children with spastic

Jorge Abraham García Íñiguez1, Edgar Manuel Vásquez Garibay, Andrea Anaís García Contreras

  • 1. vasquez.garibay@gmail.com.

Nutricion Hospitalaria
|August 3, 2018
PubMed

Insights

Energy needs in children with spastic cerebral palsy (CP) increase with age. Resting energy expenditure (REE) and total energy expenditure (TEE) correlate with body composition, with height-based estimation proving practical for nutritional assessment.

Area of Science:

  • Pediatric Nutrition
  • Clinical Metabolism
  • Cerebral Palsy Research

Background:

  • Accurate energy requirement estimation is crucial for children with cerebral palsy (CP).
  • Optimizing energy intake supports growth and development in pediatric CP populations.

Purpose of the Study:

  • To investigate the relationship between resting energy expenditure (REE) and total energy expenditure (TEE) with age, anthropometry, and body composition in children with spastic CP.
  • To validate height-based energy expenditure estimation as a practical method.

Main Methods:

  • Cross-sectional study of 79 children with spastic CP (24 months to 16 years).
  • Bioelectrical impedance analysis used for body composition and energy expenditure assessment.
  • Statistical analyses included ANOVA, post hoc tests, and Pearson correlation.

Main Results:

  • Significant increases in REE and TEE (kcal/d) observed with increasing age.
  • Strong positive correlations found between REE/TEE and fat-free mass (FFM) and fat mass (FM).
  • FFM, total body water, and FM significantly explained variability in energy expenditure.

Conclusions:

  • Energy expenditure in children with CP increases with age.
  • Height-based energy expenditure (kcal/cm/d) estimation is consistent across age and sex.
  • Height-based estimation offers a practical and reliable method for assessing energy needs and ensuring adequate nutritional status in children with CP.
Abstract

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