Application of Bioelectrical Impedance Analysis in Weight Management of Children with Spina Bifida.

IF 4.8 2区医学 Q1 NUTRITION & DIETETICS

Nutrients Pub Date : 2024-09-23 DOI:10.3390/nu16183222

Joanna Bagińska-Chyży, Agata Korzeniecka-Kozerska

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引用次数: 0

Abstract

Background: Children with spina bifida (SB) face an elevated risk of obesity, which necessitates precise methods for assessing body composition to ensure effective weight management. Conventional measures like BMI are inadequate for this population because of variations in growth patterns and skeletal structure. Bioelectrical impedance analysis (BIA) is a method that offers a clearer picture of body composition, yet its use in children with SB remains underexplored.

Methods: Conducted on 57 children with SB and 28 healthy controls, with a median age of 11 years, this study evaluated anthropometrics, including BMI and BIA-derived metrics. The Hoffer's scale to assess physical activity was applied in SB children.

Results: Results showed that while 32% of SB patients were classified as overweight or obese based on BMI, 62% exhibited high body fat percentage via BIA. Fat-free mass, muscle and fat mass, and fat-to-muscle ratio (FMR) differed significantly compared to the reference group. Non-ambulators showed a higher median body fat mass percentage (25.9% vs. 17.8%, p = 0.01) and FMR (0.92 vs. 0.44, p = 0.003) in comparison to the community walkers.

Conclusions: In SB children, BIA-measured fat mass is a better obesity indicator than BMI. Non-ambulatory, SB patients with obesity had the highest FMR values, indicating a higher risk for metabolic syndrome.

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生物电阻抗分析在脊柱裂患儿体重管理中的应用

背景：脊柱裂（SB）患儿肥胖的风险较高，因此需要精确的方法来评估身体成分，以确保有效的体重管理。由于生长模式和骨骼结构的差异，BMI 等传统测量方法并不适用于脊柱裂患儿。生物电阻抗分析（BIA）是一种能更清晰地反映身体成分的方法，但其在 SB 儿童中的应用仍未得到充分探索：本研究对 57 名 SB 患儿和 28 名健康对照者（中位年龄为 11 岁）进行了人体测量评估，包括 BMI 和 BIA 衍生指标。霍弗量表用于评估 SB 儿童的体力活动：结果表明，虽然 32% 的 SB 患者根据体重指数被归类为超重或肥胖，但 62% 的患者通过 BIA 显示出较高的体脂率。与参照组相比，无脂肪质量、肌肉和脂肪质量以及脂肪与肌肉比率（FMR）差异显著。与社区步行者相比，非步行者的体脂质量百分比中位数（25.9% 对 17.8%，p = 0.01）和脂肪肌肉比（0.92 对 0.44，p = 0.003）更高：结论：在 SB 儿童中，BIA 测量的脂肪量是比 BMI 更好的肥胖指标。结论：在步态不良儿童中，BIA 测量的脂肪量是比体重指数更好的肥胖指标。步态不良的步态不良儿童肥胖症患者的 FMR 值最高，表明他们患代谢综合征的风险更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrients NUTRITION & DIETETICS-

CiteScore

9.20

自引率

15.30%

发文量

4599

审稿时长

16.74 days

期刊介绍： Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.