%0 Journal Article %1 Samson-Fang2000 %A Samson-Fang, L. J. %A Stevenson, R. D. %D 2000 %J Dev Med Child Neurol %K Anthropometry; Arm; Cerebral Palsy; Child; Child, Preschool; Databases, Factual; Female; Humans; Male; Nutrition Disorders; Predictive Value of Tests; Retrospective Studies; Sensitivity and Specificity; Skinfold Thickness %N 3 %P 162--168 %T Identification of malnutrition in children with cerebral palsy: poor performance of weight-for-height centiles. %V 42 %X This study aims to evaluate the use of the United States National Center for Health Statistics (NCHS) weight-for-height centiles (WHC) in screening children with cerebral palsy (CP) for depleted body fat and to identify an alternate screening method. Growth data from 276 children aged from 3 to 12 years with CP were analyzed retrospectively. Height or a proxy for height, mid-upper arm circumference, weight, and skinfold thicknesses were recorded. Mid-upper arm fat area was calculated for each participant. The sensitivities and specificities of WHC and a number of alternative anthropometric screening methods for identifying participants with severely depleted fat stores were determined. WHC <10th centile failed to identify 45\% of children with severely depleted fat stores. Triceps skinfold thickness <10th centile identified 96\% of malnourished children. WHC standards lack adequate sensitivity for identification of severely depleted fat stores in children with CP. Use of triceps skinfold thickness, using cut-off value of <10th centile for age and sex, is recommended to screen for suboptimal fat stores in children with CP.

@article{Samson-Fang2000, abstract = {This study aims to evaluate the use of the United States National Center for Health Statistics (NCHS) weight-for-height centiles (WHC) in screening children with cerebral palsy (CP) for depleted body fat and to identify an alternate screening method. Growth data from 276 children aged from 3 to 12 years with CP were analyzed retrospectively. Height or a proxy for height, mid-upper arm circumference, weight, and skinfold thicknesses were recorded. Mid-upper arm fat area was calculated for each participant. The sensitivities and specificities of WHC and a number of alternative anthropometric screening methods for identifying participants with severely depleted fat stores were determined. WHC <10th centile failed to identify 45\% of children with severely depleted fat stores. Triceps skinfold thickness <10th centile identified 96\% of malnourished children. WHC standards lack adequate sensitivity for identification of severely depleted fat stores in children with CP. Use of triceps skinfold thickness, using cut-off value of <10th centile for age and sex, is recommended to screen for suboptimal fat stores in children with CP.}, added-at = {2014-07-19T21:12:34.000+0200}, author = {Samson-Fang, L. J. and Stevenson, R. D.}, biburl = {https://www.bibsonomy.org/bibtex/26e449147639ed3a9b41f0d95107b8800/ar0berts}, groups = {public}, interhash = {85fe5cc20d6683f00836bfa4e44577fb}, intrahash = {6e449147639ed3a9b41f0d95107b8800}, journal = {Dev Med Child Neurol}, keywords = {Anthropometry; Arm; Cerebral Palsy; Child; Child, Preschool; Databases, Factual; Female; Humans; Male; Nutrition Disorders; Predictive Value of Tests; Retrospective Studies; Sensitivity and Specificity; Skinfold Thickness}, month = Mar, number = 3, pages = {162--168}, pmid = {10755455}, timestamp = {2014-07-19T21:12:34.000+0200}, title = {Identification of malnutrition in children with cerebral palsy: poor performance of weight-for-height centiles.}, username = {ar0berts}, volume = 42, year = 2000 }