Nutritional Survey of Children and Adolescents with Myelomeningocele (MMC): Overweight Associated with Reduced Energy Intake
| العنوان: | Nutritional Survey of Children and Adolescents with Myelomeningocele (MMC): Overweight Associated with Reduced Energy Intake |
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| المؤلفون: | Laura Levato, R. Tramalloni, Marina Gremmo, Paolo Picco, Antonella Palmieri, Elio Castagnola, Armando Cama, P. Fiore |
| المصدر: | European Journal of Pediatric Surgery. 8:34-36 |
| بيانات النشر: | Georg Thieme Verlag KG, 1998. |
| سنة النشر: | 1998 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Pediatrics, Meningomyelocele, Adolescent, Nutritional Status, Overweight, Reference Daily Intake, Body Mass Index, Nutrition Policy, Quality of life, medicine, Humans, Obesity, Child, business.industry, Infant, Anthropometry, Nutrition Surveys, medicine.disease, Nutrition Disorders, Surgery, Malnutrition, El Niño, Child, Preschool, Pediatrics, Perinatology and Child Health, Female, medicine.symptom, Energy Intake, business, Body mass index |
| الوصف: | UNLABELLED In patients affected by MMC both neurological and systemic dysfunctions may cause obesity and malnutrition. The aim of this study is a nutritional survey, with anthropometric assessment and dietary evaluation, of patients affected by MMC. CLINICAL MATERIALS AND METHODS Anthropometric assessment, dietary evaluation, and a comprehensive assessment of motor impairment degree (MID) were performed in 100 patients (54 males, 46 females) affected by MMC aged from 6 to 228 months (median 91 months). RESULTS Fifty-five/100 children and adolescents with MMC were classified as normal or wellnourished and 5 at risk of malnutrition or malnourished, while another 40/100 patients were classified as marked overweight (weight-for-height or BMI above the 95th percentile). Deficit in height-for-age was observed in 34/100 patients; 12 of these patients presented with obesity. Dietary assessment evidenced that the majority of wellnourished patients (48/55) were consuming less than 80% or between 80% to 100% of recommended daily allowances (RDA) of energy. Overweight patients had an energy intake lower than their own RDA: 5 below 80%, 25 between 80% to 100%, and only 10 over 100% of RDA of energy for age and sex. No statistical correlation was found between nutritional status and MID, while there was a statistically significant difference between nutritional status and dietary intake (p = 0.005). DISCUSSION Overweight is the most frequent nutritional disease in patients affected by MMC. Since in our experience on correlation with MID was found, we can speculate that childhood and adolescent obesity in patients with MMC occurs as a result of complex interactive factors, not strictly related to energy intake and MID. Nutritional surveillance and specific treatment programs for overweight MMC patients are essential to enhance their quality of life. |
| تدمد: | 1439-359X 0939-7248 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::39ee2069128610cf5ce45ec3c02f23eeTest https://doi.org/10.1055/s-2008-1071250Test |
| رقم الانضمام: | edsair.doi.dedup.....39ee2069128610cf5ce45ec3c02f23ee |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1439359X 09397248 |
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